Two Cases with Progressive Cystic Leukoencephalopathy

Abstract

Leukoencephalopathies with cystic changes in the white matter on magnetic resonance imaging are aetiologically heterogeneous neurological disorders seen in children. A group of leukoencephalopathies characterised by white matter lesions progressing to multifocal cystic degeneration has been reported in various disorders, including mitochondrial enzyme deficiencies, leukodystrophies, and infectious processes. We report two patients with leukoencephalopathy showing progressive cystic changes on serial MRI, and magnetic resonance spectroscopy resembling progressive cavitating leukoencephalopathy.

progressive cystic leukoencephalopathy - episodic clinical deterioration - lactate in magnetic resonance spectroscopy - mitochondrial leukoencephalopathies - multiple sclerosis - acute disseminated encephalomyelitis

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