Important: This page is general information, not medical advice. It does not recommend or prescribe any treatment. Always consult your doctor or pharmacist before starting, stopping or changing any medicine.
About Leukodystrophies
Leukodystrophies are a group of rare genetic disorders that affect the central nervous system (CNS). The CNS is made up of your brain and spinal cord. Leukodystrophies damage the white matter of your CNS. The white matter includes:
- Nerve fibers, also called axons, which connect your nerve cells
- Myelin, a layer of proteins and fatty materials that covers and protects the nerve fibers. It also helps speed up signals between the nerve cells.
When the white matter is damaged, it can slow down or block the signals between nerve cells. This can cause many different symptoms, including trouble with movement, vision, hearing, and thinking.
There are over 50 types of leukodystrophies. Some types are present at birth, while others may not cause symptoms until a child becomes a toddler. A few types mainly affect adults. Most types get worse over time.
Leukodystrophies are caused by genetic changes. These changes are usually inherited, meaning that they are passed from parent to child.
The symptoms of leukodystrophies depend on the type; they can include a gradual loss of:
- Muscle tone
- Balance and mobility
- Walking
- Speech
- Ability to eat
- Vision
- Hearing
- Behavior
There can also be other symptoms, such as:
- Learning disabilities
- Bladder issues
- Breathing problems
- Developmental disabilities
- Muscle control disorders
- Seizures
Leukodystrophies can be hard to diagnose because there are so many different types which can have different symptoms. Your health care provider may use many tools to make a diagnosis:
- Physical and neurological exams
- A medical history, including asking about family history
- Imaging tests, such as an MRI or CT scan
- Genetic testing to look for genetic changes that could cause leukodystrophies
- Lab tests
There is no cure for leukodystrophies. Treatment focuses on relieving symptoms and providing support. It may include:
- Medicines to manage muscle tone, seizures, and spasticity (muscle stiffness)
- Physical, occupational, and speech therapies to improve mobility, function, and cognitive problems
- Nutritional therapy for eating and swallowing problems
- Educational and recreational programs
Stem cell or bone marrow transplantation can be helpful for a few types of leukodystrophy.
One type of leukodystrophy, CTX, is treatable if it is diagnosed early. It is treated with chenodeoxycholic acid (CDCA) replacement therapy.
It sits within Brain and Nerves, Genetics/Birth Defects and Metabolic Problems.
The lead U.S. institute for this subject is the National Institute of Neurological Disorders and Stroke.
When to speak to someone. Reading about a topic cannot tell you whether it applies to you. Speak to a doctor or pharmacist if symptoms are severe, sudden, getting worse, or simply not going away — and seek emergency care immediately for chest pain, breathing difficulty, sudden weakness or confusion, or a serious allergic reaction.
Research on Leukodystrophies
87 studies areregistered for this condition on ClinicalTrials.gov, the U.S. National Library of Medicine's public registry. A selection is below — the links go straight to the registry entry, not to a summary of ours.
What a registered study does and does not mean. Registration means a study exists and has been declared publicly. It says nothing about whether the treatment being tested works, is safe, or is available to you. Many studies find no benefit — that is what research is for. Never seek out an experimental treatment on the strength of a registry entry alone.
