Adult-onset leukoencephalopathy

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Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia

ORPHA:313808Disease

Also called ALSP · Autosomal dominant leukoencephalopathy with neuroaxonal spheroids · FPSG · Familial dementia, Neumann type · Familial progressive subcortical gliosis · GPSC · HDLS · Hereditary diffuse leukoencephalopathy with spheroids · POLD · Pigmentary orthochromatic leukodystrophy · Subcortical gliosis of Neumann

What it is

A rare leukodystrophy characterized by progressive cognitive impairment, neuropsychiatric features, motor dysfunction involving parkinsonian symptoms, gait disturbances, spasticity and speech impairment. Epilepsy, stroke-like episodes, sensory dysfunction, dizziness, fatigue, urinary and fecal incontinence are commonly observed in affected individuals. Neuroaxonal spheroids and pigmented (iron or lipofuscin) macrophages and glial cells, together with diffuse myelin loss and axonal destruction, are major histopathological hallmarks.

Key facts

Prevalence
<1 / 1 000 000
Age of onset
Adult
Inheritance
Autosomal dominant
Classified as
Disease

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Genes

AARS2Disease-causing germline mutation(s) (loss of function)
CSF1RDisease-causing germline mutation(s) (loss of function)

ICD-10 codes

G93.4filed under a broader ICD-10 category — shared with 11 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

GARD 10981MESH C580150MONDO 0800027OMIM 221820UMLS C3711381

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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