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Case 20 - 52-year-old male presents with history of multiple sclerosis

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This 52-year-old male presents with history of multiple sclerosis.

In this case, there is a supra- and infratentorial pattern of cerebral atrophy including midbrain, pontine as well as vermian and hemispheric cerebellar atrophy. A posterior fossa pattern of atrophy and brain stem signal abnormality are atypical for a demyelinating process. An additional differential could include:

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Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

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Neuroradiology

Neuro

MRI

CT

Brain

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