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Living with Progressive cavitating leukoencephalopathy

A rare genetic condition that affects the brain's white matter, with episodes of balance, speech, and seizure problems.

Understanding Progressive cavitating leukoencephalopathy

Progressive cavitating leukoencephalopathy is a rare condition that affects the white matter of the brain (leukoencephalopathy) and causes sudden episodes of nervous system problems.

It usually starts in infancy or childhood. Episodes may include unsteady movements, speech trouble, seizures, and irritability. After the episodes, some people have steady decline, while others have times of faster change alternating with long stable periods.

Signs & symptoms

Symptoms vary from person to person. GARD describes these features during episodes:

  • Poor balance and coordination (ataxia)
  • Slurred speech (dysarthria)
  • Seizures
  • Irritability
  • Arching of the back and neck (opisthotonus)

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. Consider genetic testing

    Changes in NDUFV2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  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 United Leukodystrophy Foundation
  • 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
Would genetic testing for the NDUFV2 gene make sense for us?
What can we do to prepare for and manage episodes?
How can seizures be monitored and treated?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesNDUFV2

This condition is caused by changes in the NDUFV2 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Progressive cavitating leukoencephalopathyGARD ID 19918 · 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 Progressive cavitating leukoencephalopathy.

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Explore actively recruiting Progressive cavitating leukoencephalopathy studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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