BRAIN, Leukodystrophies

Playlist contributed by Tim
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Leukodystrophies = DYSmyelinating diseases: Dysfunctional myelin formation or turnover. These are WM diseases as opposed to mitochrondrial dzs (Leigh Syndrome, MELAS) which are GM diseases.

  • Metachromatic: Most common; frontal predominant. T2 bright deep WM changes that spares the venules = "Tigroid pattern." Spares subcortical U-fibers.
  • X-Linked Adrenoleukodystrophy: Parietooccipital involvement of confluent T2 bright signal that spans the CC splenium. Can enhance and restrict.
  • Canavan Dz: Confluent deep WM dz involving the subcortical U-fibers. Uniquely has high NAA.
  • Krabbe: Small head. Changes to deep WM tracts, BG, posterior limb, thalamus. CT dense BG, with FLAIR bright areas above.

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