Case contributed by Dr Bhaven Shah


Gradual onset of reduction in vision in both eyes. No significant regression of milestones noted.

Patient Data

Age: 4 years
Gender: Male

MR images show bilateral occipital periventricular white matter signal abnormality showing characteristic triple layer appearance.

On post contrast study, the intermediate zone shows intense enhancement while the burnt out zone and peripheral zone show no enhancement.

Case Discussion

Features are characteristic of adrenoleukodystrophy (ALD)

PlayAdd to Share

Case information

rID: 13850
Published: 24th May 2011
Last edited: 13th Aug 2019
Tag: ald
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.