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Small vessel ischemic disease is the most common MS look-alike on MRI 🧠 It causes white matter changes that can be mistaken for demyelination — especially in patients with high blood pressure, diabetes, or a smoking history. Key differences: ✔ No true relapses ✔ No spinal cord involvement ✔ No classic enhancing MS lesions This is why we don’t diagnose MS based on MRI alone.#MS #neuro #medicaleducation #neurology #medical
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