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Dominant perivenular enhancement of tumefactive demyelinating lesions in multiple sclerosis
Author(s) -
Y. Zhang,
Luanne M. Metz
Publication year - 2010
Publication title -
neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.91
H-Index - 364
eISSN - 1526-632X
pISSN - 0028-3878
DOI - 10.1212/wnl.0b013e3181f736d3
Subject(s) - multiple sclerosis , medicine , pathology , white matter , demyelinating disease , lateral ventricles , aphasia , radiology , magnetic resonance imaging , psychiatry
A 51-year-old woman presented with aphasia and bifrontal MRI lesions with punctuate and vague linear enhancement (figure). She improved spontaneously but 4 months later deteriorated due to the large mass and required cranial decompression. Innumerable, perivenular enhancements perpendicular to the lateral ventricles were seen within extensive bihemispheric white matter lesions. Multiple sclerosis (MS) was …

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