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



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.