%0 Journal Article %T Advanced imaging findings in progressive solitary sclerosis: a single lesion or a global disease? %A Adam Soares %A Anthony L Traboulsee %A B Mark Keegan %A David Clayton %A Emilie Nevill %A Erin L MacMillan %A Hideki Garren %A Irene M Vavasour %A Jillian K Chan %A Lisa Eunyoung Lee %A Robert L Carruthers %A Roger Tam %A Shannon H Kolind %J Multiple Sclerosis Journal %@ 2055-2173 %D 2019 %R 10.1177/2055217318824612 %X Progressive solitary sclerosis is a unifocal demyelinating disease recently proposed as a possible multiple sclerosis variant. To compare myelin content and brain metabolite ratio qualitatively in the normal-appearing white matter of progressive solitary sclerosis cases compared to multiple sclerosis and healthy control participants. Case report. Progressive solitary sclerosis cases showed abnormal myelin in normal-appearing white matter tracts and global normal-appearing white matter as well as lower N-acetyl-aspartate to total creatine ratio compared to multiple sclerosis and healthy control groups. Despite a single demyelinating lesion along the corticospinal tract in progressive solitary sclerosis, we showed evidence of more extensive abnormality within the normal-appearing white matter %K Progressive solitary sclerosis %K multiple sclerosis %K MRI %K neuroimaging %K myelin water imaging %K demyelination %U https://journals.sagepub.com/doi/full/10.1177/2055217318824612