Research currently under way
- ScreenPlus: A Comprehensive, Flexible, Multi-disorder Newborn Screening ProgramAlbert Einstein College of Medicine
- Krabbe Disease Global Patient RegistryState University of New York at Buffalo
- Personalized Antisense Oligonucleotide Therapy for A Single Participant With LMNB1 Mutation Associated Autosomal Dominant Leukodystrophy (ADLD)n-Lorem Foundation
- Early Check: Expanded Screening in NewbornsRTI International
- Direct Lentiviral Injection Gene Therapy for MLDShenzhen Geno-Immune Medical Institute
- Gene Transfer Clinical Trial for Krabbe DiseaseForge Biologics, Inc
Research already completed
- A Study of Intrathecal SHP611 in Children With Metachromatic LeukodystrophyShire
- Crizanlizumab for Treatment of Retinal Vasculopathy With Cerebral Leukoencephalopathy (RVCL)Washington University School of Medicine
- An Efficacy and Safety Study of HGT-1110 in Participants With Metachromatic LeukodystrophyShire
- Natural History Study of Patients With Canavan Disease (CANinform Study)Aspa Therapeutics
- Efficacy METAZYM for the Treatment Metachromatic Leukodystrophy Treated With Hematopoietic Stem Cell TransplantationAssistance Publique - Hôpitaux de Paris
- A Safety and Efficacy Study of Cryopreserved OTL-200 for Treatment of Metachromatic Leukodystrophy (MLD)Orchard Therapeutics
Study data from ClinicalTrials.gov, a service of the U.S. National Library of Medicine. Retrieved 2026-07-30. Registry entries are supplied by study sponsors and investigators; ClinicalTrials.gov does not verify their scientific validity. PocketsInfo is not affiliated with, and not endorsed by, the NLM or the NIH.
Where to read more
Rather than paraphrase, we point you to the primary sources. Every link below is to a government health agency, a national institute or a recognised medical body — grouped by what you are trying to find out.
Start Here
- LeukodystrophyNational Institute of Neurological Disorders and Stroke
Treatments and Therapies
Genetics
- Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia: MedlinePlus GeneticsNational Library of Medicine
- Aicardi-Goutières syndrome: MedlinePlus GeneticsNational Library of Medicine
- Alexander disease: MedlinePlus GeneticsNational Library of Medicine
- Autosomal dominant leukodystrophy with autonomic disease: MedlinePlus GeneticsNational Library of Medicine
- Canavan disease: MedlinePlus GeneticsNational Library of Medicine
- D-bifunctional protein deficiency: MedlinePlus GeneticsNational Library of Medicine
- Hypomyelination and congenital cataract: MedlinePlus GeneticsNational Library of Medicine
- Hypomyelination with brainstem and spinal cord involvement and leg spasticity: MedlinePlus GeneticsNational Library of Medicine
- Krabbe disease: MedlinePlus GeneticsNational Library of Medicine
- Leukoencephalopathy with thalamus and brainstem involvement and high lactate: MedlinePlus GeneticsNational Library of Medicine
- Leukoencephalopathy with vanishing white matter: MedlinePlus GeneticsNational Library of Medicine
- Megalencephalic leukoencephalopathy with subcortical cysts: MedlinePlus GeneticsNational Library of Medicine
- Metachromatic leukodystrophy: MedlinePlus GeneticsNational Library of Medicine
- Pelizaeus-Merzbacher disease: MedlinePlus GeneticsNational Library of Medicine
- Pelizaeus-Merzbacher-like disease type 1: MedlinePlus GeneticsNational Library of Medicine
- Peroxisomal acyl-CoA oxidase deficiency: MedlinePlus GeneticsNational Library of Medicine
- Pol III-related leukodystrophy: MedlinePlus GeneticsNational Library of Medicine
- RNAse T2-deficient leukoencephalopathy: MedlinePlus GeneticsNational Library of Medicine
Clinical Trials
- ClinicalTrials.gov: AdrenoleukodystrophyNational Institutes of Health
- ClinicalTrials.gov: Canavan DiseaseNational Institutes of Health
- ClinicalTrials.gov: Leukodystrophy, Globoid CellNational Institutes of Health
- ClinicalTrials.gov: Leukodystrophy, MetachromaticNational Institutes of Health
Medical subject headings
Clinicians and researchers index this subject under Leukodystrophy, Metachromatic, Canavan Disease, Leukodystrophy, Globoid Cell. These are the terms to use when searching medical literature.
This page is built from the MedlinePlus health topic record for Leukodystrophies, a service of the U.S. National Library of Medicine (NLM), National Institutes of Health. Information is from MedlinePlus.gov. PocketsInfo is not affiliated with, and is not endorsed by, the NLM or the NIH. Retrieved 30 July 2026.