Multiple Sclerosis - Advanced Case (3)

A 33 year-old man had a twenty year history of MS presenting first with optic neuritis. Over the last ten years, he had progressive weakness, numbness and ataxia in the lower extremities.

Show the MS Plaques

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 highly characteristic of multiple sclerosis.

The Electronic Curriculum is copyrighted 1998,  Case Western Reserve University School of Medicine.