» Articles » PMID: 25649058

Case Definition and Classification of Leukodystrophies and Leukoencephalopathies

Abstract

Objective: An approved definition of the term leukodystrophy does not currently exist. The lack of a precise case definition hampers efforts to study the epidemiology and the relevance of genetic white matter disorders to public health.

Method: Thirteen experts at multiple institutions participated in iterative consensus building surveys to achieve definition and classification of disorders as leukodystrophies using a modified Delphi approach.

Results: A case definition for the leukodystrophies was achieved, and a total of 30 disorders were classified under this definition. In addition, a separate set of disorders with heritable white matter abnormalities but not meeting criteria for leukodystrophy, due to presumed primary neuronal involvement and prominent systemic manifestations, was classified as genetic leukoencephalopathies (gLE).

Interpretation: A case definition of leukodystrophies and classification of heritable white matter disorders will permit more detailed epidemiologic studies of these disorders.

Citing Articles

Focused Ultrasounds as an Adeno-Associated Virus Gene Therapy-Empowering Tool in Juvenile Mice via Intracerebroventricular Administration.

Zappala A, Li H, Inoue K Hum Gene Ther. 2024; 35(23-24):989-999.

PMID: 39585211 PMC: 11659451. DOI: 10.1089/hum.2024.108.


Quantitative MRI distinguishes different leukodystrophies and correlates with clinical measures.

Stellingwerff M, Al-Saady M, Chan K, Dvorak A, Marques J, Kolind S Eur Radiol. 2024; .

PMID: 39320477 DOI: 10.1007/s00330-024-11089-5.


Overview of Neuro-Ophthalmic Findings in Leukodystrophies.

Bettinger C, Dulz S, Atiskova Y, Guerreiro H, Schon G, Guder P J Clin Med. 2024; 13(17).

PMID: 39274327 PMC: 11396446. DOI: 10.3390/jcm13175114.


Anything is better than nothing': exploring attitudes towards novel therapies in leukodystrophy clinical trials.

Wilson E, Leventer R, Cunningham C, de Silva M, Hodgson J, Uebergang E Orphanet J Rare Dis. 2024; 19(1):322.

PMID: 39237961 PMC: 11378604. DOI: 10.1186/s13023-024-03320-9.


Spectrum of Leukodystrophy and Genetic Leukoencephalopathy in Indian Population Diagnosed by Clinical Exome Sequencing and Clinical Utility.

Manisha K, Fasaludeen A, Poulose P, Menon R, Thomas B, Nair S Neurol Genet. 2024; 10(5):e200190.

PMID: 39184309 PMC: 11343561. DOI: 10.1212/NXG.0000000000200190.


References
1.
Basson R, Berman J, Burnett A, DeRogatis L, Ferguson D, Fourcroy J . Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol. 2000; 163(3):888-93. View

2.
Brown A, Goldacre M, Hicks N, Rourke J, McMurtry R, Brown J . Hospitalization for ambulatory care-sensitive conditions: a method for comparative access and quality studies using routinely collected statistics. Can J Public Health. 2001; 92(2):155-9. PMC: 6979584. View

3.
Akwa Y, Hassett D, Eloranta M, Sandberg K, Masliah E, Powell H . Transgenic expression of IFN-alpha in the central nervous system of mice protects against lethal neurotropic viral infection but induces inflammation and neurodegeneration. J Immunol. 1998; 161(9):5016-26. View

4.
Ferrari G, Lamantea E, Donati A, Filosto M, Briem E, Carrara F . Infantile hepatocerebral syndromes associated with mutations in the mitochondrial DNA polymerase-gammaA. Brain. 2005; 128(Pt 4):723-31. DOI: 10.1093/brain/awh410. View

5.
van Heteren J, Rozenberg F, Aronica E, Troost D, Lebon P, Kuijpers T . Astrocytes produce interferon-alpha and CXCL10, but not IL-6 or CXCL8, in Aicardi-Goutières syndrome. Glia. 2008; 56(5):568-78. DOI: 10.1002/glia.20639. View