"The clinical presentation consists of :"
"Pontine autosomal dominant microangiopathy with leukoencephalopathy (PADMAL) is an autosomal dominant monogenic COL4A1-related disorder that primarily causes cerebral small vessel disease. It is a distinct entity to COL4A1 brain small-vessel disease, but very likely on the same spectrum of disease as Swedish hereditary multi-infarct dementia."
"Unlike other COL4A1-related disorders, extra-cranial manifestations are generally not seen 4."
"In PADMAL, this mutation leads to over-expression in COL4A1, which is distinct to mutations causing COL4A1 brain small-vessel disease which are generally missense mutations in different regions of the same gene leading to abnormal alpha-1 chain of type IV collagen synthesis 2,3,5."
"Unlike other COL4A1-related disorders, extra-cranial manifestations are generally not seen 4."
"PADMAL is caused by a mutation to the 3' untranslated region (3'UTR) of the COL4A1 gene, located on the long arm of chromosome 13, that normally encodes for the alpha-1 chain of type IV collagen 2,3,5. De novo mutations have been described 8."
Expected headings
"CTA/MRA"