Sandhoff disease is a severe form of GM, gangliosidosis that is caused by t
he deficiency of both hexosaminidase A and B, Startle reaction, hypotonia,
psychomotor retardation, and blindness are the main clinical features. Pres
ented are computed tomography and magnetic resonance imaging findings of fo
ur patients with Sandhoff disease diagnosed by enzymatic analyses, Bilatera
l homogeneous thalamic hyperdensity was evident on computed tomography, Mag
netic resonance imaging scans revealed mild cortical atrophy, a thin corpus
callosum, and abnormal signal intensities in the caudate nucleus, globus p
allidum, putamen, cerebellum, and brainstem, No correlation was evident bet
ween the severity of the central nervous system imaging findings and the cl
inical pictures. In this article the neuroimaging findings of four patients
with Sandhoff disease are discussed, (C) 1999 by Elsevier Science Inc. All
rights reserved.