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A rare genetic cerebral small vessel disease characterized by an adult-onset primary microangiopathy with severe atherosclerosis of arterioles and secondary leukoencephalopathy. Patients may present with migraine, transient ischemic attacks, stroke with central facial palsy, cognitive dysfunction with impaired concentration, dementia, depression, movement disorder, vertigo, dysphagia, dysarthria, sicca syndrome, impaired REM sleep, and therapy-resistant hypertension, among others. Brain MRI typically shows a leukoencephalopathy that is disproportionately severe and extensive compared to the clinical disease.
No clinical trials have been registered for cathepsin a-related arteriopathy-strokes-leukoencephalopathy.
5 publications have been identified in PubMed for cathepsin a-related arteriopathy-strokes-leukoencephalopathy. Research spans Epidemiology / Natural History (50%), Review / Meta-Analysis (25%), and Case Report / Case Series (25%).
Cerfontaine MN (2026). [PMID: 41908989](https://pubmed.ncbi.nlm.nih.gov/41908989/). *Neurol Genet*. [Epidemiology / Natural History]
Yang JO (2025). [PMID: 39916465](https://pubmed.ncbi.nlm.nih.gov/39916465/). *J Stroke*. [Epidemiology / Natural History]
Saks DG (2025). [PMID: 39840612](https://pubmed.ncbi.nlm.nih.gov/39840612/). *Curr Opin Psychiatry*. [Review / Meta-Analysis]
Maramattom BV (2024). [PMID: 38994734](https://pubmed.ncbi.nlm.nih.gov/38994734/). *Ann Indian Acad Neurol*. [Case Report / Case Series]
Data assembled from 3 of 12 sources · Last updated Sep 20, 2026, 5:34 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center