White matter lesions (WML): disease patterns

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

White matter lesions (WML): disease patterns. White matter lesions here are initially occipital. Fully referenced neurology checklist.

Adrenoleukodystrophy (ALD)

  • White matter lesions here are initially occipital
  • They affect the splenium of the corpus callosum and the posterior limb of the internal capsule
  • There is peripheral contrast enhancement
  • Spinal cord atrophy may be present

Adult onset Alexander disease

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CADASIL

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Cerebrotendinous xanthomatosis (CTX)

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Krabbe disease

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Metachromatic leukodystrophy (MLD)

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Mitochondrial disorders

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Vanishing white matter disease (VWM)

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Acronym

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References

  1. Ahmed RM, Murphy E, Davagnanam I, et al. A practical approach to diagnosing adult onset leukodystrophies. JNNP 2014; 85:770-781.
  2. Bhidayasiri R, Waters MF, Giza CC. Neurological Differential Diagnosis. A Prioritized Approach. Blackwell Publishing Massachusetts 2005 p 423-425.
  3. Leite CC, Lucato LT, Santos GT, Kok F, Brandão AR, Castillo M. Imaging of adult leukodystrophies. Arq Neuropsiquiatr 2014; 72:625-632.

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