Multiple Sclerosis

Data gathering

  • Red flags
  • Others – weakness, numbness, visual symptoms, speech, swallow, bowels, bladder
  • Examine – CN, upper/lower PNS


Clinical management

  • Explanation
    • immune system attacks parts of the brain and nerves
    • No cure. High dose steroids for acute episodes
  • Treatment
    • Refer neurology
      • MRI brain, visual evoked potential studies, LP
    • Special services – Neuro rehabilitation, physio, OT, speech therapy, psychological
    • Medications to reduce flare ups e.g. immunomodulators
  • Follow-up / Safety net