Multiple Sclerosis

Question 1

Key clinical findings in order to determine MS?

Answer 1

right internuclear ophthalmoplegia (loss of adduction of the right eye and nystagmus of the abducting eye)

electric sensation in the bath ( Lhermitte’s phenomenon)

painful visual loss- optic neuritis

Question 2

Best diagnostic investigation for multiple sclerosis

Answer 2

MRI BRAIN & SPINE

-This will indicate demyelination with dissemination in space and in time, which is the hallmark of multiple sclerosis.

Question 3

What are found in the CSF of patients with MS?

Answer 3

Oligoclonal bands