An illustrated pocketbook of multiple sclerosis by Charles M. Poser

By Charles M. Poser

This illustrated pocketbook provides an simply obtainable precis of key matters when it comes to diagnosing a number of sclerosis and dealing with sufferers at diversified levels of the disease.

summary: This illustrated pocketbook provides an simply available precis of key matters on the subject of diagnosing a number of sclerosis and dealing with sufferers at diversified phases of the ailment

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However, similar areas of concentric alternating demyelination have been seen in otherwise unremarkable cases of MS and in acute disseminated encephalomyelitis. Another variant of MS is diffuse sclero sis, or Schilder’s disease. True Schilder’s disease is extremely rare, and is defined as the presence of very large bilateral, slightly asymmetrical areas of demyelination in the cerebral white matter (Figures 20 and 21). Diffuse sclerosis is usually seen in children. The very large lesions are often associated with the more typical small disseminated lesions of MS.

This phenomenon is relatively uncommon 58 AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS Figure 38 Sagittal proton density MRI of the spinal cord shows a completely extruded disk compressing the cord at the level of T7–8. Note the areas of increased signal intensity extending both above and below the site of compression. There is also cord compression at the T9–10 level. The patient had suffered from a fall around 2 months previously AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS 59 Figure 39 Axial (left) and sagittal (right) T2-weighted MRIs show severe spondylosis at C4–5 with cord compression.

This phenomenon is relatively uncommon 58 AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS Figure 38 Sagittal proton density MRI of the spinal cord shows a completely extruded disk compressing the cord at the level of T7–8. Note the areas of increased signal intensity extending both above and below the site of compression. There is also cord compression at the T9–10 level. The patient had suffered from a fall around 2 months previously AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS 59 Figure 39 Axial (left) and sagittal (right) T2-weighted MRIs show severe spondylosis at C4–5 with cord compression.

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