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What Symptoms Do Multiple Sclerosis Display?

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Posted on Tue, 24 Oct 2017
Question: A 25-year-old woman is admitted to the hospital after suffering a seizure. She has not had a personal history of seizures in the past. On admission, an MRI scan demonstrates that the patient has multiple sclerosis.
When the nurse initially meets the patient, the patient asks if he or she can explain what MS is. Write how you would simply explain the pathophysiology of this disease to this patient.

Question #2
What clinical features should the nurse expect to see in a patient with this disease?

question #3 please
Compare and contrast upper and lower motor neurons. Which type of neurons can be involved in patients with MS?
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Multiple sclerosis is a demyelinating illness.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted the details provided. The replies are below:

1. Multiple sclerosis (MS) is a demyelinating disease. In this disease, the myelin sheath (covering of the nerves in the brain) gets damaged due to abnormal antibodies produced by the patient.

2. The common clinical features of MS include decreased vision, imbalance, numbness or weakness of arms/legs, bladder dysfunction and depression.

3. In MS, upper motor neurons (located in brain, optic nerves and spinal cord) are involved.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (6 minutes later)
Compare and contrast upper and lower motor neurons.
doctor
Answered by Dr. Sudhir Kumar (9 minutes later)
Brief Answer:
Lower motor neurons are not involved in MS

Detailed Answer:
Thank you for getting back.

In mS, only the upper motor neurons are affected. They extend from brain to spinal cord, and are also present in optic nerves. Disease in upper motor neuron leads to increased tone (spasticity) and exaggerated deep tendon reflexes.

Lower motor neurons include anterior horn cells, nerve roots, plexus, nerves, myo-neural junction and muscles, which are not involved in MS. Disease in lower motor neuron leads to decreased tone (hypotonia) and sluggish or absent deep tendon reflexes.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (22 minutes later)
can you explain MS in simple terms for a patient that is just learning about it please
doctor
Answered by Dr. Sudhir Kumar (5 minutes later)
Brief Answer:
MS is a demyelinating disease of the nervous system.

Detailed Answer:
In mS, the myelin sheath (covering of the nerves) gets damaged. This damage occurs due to bad antibodies produced in the affected person. The affected parts of nervous system are brain, spinal cord and optic nerves.

The disease is chronic (long term) and with treatment, most patients do well. Treatment is needed for several years.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6229 Questions

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What Symptoms Do Multiple Sclerosis Display?

Brief Answer: Multiple sclerosis is a demyelinating illness. Detailed Answer: Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you. I have noted the details provided. The replies are below: 1. Multiple sclerosis (MS) is a demyelinating disease. In this disease, the myelin sheath (covering of the nerves in the brain) gets damaged due to abnormal antibodies produced by the patient. 2. The common clinical features of MS include decreased vision, imbalance, numbness or weakness of arms/legs, bladder dysfunction and depression. 3. In MS, upper motor neurons (located in brain, optic nerves and spinal cord) are involved. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in