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The patient was referred for follow up evaluation of a disease diagnosed for several years.
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There are multiple white matter T2/FLAIR hyperintense lesions in the supratentiorial area, midbrain and pons bilaterally. Some lesions are oriented perpendicular to the ventricles. No abnormal enhancement is seen.
Multiple sclerosis is an idiopathic form of white matter demyelination. The lesions may be scattered through supra and infratentorial white matter, pons, midbrain and spinal cord.
Septocallosal lesions are considered typical for the disease. Spinal cord may also be involved.
- Ge Y. Multiple sclerosis: the role of MR imaging. AJNR Am J Neuroradiol. 2006;27 (6): 1165-76. AJNR Am J Neuroradiol (full text) - Pubmed citation
- Bot JC, Barkhof F, Lycklama à Nijeholt G et-al. Differentiation of multiple sclerosis from other inflammatory disorders and cerebrovascular disease: value of spinal MR imaging. Radiology. 2002;223 (1): 46-56. Radiology (full text) - doi:10.1148/radiol.2231010707 - Pubmed citation
- Filippi M, Rocca MA. MR imaging of multiple sclerosis. Radiology. 2011;259 (3): 659-81. Radiology (full text) - doi:10.1148/radiol.11101362 - Pubmed citation
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