Can you have a "completely normal" neurological exam but still have MS? My neurologist said further diagnostic testing is unnecessary. I'm still worried.
You can certainly have a normal neurological exam and still have multiple sclerosis. There are several ways this could occur:
1. You experienced a syndrome consistent with MS and recovered almost completely; a typical syndrome often associated with a near normal exam even during the attack and often associated with a completely normal exam after recovery is something called a sensory myelitis. This is a syndrome of numbness and tingling in the feet that moves up to the legs often to your trunk over several days, often associated with a tight band sensation around the trunk but nothing else.
2. You’re symptoms and findings may not be amenable to a typical neurological exam. This is common with cognitive symptoms.
Hope this helps
Revere (Rip) Kinkel MD
Professor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego