CADASIL / Lateral meningocele syndrome
Definition
The NOTCH3 gene encodes the Notch3 receptor, which is important for the function and survival of vascular smooth muscle cells. Mutations cause apoptosis of vascular smooth muscle cells and progressive damage to cerebral vessels. Recurrent strokes, migraine with aura, seizures, progressive cognitive decline and characteristic white matter changes are seen.
Gene/region examined
NOTCH3 - Exon 3, NOTCH3 - Exon 4, NOTCH3 - Exon 11, NOTCH3 - Exon 18 NOTCH3 - Exon 19
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal dominant (AD).