Genetic disorders with central nervous system white matter abnormalities: An update

Clin Genet. 2021 Jan;99(1):119-132. doi: 10.1111/cge.13863. Epub 2020 Oct 20.

Abstract

Several genetic disorders have variable degree of central nervous system white matter abnormalities. We retrieved and reviewed 422 genetic conditions with prominent and consistent involvement of white matter from the literature. We herein describe the current definitions, classification systems, clinical spectrum, neuroimaging findings, genomics, and molecular mechanisms of these conditions. Though diagnosis for most of these disorders relies mainly on genomic tests, specifically exome sequencing, we collate several clinical and neuroimaging findings still relevant in diagnosis of clinically recognizable disorders. We also review the current understanding of pathophysiology and therapeutics of these disorders.

Keywords: delayed myelination; demyelination; genetic leukoencephalopathies; hypomyeliantion; inherited white matter disorders; leukodystrophies; leukoencephalopathy; myelination.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Central Nervous System Diseases / diagnosis
  • Central Nervous System Diseases / diagnostic imaging
  • Central Nervous System Diseases / genetics*
  • Exome Sequencing
  • Genomics*
  • Humans
  • Leukoencephalopathies / diagnosis
  • Leukoencephalopathies / diagnostic imaging
  • Leukoencephalopathies / genetics*
  • Magnetic Resonance Imaging
  • Mass Screening
  • Nervous System Malformations / diagnosis
  • Nervous System Malformations / diagnostic imaging
  • Nervous System Malformations / genetics*
  • White Matter / diagnostic imaging
  • White Matter / pathology