Multiple sclerosis

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Clinically stable. Not on any treatment.

Patient Data

Age: 25 years
Gender: Male
mri

When compared to the previous MRI of the brain may has been significant disease activity, with at least 14 new demyelinating plaques identified both within the supratentorial compartment and involving the brain stem. These are image drop off periventricular, subcortical, juxtacortical lesions and are characteristic of a demyelination. Some of these, particularly at a sizable right parietal region, demonstrate restricted diffusion.

Case Discussion

Typical appearances of active relapsing remitting multiple sclerosis (MS). Automated change maps (e.g. Vistarsier) are ways of visualizing this change. 

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