Top
15
Doctor insights on: How Can A Lumbar Puncture Diagnose Multiple Sclerosis

Share
1

1
How can a lumbar puncture diagnose multiple sclerosis?

How can a lumbar puncture diagnose multiple sclerosis?

Proteins in fluid : Patients with ms often have a particular pattern of inflammatory markers in their cerebrospinal fluid. If ms is suspected but not proven, finding these proteins can help clinch the diagnosis. ...Read more

See 2 more doctor answers
Dr. Steven Griggs
1 doctor shared a insight

Lumbar (Definition)

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


2

2
What to do if I have multiple sclerosis but i can't afford lumbar puncture?

What to do if I have multiple sclerosis but i can't afford lumbar puncture?

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

3

3
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?

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

4

4
If you had multiple sclerosis would it be possible for it to cause pain in your head as well? Not just in your back.

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

6

6
Is ALS as difficult to diagnose as multiple sclerosis? Is there a definitive test for als?

Is ALS as difficult to diagnose as multiple sclerosis? Is there a definitive test for als?

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 more

See 1 more doctor answer
7

7
What are the means by which brain lesions diagnose multiple sclerosis?

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

8

8
Is it possible for multiple sclerosis to cause d dimer blood test to always come back elevated?

Is it possible for multiple sclerosis to cause d dimer blood test to always come back elevated?

Never: D-dimer is a marker for venous obstruction and other vascular issues, and is most helpful to me in evaluating pulmonary emboli, and brain venous thrombosis. It is NOT a marker for multiple sclerosis, and not associated with common co-morbidities. ...Read more

9

9
How do you diagnose lupus? What is the difference between multiple sclerosis and lupus? Which disease causes tooth loss?

How do you diagnose lupus?  What is the difference between multiple sclerosis and lupus? Which disease causes tooth loss?

see details: Neither causes loss of teeth unless there is a secondary sjogren's syndrome associated with the lupus. Lupus is diagnosed by specific clinical criteria and confirmed by positive blood tests. There are numerous difference between ms and sle. ...Read more

10

10
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

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 more

See 1 more doctor answer
11

11
How do brain lesions diagnose multiple sclerosis, Lewy body dementia, etc?

How do brain lesions diagnose multiple sclerosis, Lewy body dementia, etc?

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 more

See 3 more doctor answers
12

12
How do you diagnose multiple sclerosis?

Clinical diagnosis: Although the MRI can help support the diagnosis, and spinal fluid analysis may help, the diagnosis ultimately depends on a physician analysing history and exam findings, and making certain that alternative problems are not the true diagnosis. ...Read more

13

13
I have secondary multiple sclerosis. How can I get my balance back to be somewhat better?

I have secondary multiple sclerosis. How can I get my balance back to be somewhat better?

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 more

See 2 more doctor answers
14

14
How do doctors diagnose multiple sclerosis (ms)? What are the typical symptoms?

How do doctors diagnose multiple sclerosis (ms)? What are the typical symptoms?

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 more

See 2 more doctor answers
15

15
Can someone tell me how long will it take to get full motion back from my first multiple sclerosis attack?

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 more

See 1 more doctor answer
Dr. Amanda Itzkoff
3 doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


Dr. Bennett Machanic
1,438 doctors shared insights

Multiple Sclerosis (Definition)

A progressive disease that interferes with the functioning of the central nervous system and brain. Symptoms include numbness, impairment of speech and of muscular coordination, blurred ...Read more