MS-2265

MS-2265

A 4-year-old girl presented with seizures and loss of consciousness. Magnetic resonance imaging of her head showed lipotoxicity-induced diffuse neuroinflammatory demyelination. Laboratory testing revealed high levels of cerotic acid, a very long-chain fatty acid, confirming the diagnosis of X-linked adrenoleukodystrophy.

What is the most likely affected area in this disease?