Presentation
Patient presented with altered behaviour.
Patient Data
Age: 8 years
Gender: Male
From the case:
Adrenoleukodystrophy
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White matter hyodensities with foci of calcification noted at both parieto-occipital lobes.
From the case:
Adrenoleukodystrophy
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Signal changes on T1, T2 and T1C+ with zonal distribution noted at both occipito-parietal lobes. On the post-contrast sequence, there is peripheral enhancement noted taking the appearance of a garland.
Case Discussion
Classical MRI changes noted. This patient underwent ABCD1 gene mutation analysis, which was positive. The mutation in the ABCD1 gene causes X-linked adrenoleukodystrophy, which is inherited in an X-linked manner.