Multiple Sclerosis - Advanced Case (2)

A 32 year-old man presented with double vision, slurred speech and difficulty walking. Examination showed a bilateral internuclear ophthalmoplegia, ataxia of the limbs and scanning speech.

Show the MS Plaqes

Axial MRI T2-weighted 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 highly characteristic of multiple sclerosis.


Revised05/19/06.
The Electronic Curriculum is copyrighted 1998,  Case Western Reserve University School of Medicine.