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Ask any question you want about Multiple Sclerosis and one of our experts will answer it as soon as possible.
Here is My Question:
I stopped getting new lesions in 2013. It is 2017 and my cognition and fatigue is worse. Why would my cognition be worse than when I was still getting lesions? I had to go on disability in 2015. I don't get it? Answer: Conventional MRI doesn't see all lesions caused by MS. We have known for sometime that much of the disease burden of MS occurs in the gray matter of the brain (as opposed to the white matter that is more readily seen on standard MRI scanners). Gray matter damage from MS likely explains the situation you are describing. However, many external factors can affect cognition also (medication side effects, sleep fragmentation from MS or other medical causes, MS related cognitive fatigue, metabolic problems such as thyroid dysfunction which is seen in a higher association with MS, etc.). A thorough review with your neurologist can help tease apart potential causes in your case and potential treatment options based on the cause could be considered. A. Scott Nielsen MD MMSc Neurologist and MS Specialist at Kaiser Permanente Question:
Can MS cause seizures? Answer: Yes. However, this is not common but may actually be a presenting symptom in ~2% of patients with MS. A. Scott Nielsen MD MMSc Neurologist and MS Specialist at Kaiser Permanente Here is My Question:
I had an attack of optic neuritis in my left eye 1 year back, my eye specialist got all my tests done and reports were fine, a hint of inflammation, but it settled on its own.The brain scan (MRI) and vep test was also fine. Now again I am having this problem of optic neuritis in the same eye, I have no other symptoms. Is this MS? What treatment or test should I follow? Answer: If you are having recurrent optic neuritis you should be seen by a neurologist or neuro-ophthalmologist to figure out the cause of the recurrent episode. This could be multiple sclerosis but other causes need to be ruled out (such as NMO or neurosarcoid). Benjamin Osborne, MD Associate Professor of Neurology and Ophthalmology Director, Neuromyelitis Optica (NMO) Clinic Director, Neuro-Ophthalmology Clinic Associate Director of the NIH/Georgetown Neurology Residency Program Medstar Georgetown University Hospital 3800 Reservoir Road, NW 7PHC Washington, DC 20007 |
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