Presentation
Progressive spastic quadraparesis over 7 months, left worse than right. New speech and swallowing difficulties.
Patient Data
Age: 4 years
Gender: Female
From the case:
Metachromatic leukodystrophy
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Diffuse T2 hyperintensity in the deep white matter of both cerebral hemispheres with involvement of the pyramidal tracts and sparing of the subcortical U fibers.