Case Report

Demyelinating Disease following Anti-TNFa Treatment: A Causal or Coincidental Association? Report of Four Cases and Review of the Literature

Figure 1

(a) and (b): Axial FLAIR brain MRI of the first patient demonstrating right subcortical and juxtacortical and left periventricular hyperintense lesions (black arrows). (c) Coronal FLAIR brain MRI showing a left periventricular hyperintense lesion (dotted black arrow). (d) Sagittal T2-weighted MRI of the cervical spine showing hyperintense lesions on C3 and C4-C5 level (black arrowheads). (e) The lesion on C3 level appears to be enhanced on T1-weighted image (black arrowhead). (f) Sagittal T2-weighted MRI of the thorasic spine demonstrating a hyperintense lesion on T11 level (black arrowhead).
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