WIDI - CA0898-Multiple Sclerosis, MR

Multiple Sclerosis, MR

Claim CME Credit

0.5 CME Credit available on completion

POINT OF CARE INFORMATION

This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.

Learning Objectives

As a result of participation in this activity, participants should be able to:

Provide improved patient care.
Greater knowledge of the imaging characteristics of the patient's disease.
Understand a better approach to interpretation of studies.

Faculty Disclosure

Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.

CME Advisory Committee Disclosure:

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.

Continuing Medical Education Credit

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CA0898-Multiple Sclerosis, MR

History

23 year old female with acute right upper extremity weakness, bilateral lower extremity weakness and ophthalmoplegia.

Exam

Cervical MRI- T1, T2 and STIR sequences were variably performed in the axial and sagittal plane with high-resolution techniques focused on the most suspicious levels based on clinical examination. These include images before and following the intravenous administration of a paramagnetic contrast agent.

Prior Study

N/A

Findings

Paraspinous soft tissues

There is no mass or swelling of the prevertebral or paravertebral region.

Spine and epidural space

There is no destructive or erosive process present involving the vertebral body, its end plates, pedicles, or posterior elements at any level. No evidence of abnormality within the epidural space.

Thecal sac and subarachnoid space

The thecal sac is intrinsically or extrinsically normal.

Spinal cord

The spinal cord is enlarged focally and segmentally. There are multiple short segment lesions on T2 with abnormal contrast enhancement. The lesions are located in the central spinal cord/grey matter and lateral column/white matter bilaterally. No anterior or posterior spinal artery territory involvement or abnormal vascular structures are seen in the dural sac.

Additional findings

Multiple demyelinating lesions in the posterior fossa.

Impression

Based on imaging findings, multiple short segment lesions, consistent with active demyelinating disease such as MS.

Recommendations

Call the physician taking care of the patient to notify about the critical results.

Acuity

Urgent: non-routine communication within 4 hours