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Brain stem and cerebellar involvement including cerebellar peduncles is common in patients with MS and ADEM. Cerebellar symptoms and signs are commonly seen in 50-80% in MS patients. On MRI brainstem lesions in 68% and cerebellar lesions in 49%-88% were detected (20). These lesions in MS or ADEM are often bilateral but asymmetric (Figures 14 ... ................
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