You are reading the radiologist report of an MRI with contra…
You are reading the radiologist report of an MRI with contrast of your 34yo female patient who has multiple sclerosis (MS). The report indicates the presence of contrast agent in the periventricular space. Which of the following is LEAST likely to be present in your patient?
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Clinical case (next two questions): A 44-year-old man reports to physical therapy with a recent onset of lower extremity pain and weakness in bilateral lower extremities that has been escalating over the past three days. He describes a tingling sensation in his feet and ankles and has noticed difficulty maintaining his balance, often stumbling while walking. Upon reviewing his medical history, the patient mentions a recent upper respiratory infection that he experienced about 10 days ago, with symptoms including a sore throat and mild fever, which resolved on its own without medical intervention. During the physical examination, there is notable weakness of dorsi- and plantarflexion and diminished sensation in his distal lower extremities. Deep tendon reflexes cannot be elicited despite repeated attempts. Which neuropathology MOST likely explains this patient’s diagnostic findings?
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