This 30 year old male had a week of visual blurring
described as "milkiness" involving the left eye at the age of 13
years.
At 24, he experienced numbness and tingling in both legs and stumbling
gait. MR images show high signal in periatrial white matter on T2-weighted
images, and low signal on T1 pre- and post gadolinium.
These findings are
typical of the non-acute plaques seen in MS. There is very little enhancement
with gadolinium. The lateral ventricles are somewhat enlarged. Most of the
lesion burden is in white matter, but, as seen at a higher level as follow
slice 17, grey matter is also involved.
