[ Follow Ups ] [ Post Followup ] [ The Neurology Forum ] [ FAQ ]
Posted by CCF Neurology MD on September 18, 1997 at 20:18:50:
In Reply to: emotive incontinence posted by sharon brown on September 12, 1997 at 14:42:30:
: My doctor tells me that my excessive and inappropriate crying is just part of my m.s., that it is emotive incontinence.
My understanding is that this symptom usually is the showing of inappropriate emotions or inappropriate amounts of emotion at various times.
Well, I'm crying at just about anything, yet am not depressed.
It gets very frustrating to discuss the weather and get teary eyed.
What you describe is called emotional lability, emotional incontinence, or pathological crying. It is indeed common in MS, and is also observed with other conditions such as with multiple strokes, ALS (Lou Gehrigs's disease), and some other neurodegenerative conditions. The patient does not experience significant emotion, but may have uncontrolled crying in response to trivial stimuli. Some patients may even have uncontrolled laughter, or may have both. I can understand how embarrassing it must be for you socially. The exact cause of this phenomenon is not clearly known, but may be from some chemical dysregulation in the brainstem resulting from loss of connections and control from the cerebral cortex due to disease. This results in hyperactive or inappropriately active emotional motor reflexes. Studies indicate that drugs called SSRIs (Fluoxetine-Prozac, or paroxetine-Paxil, for instance), and tricyclics (nortriptyline-Pamelor, for instance), may be quite effective in the symptomatic treatment of this problem.
I hope this answers some of your questions. In case you live near the Cleveland area and want a second opinion regarding this problem, or any other MS-related problem, any of the neurologists at the Mellen Center (Dr. Rudick, Dr. Cohen, or Dr. Kinkel) would be glad to see you. The Mellen Center is one of the largest institutions in the US dedicated to MS research and to the multidisciplinary care of MS patients. It is affiliated to the Cleveland Clinic. To make an appointment you would want to call (216)444-8600, or (800)223-2273.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options of your specific medical condition.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.