Case of April 2025

For completion of the online quiz, please visit the eHKAM LMS website. 

Clinical History:

A 9-year-old boy with a recent history of influenza-like illness one week ago, presented with two-day onset of bilateral loss of vision and weakness of four limbs. Physical examination demonstrated upper motor neuron signs on all four limbs. Plain CT brain was unremarkable. Magnetic resonance imaging (MRI) brain and spine with contrast was performed.

MRI brain and spine with contrast

MRI brain T2 weighted sequence - axial

MRI brain T2 weighted FLAIR sequence - coronal

MRI brain T2 weighted FLAIR sequence - coronal 

MRI brain T1 weighted sequence with contrast - coronal 

MRI brain T2 weighted FLAIR sequence - coronal

MRI brain T2 weighted sequence – axial  

MRI cervical spine T2 weighted STIR sequence – sagittal 

MRI cervical spine T2 weighted sequence – axial