We report the imaging findings in five patients with a unique dysmyeli
nating disorder. MIP studies of these infants showed abstractive hydro
pcephalus caused by mass effect produced by an enlarged cerebellum. Th
e white matter of an enlarged cerebrum and cerebellum showed delayed m
yelination, Proton spectroscopy showed normal N-acetylaspartate (NAA)
levels. While the dysmyelinating disorder was clearly differentiated f
rom Canavan disease by an absence of elevated NAA and differing histop
athologic findings and autosomal-dominant inheritance pattern, there w
ere similarities to this disease in the presentation and, tee some ext
ent, in the initial imaging findings.