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Multiple Sclerosis

Davis BD - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Multiple Sclerosis

History: 21 y.o. woman with 5-7d h/o cervical neck pain associated intermittent shooting and tingling pains in both arms (L>R). Negative Medical history, Family history, or Social History. No medications.

Findings: The cervical spine demonstrates T2 hyperintensity within the cord at C3 and C4 with mild expansion of the cord. Enhancement in the right side of the brain and enhancement adjacent to the posterior horn of the left lateral ventricle are well visualized on axial T1 post gadolinium MRI. These high signal lesions are consistent with demylination.

Ddx: • CNS infection (Lyme disease, syphilis, HIV infection, human T-lymphotrophic virus type I) • CNS inflammatory condition (sarcoidosis, SLE, Sj?gren's syndrome) • CNS microvascular disease (HTN, DM, vasculitis) • Genetic disorder (leukodystrophy, hereditary myelopathy, mitochondrial disease) • Structural or compressive condition of the brain and spinal cord • Vitamin B12 deficiency • Multiple sclerosis

Dxhow: Symptoms, MRI findings, and positive CSF oligoclonal bands.

Exam: Physical exam, including CN I-XII, within normal limits. CSF positive for two oligoclonal bands.

No MeSH data available.


Image taken 11 days after initial MRI. The cervical spine demonstrates moderate interval decrease in the T2 hyperintensity within the cord at C3 and C4 with mild expansion of the cord. There is resolution of the previously noted enhancement of this lesion. No new lesions are identified
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MPX1039_synpic34353: Image taken 11 days after initial MRI. The cervical spine demonstrates moderate interval decrease in the T2 hyperintensity within the cord at C3 and C4 with mild expansion of the cord. There is resolution of the previously noted enhancement of this lesion. No new lesions are identified


Multiple Sclerosis

Davis BD - MedPix (2007)

Image taken 11 days after initial MRI. The cervical spine demonstrates moderate interval decrease in the T2 hyperintensity within the cord at C3 and C4 with mild expansion of the cord. There is resolution of the previously noted enhancement of this lesion. No new lesions are identified
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=MPX1039&req=5

MPX1039_synpic34353: Image taken 11 days after initial MRI. The cervical spine demonstrates moderate interval decrease in the T2 hyperintensity within the cord at C3 and C4 with mild expansion of the cord. There is resolution of the previously noted enhancement of this lesion. No new lesions are identified

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Multiple Sclerosis

History: 21 y.o. woman with 5-7d h/o cervical neck pain associated intermittent shooting and tingling pains in both arms (L>R). Negative Medical history, Family history, or Social History. No medications.

Findings: The cervical spine demonstrates T2 hyperintensity within the cord at C3 and C4 with mild expansion of the cord. Enhancement in the right side of the brain and enhancement adjacent to the posterior horn of the left lateral ventricle are well visualized on axial T1 post gadolinium MRI. These high signal lesions are consistent with demylination.

Ddx: • CNS infection (Lyme disease, syphilis, HIV infection, human T-lymphotrophic virus type I) • CNS inflammatory condition (sarcoidosis, SLE, Sj?gren's syndrome) • CNS microvascular disease (HTN, DM, vasculitis) • Genetic disorder (leukodystrophy, hereditary myelopathy, mitochondrial disease) • Structural or compressive condition of the brain and spinal cord • Vitamin B12 deficiency • Multiple sclerosis

Dxhow: Symptoms, MRI findings, and positive CSF oligoclonal bands.

Exam: Physical exam, including CN I-XII, within normal limits. CSF positive for two oligoclonal bands.

No MeSH data available.