Case contributed by Assoc Prof Frank Gaillard

Patient Data

Age: 15 years
Gender: Male

MRI brain

MRI of the brain demonstrates increased T2 signal and reduced T1 signal in the white matte of the cerebral hemispheres posteriorly. There is faint enhancement at the anterior margin of the signal abnormality.

Annotated image

Subcortical u-fiber sparing

Note how the subcortical u-fibers are spared until later in the disease. 

Case Discussion

This case illustrates typical features of adrenoleukodystrophy. 

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Case information

rID: 16629
Published: 4th Feb 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included