Case 45: MRI Brain + Spine

Young male, right upper arm weakness




Impression

Bright signals on FLAIR sequences seen in the cervical cord, high parietal region, a few of these periventricular, with one of the lesions showing faint peripheral enhancement on MR contrast

Demyelination

Discussion

CAUSES

Primary
Multiple Sclerosis

Acute Disseminated Encephalomyelitis

Transverse Myelitis
Guillian Barre Syndrome

Infective
Progressive Multifocal Leukoencephalopathy
HIV Encephalitis
Progressive Rubella Panencephalitis


Toxic (eg PRES) & Metabolic are usually considered separately