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A 38-year-old man, without relevant personal or familial antecedents, presented with episodes of blurred vision of 6 years' duration. He was diagnosed with idiopathic recurrent pars planitis.
Two years later, the patient presented with somesthetic hemisyndrome, with spontaneous recovery in 1 month. The MRI was abnormal, with multiple sclerosis–like lesions and some gadolinium enhancement (fulfilling the Barkhof criteria of space dissemination) without any “best explanation” after thorough study.
Another two years later, the patient had a paresthetic ictus, with a lesion localized in the thalamus on diffusion MRI sequences.
One year after the paresthetic ictus, the patient presented with the same clinical and MRI expression. The patient is curr…