Presentation
A teenager with multiple sensory and motor disturbances.
Patient Data
Multiple hyperintense foci scattered along the periventricular white matter, semi-oval centers, and subcortical areas. Lesions extending up through corpus callosum ("Dawson`s fingers"). Active lesion on the right shows incomplete enhancement (open ring sign).
Hyperintense foci are observed in the cord at the level of C5 as well as in the bulb.
Case Discussion
Multiple Sclerosis is a progressive disease in which inflammation and demyelination of white matter on central nervous system result in multiple neurological signs and symptoms. Even though this was her first MRI, the findings fulfill the McDonald criteria for MS on imaging with both dissemination in time and space demonstrated.
- space: periventricular, infratentorial, and spinal cord lesions have been demonstrated
- time: simultaneous presence of a gadolinium-enhancing lesion and a non-enhancing T2-hyperintense lesion
Unable to process the form. Check for errors and try again.