Case 195

 A forty nine-year-old female was transported to our hospital directly from medical university hospital with a referring letter. It said that she got common cold 4 months ago, and ten days later, she experience progressive weakness of right upper extremity, and rectal and urinary retention. She accepted to receive brain MRI at that time (Figs 1 - 6).

What is your diagnosis on brain MRI?

1.　Optic neuromyelitis

2.　Multiple sclerosis

3.　Neuro-sarcoidosis

4.　Acute disseminated encephalomyelitis

5.　Vitamin 12 deficiency

answer

2020.6.24