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Living with Spongy degeneration of central nervous system

An inherited brain condition (Canavan disease) that affects nerve signals, development, and muscle tone.

Understanding Spongy degeneration of central nervous system

Spongy degeneration of the central nervous system, also called Canavan disease, is an inherited condition that harms nerve cells in the brain.

It belongs to a group called leukodystrophies, which affect the myelin sheath, the covering that protects nerves. In the most common form, babies seem typical at first. Around 3 to 5 months, development problems appear, such as not learning to sit up or control the head. A milder juvenile form causes mild speech and movement delays starting in childhood.

Signs & symptoms

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

  • Delayed development
  • Low muscle tone (hypotonia)
  • Unusually large head (macrocephaly)
  • Feeding and swallowing difficulties
  • Vision and hearing problems
  • Seizures

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in ASPA 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

    Canavan Foundation, Epilepsy Foundation and United Leukodystrophy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Canavan Foundation, Epilepsy Foundation, 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 Canavan 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 therapies can help with feeding and movement?
How can we manage seizures, if they develop?
Would ASPA gene testing help other family members?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesASPA

Changes in the ASPA gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: acy2 deficiency; aminoacylase 2 deficiency; asp deficiency; aspa deficiency; aspartoacylase deficiency; canavan disease

Patient organizations

Source: NIH GARD · Spongy degeneration of central nervous systemGARD ID 5984 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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