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Diffusion-Weighted MR Imaging Characteristics of an Acute Strokelike Form of Multiple Sclerosis

C. Rossoa, P. Remya, A. Creangea, P. Brugieresb, P. Cesaroa and H. Hosseinia

a Department of Neurology, Hôpital Henri Mondor, Créteil, France
b Department of Neuroradiology, Hôpital Henri Mondor, Créteil, France


Figure 1
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  		Fig 1. Brain MR imaging, T2-weighted sequence: high-intensity white matter images, 2 of which are periventricular.


Figure 2
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  		Fig 2. Brain MR imaging 2 hours after onset of symptoms.

A, FLAIR sequence, showing high signal intensity of left internal capsule.

B, DWI, showing high signal intensity of left internal capsule.

C, ADC mapping, showing reduced ADC of the left internal capsule lesion.


Figure 3
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  		Fig 3. Brain MR imaging on day 10.

A, FLAIR sequence, showing extension of the left internal capsule lesion.

B, DWI, showing extension of the left internal capsule lesion.

C, ADC mapping, showing heterogeneous ADC of the left internal capsule lesion.


Figure 4
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  		Fig 4. Brain MR imaging at 3 months.

A, FLAIR sequence, showing regression of the high signal intensity of the left internal capsule.

B, Gadolinium-enhanced T1-weighted image, showing no contrast enhancement of the lesion.





Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X