Presentation
Developmental delay
Patient Data
Age: 5 years
Gender: Male
From the case:
Metachromatic leukodystrophy
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There are butterfly-shaped bilateral symmetrical and confluent areas of periventricular and deep white matter T2/FLAIR high signal intensity with subcortical U fibers sparing, and pyramidal tracts and infratentorial white matter involvement. The lesions show restricted diffusion.
Case Discussion
Metachromatic luekodystrophy (MLD) is a dysmyelinating disease with autosomal recessive inheritance.