Neuroradiological findings are presented of 19 patients with the north
ern epilepsy syndrome, a recessively inherited childhood epilepsy with
associated mental deterioration. The first signs of cerebellar-brains
tem atrophy already appeared in young adulthood, with atrophy tending
to increase with age. Findings of cerebral atrophy were detected later
: four of the seven patients under 30 years of age displayed central o
r cortical atrophy, while all 12 patients over 30 were affected. The d
egree of mental deterioration correlated well with the severity of cer
ebral atrophy. One half of the patients with either central or cortica
l atrophy were moderately to severely retarded, whereas all patients w
ith both central and cortical atrophy were moderately to profoundly re
tarded.