Multiple sclerosis

Case contributed by Frank Gaillard

Presentation

Progressive neurological symptoms.

Patient Data

Age: 30 years
mri

Findings are characteristic of multiple sclerosis, demonstrating multiple periventricular white matter hyperintensities arranged in a perivenular distribution. Note also the numerous posterior fossa and spinal cord lesions. In the lateral aspect of the right frontal lobe, a juxtacortical lesion demonstrates contrast enhancement. 

Annotated image

In the lateral aspect of the right frontal lobe, a juxtacortical lesion demonstrates contrast enhancement. 

Case Discussion

Findings are characteristic of multiple sclerosis, demonstrating multiple periventricular white matter hyperintensities arranged in a perivenular distribution. Note also the numerous posterior fossa and spinal cord lesions. 

In the lateral aspect of the right frontal lobe, a juxtacortical lesion demonstrates contrast enhancement. 

This scan therefore fulfills the MRI component of McDonald's criteria

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