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Multiple Sclerosis - Advanced Case (4)

A 25 year-old woman with a history of MS presented with worsening spasticity and ataxia.

Show the Enhancing Plaques

Axial MRI T1-weighted images with gadolinium. Note that numerous lesions that enhance with gadolinium. The one in the left parietal area (image of the right) is ring enhancing. This is more often the picture of tumor or abscess. This is a case of so-called "tumefactive MS", where the MRI picture mimics that of tumor.

Revised 04/23/06.
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