Cystic plaques in multiple sclerosis

Case contributed by Maxime St-Amant
Diagnosis certain


Frequent episodes of altered neurology. Under clinical follow-up and for review MRI.

Patient Data

Age: 45 years
Gender: Female

MRI shows multiple white matter / corpus callosal / callososeptal hyperintense plaques (T2 and FLAIR) in this patient with multiple sclerosis. Some of these are iso-intense to CSF and hypointense on T1 & FLAIR, compatible with cystic changes (left cerebral hemisphere) in chronic MS lesions.

Case Discussion

This is a patient with known multiple sclerosis. These cystic changes occur with necrosis/atrophy and are common in chronic MS lesions.

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