Pelizaeus-Merzbacher-like disease 1 (PMLD1) is a slowly progressive leukodystrophy that typically presents during the neonatal or early infantile period with nystagmus, commonly associated hypotonia, delayed acquisition of motor milestones, speech delay and dysarthria. We present 7-year-old female born to nonconsanguineous marriage developmental delay. On examination, she had 22 teeth, nystagmu...