PMC4862986_01
MRI of cervical spine done prior to admission showing long segment centrally located lesions in form of T2 hyperintensity in cervical cord (double arrow) [Saggital (A), Axial (D)] and dorsal cord (single arrow) [Saggital (B,C), Axial (E)].
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F1
MRI of the cervical spine, done prior to admission, had revealed long segment lesions with T2 hyperintensity in cervical and dorsal cord favoring demyelination (Figure 1).
MRI screening of brain showing single focal well-circumscribed hyperintense lesion (arrow) in T2 sequence at right subcortical frontal region (at gray white interface).
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F2
On presentation at our center, we performed a MRI of the brain that revealed a single well-circumscribed T2 hyperintense lesion in the right subcortical frontal region (at gray white interface) (Figure 2) without any diffusion restriction or contrast enhancement.
Repeat MRI brain showing bilateral frontal-parietal hyperintensities on T2 sequence (single arrow) with central hypointensity on FLAIR (double arrow) (A,B). On contrast injection incomplete ring enhancement was seen (triple arrow) (C,D).
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F3
FLAIR (Figures 3A,B). Furthermore, on contrast injection incomplete ring enhancement was noted (Figures 3C,D).
Cervical MRI showing long segment T2 hyperintensity (arrow) (A) patchily enhancing in cervical cord (double arrow) and dorsal cord (B).
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F4
Cervical MRI showed patchy enhancing long TR hyperintensities in cervical and dorsal cord favoring demyelination (Figures 4A,B).