Dawson fingers

The clothes
maketh the sign. Sagittal fluid attenuated inversion recovery MRI sequence depicting several adjacent high signal pericallosal lesions resembling adjacent jewels in a Venus flytrap necklace, a style popular in the 1920s. The high signal lesions correlate with demyelinating plaques which typically arise in a perivenous location, the arrangement of lesions, at right angles to the corpus callosum, represents the distribution of callososeptal medullary veins, the appearance has also been described as “Dawson fingers”
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Dawson fingers are a radiographic feature of demyelination characterized by periventricular demyelinating plaques distributed along the axis of medullary veins, perpendicular to the body of the lateral ventricles and/or callosal junction. This is thought to reflect perivenular inflammation. They are a relatively specific sign for multiple sclerosis.

Radiographic features

MRI
  • T1: low signal in chronic lesions; otherwise usually isointense to white matter
  • T2/FLAIR: linear or ovoid high signal
  • T1C+ (Gd): enhancement can be seen with active lesions

History and etymology

Dawson fingers are named after Scottish pathologist James Walker Dawson (1870-1927 ) who described the phenomenon on histopathological specimens in an article in 1916 , although the term "Dawson fingers" was brought forward by Charles Lumsden.

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Dawsonfinger:
Encephalomyelitis
disseminata
ejrnm.springeropen.com • CC-by-4.0
Subakute
sklerosierende Panenzephalitis
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