Multiple sclerosis

Case contributed by Dr Bruno Di Muzio

Presentation

Follow-up for a chronic relapsing demyelinating disease.

Patient Data

Age: 32
Gender: Female

MRI Brain

Modality: MRI

Multiple hyperintense foci on T2 and FLAIR scattered through both the infra and supratentorial white matter, arranged perpendicular to lateral ventricles, some involving the callososeptal interface and some in a juxtacortical distribution. Some lesions have an incomplete enhancement around the periphery. There is also a mild and diffuse brain atrophy. 

MRI Cervical and Thoracic Spines

Modality: MRI

Multiple hyper signal d short segment foci along the spinal cord, on transverse images they show typical triangular shape.

Case Discussion

This case is very illustrative of the multiple sclerosis involvements both in the brain and in the spinal cord, with typical features inferring active lesions (open ring enhancement) in the brain and also the chronic evolution of this condition characterised by a mild diffuse brain atrophy. 

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Case Information

rID: 39789
Case created: 21st Sep 2015
Last edited: 22nd Apr 2017
Tag: rmh
Inclusion in quiz mode: Included

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