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White matter lesions can be associated with many conditions, including MS. In this example, some of the lesions are in a characteristic location for demyelination.
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Dr. Naveen Kumar on Instagram: "A 13 year girl presented with spastic ataxic gait x 1 month. On examination -Anemic, spasticity in both lower limbs, Knee jerk- brisk, ankle jerk- absent, romberg sign positive. Investigations- Hb -8, vit B12- 108( deficiency), anti parietal cell antibody- positive MRI thoracolumbar spine with whole spine screening - T2 hyperintensity from D5 to D10, on axialT2- dorsal column hyperintensity. SACD- Subacute combined degeneration of spinal cord. Patient responds wel
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Dr. Naveen Kumar on Instagram: "A 13 year girl presented with spastic ataxic gait x 1 month. On examination -Anemic, spasticity in both lower limbs, Knee jerk- brisk, ankle jerk- absent, romberg sign positive. Investigations- Hb -8, vit B12- 108( deficiency), anti parietal cell antibody- positive MRI thoracolumbar spine with whole spine screening - T2 hyperintensity from D5 to D10, on axialT2- dorsal column hyperintensity. SACD- Subacute combined degeneration of spinal cord. Patient responds wel
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