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. 2017 Nov 7;2017:4354826. doi: 10.1155/2017/4354826

Table 2.

CSF analysis and neuroimaging findings in our series.

  CSF analysis
(at onset)
Repeat CSF analysis Brain and spinal MRI Neurophysiological studies
Patient 1 Positive OCB — Periventricular, subcortical hyperintense lesions on T2 and FLAIR weighted images with right thalamus and pontine involvement and gadolinium enhancement Normal VEP

Patient 2 Positive OCB, increased protein level — Brainstem, cerebellar, and insular subcortical hyperintense lesions on T2 and FLAIR weighted images without gadolinium enhancement Optic neuritis

Patient 3 Normal Positive OCB Periventricular, subcortical hyperintense lesions on T2 and FLAIR weighted images with brainstem and cerebellar involvement Optic neuritis

Patient 4 Negative OCB, increased protein level Positive OCB Subcortical hyperintense lesions on T2 and FLAIR weighted images with basal ganglia, brainstem, and posterior cordonal involvement Optic neuritis

Patient 5 Positive OCB, increased protein level — Periventricular and subcortical hyperintense lesions on T2 and FLAIR weighted images with internal capsule, corpus callosum, thalamic, brainstem, and cerebellar peduncle involvement, extensive posterior spinal abnormalities, and gadolinium enhancement (Figure 1) Optic neuritis, altered BAEP and SEP

Patient 6 Normal Positive OCB Periventricular and subcortical hyperintense lesions on T2 and FLAIR weighted images with brainstem and cervical involvement without gadolinium enhancement Altered BAEP

Patient 7 Negative OCB, increased protein level Normal Periventricular hyperintense lesions on T2 and FLAIR weighted images with “onion bulb” appearance of one lesion and gadolinium enhancement Altered BAEP

Patient 8 Normal Positive OCB Periventricular and semiovale center hyperintense lesions on T2 and FLAIR weighted images with internal capsule involvement Altered SEP

Patient 9 Negative OCB, increased protein level Positive OCB Subcortical hyperintense lesions on T2 and FLAIR weighted images with cervical involvement and gadolinium enhancement Altered SEP

Patient 10 Positive OCB — Periventricular, subcortical, semiovale center hyperintense lesions on T2 and FLAIR weighted images with corpus callosum, peduncular, pontine, and cerebellar involvement and cervical and dorsal abnormalities Not performed

Patient 11 Increased cell count Normal Periventricular, subcortical, semiovale center hyperintense lesions on T2 and FLAIR weighted images with corpus callosum and cerebellar peduncles involvement and gadolinium enhancement Normal VEP

Patient 12 Normal Positive OCB Corpus callosum hyperintense lesions on T2 and FLAIR weighted images with cerebellar and brainstem involvement and cervical abnormalities with gadolinium enhancement Optic neuritis

Patient 13 Increased cell count Normal Periventricular hyperintense lesions on T2 and FLAIR weighted images with cervical involvement Optic neuritis

Patient 14 Positive OCB, increased protein level and cell count Positive OCB with normal cell count Periventricular hyperintense lesions on T2 and FLAIR weighted images with cervical involvement and gadolinium enhancement Optic neuritis, altered SEP

Patient 15 Increased cell count Positive OCB with normal cell count Periventricular hyperintense lesions on T2 and FLAIR weighted images Normal VEP

Patient 16 Normal Positive OCB Periventricular hyperintense lesions on T2 and FLAIR weighted images with cerebellar and brainstem involvement Not performed

Patient 17 Normal Positive OCB Periventricular hyperintense lesions on T2 and FLAIR weighted images with cervical involvement Optic neuritis, altered SEP

Patient 18 Positive OCB — Periventricular and semiovale center hyperintense lesions on T2 and FLAIR weighted images with corpus callosum, brainstem, and cerebellar involvement Optic neuritis, altered SEP

Patient 19 Positive OCB,
increased protein level and cell count
Positive OCB with normal cell count Periventricular hyperintense lesions on T2 and FLAIR weighted images with brainstem involvement Bilateral optic neuritis

Patient 20 Not performed — Periventricular hyperintense lesions on T2 and FLAIR weighted images with “onion bulb” aspect of some lesions Optic neuritis, altered SEP

Patient 21 Positive OCB and increased protein level — Subcortical hyperintense lesions on T2 and FLAIR weighted images with cerebellar, cervical, and dorsal involvement Altered SEP

OCB: oligoclonal bands; BAEP: brain auditory evoked potentials; SEP: sensory evoked potentials; VEP: visual evoked potentials.