Magnetic resonance imaging differential diagnosis of brainstem lesions in children

Figure 14 Pediatric onset multiple sclerosis. A 7-year-old boy with diplopia, ataxia and speech disorder. Peripheral and peri-ventricular multiple brainstem T2 hyperintense lesions are observed (A-C), with extension to the middle cerebral peduncles (A and B). Multiple bilateral periventricular ovoidal-shaped lesions are seen at supra-tentorial level (C). Two lesions of the left pons and left middle cerebral peduncle show enhancement after contrast agent administration (E).