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Case #46

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Demographics: 67 years old, Female
Indication: Ataxia

Case #46

Findings

  • Multiple nonexpansile areas of T2/FLAIR signal hyperintensity involving the pons, right cerebellar white matter and dentate nucleus, left thalamocapsular junction, and high bilateral frontoparietal juxtacortical white matter
  • Corresponding patchy enhancement
  • No associated restricted diffusion
  • No substantial intracranial mass effect

Diagnosis

Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS)

Key Imaging Features

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Differential Diagnosis

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Discussion

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Pearls

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