The juvenile neuronal ceroid-lipofuscinosis (JNCL) is a recessively in
herited progressive encephalopathy. We studied 21 JNCL patients with a
duration of illness of 1 to 17 years by Tc-99m-HM-PAO single photon e
mission computed tomography (SPECT) and correlated the findings with c
linical parameters. All patients had at least one hypoperfused brain a
rea, the median number of such areas was 5 per patient. Parietally, oc
cipitally, and in the cerebellar lobes hypoperfusion was usually mild
whereas it was temporally more severe. Right parietal hypoperfusion co
rrelated to neurological dysfunction.