Neuromyelitis optica (periaqueductal hyperintensities)

Case contributed by Dr Rajarajan

Presentation

Patient a known case of neuromyelitis optica, on follow up, with significant improvement. Now presented with complaints of ataxia. Patient was referred to MRI to look for any new lesions.

Patient Data

Age: 48 years
Gender: Female

MRI brain study revealed peri-aqueductal hyper-intensities in T2 and FLAIR images with minimal diffusion restriction. No new focal lesions were detected. The optic nerve was relatively normal in present study. Spine MRI for follow up was also done which also did not reveal any focal lesions.

Case Discussion

A case of known neuromyelitis optica, for follow up. The periaqueductal hyperintensities which are consistent with aquaporin distribution site is more favourable for neuromyelitis rather than multiple sclerosis.

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Case information

rID: 46297
Case created: 30th Jun 2016
Last edited: 17th Sep 2017
Inclusion in quiz mode: Excluded

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