Is this MS?

My husband is a 30 yr. Old male who has shown multiple symptoms and seen several doctors with a diagnosis at one point of monosymptomatic demyelinating disease.  Early in 1999 he began feeling generally fatigued and ran a mild fever for a few days, which came and went.  He didn

[CCF Neuro[P] MD, RPS]

Dear CS:

Sorry to hear about your husband's problem.  As you know, MS is a clinical diagnosis based on relapsing and remitting symptoms (hence the name multiple).  I would suggest that you get a second opinion of the MS diagnosis.  If the MRI shows lesions of various ages, it would likely be MS.  One should be able to tell is the lesions occurred at various time, a good neuroradiologist will be able to tell you.  If the lesions are of the same age, then he could have acute disseminated encephalomyelitis (monosymptomatic demyelinating disease?). I would not be too worried about the anticardiolipin antibody, as the titer is low.  

I think the second opinion is a good idea.  At least with someone who will spend some time with you.

Sincerely,

CCF Neuro MD