Clinical question: Progressive ataxia. Please perform Dr.Javed's multiple sclerosis protocol. Signs and symptoms: Progressive ataxia. Nonenhanced cervical MRI:There is normal signal intensity and alignment of the vertebral column.There is no detectable spinal stenosis or neural foraminal compromise at any level.There is normal signal intensity and caliber of the cervical and upper most visualized thoracic cord. There is no finding to suggest demyelinating disease.Unremarkable images at the level of foramen magnum.
1.Unremarkable nonenhanced cervical MRI.2.No evidence of demyelinating disease of the cervical or upper most visualized thoracic cord.