How Probable is Probable MS?

    
      Re: How Probable is Probable MS?
    


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Posted by CCF Neuro MD on July 02, 1997 at 20:27:00:

In Reply to: How Probable is Probable MS? posted by Kathy Murphy on June 23, 1997 at 09:29:28:

: Last year I was diagnosed with probable MS.  This was based on exam done in
  neurologist's office, symptoms, as well as mri which showed 6 lesions in
  different parts of my brain as well as spinal chord.  I would like to know
  could this dx. changed?  Also how long until I receive a diffent DX.
  Should I consider myself as having MS.  Thanks for taking the time to read my post
  and for any help you could give me.
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Dear Kathy:
The diagnosis of MS is based on a combination of findings - historical (what you tell the doctor), physical (what signs the doctor finds on examining you), imaging (MRI), electrophysiological (evoked potentials), and CSF (spinal tap). Nofeature in itself is sufficient to make the diagnosis of definite MS. When there is a combination of features suggestive of MS, but not meeting the full diagnostic criteria, the patient is labelled as having probable MS. As time passes, this patient may develop a new exacerbation or typical neurological deficit. This may occur days, months, or even several years after his/her earlier event(s). At that point, the patient may meet the full diagnostic criteria of MS and may, thereafter, be labelled as clinically definite MS.  While a fairly large proportion of patients with probable MS, even a majority, become clinically definite MS over the next several years, a significant number do not. They may not have any subsequent exacerbations, or may be diagnosed with another disease that may have mimicked MS. I hope this clarifies some of your questions and concerns.
If you live near the Cleveland area, and in case you desire a second opinion and want further explanation of these issues, you could call up [phone] or [phone] for an appointment to see a neurologist specializing in MS (Drs. Rudick, Kinkel, Cohen or Guttman) at the Mellen Center for MS affiliated to the Cleveland Clinic.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options of your specific medical condition.