The Hunter’s Hope Foundation Leukodystrophy Care Network Clinical Practice Guidelines (CPG) establish a published, peer-reviewed standard of care to ensure that individuals with Leukodystrophy have the best possible medical care, improving length and quality of life. The LCN helps its accredited Centers provide a standard of Leukodystrophy care with guidelines based on the latest research, medical evidence and consultation with experts on best practices. The CPG focus areas were determined through the LCN’s Clinical Issues Survey, which had over 300 participants affected by Leukodystrophies. CPG Lead Authors and workgroups are comprised of family advocates and medical providers from LCN Candidate Centers. The CPGs will be an on-going process to continue improving the standard of care for Leukodystrophy patients.

To ensure that we maintain the best and most up-to-date CPGs possible, we need your input. If you are a family affected by a Leukodystrophy, your participation in our Clinical Issues Survey is so important. Please click below to take the survey.

Clinical Issues Survey

We thank you in advance for your participation.

Clinical Practice Guidelines

Work for the following CPGs have been completed. Access to these guidelines are provided below.

Krabbe Newborn Screening

Guidelines: Consensus Recommendations for Infants Who Screen Positive for Krabbe Disease

Lead Author:  Dr. Robert Thompson-Stone


Guidelines: Hematopoietic Stem Cell Transplantation to Treat Leukodystrophies: Clinical Practice Guidelines from the Hunter’s Hope Leukodystrophy Care Network” completed and submitted by the Treatment Workgroup and published in the Biology of Blood and Marrow Transplantation Journal.

Lead Author: Dr. Joanne Kurtzberg, Duke Children’s Hospital

Family Co-Leads: Matt & Lauren Hammond


Guidelines: Practical Approaches and Knowledge Gaps in the Care of Children with Leukodystrophies

Lead Author: Dr. Florian Eichler, Massachusetts General Hospital, Harvard Medical School

Family Co-Lead:  Elisa Seeger


Guidelines: Early Signs and Symptoms of Leukodystrophies: A Case-based Guide.

Lead Author: Dr. Maura Ruzhnikov, Stanford University and Lucile Packard Children’s Hospital

Family Co-Lead: Bob Rauner


Guidelines: Rehabilitation Management: Hypertonia

Lead Author: Dr. Sally Evans, Children’s National Hospital

Family Co-Leads: Phil & Amy May


Guidelines: Pulmonary Issues

Lead Author: Dr. Geovanny Perez, The George Washington University School of Medicine and Health Sciences

Clinical Practice Guidelines Under Development

Workgroups have been established for the following areas and CPGs are currently under development. Access to all guidelines will be available here as they are completed.

Cerebrotendinous xanthomatosis (CTX)

Guidelines: A Systematic Evidence Review for Cerebrotendinous Xanthomatosis: Phenotypic Spectrum of Disease and Response to Therapy

Lead Authors: Shailenda Patel and Austin Larson

Guidelines: Clinical Management of Cerebrotendinous Xanthomatosis

Lead Authors: Florian Eichler and Brian Wishart