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Multiple Sclerosis Community
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MS Initial Symptoms

  I found a very good .pdf document that provides a wealth of information in easy to read terms. I will try to paste portions of it here for others to read. I wish I had a way to make it available in its entirety. Its only 19 pages long, has numerous diagrams and covers it from A-Z. Just remember that anything you find via the Internet, you need to think about the accuracy and its origination. Anyone can put together a handout. Some are very good and timely, others may be outdated or incorrect.

  I have read this document and the author has listed sources and references. Whats listed below may be old news to some, but for someone new it may provide a brief list of things to watch for and report to your neurologist.

  Initial symptoms in order of frequency.

- Weakness
- Sensory Loss
- Paresthesia
- Optic Neuritis
- Diplopia
- Ataxia
- Vertigo
- Bladder urge incontinence
- Paroxysmal Symptoms  (brief attacks of paraesthesia + spasm and tonic  
  contraction)
- Lhermitte’s sign (electric shock on neck flexion)
- Pain
- Dementia
- Visual loss
- Facial palsy
- Impotence  

Differential Diagnoses.
Before a medical condition can be treated, it must be identified. In the process of listening to a patient's complaints, examining the patient, and taking the patient's personal, family and social history, the physician makes a mental list of the most likely causes. The doctor asks additional questions and performs tests to eliminate possibilities until he or she is satisfied that the single most likely cause has been identified.

Once a working diagnosis is reached, the physician prescribes a therapy. If the patient's condition does not improve, the diagnosis must be reassessed.

Here is a brief list, used when someone might be consider for MS. It's a pretty long list so it helps to explain why it may take so long to reach a diagnosis.

Amyotrophic Lateral Sclerosis  
Bell Palsy  
Brain Abscess  
Guillain-Barre Syndrome  
HIV Infection and AIDS  
Lumbar (Intervertebral) Disk Disorders  
Neck Trauma  
Sarcoidosis  
Spinal Cord Infections  
Spinal Cord Injuries  
Stroke, Hemorrhagic  
Stroke, Ischemic  
Subdural Hematoma  
Syphilis  
Systemic Lupus Erythematosus  
Tick-Borne Diseases, Lyme  
Transient Ischemic Attack  
Trigeminal Neuralgia

Pertinent Findings on History
AIM is to exclude the diagnosis of every other disease on the list above; not easy
The review of systems should concentrate on the evidence of bladder, kidney, lung, or skin infection and irritative or obstructive bladder symptoms.

Classic MS symptoms
• Sensory loss (ie, paresthesias) usually is an early complaint.
• Motor (eg, muscle cramping secondary to spasticity) spinal cord symptoms
• autonomic (eg, bladder, bowel, sexual dysfunction) spinal cord symptoms  
• Cerebellar symptoms (eg, Charcot triad of dysarthria, ataxia, tremor) may occur.
• fatigue (which occurs in 70% of cases)  
• Dizziness
• Subjective difficulties with attention span, concentration, memory, and judgment
  may be noted any time during the disease course.
• About 50% of patients with MS have impairment, usually mild, in information
  processing on neuropsychological testing.
• Depression is common, but euphoria is less common.
• Over the course of the disease, 5-10% of patients develop an overt psychiatric
  disorder (eg, manic depression, paranoia, major depression) or dementia.
• Eye symptoms, including diplopia on lateral gaze, occur in 33% of patients.
• Trigeminal neuralgia may occur.

Family History:  
The Norse cultures suffer most (except Eskimos, who are paradoxically immune.) Also, the risk seems to be associated entirely with childhood years spent in a temperate climate

  This was from the first page and if anyone wants it, send me an email. Whats listed above does not do the document justice.

  me8980109 at yahoo dot com. Not sure if they are email friendly around here so I broke it up into plain text. I don't check it daily, so be patient. I will send it as a file attachment. Just mention that you wanted the MS guide.

  Johnny
9 Responses
Avatar universal
Thanks for sharing this!
305544 tn?1197997610
I am interested. I'll email you for a request or if you can email to: ***@****.  Thanks for all the info.
Terrie
Avatar universal
Thanks for sharing the info with us... nice review.

God bless,
Frann
Avatar universal
  Check your mail, it should be there.

Johnny
309441 tn?1193773331
Thank you. Very interesting, will make sure to read it all.
Mayda
297366 tn?1215813051
This is great information, thanks!
271770 tn?1221992084
Thanks! I would love a copy please. Send it to countess_dracul at hotmail dot com

Thanks a bunch.

Mel
Avatar universal
I would like a copy too please!

stacala65 at yahoo dot com
Avatar universal
Can you send one to me too?  yblythe at optonline dot net
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