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Multiple Sclerosis - Advanced Case (1)

A 62 year-old woman with a history of multiple sclerosis was admitted to the hospital for confusion. She had moderate cognitive difficulties. All four limbs were spastic and weak. She was incontinent of urine.

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Axial MRI Flair images: note the numerous areas of demyelination in multiple areas of the white matter. Most of the lesions are near the ventricles. Several are aligned perpendicular to the ventricles, a pattern which is often seen in multiple sclerosis.

Revised 04/23/06.
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