Capillary telangiectasia mimicking an active inflammatory MS-lesion in repetitive cMRIs

• Main Authors: Michael Harzheim, Claudia Gemmel, Bernd Sommer, Ulf Kallweit, Dieter Pöhlau
• Format: Article
• Language: English
• Published: Dove Medical Press 2008-11-01
• Series: Reports in Medical Imaging
• Online Access: http://www.dovepress.com/capillary-telangiectasia-mimicking-an-active-inflammatory-ms-lesion-in-a2620

Michael Harzheim1, Claudia Gemmel1, Bernd Sommer2, Ulf Kallweit1, Dieter Pöhlau11MS Center, Department of Neurology, Kamillus-Klinik, Asbach, Germany; 2Radiologische Gemeinschaftspraxis, Bad Honnef, GermanyAbstract: Repetitive cranial magnetic resonance imaging (MRI) showed lesions typical of multiple sclerosis (MS) with one Gd-enhancing focus in the left parietal cerebrum which correlated to the clinical symptoms of a secondary progressive female MS patient. Since this Gd-enhancing lesion lasted over more than two years even after numerous intravenous high-dose methylprednisolone administrations and intrathecal triamcinolone injections the inflammatory etiology of this lesion was questioned and T2* echo-gradient images and MR angiography showed a capillary telangiectasia mimicking an active inflammatory MS-lesion.Keywords: multiple sclerosis, capillary telangiectasia, cMRI