IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Multiple sclerosis

Case contributed by Hein Els
Diagnosis probable

Presentation

Paresthesia in arms and legs.

Patient Data

Age: 43
Gender: Female
mri

FLAIR hyperintense lesions involving:

  • juxtacortical white matter;
  • periventricular white matter (ovoid with some perpendicular to the long axis of the ventricles);
  • corpus callosum.

Case Discussion

The distribution of the white matter lesions fulfills the McDonald criteria for dissemination in space. There are no infratentorial or spinal lesions in this case.

The case also illustrates the difference between subcortical and juxtacortical lesions. The importance of the differentiation is discussed here.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.