How does a neurologist determine 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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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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What is the best way to detect MS?

In order to make a diagnosis of MS, the physician must:
  1. Find evidence of damage in at least two separate areas of the central nervous system (CNS), which includes the brain, spinal cord and optic nerves AND.
  2. Find evidence that the damage occurred at different points in time AND.
  3. Rule out all other possible diagnoses.
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Can you detect MS from an MRI?

MRI plays a vital role in how we diagnose and monitor MS. In fact, over 90% of people have their MS diagnosis confirmed by MRI.
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What blood tests would indicate MS?

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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How we diagnose Multiple Sclerosis



How long can MS go undiagnosed?

How long can MS go undiagnosed? MS is usually diagnosed between the ages of 20 and 50, but it can go undetected for years. In fact, a 2021 study suggested that many people with MS experience disease symptoms several years before being officially diagnosed with the disease.
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What are early warning signs of MS?

Those symptoms include loss of vision in an eye, loss of power in an arm or leg or a rising sense of numbness in the legs. Other common symptoms associated with MS include spasms, fatigue, depression, incontinence issues, sexual dysfunction, and walking difficulties.
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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 four common diagnostic tests for MS?

Tests to diagnose MS
  • Neurological examination. Your neurologist will ask you lots of questions about your health problems and symptoms, now and in the past. ...
  • Magnetic resonance imaging (MRI) ...
  • Evoked potentials tests. ...
  • Lumbar puncture or spinal tap. ...
  • Blood tests and tests for other conditions.
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Why is MS so hard to diagnose?

MS can be difficult to diagnose because the symptoms can be easy to ignore or put down to another condition, and because there's no single test that can diagnose it.
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Can MS come on suddenly?

Most symptoms develop abruptly, within hours or days. These attacks or relapses of MS typically reach their peak within a few days at most and then resolve slowly over the next several days or weeks so that a typical relapse will be symptomatic for about eight weeks from onset to recovery. Resolution is often complete.
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Can you have MS if your brain MRI is normal?

Although MRI is a very useful diagnostic tool, a normal MRI of the brain does not rule out the possibility of MS. About 5 percent of people who are confirmed to have MS do not initially have brain lesions evidenced by MRI.
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What age do you typically get MS?

It's most commonly diagnosed in people in their 20s, 30s and 40s although it can develop at any age. It's about 2 to 3 times more common in women than men. MS is one of the most common causes of disability in younger adults.
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Can a brain scan tell if you have MS?

Magnetic resonance imaging has become the single most useful test for the diagnosis of MS; MRI is sensitive to brain changes which are seen in MS. Classically, the MRI shows lesions in the white matter deep in the brain near the fluid spaces of the brain (the ventricles).
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What do MS eyes look like?

A common visual symptom of MS is optic neuritis — inflammation of the optic (vision) nerve. Optic neuritis usually occurs in one eye and may cause aching pain with eye movement, blurred vision, dim vision, or loss of color vision. For example, the color red may appear washed out or gray.
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What eye condition is associated with MS?

Optic neuritis is often an early symptom of multiple sclerosis, although you might have problems with your eyes at any time. Some people also have eye movement problems like twitching.
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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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How does multiple sclerosis begin?

Multiple sclerosis is caused by your immune system mistakenly attacking the brain and nerves. It's not clear why this happens but it may be a combination of genetic and environmental factors.
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When should I be worried if I have MS?

That said, certain symptoms should prompt you to seek help. If you're experiencing blurred vision, numbness, weakness or dizziness at the same time and for more than a day, those symptoms could be potential early signs of MS. It's important not to let too much time slip by before seeing a doctor.
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Is MS treatable if caught early?

We know early treatment improves long-term health and wellbeing by slowing down the build up of irreversible damage and reducing the number of relapses people experience. Starting MS treatment early is best but if you start later it can also have some benefits.
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Can you live with MS without treatment?

A small number of people with MS have only mild disease and do well without treatment. But many get worse over time. Medicines can reduce the severity of attacks of relapsing-remitting MS and how often you have them.
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What diseases are similar to 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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