Krabbe disease

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Developmental delay, hypertonia, auditory and visual impairment.

Patient Data

Age: 8 months
Gender: Male
mri

Symmetrical hyperintensities in bilateral centrum semiovale, corona radiata, posterior limbs of bilateral internal capsules, brainstem and bilateral cerebellar white matter including dentate nuclei.

Increased thickness of intracanalicular and intracranial segments of bilateral optic nerves seen.

Case Discussion

In view of clinical history and characteristic imaging findings, diagnosis of Krabbe's disease was made. Galactosylceramide beta-galactosidase (GALC) activity was found to be low, hence, confirming the diagnosis.

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