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

Authors Harzheim M, Poehlau D, Gemmel C, Kallweit U, Sommer B

Published 24 November 2008 Volume 2008:1 Pages 1—2


Review by Single-blind

Peer reviewer comments 4

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

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