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Bilateral MCP lesions wee most frequently observed in cerebrovascular diseases, followed by neurodegenerative diseases, inflammatory diseases, toxic encephalopathies, and lymphomas. Our findings demonstrate that bilateral MCP signal abnormalities are more common in patients with ACI and WD, with fewer degenerative processes than previously believed. The high frequency of WD may be attributed to the specific awareness of this pathology. WD can also present with stage-related restricted diffusion and should not be mistaken for a new infarction. The symmetrical bilateral MCP hypointensities on T1-weighted imaging and hyperintensities on T2-weighted imaging often raise concern regarding a demyelinating process. Our findings emphasize that neurologists should consider the aforementioned conditions and correlate the specific neuroimaging characteristics and medical history before arriving at the final diagnosis. |
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addiction,heroin
addiction,heroin-neurologic complications with
cerebrovascular accident
demyelinating disease
leukoencephalopathy
lymphoma
lymphoma involving CNS
lymphoma,primary of CNS
middle cerebellar peduncle
middle cerebellar peduncle,lesion
middle cerebellar peduncle,lesion,bilateral
MRI,abnormal
MRI,contrast enhanced
MRI,diffusion weighted
multiple system atrophy
neuromyelitis optica (Devic's disease)
Wallerian degeneration
white matter disease
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