The multiple sclerosis diagnostic
As it was mentioned above, there are no specific symptoms for multiple sclerosis. Therefore, during the first attack, the disease is often impossible to diagnose unless there next exacerbation. While the patient is often able to recall that many years ago, he was teeter a few days or urinary incontinence was noted. This episode is regarded as the first exacerbation.
Necessary examinations:
1. Magnetic resonance imaging (MRI) of head and, if necessary, the spinal cord – identify pockets of demyelination. Introduction of contrast material helps to determine whether the center is active at the moment or not.
2. Evoked potentials (EP) of all modalities – identify the extent and level of lesion conductive paths, as well as the involvement of the optic nerves.
3. Investigation of cerebrospinal fluid (lumbar puncture).
4. Investigation of protein in the blood (protein electrophoresis).
5. Investigation of immune status.
6. Ophthalmologist consultation.