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Case Reports
. 2012 Jun;19(6):910-2.
doi: 10.1016/j.jocn.2011.06.037. Epub 2012 Feb 17.

Open ring enhancement in atypical brain demyelination

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Case Reports

Open ring enhancement in atypical brain demyelination

Vijayakumar Javalkar et al. J Clin Neurosci. 2012 Jun.

Abstract

Open ring enhancement is considered highly specific for atypical demyelination. In this report we present a patient with a history of headache, ataxia and sensory disturbances in the lower extremities. A cranial MRI scan showed a large frontal lesion with mass effect, midline shift and with open ring enhancement. These findings are characteristics of tumefactive multiple sclerosis. Such lesions can be confused with neoplasms and abscesses. Open ring enhancement may help in differentiating atypical demyelination from a neoplasm or an abscess.

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