Figure - available from: International Medical Case Reports Journal
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MRI of brain. (A) T2 fat sat image right optic nerve hyperintensity indicating optic neuritis. (B) T2 axial image showing left cerebral peduncle plaque. (C) T2 axial showing right optic neuritis. (D) T1 axial post-contrast image showing patchy enhancement of right optic nerve. (E) Periventricular T2 hyperintense focus in right peritrigonal region. (F) Flair sagittal image showing ependymal dot-dash sign sensitive in early MS. (G) Diffusion-weighted image showing left peri ventricular bright focus- T2 shine through effect. (H) Flair axial image showing right parietal juxtacortical and left periventricular foci. (I) Flair axial image showing left parafalcine frontal juxtacortical focus. (J) Sagittal flair image showing juxtacortical and infratentorial plaques. (K) Diffusion-weighted image showing bright right optic nerve. (L–N) Open ring enhancement of juxtacortical plaque. (O) Nodular enhancement in periventricular plaque.
Source publication
We report a child with multiple sclerosis who presented with sixth nerve palsy. She is a twelve-year-old Bahraini female presented to the ophthalmology department complaining of double vision. She also had imbalance and paraesthesia. Extraocular muscle examination showed restriction of abduction in the right eye. There was no change in vision. MRI...
