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Neurology  (Expert Forum)
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Optic Neuritis
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury

Optic Neuritis

by sooty, Mar 26, 2004 12:00AM
O.N. was diagnosed followimg extreme pain on moving the eyeball, together with distorted vision and reduced colour clarity.  The head of the O.N. was seen as pale by a consultant. Many other neurological symptoms are present.My first question is what other illnesses is O.N. with a pale nerve head seenin ?

Is there a conclusive test for M.S. or is it possible to have the illness with negative findings on investigations.

by CCF-Neuro-M.D.-CS, Mar 27, 2004 12:00AM
Optic neuritis can occur in isolation, or be associated with inflammatory conditions such as multiple sclerosis. The diagnosis of MS is made based upon a history, and clinical examination. MRI's help to show the typical changes seen in MS. A spinal tap also helps to show that the spinal fluid has abnormal anti-bodies present. The most widely used test to "confirm" MS is the MRI. If a patient has a history and examination consistent with MS, and an abnormal MRI then a definite diagnosis can be made. There are rare cases when the testing is negative, but the diagnosis of MS is still used because of the compelling history and examination. Good luck.
Member Comments (2)

by ontherecord, Mar 26, 2004 12:00AM
If the MRI is negative and the LP (spinal tap) is negative, MS would be very unlikely.



You left out your age and your other neurological symptoms, which would be diagnostically significant....
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