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Communicating hydrocephalus in metachromatic leukodystrophy

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Developmental delay

Patient Data

Age: 2 years
Gender: Male

Diffuse white matter hypodensities in both cerebral hemispheres.

Dilatation of the ventricular system without any obstructive lesion.

The brain stem and cerebellum are unremarkable.

No abnormal post-contrast enhancement.

Case Discussion

The features are suggestive of metachromatic leukodystrophy with communicating hydrocephalus. A similar case is reported by Jay Desai and John Grimm in MRI 1.

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