Adult leukodystrophies

Last revised by Mohamed Saber on 5 May 2021

Adult-onset leukodystrophies are uncommon compared to those that present in childhood and in most instances are a delayed and atypical presentation of conditions more common in childhood. They are important differential considerations when assessing adults with white matter diseases


It should be noted that the term leukodystrophy and which conditions are considered to be leukodystrophies varies from publication to publication. This is discussed in greater detail in the general article: leukodystrophy

Adult-onset leukodystrophies 

The vast majority of adult-onset leukodystrophies are conditions that are also, and most frequently, diagnosed in childhood. Some rare entities, however, are exclusively seen in adults 1. Below are the more common conditions seen in each instance 1,2

Adult-onset of leukodystrophies usually diagnosed in childhood 
Leukodystrophies exclusively diagnosed in adults

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