History of seizures and visual disturbance.
Loading Stack -
0 images remaining
There is evidence of bilateral symmetrical confluent low Tl signal and high T2 signal involving peritrigonal white matter, optic radiation as well as splenium and extending to involve the corticospinal tracts. The subcortical U-fiber white matter is spared. The "leading edge" also demonstrates enhancement after Gadolinium injection. Additionally there is bilateral symmetrical auditory pathways involvement at the level of brain stem (pons) with enhancement after contrast injection.
These MRI features are typical for X-linked adrenoleukodystrophy and the diagnosis of this case was confirmed.
1 article features images from this case
20 public playlist includes this case
- Tony Chen October 3
- Primer - Neuroradiology - Degenerative and White Matter Disease
- Paediatrics - Brain - Cerebral - Metabolic Disorders
- VIVA Paeds 1
- Neuro - confluent WM lesion child
- YJL 2B Neuro
- kejsy #1
- MRT Hirn
- White Matter Change - Kids
- Pediatric / Phakomatosis