Infantile Krabbe disease: complementary CT and MR findings

Abstract

This case report of the infantile form of Krabbe disease in a 2 1/2-month-old boy illustrates the complementary findings that may be seen on CT and MR scans. The key finding on the CT scan was increased density in a bilateral symmetrical distribution involving the thalami with extension into the centrum semiovale. The MR scan, on the other hand, more clearly showed demyelination in the brain stem and cerebellum. In cases in which this involvement is minimal or absent, the MR scan may fail to detect an abnormality, and a CT scan will, therefore, still be necessary to detect characteristic abnormalities.