Multiple sclerosis

Case contributed by Dr Hein Els


Paraesthesia in arms and legs.

Patient Data

Age: 43
Gender: Female

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 fulfils 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.

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Case information

rID: 34609
Case created: 1st Mar 2015
Last edited: 4th Oct 2015
Inclusion in quiz mode: Included

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