I would like to know how to understand an MS neuro "following"?
If followed for 5 years and not dismissed, and the plan is for a 2 year interval brain MRI, am I in the clear? Or is the expectation more likely that McDonald criteria will be met eventually? This whole process is so confusing. What does it take to dismiss a possible MS patient? Or will I be stuck forever in "limbo"?
1. If your MRI scans have always been consistent with MS but there is no new clinical or MRI activity (relapses or new MRI lesions) after 5 years without treatment but you probably need to be monitored for 10 year or longer depending on your age (longer if under 46)
2. If your MRI scans are not consistent with MS, meaning they are normal or non-specific abnormalities only, and you have remained stable by clinical and MRI criteria (no relapses or new MRI lesions) for 5 years, then you probably do not need any further monitoring.
Ask your doctor which situation fits you best.
Revere (Rip) Kinkel MD
Professor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego