Welcome to the Virtual MS Center!
Ask any question you want about Multiple Sclerosis and one of our experts will answer it as soon as possible.
Here is My Question:
Can these test proven MS? Four OCBs with no serum bands, low igg syn rate and index, mild elevation of myelin basic protein and low total protein. CSF ans serum high elevations of igg. My MRI's 2 years ago show small low density lesion on basal ganglia(possibly existing ischemia, per radiologist). Recent MRI - tiny focus subtle diffusion restriction in the left parasagittal ventral pon belly, possibly reflecting a subacute basilar perforator small vessel infarct. also scattered foci of t2 prolongation involving periventricular and subcortical white matter of the bilateral cerebral hemispheres in the setting of borderline volume loss.with some minor motor with dominate severe sensory and autonomic dysfunction. Answer: The diagnosis of MS is mostly based on clinical history. The use of MRI findings and OCBs in the spinal fluid can be of assistance but the final clinical diagnosis depends mostly on the history and neurologic exam. That being said, + OCBs require 5 OCBs in the CSF that are not present in the serum. 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 Comments are closed.
|
PLEASE NOTE: This information/opinions on this site should be used as an information source only. This information does not create any patient-HCP relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.
Archives
June 2022
Categories
All
|