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A rare, slowly progressive neurological disorder involving central nervous system demyelination, leading to autonomic dysfunction, ataxia and mild cognitive impairment.
Features include very common findings: Ataxia and Problems with involuntary body functions (abnormal autonomic nervous system physiology); and common findings: Spasticity, Difficulty walking (gait disturbance), Muscle weakness, and Tremor and others. 61 total HPO annotations.
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 5:36 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about adult-onset autosomal dominant demyelinating leukodystrophy
Organ System |
|---|
Phenotype Count |
|---|
Example Features |
|---|
Brain and nerves | 23 | Ataxia, Problems with involuntary body functions (abnormal autonomic nervous system physiology), Spasticity |
Muscles | 6 | Muscle weakness, Atrophy of the spinal cord, Atrophy/Degeneration affecting the brainstem |
Kidneys and urinary system | 3 | Recurrent urinary tract infections, Urinary urgency, Urinary retention |
Eyes | 2 | Abnormal eye movements (abnormality of eye movement), Nystagmus |
Digestive system | 2 | Difficulty swallowing (dysphagia), Constipation |
Blood and immune system | 1 | Recurrent urinary tract infections |
Skin | 1 | Anhidrosis |
Bones and joints | 1 | Upper limb postural tremor |
Arms and legs | 1 | Upper limb postural tremor |
Lungs and breathing | 1 | Aspiration pneumonia |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Lab test results | 1 | Increased CSF protein concentration |
Biomarker and diagnostic research for adult-onset autosomal dominant demyelinating leukodystrophy has been reported in the published literature.
Phenotype severity distribution: 2 very common features, 17 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for adult-onset autosomal dominant demyelinating leukodystrophy.
136 publications have been identified in PubMed for adult-onset autosomal dominant demyelinating leukodystrophy. Research spans Basic Science / Preclinical (44%), Review / Meta-Analysis (18%), and Epidemiology / Natural History (11%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 60 | 44% |
Research summaries | 25 | 18% |
Disease patterns and progression | 15 | 11% |
New treatment approaches | 12 | 9% |
Patient case studies | 10 | 7% |
Clinical study results | 7 | 5% |
Testing and diagnosis research | 4 | 3% |
Other research | 3 | 2% |
Nakayama T (2026). [PMID: 41881380](https://pubmed.ncbi.nlm.nih.gov/41881380/). *Am J Kidney Dis*. [Epidemiology / Natural History]
Bechtel-Walz W (2026). [PMID: 41871549](https://pubmed.ncbi.nlm.nih.gov/41871549/). *Dtsch Med Wochenschr*. [Review / Meta-Analysis]
Ong ACM (2026). [PMID: 41771281](https://pubmed.ncbi.nlm.nih.gov/41771281/). *Lancet*. [Review / Meta-Analysis]
Connaughton DM (2026). [PMID: 42175989](https://pubmed.ncbi.nlm.nih.gov/42175989/). *Adv Kidney Dis Health*. [Review / Meta-Analysis]
Leemans C (2026). [PMID: 41815030](https://pubmed.ncbi.nlm.nih.gov/41815030/). *Revue medicale de Liege*. [Epidemiology / Natural History]
Griffiths JD (2026). [PMID: 40972705](https://pubmed.ncbi.nlm.nih.gov/40972705/). *Am J Kidney Dis*. [Case Report / Case Series]
Ma D (2026). [PMID: 41653026](https://pubmed.ncbi.nlm.nih.gov/41653026/). *Genet Med*. [Diagnostic / Biomarker]
Zheng Q (2026). [PMID: 41501598](https://pubmed.ncbi.nlm.nih.gov/41501598/). *Hum Mol Genet*. [Basic Science / Preclinical]
Villegas Hernández JC (2026). [PMID: 41909306](https://pubmed.ncbi.nlm.nih.gov/41909306/). *Cureus*. [Case Report / Case Series]
Xue C (2026). [PMID: 41431718](https://pubmed.ncbi.nlm.nih.gov/41431718/). *Genes & diseases*. [Basic Science / Preclinical]