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Dorsal Midbrain Syndrome in Multiple Sclerosis with Magnetic Resonance Imaging Correlation

Published online by Cambridge University Press:  18 September 2015

A. Costantino
Affiliation:
Department of Clinical Neurological Science
S.E. Black
Affiliation:
Department of Clinical Neurological Science
T. Carr
Affiliation:
the Department of Nuclear Medicine, St. Joseph's Hospital, University of Western Ontario
R.L. Nicholson
Affiliation:
the Department of Nuclear Medicine, St. Joseph's Hospital, University of Western Ontario
J.H. Noseworthy*
Affiliation:
Department of Clinical Neurological Science
*
Department of Clinical Neurological Sciences, University Hospital, P.O. Box 5339, Postal Stn. A, London, Ontario, Canada
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Abstract:

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We describe the clinical characteristics and a series of magnetic resonance imaging (MRI) studies in a patient with the features of dorsal midbrain syndrome occurring in the setting of multiple sclerosis. A T2-weighted MRI study revealed a discrete abnormality in the tectum of the midbrain whereas a high volume delayed computed tomography (CT) scan was uninformative. In parallel with remission of the clinical findings, the MRI abnormality diminished over time and was no longer visible at one year suggesting that some MRI detected MS lesions can completely disappear with time. This report demonstrates the use of MRI to detect and to follow sequentially sites of known disease activity in MS.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1986

References

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