Capillary telangiectasia mimicking an active inflammatory MS-lesion in repetitive cMRIs

Case report

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Authors: Michael Harzheim, Claudia Gemmel, Bernd Sommer, Ulf Kallweit, Dieter Pöhlau

Published Date November 2008 Volume 2008:1 Pages 1 - 2

DOI: http://dx.doi.org/10.2147/RMI.S4100

Michael Harzheim¹, Claudia Gemmel¹, Bernd Sommer², Ulf Kallweit¹, Dieter Pöhlau¹

¹MS Center, Department of Neurology, Kamillus-Klinik, Asbach, Germany; ²Radiologische Gemeinschaftspraxis, Bad Honnef, Germany

Abstract: Repetitive cranial magnetic resonance imaging (MRI) showed lesions typical of multiple sclerosis (MS) with one Gd-enhancing focus in the left parietal cerebrum which correlated to the clinical symptoms of a secondary progressive female MS patient. Since this Gd-enhancing lesion lasted over more than two years even after numerous intravenous high-dose methylprednisolone administrations and intrathecal triamcinolone injections the inflammatory etiology of this lesion was questioned and T2* echo-gradient images and MR angiography showed a capillary telangiectasia mimicking an active inflammatory MS-lesion.

Keywords: multiple sclerosis, capillary telangiectasia, cMRI