Multiple sclerosis

Case contributed by Assoc Prof Frank Gaillard

Presentation

Long medical history of intermittent neurology.

Patient Data

Age: Adult
Gender: Female
MRI

Multiple T2 bright white matter lesions are predominantly periventricular, aligned along perimedullary veins. On sagittal imaging the so-called 'Dawson's fingers' are evident. A lesion in the right frontal lobe demonstrates restricted diffusion and enhancement representing current activity. U-fiber involvement of the medial aspect of the right superior frontal gyrus.

Figure 1: Images at (roughly) same level demonstrating matching signal abnormality of an acute plaque.

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