Multiple sclerosis

Case contributed by Dr Amro Omar

Presentation

Weakness, numbness

Patient Data

Age: 25
Gender: Male
Modality: MRI

Sagittal FLAIR shows bilateral, asymmetric, linear/ovoid hyperintensities with periventricular extension: "Dawson fingers"

Axial and sagittal T2WI show the typical apperance of MS:

  • cervical segment is most commonly affected
  • dorsolateral aspect of cord
  • < 1/2 of cross-sectional area of spinal cord
  • < 2 vertebral segments in length

Case Discussion

Complete study needs T1+C to assess disease activity and fat saturation sequences to assess possible optic neuritis.

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Case Information

rID: 34109
Case created: 4th Feb 2015
Last edited: 26th Mar 2017
Inclusion in quiz mode: Included

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