Acta clinica Croatica, Vol. 60. No. 2., 2021.
Case report
https://doi.org/10.20471/acc.2021.60.02.23
Atypical MRI Findings in Cerebral Adrenoleukodystrophy: a Case Report
Koray Koç
; Antalya Ataturk State Hospital, Department of Radiology, Antalya, Turkey
Arzu Canan
; University of Texas Southwestern Medical Center at Dallas, Department of Radiology, Dallas, Texas, USA
Pınar Koç
; Antalya Ataturk Training and Research Hospital, Department of Radiology, Antalya, Turkey
Kamil Karaali
; Akdeniz University, Faculty of Medicine, Department of Radiology, Antalya, Turkey
Özgür Duman
; Akdeniz University, Faculty of Medicine, Department of Child Neurology, Antalya, Turkey
Utku Şenol
; Akdeniz University, Faculty of Medicine, Department of Radiology, Antalya, Turkey
Abstract
Adrenoleukodystrophy is a rare X-linked hereditary disease that results in accumulation
of very-long-chain fatty acids in all body tissues, thus causing demyelination of the white
matter. Magnetic resonance imaging (MRI) is a reliable radiological modality to demonstrate the
extension of brain lesions and severity of the disease. In the classic form, the parieto-occipital white
matter is affected. Besides, atypical MRI findings such as primary frontal lobe involvement are rarely
described. We report a case of adrenoleukodystrophy presenting with rare MRI findings such as bilateral
symmetric frontal lobe white matter changes suggesting anterior predominance.
Keywords
Adrenoleukodystrophy; Magnetic resonance imaging; Very-long-chain fatty acids; White matter
Hrčak ID:
263810
URI
Publication date:
1.6.2021.
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