The MRI findings in 7 patients with L-2-Hydroxyglutaric aciduria (L-2-
OHG aciduria) are described and compared with previous neuroradiologic
al reports and the only three published pathological cases. Signal abn
ormalities involved peripheral subcortical white matter, basal ganglia
and dentate nuclei. Cerebellar atrophy was present. Although similar
appearances may be seen in other metabolic disorders, the distribution
of signal abnormalities in L-2-OHG aciduria is highly characteristic
and may suggest the correct diagnosis.