Neurology - MS

Question 1

What is MS?

Answer 1

Inflammation of the brain and spinal cord

Question 2

What are the types of MS?

Answer 2

Relapsing Remitting

Primary Progressive

Question 3

What are the symptoms?

Answer 3

Numbness, tingling

Visual disturbance

Weakness

Fatigue

Problems with balance and difficulty walking

Question 4

What are the investigations?

Answer 4

MRI

Lumbar puncture - oligoclonal bands

Visual evoked potentials for optic neuropathy

Question 5

What may you find on examination?

Answer 5

UMN, therefore increased tone, weakness, hyperreflexia, poor coordination

Speech may be slurred

EYES - Pale optic disk or INO - one eye is slower to adduct or nystagmus - patient will se double. Lesion of medial longitudinal fasciculus

RAPD - early sign