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Living with Megalencephalic leukoencephalopathy with subcortical cysts

A progressive brain condition with a large head from infancy, along with movement problems.

Understanding Megalencephalic leukoencephalopathy with subcortical cysts

Megalencephalic leukoencephalopathy with subcortical cysts is a progressive condition that affects brain development and function.

People usually have an enlarged brain (megalencephaly) and a larger head size from birth or the first year. The brain's white matter (nerve fibers covered with myelin) is abnormal and swollen, and over time can waste away. Cysts can form in the brain. Movement problems include stiffness and poor coordination. Walking ability varies greatly. Minor head injury can worsen movement.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Large head size (macrocephaly)
  • Muscle stiffness (spasticity)
  • Poor coordination (ataxia) and unsteady walk
  • Seizures
  • Cysts in the brain
  • Gradual loss of motor skills

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    United Leukodystrophy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Leukodystrophy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Hunter's Hope Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which gene is involved, and can we have genetic testing?
How can we protect against head injury?
What therapies help with movement, swallowing, and speech?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive

Changes in genes (also called variants) cause this condition. GARD lists both autosomal recessive and autosomal dominant inheritance.

GeneticNeurological

Also known as: infantile leukoencephalopathy and megalencephaly; leukoencephalopathy with swelling and cysts; megalencephalic leukodystrophy; megalencephalic leukoencephalopathy with subcortical cysts type 1; megalencephaly-cystic leukodystrophy syndrome; mlc

Patient organizations

Source: NIH GARD · Megalencephalic leukoencephalopathy with subcortical cystsGARD ID 3445 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Megalencephalic leukoencephalopathy with subcortical cysts.

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