6 year old boy with delayed milestone and subtle mental retardation .. Clue to diagnosis ? ... Large head ..

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No it's megelencephalic leucoencephalopathy with sub cortical cysts( vanderknapp disease)

Canavan disease or alexanders

It's megancephalic leucodystrophy with sub cortical cyst ... Described by dr Bhim Singhal in Agrawal family

Down syndrome

Canavans disease... child wid macrocephaly and mental retardation... it is a neuro degenerative disorder

MRI suggestive of increased subcortical white matter though there is increase signal density in periventricular white matter.it appears to be white matter disease c megalencephaly.d/ d is either canavans/ Alexander. will dependent on prescense of seizures and age of onset .
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Yes,, there is cyst formation in bilateral anterior temporal poles,, so vander knapp

Extensive chronic white matter changes s/o leukoencephalopathy ?MELAS

vanderknapp disease due to sub cortical Cyst.

Down syndrome

Neurodegenerative disorder metachromatic leukodystrophy

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