raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:136

CADASIL

Synonyms: Cerebral autosomal dominant arteriopathy-subcortical infarcts-leukoencephalopathy · Hereditary multi-infarct dementia

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adult
Status
active

CADASIL (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy) is a hereditary cerebrovascular disorder characterized by mid-adult onset of recurrent subcortical ischemic stroke and cognitive impairment progressing to dementia in addition to migraines with aura and mood disturbances seen in about a third of patients.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCADASILCerebral autosomal dominant arteriopathy-subcortical infarcts-leukoencephalopathy · Hereditary multi-infarct dementia
frCADASILArtériopathie cérébrale autosomique dominant-infarctus sous-cortical-leucoencéphalopathie · Syndrome de démence-infarctus cérébraux multiples héréditaires
deCADASILZerebrale autosomal-dominante Arteriopathie mit subkortikalen Infarkten und Leukenzephalopathie · Demenz mit multiplen subkortikalen Infarkten, hereditäre Form
esCADASILArteriopatía cerebral autosómica dominante-infartos subcorticales-leucoencefalopatía · Demencia multi-infarto hereditaria
itCADASILArteriopatia cerebrale autosomica dominante-infarti subcorticali-leucoencefalopatia · Demenza multi-infartuale ereditaria
nlCADASILErfelijke multi-infarctdementie · Cerebrale autosomaal dominante arteriopathie - subcorticale infarcten - leuko-encefalopathie
ptArteriopatia cerebral autossómica dominante-enfartes subcorticais-leucoencefalopatiaCADASIL · Demência-enfartes múltiplos, tipo hereditário
plCADASILDziedziczna demencja wielozawałowa · Mózgowa autosomalna dominująca arteriopatia z podkorowymi zawałami i leukoencefalopatią
csCerebrální autozomálně dominantní arteriopatie, subkortikální infarkty, leukoencefalopatieHereditární formy multiinfarktové demence · Cerebrální autozomálně dominantní arteriopatie se subkortikálními infarkty a leukoencefalopatií
ukЦеребральна аутосомно-домінантна артеріопатія - підкіркові інфаркти - лейкоенцефалопатіяCADASIL · Спадкова мультиінфарктна деменція
zh常染色体显性大脑动脉病-皮质下梗死-脑白质病遗传性多灶梗塞性痴呆
trSerebral otozomal dominant arteriyopati-subkortikal enfarktlar-lökoensefalopatiCADASIL · Kalıtsal multi-enfarkt demans

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM125310NTBTvalidated
ICD-10I67.8NTBTattributedvalidated
ICD-118B22.C0Especificvalidated
MONDO0000914Evalidated
MeSHD046589Evalidated
UMLSC0751587Evalidated
GARD1049Evalidated
MedDRA10065551Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NOTCH3Disease-causing germline mutation(s) inAssessedHGNC:7883ENSG0000007418160027619p13.12notch receptor 320301673[PMID]
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Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 0003 / 100 000EuropeValue and classValidated12146805[PMID]_15834040[PMID]_22422895[PMID]_[EXPERT]_ORPHANET
Point prevalence1-9 / 100 0002 / 100 000United KingdomValue and classValidated22422895[PMID]_15834040[PMID]_ [EXPERT]
Point prevalence1-9 / 100 0003 / 100 000FinlandValue and classValidated12146805[PMID]_[EXPERT]_ ORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

40 annotations · validated 2020-05-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002500Abnormal cerebral white matter morphology
HP:0032325Lacunar stroke
HP:0002352Leukoencephalopathy
HP:0040329Multifocal hyperintensity of cerebral white matter on MRI
Frequent (79-30%)
HP:0000741Apathy
HP:0002637Cerebral ischemia
HP:0100543Cognitive impairment
HP:0000712Emotional lability
HP:0002076Migraine
HP:0002077Migraine with aura
HP:0001297Stroke
HP:0002326Transient ischemic attack
Occasional (29-5%)
HP:0000739Anxiety
HP:0100545Arterial stenosis
HP:0031843Bradyphrenia
HP:0012444Brain atrophy
HP:0001342Cerebral hemorrhage
HP:0001289Confusion
HP:0000726Dementia
HP:0000716Depression
HP:0000819Diabetes mellitus
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001298Encephalopathy
HP:0001288Gait disturbance
HP:0002301Hemiplegia
HP:0000822Hypertension
HP:0010794Impaired visuospatial constructive cognition
HP:0002170Intracranial hemorrhage
HP:0002140Ischemic stroke
HP:0002463Language impairment
HP:0007185Loss of consciousness
HP:0002354Memory impairment
HP:0002333Motor deterioration
HP:0001300Parkinsonism
HP:0007236Recurrent subcortical infarcts
HP:0001250Seizure
HP:0001257Spasticity
HP:0010992Stress urinary incontinence
Very rare (<4-1%)
HP:0002381Aphasia

Run the differential on the 4 obligate / very frequent terms

Annotation source: 20038773[PMID]_14593195[PMID]_16717211[PMID]_29478611[PMID]_27591799[PMID]

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Sources for this card