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Case Reports
. 2018 Apr;8(2):156-158.
doi: 10.1212/CPJ.0000000000000431.

When multiple sclerosis and X-linked adrenoleukodystrophy are tangled: A challenging case

Anderson Rodrigues Brandão de Paiva  1 , Carlos Rory Pucci Filho  1 , Alan Monteiro Porto  1 , Fabrício Stewan Feltrin  1 , Fernando Kok  1 , Carlos Henrique Ferreira Camargo  1
Affiliations
Case Reports

When multiple sclerosis and X-linked adrenoleukodystrophy are tangled: A challenging case

Anderson Rodrigues Brandão de Paiva et al. Neurol Clin Pract. 2018 Apr.
No abstract available

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Figures

Figure
Figure. MRI findings
(A, B) Sagittal T2–fluid-attenuated inversion recovery (FLAIR) images show elongated hyperintense lesions in the white matter oriented perpendicularly to the ependymal surface of the lateral ventricles that are very similar to those found in the classic presentation of multiple sclerosis (MS). (C, D) Axial T1- and T2-FLAIR images show lesions in the brainstem. As in the sagittal T2-FLAIR images, these lesions have an elongated morphology very similar to that observed in the classic presentation of MS. There is no contrast uptake (C). (E) Axial postcontrast T1 image shows annular contrast uptake in a lesion close to the atrium of the lateral ventricle very similar to the uptake pattern observed in MS. (F) Coronal T2 image with lesions in the white matter, brainstem, and cerebellum.
See this image and copyright information in PMC

References

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    1. Engelen M, Barbier M, Dijkstra IME, et al. . X-linked adrenoleukodystrophy in women: a cross-sectional cohort study. Brain 2014;137:693–706. - PubMed

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