Presentation
Left sided numbness and intermittent tingling.
Patient Data
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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