IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Multiple sclerosis of the spine

Case contributed by Frank Gaillard
Diagnosis certain

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Multiple T2 hyperintense lesions most prominent at C4 level, with an enhancing plaque at C2/3.

Case Discussion

Multiple sclerosis is a relatively common acquired chronic relapsing demyelinating disease involving the central nervous system. It is by definition disseminated not only in space (i.e multiple lesions in different locations) but also in time (i.e. lesions are of different ages); this is the cornerstone of McDonalds criteria. Imaging the spine and giving contrast (if first presentation) is useful in establishing the diagnosis on the first presentation. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.