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How Can A Lumbar Puncture Diagnose Multiple Sclerosis
The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...Read more
Do you need it?: I will do lumbar puncture in pts who are not convincingly diagnosed using MRI images, and who may have alternative diagnoses. If your MRI is diagnostic, you do not need an lp. But you should be starting a disease modifying agent asap. See a neurologist and get a plan in place. Supplement vitamin d-3. ...Read more
Multiple Sclerosis in me not active. MRI shows bulging disk in neck an lower back (bulging in not out) Does it have anything to do with my walking?
Let's analyze: If you possess bulging discs in neck and back, these are NOT affecting your walking in any fashion. You claim your Multiple Sclerosis is "not active", but instead, is it Secondary Progressive? Do you have a co-morbidity of B-12 deficiency? Is your neurologist an MS focused specialist? Do you need a second opinion? If your gait is deteriorating, there are reasons, and you need answers. ...Read more
If you had multiple sclerosis would it be possible for it to cause pain in your head as well? Not just in your back.
Of course: Multiple sclerosis can cause facial pain in the form of trigeminal neuralgia, which is an attack of severe pain lasting a few seconds at a time. There is clearly a comorbidity with migraine as at least 52% of ms pts have these headaches. Also, a lesion in the midbrain/periaqueductal grey area is associated with frequent headaches and head pains. ...Read more
ALS can be tricky: There is no specific test available to either rule in or out the diagnosis of als. There can definitely be mimickers of ALS and its diagnosis is not always that straightforward. It may take some time for all the clinical criteria to be met especially if it is early in the disease process. ...Read moreSee 1 more doctor answer
MRI DATA: The diagnosis is certainly based on history and exam, but the MRI is also confirmatory. We discuss "dissemination in time", with lesions emerging and disappearing on serial studies. Also, "dissemination in space", with lesions in different parts of brain and/or spinal cord. Location of lesions are helpful. If there is indication of active inflammation, this prompts aggressive therapy. ...Read more
How do you diagnose lupus? What is the difference between multiple sclerosis and lupus? Which disease causes tooth loss?
Mris how often for multiple sclerosis? I have multiple sclerosis and just found out my doctor does not want to do another mri. This is suprising to me, because my syptoms came back and i got back on medication. I would think my doctor would want to know
It : It is important to know whether your medication for multiple sclerosis is working effectively. If your current treatment is not effective the treatment regimen may need to be altered. However, response to therapy can be determined by ways other than an MRI scan. Multiple sclerosis is most often treated by a neurologist. A skilled neurologist will get much of the needed information to guide therapy based on your symptoms and physical exam. There is no consensus regarding how often someone with multiple sclerosis should get an mri of the brain while stable on treatment. Some experts do not recommend repeat brain mris for patients that are clinically stable. Others recommend a repeat brain MRI once a year. Frequent mris may not be practical for financial reasons, and may yield little useful information. These are important considerations to discuss with your neurologist. ...Read moreSee 1 more doctor answer
LBD Clinical only: Neurodegenerative, progressive d/o with milder physical parkinsonism than parkinson's disease typically. (slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations/delusional thoughts, excessive sleepiness, depression, anxiety, apathy, & rbd=rem behavior d/o, causing acting-out of dreams in rem sleep. ...Read moreSee 3 more doctor answers
Rehabilitation: If you are not involved in a physical therapy and rehabilitation program, you need to seek this out immediately. Ms is a life long illness and you will continue to have problems with balance as the disease progresses. Find a good physical medicine and rehabilitation doctor (physiatrist) in your area to manage your rehab program to strengthen and retrain your body to move the best way you can. ...Read moreSee 2 more doctor answers
Diagnosed by MRI.: Typically MS is diagnosed by mri, but in some patients may require a spinal tap or other specialized studies. These tests may include optical coherence tomography (oct) or visual evoked potentials (ver or veps). Symtoms include numbness and tingling usually on one side of the body starting in the hands and toes and progressing proximally. Weakness in the same distribution. Painful visual loss. ...Read moreSee 2 more doctor answers
Can someone tell me how long will it take to get full motion back from my first multiple sclerosis attack?
Depends: There is no way of predicting this. Some people improve within a week or so and others never fully recover. Approximately 40% of patients suffering an ms relapse do not recover to their pre-relapse baseline. Disease-modifying therapies can reduce the likelihood of an ms relapse and thus may reduce risk of further disease progression and disability. ...Read moreSee 1 more doctor answer
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