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  1. Charlotte Wyatt1,
  2. Mark Tighe2
  1. 1Department of Dermatology, PA Hospital, Brisbane, Queensland, Australia
  2. 2Department of Paedaitrics, Poole District Hospital, Poole, UK
  1. Correspondence to Dr Charlotte Wyatt, Department of Dermatology, PA Hospital, Brisbane, Queensland, Australia; charlotte.wyatt1234{at}gmail.com

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1. From the MRI performed (figure 1), what does the image show?

The correct answer is A

Cerebral imaging is mandated to further evaluate the symptoms of raised intracranial pressure (ICP) before proceeding to LP. MRI may be most appropriate: being more sensitive at detecting areas of demyelination or abnormalities of cerebral blood flow, with negligible radiation burden.1

This selected image from a T2-weighted transaxial MRI sequence shows periventricular white matter changes in both hemispheres with well-preserved grey/white matter differentiation and normal grey matter signal return.

2. As well as the MRI: what investigations would you perform?

The correct answer is probably, all of …

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