Multiple sclerosis does not make flu symptoms worse. Sometimes patients with multiple sclerosis can have a worsening of their multiple sclerosis symptoms because of temperature elevation. but this is transient and returns to baseline once he flew has run its course.View Thread
I do not know of a center that specializes in multiple sclerosis in India. However, there are many well-trained neurologist in India. You could bring her to New Jersey and have her seen at a multiple sclerosis center in New Jersey or New York City. However the cost might be a factor for you.View Thread
I am sorry that you're feeling so frustrated and overwhelmed. I know it is difficult to have symptoms and not understand why they are occurring. I think getting a second opinion is an excellent idea. Your doctor might want to send you to a multiple sclerosis clinic. A neurologist should work with you to help explain these symptoms. If this is not multiple sclerosis then other explanations need to be sought.View Thread
we do see trigeminal neuralgia in patients with MS and treat it with medication usually. The most common medications are anti seizure medicine such as carbamazepine and others. More aggressive therapies are also available. You really need to speak with your neurologist about this very painful entity. Medications can be quite effective and help stop the pain.View Thread
We are still trying to figure out how to tell which patients don't need to stay on their therapy. At the moment we don't have a guideline for medication cessation. There are patients with multiple sclerosis who have a benign disease course and probably don't need to be on medication. You might discuss your concerns with your neurologist. Sometimes if people have not had any symptoms and have had a stable MRI for many years we might consider stopping medication.View Thread
Patients with migraines can have white matter changes on MRI but they usually don't appear in the same distribution as those of multiple sclerosis. Sometimes it is difficult to tell. There is a higher incidence of migraines in patients with multiple sclerosis. It is rare for migraine headaches to cause permanent damage. If there is question about the diagnosis of multiple sclerosis then a spinal tap can be performed. There is nothing wrong with getting a second opinion also. And of course, if this is multiple sclerosis you should be treated with medication.View Thread
The report does not talk about increasing in size of the lesions. Perhaps your neurologist was comparing this MRI with the previous one. The focal volume loss reflects damage to the nerve cells in that area. If I am reading this correctly, you only have 2 lesions in your brain. Although the MRI is very important. How you function clinically and how many attacks you have is also very important. I think you need to discuss your concerns with your neurologist and get a better understanding of what your neurologist is thinking.View Thread
Sometimes it can take a while to make a definitive diagnosis of multiple sclerosis. If you have only have one lesion on MRI the diagnosis is even harder to make. I think getting a second opinion is very important. You need to have a neurologist willing to follow you over time to see if new findings occur on examination or new changes occur on her MRI. I know it is hard to have symptoms without a diagnosis but try to be patient and with time things are usually more obvious.View Thread
I think you need to have a discussion with your neurologist. It sounds as if she might be in the secondary progressive phase of multiple sclerosis. Unless you're having exacerbations, interferons will not make much of a difference. Talk with your physician about your concerns and any other therapies that might be available for you.View Thread
We do a spinal tap to look for evidence of immunological activity occurring within the central nervous system. When we do a spinal tap we compare the results in the spinal fluid to the results in the blood serum. To support a diagnosis of multiple sclerosis one needs to have oligoclonal bands in the spinal fluid but none in the serum. It sounds as if in your case there was evidence of bands in the serum and in the spinal fluid. Therefore these changes in the spinal fluid just reflect what is going on in your blood and does not mean that there is immunological activity within the central nervous system.View Thread
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