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When the MRI scan suggests multiple sclerosis but the symptoms do not

Correspondence to:
Dr J Chataway, St Mary’s Hospital, Department of Neurology, Praed Street, London W2 1NY, UK; jeremy.chataway@st-marys.nhs.uk

The first 150 words of the full text of this article appear below.

In the era of increasingly available MRI scanning for patients with neurological symptoms (from the worrying to the trivial), it is perhaps not unsurprising that on occasion, changes are revealed that are compatible with inflammatory demyelination, despite the lack of congruence with the clinical scenario. What does the scan mean? Also, how do you frame the discussion with the patient—particularly if s/he walks away with the scan on CD to play on their PC, which will be accompanied in a few days (weeks) time by a copy of your clinic letter. The problem is made all the worse by the fact that once the patient enters the word demyelination on a Google search, multiple sclerosis (MS) will come up in 0.14 s (sic). Therefore, any case series which gives some hard evidence on which to base the ensuing discussion, as the images are peered through together on the PACS system, . . . [Full text of this article]

Relevant Article

Unexpected multiple sclerosis: follow-up of 30 patients with magnetic resonance imaging and clinical conversion profile

C Lebrun, C Bensa, M Debouverie, J De Seze, S Wiertlievski, B Brochet, P Clavelou, D Brassat, P Labauge, E Roullet, and on behalf of CFSEP
J. Neurol. Neurosurg. Psychiatry 2008 79: 195-198. [Abstract] [Full Text] [PDF]