Subacute presentation of a large focal lesion: A case and literature review

Bharat Bhushan, Lawrence A Zumo

Prince George’s Hospital Center, Department of Medicine, Cheverly, Maryland, USA

Abstract: Multiple sclerosis has several clinical subtypes, variants and mimickers. This can be diagnostically very perplexing by the very broad nature of its differential diagnosis. However with a high index of suspicion, the differential can be rapidly narrowed and the correct clinical diagnosis deduced and targeted therapy instituted rapidly in order to spare the patient unnecessary resections and potentially debilitating procedures or adjunctive therapies as is demonstrated in this present case of tumefactive multiple sclerosis in a young healthy male presenting with subacute right hemiparesis and dyesthesia, whose clinical investigations are herein reported.