Right-to-Left Shunt in CADASIL Patients: A Comorbidity Factor?
Author(s) -
Sara Mazzucco,
Gian Paolo Anzola,
Nicolo’ Rizzuto
Publication year - 2008
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.108.527093
Subject(s) - cadasil , medicine , neurology , comorbidity , clinical neurology , pediatrics , leukoencephalopathy , psychiatry , psychology , neuroscience , disease
To the Editor:In 2001 Angeli et al1 reported a remarkably high prevalence of right to left shunt (RLS) in a single CADASIL pedigree, suggesting “a possible association between CADASIL and RLS”. Surprisingly, and notwithstanding the large volume of data building up on CADASIL pathogenesis and diagnosis, no further data has followed this first and only publication on this topic up to now. This is why we read with much interest the article from Zicari et al,2 reporting on a very high prevalence of RLS (71%) in a sample of 21 patients with CADASIL. However, some concerns have to be issued. …
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