I am a Bangladeshi physician and currently working in a medical university Dhaka, Bangladesh. I was diagnosed with multiple sclerosis in 2017 and since then was on Rituximab. I missed the schedule of rituximab and my last follow-up MRI up scan of my brain has depicted a asymptomatic haemorrhage in right frontal lobe and microbleeding in the both MCA territory. No active demyelinating lession. Eye examination revealed active retinal Vasculitis (venulitis). My question is...Can multiple sclerosis be relapsed as CNS bleeding and retinal vasculitis?
No, an MS relapse would not consist of CNS bleeding or retinal vasculitis. You would need to find out an alternative diagnosis to explain the CNS bleeding and the retinal vasculitis.
Benjamin Osborne, MD
Associate Professor of Neurology and Ophthalmology
Director, Neuromyelitis Optica (NMO) and Neuro-Ophthalmology Clinics
Associate Director of the NIH/Georgetown Neurology Residency Program
Medstar Georgetown University Hospital