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10 Cards in this Set

  • Front
  • Back

Multiple sclerosis

Autoimmune inflammatory progressive demyelinisation of the nerve fibers in white matter of the brain, spinal cord and optic nerve.


Direct cause is unknown.

Relapse remitting MS

Most common form of MS.


Characterised by episodic attacks of neurological symptoms, commonly sensory disturbance. Symptoms are usually experienced in one or more limbs with optical, cerebellar disturbances, pain depression, sleep disturbances and accompanying fatigue. Between attacks the person recovers partial or complete neurological function.

Primary progressive MS

This form begins with vague symptoms that develop into gait deficits, sometimes confused with the ageing process. Neurological damage continues to occur without remyelination, resulting in a steady increase in the level of disability. Antibodies that attack central nervous system antigens are thought to prevent demyelination in this form of MS.

Secondary progressive MS

This begins in a similar manner to relapsing remitting MS, but develops a more constant progressive path with only minor occasional remissions.

Progressive relapsing MS

In this form of MS, the disease progression is continuous, with acute attacks occurring at intervals, accompanied by minor recovery.

Early Symptoms of MS

Blurred or double vision


Thinking problems


Clumsiness or lack of co-ordination


Loss of balance


Numbness


Tingling


Weakness in arm or leg


Difficulty with short term memory

Diagnosis

MRI- brain damage, inflammation


Spinal taps - (lumbar puncture), to check fluid that runs through your spinal column


Electrical tests, called evoked potentials to see if MS has affected the nerve pathways.


Blood tests

Primary management

Are there any?


Awareness of symptoms and the disease

Secondary management

Delay of progression and complication through medication, therapies and assistive devices. Family support, strategies for caregivers to manage the loss and burden of care.

Tertiary/palliative management

The progressive deterioration of these conditions will place individuals in a palliative pathway. Holistic approach to quality of life, support for personal autonomy, symptom control, support with the process of bereavement are examples of care given.