multiple sclerosis diagnosis and the management of acute relapses

gov/pubmed/8780061 Anyway, up until that point clinical trials were hampered by a lack of agreement on the types of MS and the definitions of those types. It was thought that since MS is such a heterogeneous disease, mixing up different types in one clinical trial would lead to inaccurate results. Given the lack of biomarkers for MS (e.g.

I have had alot of muscle pain, heaviness in legs, fatique and insomnia; all of these problems are getting worse in the past 5 years. I recently started with dizziness and ringing in my ears which led me to request a copy of this report. I have a MRI scheduled next week. My question is the juxtacortical lesion specific to MS? If so have I caused more damaged going without treatment in the past 10 years.

Hello, A detailed clinical examination may be necessary for correct diagnosis and management. Loss of smell sensation is usually caused by acute sinusitis, rhinitis etc.CNS causes are brain tumour,aneurysm,hormonal disturbances,diabetes,multiple sclerosis, zinc deficiency, malnutrition etc.Loss of taste sensation can be due to nasal infections,flu,common cold, dryness of mouth, medications like antithyroid medications,rifampicin,gingivitis,vitamin B12 or zinc deficiency.

t remember anything else that you either hear from the doctors or here on our forum, please know that getting a diagnosis of MS is NOT the end of the world and it is not a death sentence. It can be scary in the beginning because of all the unknowns, but before you guys know it your life will adapt to this new reality. You will be your wife's best support right now, going with her to the doctor/clinic appointments and making sure she is getting the best care possible.

It is widely accepted that magnetic resonance imaging (MRI) findings are not totally specific for the diagnosis of multiple sclerosis. White matter lesions that mimic those of multiple sclerosis may be detected in both normal volunteers and patients harbouring different diseases. " Virtually all the characteristic features of multiple sclerosis are sometimes encountered in other conditions affecting predominantly the white matter.

Hello, A detailed clinical examination may be necessary for correct diagnosis and management. Loss of smell sensation is usually caused by acute sinusitis, rhinitis etc.CNS causes are brain tumour,aneurysm,hormonal disturbances,diabetes,multiple sclerosis, zinc deficiency, malnutrition etc.Loss of taste sensation can be due to nasal infections,flu,common cold, dryness of mouth, medications like antithyroid medications,rifampicin,gingivitis,vitamin B12 or zinc deficiency.

Well, it is difficult to comment specifically on the situation without having a look at the radiographs or a detailed clinical evaluation, though the symptoms and the radiographs could represent any of the three conditions. You may consider seeking an opinion from a neurologist based at a university/ teaching hospital at this time and see what diagnosis and management would they favour. Hope this is helpful. Take care!

m gonna try to give this a shot. These are some of the facts of the stages of MS. Jen is exactly right about the SPMS and brain atrophy. From what I read today, the neuro's go by how long you've been having symptoms, what symptoms you are dealing with, what symptoms come and go and which stay around all the time. I haven't read that the amount of lesions have anything to do with the stage of MS, for example PPMS shows more in the spinal cord than in the brain.

You mentioned there are things I can do to improve my condition. Could you give me the details? I have been out of the hospital since 4/27/12 & continue to have off and on periods of the same symptoms that I went in with including loss of appetite & weight loss of 7lbs. I was 422 lbs on 4/28/12 & this morning I am 415lbs. This is not a bad thing for me since I am obese. I am concerned about nutrition.

I think, like people said, that the conventional wisdom is that the current meds work against the inflammation that is associated with acute relapses and that it is hoped that reducing the number/severity of relapses will at least slow the progression of the underlying disease. For a while I thought I had PPMS and read a lot on it. Some people do seem to think PPMS is possibly an entirely different disease than RRMS/SPMS.

Seizures have been observed before and presumably marking the clinical onset of multiple sclerosis, and during acute bouts of MS. In some cases, seizures appear to be the only sign of a flare of MS. But there isn't general acceptance of seizures as the first and only sign of MS.

Hi, my mother recently went in for an MRI and was never explained the results...the hospital just gave her the MRI disc which had all her pictures on it and then a letter which is written very technically. I've done a bit of research myself but would please like someone to interpret the conclusion portion of the letter for me. It reads and I quote "1) No acute intracranial abnormalities.

Your doctor will need to investigate you for multiple sclerosis where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs.

There are antiviral drugs like acyclovir, valacyclovir and famciclovir which can shorten the episodes and decrease their severity. Acyclovir reduces the pain and number of lesions in the initial case of herpes and reduces recurrence. The ointment applied topically reduces pain, healing time and limits the spread. Though rare, herpes virus can cause inflammation of membranes and the cerebrospinal fluid surrounding your brain and spinal cord. I hope this answers to most of your queries.

Hi Neena!!! Thanks for joining us :) I'm sorry you are having new worsening problems. Have you alerted your doctor? This may be a relapse for you and a course of steroids may help. Or, was the Tysabri suggested because the doc feels you may need a switch in meds? We do have Tysabri users on our forum, and I'll find a discussion about it and post the link here. It would be great if the Tysabri would indeed help you get some strength back.

Multiple sclerosis is a chronic demyelinating neurological disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs.

This most frequently arises from an atherosclerotic plaque in one of the carotid arteries (i.e. a number of major arteries in the head and neck) or from a thrombus (i.e. a blood clot) in the heart due to atrial fibrillation Other reasons include excessive narrowing of large vessels due to an atherosclerotic plaque and increased blood viscosity due to some blood diseases.

Interesting discussion you've started Deb, if you think about it, its kind of odd that we don't talk much about the progressive types, especially when the conversion rates are so high. "Most people with relapsing remitting MS will eventually develop secondary progressive MS. It varies widely from person to person, but on average, around 65 per cent of people with relapsing remitting MS will develop secondary progressive MS 15 years after being diagnosed." http://www.

I have had increased symptoms of fatigue and in recent weeks a tingling along both of my legs, my feet hurt and I am having alot of back pain that sort of circles around. Should I start with my PCP to see if it is my back or go straight to my neurologist? I am on Copaxone, but I was off of the shots for 6 mos prior to this last MRI for insurance reasons.

Multiple Sclerosis MRI: Magnetic Resonance Imaging RRMS: Relapsing-Remitting Multiple Sclerosis PPMS: Primary-Progressive Multiple Sclerosis SP: Secondary-Progressive Multiple Sclerosis SX: Symptom CPMS: Chronic-Progressive Multiple Sclerosis (Old name used for progressive types of MS.

s symptoms. The neuro would look at whether or not there have been relapses, the frequency of the relapses and how much of the symptoms improved. They would also look for evidence of ongoing, steady progression of disabling symptoms. There is a discussion of the types of MS and how they are defined in the Health Pages. The definitions aren't rigid and sometimes it can take a year or more to be sure where someone lands.

Multiple sclerosis diagnosis and the management of acute relapses

Common Questions and Answers about Multiple sclerosis diagnosis and the management of acute relapses

multiple-sclerosis