Multiple sclerosis

Case contributed by A.Prof Frank Gaillard

Presentation

Left sided numbness and intermittent tingling.

Patient Data

Age: 20
Gender: Male
Modality: MRI

Characteristic and extensive changes consistent with multiple sclerosis are demonstrated, easily satisfying both discrimination in time and dissemination and space criteria (McDonald's revised 2010 criteria). Widespread periventricular, juxtacortical, post fossa and upper cervical cord high T2 regions are noted, with at least a dozen demonstrating varying degrees of contrast enhancement and restricted diffusion indicating active/recent demyelination.

The remainder of the brain is within normal limits, with no intra or extraaxial collection, mass or region of abnormal contrast enhancement.

Conclusion:

Features characteristic of active multiple sclerosis.

Case Discussion

Typical appearances of multiple sclerosis with a number of enhancing lesion. 

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Case Information

rID: 28244
Case created: 17th Mar 2014
Last edited: 28th Oct 2015
Inclusion in quiz mode: Included

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