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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 …
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.