100 Questions & Answers About Multiple Sclerosis (100 by William Sheremata

By William Sheremata

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The drug is well tolerated, is relatively inexpensive, and is my drug of choice. It is beyond the scope of this book to discuss these issues further. 20. How severe are attacks of MS? The manifestations of MS are often mild and transient but less commonly may be severe. Shortly after the discovery of MS as a disease in Paris, Uhthoff, a Viennese physician, found that increases in body temperature could temporarily result in blurred vision in a young man who had recovered from an attack of optic neuritis.

Any or all of these disturbances can contribute to gait difficulty. ” When a patient complains of “weakness,” he or she is often describing one of several different problems. Muscle weakness in nervous system disease is often the result of messages not getting to the muscles from the brain and spinal cord. qxd 1 0 0 Q & A 1/3/06 A B O U T 11:08 AM Page 27 M U L T I P L E S C L E R O S I S located in the spinal cord, perhaps up to 3 feet away. The signal travels down a small part of the spinal cord called the pyramidal tract.

Although herpes simplex type I (HSV-1) and type II (HSV-2) can live in neurons and seem to be protected by them, there is no evidence that they or another family of herpes viruses (cytomegaloviruses) have any potential role in the causation or reactivation of MS. Although another herpes virus (the chickenpox or zoster virus) can cause demyelination in rare circumstances, this virus has no demonstrated role in MS. In the last few years, attention has turned to other herpes viruses, specifically the Epstein-Barr virus (EBV) and herpes simplex virus 6 (HSV-6).

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