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A case of small vessel disease diagnosed as CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) a FLAIR image, b T2-WI. A 5th decade male with severe migraine like symptom. Skin biopsy revealed GOM deposition and was diagnosed as CADASIL. His father had developed cerebral infarction in his 6th decade. Axial FLAIR image and coronal T2WI showing subcortical abnormal signal suggesting dilated perivascular space and surrounding gliosis
