Inherited leukodystrophies invariable lead to white matter demyelination but pattern vary with each syndrome
X-linked Adrenoleukodystrophy
– posterior predominant demyelination
Alexander’s disease
– frontal predominant demyelination
Canavan disease
– diffuse demyelination including the U-fibers
Metachromatic leukodystrophy and Krabbe disease
– demyelination that spares U-fibers