Megalencephalic leukoencephalopathy with subcortical cysts, or Van der Knaap leukoencephalopathy, is a rare disease which is characterised by macrocephaly and neurological disorders with autosomal recessive inheritance. Magnetic resonance imaging is very helpful for determining distinctive findings and distinguishing other diseases. We present the radiological findings of two sisters (aged 6 and 10 years) diagnosed with Van der Knaap leukoencephalopathy.
Van der KnaapMSBarthPGStroinkH. Leukoencephalopathy with swelling and a discrepantly mild clinical course in eight children. Ann Neurol1995; 37: 324–334.
2.
KrishnanKHPaulineCLKumaresanG. Megalencephalic leukoencephalopathy with subcortical cysts. Indian Pediatr2005; 42: 60–63.
3.
Van der KnaapMSBarthPGStroinkH. Leukoencephalopathy with swelling and a discrepantly mild clinical course in eight children. Ann Neurol1995; 37: 324–334.
4.
PatronoCDi GiacintoGEymard-PierreE. Genetic heterogeneity of megalencephalic leukoencephalopathy and subcortical cysts. Neurology2003; 61: 534–537.
5.
YalcınkayaCYükselAComuS. Epilepsy in vacuolating megalencephalic leukoencephalopathy with subcortical cysts. Seizure2003; 12: 388–396.
6.
TopçuMSaatciITopçuoğluMA. Megalencephaly and leukodystrophy with mild clinical course: A report on 12 new cases. Brain Dev1998; 20: 142–153.
7.
SethiPKSethiNK. Megalencephalic leukoencephalopathy with subcortical cysts. Indian J Pediatr2004; 71: 473–475.
8.
ChandrashekarHSGuruprasadASJayakumarPN. Megalencephalic leukoencephalopathy with subcortical cysts: MRI and proton spectroscopic features. Neurology India2003; 51: 525–527.
9.
YalcinkayaCBenbirGSalomonsGS. Atypical MRI findings in Canavan disease: A patient with a mild course. Neuropediatrics2005; 36: 336–339.
10.
ChenCYZimmermanRALeeCC. Neuroimaging findings in late infantile GM1 gangliosidosis. AJNR1998; 19: 1628–1630.
11.
BrismarJBrismarGGasconG. Canavan disease: CT and MR imaging of the brain. AJNR1990; 11: 805–810.
TopçuMErdemGSaatcıI. Clinical and magnetic resonance imaging features of L-2-hydoxyglutaric acidemia. Report of three cases in comparison with Canavan disease. J Child Neurol1996; 11: 373–377.
14.
GrossoSCeraseADe StefanoN. Non-progressive leukoencephalopathy with bilateral anterior temporal cysts: A case report and review of the literature. Brain Dev2005; 27: 73–77.
15.
AnlarBYalazKSaatciI. Bilateral temporal cysts in a case of subacute sclerosing panencephalitis. Eur J Paediatr Neurol2003; 7: 81–84.
16.
Van der KnaapMSBarthPGGabreelsFJ. A new leukoencephalopathy with vanishing white matter. Neurology1997; 48: 845–55.
17.
TeijidoOMartinezAPuschM. Localization and functional analyses of the MLC1 protein involved in megalencephalic leukoencephalopathy with subcortical cysts. Hum Mol Genet2004; 13: 2581–2594.