Case of the Month: October, 2010 Page 2

Answer: 1) Multiple asymmetric white matter lesions with FLAIR hyperintensity and peripheral enhancement. No restricted diffusion.

[The remainder of the choices are descriptions of the following entities: 2) Multiple sclerosis, 3) Fabry’s Disease, 4) autoimmune mediated vasculitis.]

Question: Differential diagnosis for mutlifocoal white matter/basal ganglia lesions considering clinical factors such as immunosuppression, recent infection, or recent vaccination:

  1. Acute disseminated encephalomyelitis (ADEM)

  2. Multiple Sclerosis (MS)

  3. Auto-immune mediated vasculitis

  4. Fabry’s Disease

  5. Bechet’s


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