PLAN is an ultra-rare autosomal recessive disorder caused by mutations in the PLA2G6 gene. The incidence of PLAN is 1-2 per million. It is comprised of three types: infantile PLAN, juvenile PLAN, and adult PLAN. PLAN is characterized by axonal swelling and degeneration (spheroids) in the central nervous system as well as peripheral nerves. It is considered a form of Neurodegeneration with Brain Iron Accumulation characterized by abnormal iron accumulation in the globus pallidus, as well as cerebellar atrophy and other findings. Common clinical features vary by type.