CADASIL Overview CADASIL, or cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, is a rare, inherited disorder that causes blood flow blockages in the brain, leading to stroke, dementia, and migraines with aura. Caused by mutations in the <<Huffman>NOTCH3 gene, it typically manifests in adults between ages 20 and 40 and requires a diagnosis confirmed by genetic testing or a skin biopsy. There is no cure, so management focuses on symptom treatment and reducing stroke risk factors, such as high blood pressure and smoking. Symptoms Migraine with aura: Often the first symptom, appearing in early to mid-adulthood. Strokes : Recurrent ischemic strokes are common, and they can lead to a progressive decline in cognitive function. Cognitive decline: This can progress to dementia over time, affecting memory, thinking, and executive function. Mood disturbances: Apathy, depression, and other mood issues can occur....