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CLINICAL CASES IN MS – CASE 3: MS-LIKE MRI LESIONS IN A WOMAN WITH MIGRAINE

 

Click here to watch Dr. Virender Bhan discuss the case and the responses to the survey.

Elizabeth, 28, is referred by her family practitioner with a note that her MRI report is suggestive of MS. She is married with two children and is currently employed as a middle school teacher. She has a history of episodic migraine but is otherwise healthy. She reports no neurological symptoms. There is no history of recreational drug use. There is no family history of demyelinating diseases including MS. Elizabeth tells you she has a maternal aunt with fibromyalgia. Read More

SPMS – Toward earlier diagnosis

 

Part 2

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The onset of secondary-progressive multiple sclerosis (SPMS) may be seen as the time at which progressive disability accumulation becomes clinically evident. The process of irreversible disability likely begins much earlier during the relapsing phase; however, a diagnosis is typically made only after relapses have ceased or a level of disability has been reached, which results in a considerable diagnostic delay (Katz Sand et al. Mult Scler 2014;20:1654-1657) (see also Part 1 of this article). Read More

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Does EBV infection cause MS?

 

A new study claims that Epstein-Barr virus (EBV) infection is the cause of multiple sclerosis, suggesting that people who do not acquire the virus will not develop MS (Bjornevik et al. Science 2022;375:296-301). Read More

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