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A 39-year-old female asked:

I have all the symptoms of multiple sclerosis, but it didn't show up on the mri, could i still have ms? what else could it be? i'm negative for lupus

4 doctor answers9 doctors weighed in
Dr. Jack Mutnick
Allergy and Immunology 18 years experience
MS: Another exam which you didn't mention is a spinal tap looking for "oligoclonal bands." if this hasn't been done, it would be the next logical step even without MRI findings.
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Dr. Oscar Novick
Pediatrics 59 years experience
Spinal tap results: Spinal tap is definitive in about 90 per cent of cases especially if ms is located in the spinal cord and not in the brain.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bennett Machanic
Neurology 53 years experience
Unlikely to be MS: Symptoms of neurological or emotional problems can be very nonspecific, and may be secondary to a host of other causes, rather than MS. Best approach is to see a primary care doctor, get a thorough physical exam with appropriate testing, and uncover the source of your impairments. This may be a simple issue to reverse.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Mark Fisher
Neurology 30 years experience
Lots of things: Ruling MS in or out is much easier than it used to be, but it still requires training, skill & expertise that you'll never get from "Doctor Google." It isn't just laypeople who lack the knowledge & experience to distinguish MS from conditions that superficially resemble MS but aren't; the average US nonneurologist physician isn't confident of his/her ability to do so either.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 28, 2017

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