i am a medical student.there is a 30 year old patient that as well since 50 days ago that presented with decrease in visual acuity and weakness in her limbs,2 weeks later she presented with sudden blindness,dementia and muscle spasm and her condition get worse by passage of time and now she is spastic aphasic blind.her brain MRI reveals diffuse white matter change and her CSF is normal.she hasn`t family history of such problem and no drug history.ould you please tell me your ideas about this young girl?
also vascular tests done for her and as negative except for HLAB5,her vit B12 level is normal,and she is hematuric
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