Dawson’s fingers are periventricular lesions in patients with multiple sclerosis (MS). These are flame-shaped lesions or finger like projections, perpendicular to ventricles and represent perivenular inflammation surrounding medullary veins. Dawson’s fingers are typically seen in patients with multiple sclerosis.
However, here, I present a case of small vessel ischemia, whose MRI showed lesions mimicking Dawson’s fingers. 70-year old gentleman, a hypertensive, presented with headache of one year duration. He had no other neurological symptoms. There were no focal neurological deficits.
Conclusion: Dawson’s fingers like lesions could be seen in patients with small vessel ischemia.