A 25-year-male, Intermittent Diplopia, Urinary incontinence, VI Nerve palsy. Most likely diagnosis is:: (A) Acute infarct, (B) Multiple sclerosis, (C) Intraparenchymal bleed, (D) Alzheimer's disease
Answer is B. Ans. B Multiple sclerosisYoung patient with significant neuro-deficits, involvement of periventricular and pericallosal white matter is classical for MS. On MRI McDonalds criteria is used for diagnosis. Venus necklaceQ/Dawson's fingersQ/Ependymal dot-dash signQ seen.