Multiple sclerosis

Case contributed by Bruno Di Muzio , 10 Aug 2011
Diagnosis certain
Changed by Bruno Di Muzio, 30 Mar 2018

Updates to Case Attributes

Presentation was changed:
Young woman with a known MS disease came for a routine MRI. Previous exams were brought only in printed formfilms.
Body was changed:

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), but also in time (i.e lesions are of different age).

Our report described the increase in the number of lesions, compared with with the previous scan, demonstrating the evolution of theinterval disease activity.

  • -<p><a href="/articles/multiple-sclerosis">Multiple sclerosis</a> is a relatively common acquired chronic relapsing <a href="/articles/demyelination">demyelinating</a> disease involving the central nervous system. It is by definition disseminated not only in space (i.e multiple lesions), but also in time (i.e lesions are of different age).</p><p>Our report described the increase in the number of lesions, compared with the previous scan, demonstrating the evolution of the disease.</p>
  • +<p><a href="/articles/multiple-sclerosis">Multiple sclerosis</a> is a relatively common acquired chronic relapsing <a href="/articles/demyelination">demyelinating</a> disease involving the central nervous system. It is by definition disseminated not only in space (i.e multiple lesions) but also in time (i.e lesions are of different age).</p><p>Our report described the increase in the number of lesions, compared with the previous scan, demonstrating interval disease activity.</p>
Suitable For Quiz was set to .

Updates to Study Attributes

Findings was changed:

Multiple T2/FLAIR hyper intensitieshyperintensities are identified scattered in the brainstem and cerebral white-matter matter. On the sagittal plane, lesions extending up through corpus callosum in a characteristic "Dawson`s fingers" appearance

Caption was changed:
MRI Brain (selected images)
Images Changes:

Image MRI (FLAIR) ( update )

Description was removed:
Hyper intense MS lesions extending up through corpus callosum ("Dawson`s fingers").

Image MRI (FLAIR) ( update )

Description was removed:
Multiple hyper dense plaques in the periventricular white matter, semi-oval centers and subcortical foci.

Image MRI (T2) ( update )

Description was removed:
The same as on FLAIR, plaques are hyper intense.

Image MRI (T1 C+) ( update )

Description was removed:
No enhancement.

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