38-year-old Woman in Medicine / Internal Medicine — 38yo Woman | Neurology | SMLE Q#16487
SMLE Question #16487
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 38-year-old woman has several months of intermittent blurred vision and progressive unsteadiness while walking. Two years ago, she had an episode of painful monocular visual loss that resolved over a few weeks. Neurologic examination shows mild dysmetria on finger-to-nose testing and a broad-based gait. Brain MRI shows multiple ovoid T2 hyperintense lesions in the periventricular and deep white matter. Spinal MRI shows scattered T2 hyperintense lesions within the cord. What is the most likely diagnosis?
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