case_images: PMC10901064_01
case_images: (a) Axial T2 brain MRI showing multiple white matter inflammatory lesions. (b) Coronal brain MRI showing hypodensities in the left thalamus. (c) Sagittal brain MRI showing multiple white matter inflammatory lesions.
case_images: 10.1177_2050313X241233191-fig1.jpg
case_images: PMC10901064_01_10.1177_2050313X241233191-fig1.jpg
case_images: fig1-2050313X241233191
case_images: C2, C4, and C5; Figure 1), visual evoked potentials showed a marked increase in latency and cerebrospinal fluid (CSF) was positive for oligoclonal bands. Clinical history, imaging, and CSF were suggestive of relapsing-remitting MS.   An immunomodulatory treatment with teriflunomide was then introduced. Subsequent MRI showed recent hypointense lesions in the thalamus and internal capsule of the left hemisphere and in the lenticular nucleus of the right hemisphere, suggestive of a recent ischemic stroke (Figure 1).
case_images: PMC10901064_02