“…We are, therefore, of the opinion that we are dealing with a case of late adult ML, which has been discovered before the onset of the first subjective disorders, and that further symptoms of the disease will develop in the future. Although the paper of Austin dealing with an increased excretion of metachromatic substances (Austin, 1957) and an arylsulphatase A deficiency in the urine (Austin et al, 1966) of patients with ML has made it possible to recognize the disease early, only two preclinical cases of late infantile metachromatic leukodystrophy have been described until now (Greene, Hug, and Schubert, 1967;Gabreels, Lamers, Kok, Loonen, and Lommen, 1971).…”