Mood disorders, cognitive decline, headaches, and stroke are among the key symptoms of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, or CADASIL [1]. Rarely, ataxia has been noted as a presenting ailment in this case [2]. A man 48 years of age showed signs of developing ataxia. Magnetic resonance imaging (MRI) of the brain showed focal tiny infarct in lest internal capsule, subacute intraparenchymal hemorrhage involving lest temporal lobe, few old lacunal infarct in bilateral ganglio capsular region, right thalamus and bilateral fronto-parietal periventricular white matter. A mutation in the NOTCH3 gene was verified through genetic testing. It found a variant c.268C>T (p.Arg90Cys). We also address the potential etiology of cerebellar ataxia linked to CADASIL and other factors that could lead to a different differential diagnosis. CADASIL is an uncommon cause of progressive ataxia.

Coronary Artery Disease is caused by plaque buildup in the walls of the arteries that supply blood to the heart (called coronary arteries) and other parts of the body. Plaque is made up of deposits of cholesterol and other substances in the artery. Plaque buildup causes the inside of the arteries to narrow over time, which could partially or totally block the blood flow. This process is called atherosclerosis. Coronary artery disease (CAD), when get worst, it is known as coronary artery syndrome (CAS). There are many allopathic medications which can stop, even at starting points of the disease (CAD). Hypolipidemic drugs like statins, fibrates, resins and niacin are well known agents used for prevention of CAD. There are ethnic-based medicinal herbs which can be used to treat or prevent CAD with narrow to moderate range of statistical significance. We compared Rosuvastatin 10 mg with Indian dates (Jujubes) as hypolipidemic agents. This research was conducted at Ghurki Trust Teaching Hospital, jalo park, Lahore, Pakistan. Duration of study was two months. Twenty to seventy years old 60 hyperlipidemic patients of both gender were included in research work with written consent. We divided these patients in two equal groups. Group-I was advised to take Tablet Rosuvastatin 10 mg, twice daily for two months. Group-II was advised to take 500 grams Indian dates for two months. Their baseline parameters like LDL-cholesterol, HDL-cholesterol, systolic/diastolic blood pressure was determined in the hospital laboratory. Separate file was maintained for their name, age, sex, occupation, and address. After two months therapy we compiled data related to tested parameters. Paired t-test was applied to compare changes in all parameters. Their mean values with ± SD before and after treatment were compared and analyzed statistically. It was observed that Rosuvastatin significantly decreased systolic/diastolic blood pressure, LDL-cholesterol, and increased HDL-cholesterol in 27 hyperlipidemic/hypertensive patients. Indian dates used in 30 hyperlipidemic patients significantly decreased systolic blood pressure, and LDL-cholesterol, but insignificant changes were seen in diastolic blood pressure, and HDL-cholesterol. We concluded from the research work that Rosuvastatin is potent hypolipidemic and hypotensive medicine as compared to indian dates.