What happens in a CADASIL clinic?


Following your referral to the CADASIL Clinic from your GP or your local Neurologist you will be seen in the CADASIL Clinic at Addenbrooke's Hospital, Cambridge. This is usually held on the first Tuesday of each month but we often see patients in a clinic on Wednesday morning as well, and also run extra clinics on other days when demand is high. This varies on occasion. At this visit, you will be seen by a Consultant Neurologist with a particular interest in CADASIL, Professor Hugh Markus. You may also be seen by a Registrar in neurology.


For some patients it may be helpful to see our Psychologist who may carry out cognitive testing. This assesses your thinking skills as part of your clinic visit. We try to do this straight after your appointment with the doctors whenever possible.  


In most cases we will need to see your MRI brain scans. If these have been carried out at your local hospital we will need to obtain copies. If an MRI scan has not been carried out or the results are not available then a scan may be arranged for you at Cambridge and on some occasions a skin biopsy may be arranged and blood samples may be taken for routine clinical management.


You will be given the opportunity to ask questions in the clinic and will also be given a contact number should you have any questions which arise after the visit. You should consider bringing a friend or relative to the consultation as many people find that helpful. 


There is a large research interest in CADASIL at Cambridge and you may be asked whether you would like to take part in research studies. This is entirely voluntary and if you do not wish to take part, this will not affect your treatment in any way. We do appreciate it when individuals consent to take part in research studies but understand it is not always something which patients wish to undertake.