Developmental Delay and Macrocephaly Unraveling a Leukodystrophy: A Case Report

Monica Potru1, Ankita Pandey2, Jitesh Rawat1

  • 1Department of Radiology, Dr. Rajendra Gode Medical College, Amravati, IND.

Cureus
|April 27, 2026
PubMed

Insights

Van der Knaap disease, a rare genetic disorder, causes enlarged head size and brain abnormalities. This report details a case in an Indian patient, highlighting typical MRI findings.

Area of Science:

  • Genetics
  • Neurology
  • Pediatrics

Background:

  • Van der Knaap disease, or megalencephalic leukoencephalopathy with subcortical cysts (MLC), is an uncommon inherited autosomal recessive disorder.
  • Key features include megalencephaly developing at birth or infancy, seizures, and mild motor development delay.
  • Diagnosis relies on characteristic MRI findings of leukodystrophy and subcortical cystic degeneration.