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Living with CARASIL syndrome

An inherited condition that affects the brain's blood vessels, causing strokes, walking problems, and changes in thinking.

Understanding CARASIL syndrome

CARASIL syndrome is an inherited condition that causes stroke and other problems with the brain and nervous system.

Signs usually appear in a person's twenties or thirties. Muscle stiffness in the legs and walking trouble are often the first signs. About half of people have a stroke or similar episode before age 40. Many later develop mood and personality changes, memory loss, and decline in thinking ability.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Walking problems (gait disturbance)
  • Muscle stiffness and spasms (spasticity)
  • Stroke-like episodes
  • Decline in thinking ability (cognitive impairment)
  • Changes in behavior and mood
  • Back pain and leg pain

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in HTRA1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Leukodystrophy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Leukodystrophy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Leukodystrophy Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can HTRA1 genetic testing confirm the diagnosis and guide family planning?
Which specialists should follow the brain and nerve symptoms?
What can be done to help with walking and stiffness?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Recessive
GenesHTRA1

Changes in the HTRA1 gene cause CARASIL. It is inherited in an autosomal recessive way, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: carasil; cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2; cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy; cerebral autosomal recessive arteriopathy-subcortical infarcts-leukoencephalopathy; cerebrovascular disease with thin skin, alopecia, and disc disease; maeda syndrome

Patient organizations

Source: NIH GARD · CARASIL syndromeGARD ID 10424 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with CARASIL syndrome.

Explore the CARASIL syndrome blog

Explore research for CARASIL syndrome

Explore actively recruiting CARASIL syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for CARASIL syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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