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Multiple sclerosis

Case contributed by Dr Utkarsh Kabra

Presentation

Generalized weakness

Patient Data

Age: 60 years
Gender: Female
MRI

MultipleT2/FLAIR hyperintensities in bilateral periventricular white matter, oriented perpendicular to callososeptal interface and involving genu and body of corpus callosum  

Few juxtacortical hyperintensities are also seen in right parietal and bilateral temporal lobes.  

Subtle hyperintensity seen cervicomedullary junction on right side. 

Hyperintensities are also seen in visualized upper cervical cord.

Few lacunar infarcts seen in bilateral subcortical white matter.

Bilateral lateral ventricle and convexity sulci are mildly prominent, likely age related. 

Cerebellum and pituitary gland are unremarkable

Major signal void areas of brain are normal.

Note is made of prominent cisterna magna.

Case Discussion

Findings are suggestive of demyelination, likely multiple sclerosis.

This case satisfies the McDonald diagnostic criteria for multiple sclerosis with periventricular, juxtacortical, infratentorial and spinal cord lesions.

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Case information

rID: 72143
Published: 21st Nov 2019
Last edited: 23rd Nov 2019
Inclusion in quiz mode: Included

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