Multiple sclerosis

Case contributed by Dr Bruno Di Muzio

Presentation

A teenager with multiple sensory and motor disturbances.

Patient Data

Age: 16 years
Gender: Female
MRI

MRI Brain (selected images)

Multiple hyperintense foci scattered along the periventricular white matter, semi-oval centres, and subcortical areas. Lesions extending up through corpus callosum ("Dawson`s fingers"). Active lesion on the right shows incomplete enhancement (open ring sign).

MRI

MRI Cervical spine (selected images)

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 fulfil 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
PlayAdd to Share

Case information

rID: 19503
Published: 16th Sep 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.