Active multiple sclerosis

Case contributed by Dr Ali Abougazia

Presentation

Heaviness and anesthesia of both lower limbs, slurred speech, squint and loss of concentration of 1 month duration. No known medical history.

Patient Data

Age: 40
Gender: Female
Modality: MRI

Extensive bilateral cerebral supra- and infra-tentorial deep white matter demyelinating foci, with predominantly peri-ventricular location, are seen, they demonstrate low T1 and high T2 / FLAIR signal.

Some of these foci show restricted diffusion with marginal enhancement showing typically incomplete ring. Similar demyelinating foci are seen within the cerebellar hemispheres, pons and middle cerebellar peduncles.

Case Discussion

Features compatible with active multiple sclerosis.

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Case Information

rID: 22835
Case created: 27th Apr 2013
Last edited: 21st Feb 2016
Inclusion in quiz mode: Included

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