How can a neurologist tell if you have MS?

Neurological examination
Your neurologist will look for abnormalities, changes or weakness in your vision, eye movements, hand or leg strength, balance and co-ordination, speech and reflexes. These may show whether your nerves are damaged in a way that might suggest MS.
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Would signs of MS show up in blood work?

Blood Tests: Currently, there are no definitive blood tests for diagnosing MS, but they can be used to rule out other conditions that may mimic MS symptoms, including Lyme disease, collagen-vascular diseases, rare hereditary disorders and acquired immune deficiency syndrome (AIDS).
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Can any neurologist diagnose MS?

Since diagnosing MS can be very difficult, it must be done by a neurologist who specializes in treating MS. As many as 10 percent of people diagnosed with multiple sclerosis actually have some other condition that mimics MS.
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Can you pass a neurological exam and still have MS?

Answer: You can certainly have a normal neurological exam and still have multiple sclerosis.
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How do you rule out multiple sclerosis?

Tests to diagnose MS
  1. Neurological examination. Your neurologist will ask you lots of questions about your health problems and symptoms, now and in the past. ...
  2. Magnetic resonance imaging (MRI) ...
  3. Evoked potentials tests. ...
  4. Lumbar puncture or spinal tap. ...
  5. Blood tests and tests for other conditions.
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How we diagnose Multiple Sclerosis



What does MS get misdiagnosed as?

A wide range of conditions can be mistaken for MS, including: migraine, cerebral small vessel disease, fibromyalgia, functional neurological disorders, and neuromyelitis optica spectrum disorders, along with uncommon inflammatory, infectious and metabolic conditions (1, 3).
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What are red flags in neurological examination?

The three most important 'red flag' symptoms that indicate that a patient may need neuro-ophthalmological assessment are: Sudden onset of double vision (diplopia) Headache accompanied by vision loss (without an ocular cause) Visual loss after ocular causes have been excluded.
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How long does it take a neurologist to diagnose MS?

The process of diagnosis can take months, in some cases years, and is often referred to as 'limboland'. In this factsheet we look at the early symptoms of MS and hope to answer some of the common questions that you might have at this time.
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Where do you go if you suspect MS?

A neurologist specialises in nervous system disorders including MS, although not all neurologists are specialists in MS in particular. If your GP does not think your symptoms are due to multiple sclerosis, they may refer you to another specialist if they think it is more appropriate.
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Can an eye test detect MS?

MS causes the immune system to attack nerve fibers and causes miscommunication between the brain and other parts of the body. When your optometrist detects optic nerve inflammation, that can indicate a diagnosis of MS.
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What are some of the earliest signs of MS as they present clinically?

A first symptom of MS for one person may never be experienced by someone else.
...
There are lots of symptoms that MS can cause, but not everyone will experience all of them.
  • fatigue.
  • numbness and tingling.
  • loss of balance and dizziness.
  • stiffness or spasms.
  • tremor.
  • pain.
  • bladder problems.
  • bowel trouble.
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Where does MS usually start?

Here's where MS (typically) starts

Optic neuritis, or inflammation of the optic nerve, is usually the most common, Shoemaker says. You may experience eye pain, blurred vision and headache. It often occurs on one side and can eventually lead to partial or total vision loss.
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Where is the pain when you have MS?

MS can damage the nerves that affect your muscles. This can cause acute or paroxysmal pain in the form of spasms. Your arms and legs might shoot out uncontrollably and might have pain like cramping or pulling. Nerve pain can also be chronic in the form of painful or unusual sensations on your skin.
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What are four common diagnostic tests for MS?

A comprehensive patient medical history and neurological exam. Magnetic resonance imaging of the neuroaxis. Evoked Potentials testing. Analysis of the spinal fluid.
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How soon does MS show on MRI?

Does early MS show up on an MRI? MS lesions are generally visible on MRI scans from the earliest stages of the disease, and they may even be apparent before a person experiences any MS symptoms.
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Does MS show up on a brain MRI?

Magnetic resonance imaging, or MRI, is a wonderful tool to help diagnose and follow people with MS. MRI is safe and relatively non-invasive yet can provide very detailed images of the brain and spinal cord that can reveal MS lesions (also known as demyelination, spots, or plaques) and changes in MS activity over time.
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What neurological disorders are like MS?

These include fibromyalgia and vitamin B12 deficiency, muscular dystrophy (MD), amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), migraine, hypo-thyroidism, hypertension, Beçhets, Arnold-Chiari deformity, and mitochondrial disorders, although your neurologist can usually rule them out quite easily.
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What are positive neurological signs?

Positive symptoms were abnormal “superimposed” behaviours that included not only clonic jerking and abnormal movements but also hallucinations and paranoid delusions. Negative symptoms included loss of sensation, paralysis, and coma.
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What are the 10 red flag symptoms?

Examples of red-flag symptoms in the older adult include but are not limited to pain following a fall or other trauma, fever, sudden unexplained weight loss, acute onset of severe pain, new-onset weakness or sensory loss, loss of bowel or bladder function, jaw claudication, new headaches, bone pain in a patient with a ...
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What are two signs that would indicate the nervous system has been damaged?

Signs and symptoms of nervous system disorders
  • Persistent or sudden onset of a headache.
  • A headache that changes or is different.
  • Loss of feeling or tingling.
  • Weakness or loss of muscle strength.
  • Loss of sight or double vision.
  • Memory loss.
  • Impaired mental ability.
  • Lack of coordination.
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What is the sister disease to MS?

Neuromyelitis optica spectrum disorder (NMOSD) shares some symptoms with multiple sclerosis and may be misdiagnosed as MS. It is also known as neuromyelitis optica (NMO) or Devic's disease. It's a rare autoimmune disorder of the central nervous system (CNS). The CNS consists of the optic nerves, brain and spinal cord.
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What other conditions mimic MS?

Conditions That Can Seem Like MS
  • Epstein-Barr Virus.
  • Vitamin B12 Deficiency.
  • Diabetes.
  • Nerve Damage.
  • Eye Problems.
  • Stroke.
  • Lupus and Other Autoimmune Diseases.
  • Parkinson's Disease.
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What autoimmune disease is similar to MS?

Sjogren's syndrome is an autoimmune disease that can mimic some of the symptoms of MS such as fatigue and joint pain.
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What is the biggest symptom of MS?

Fatigue. Feeling fatigued is one of the most common and troublesome symptoms of MS. It's often described as an overwhelming sense of exhaustion that means it can be a struggle to carry out even the simplest activities.
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