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Ask a doctor on the topic of Neurology

What tests are necessary in case of suspected multiple sclerosis?

Dear Doctor,

My name is Christiane Vollbrecht and I am reaching out to you because I have been struggling with some health problems lately that have been very concerning to me. For the past few weeks, I have been experiencing various symptoms such as vision disturbances, numbness in my legs and arms, dizziness, and extreme fatigue. As I am actively engaged in managing my health, I have done some research online and came across the possibility of Multiple Sclerosis, which could explain some of my symptoms.

Based on my research, I would like to know from you what tests are necessary when there is a suspicion of Multiple Sclerosis. I am very worried that my symptoms could indicate this serious condition and I would like to have clarity on this. What steps need to be taken to make a definitive diagnosis? What specific tests or examinations are conducted to confirm or rule out Multiple Sclerosis?

I kindly request detailed information on the diagnostic procedures performed when there is a suspicion of Multiple Sclerosis so that I can better prepare for potential examinations. I want to ensure that my health is taken seriously and that I receive the necessary treatment as soon as possible if my concerns are confirmed.

Thank you in advance for your professional advice and support.

Sincerely,
Christiane Vollbrecht

Jonas Schmitt

Dear Ms. Vollbrecht,

Thank you for your message and your trust in my expertise regarding neurological disorders. I am sorry to hear that you have been struggling with health problems lately that are causing you concern. The symptoms you have described, such as vision disturbances, numbness, dizziness, and extreme fatigue, could indeed be signs of Multiple Sclerosis. It is understandable that you are worried and seeking clarity about your health situation.

When there is a suspicion of Multiple Sclerosis, various diagnostic procedures are necessary to establish a secure diagnosis. The process typically begins with a detailed medical history and physical examination by a neurologist. During the medical history, the doctor will carefully assess your symptoms, their duration and intensity, as well as any previous illnesses or family history. Subsequently, further tests will be conducted to rule out other possible causes of your symptoms.

Key diagnostic procedures for suspected Multiple Sclerosis include imaging techniques such as magnetic resonance imaging (MRI) of the brain and spinal cord. MRI can reveal changes in the brain and spinal cord that are typical of Multiple Sclerosis. Additionally, a cerebrospinal fluid analysis can be performed, where a sample of the spinal fluid is taken and examined for specific markers of Multiple Sclerosis.

Another important test is nerve conduction studies (ENG) or electromyography (EMG), which measure the electrical activity of nerves and muscles. This examination can provide clues to dysfunction of the nervous system that are typical of Multiple Sclerosis.

In addition, neurological tests such as Visual Evoked Potentials (VEP) can be performed to assess the conduction of the optic nerves. Nerve conduction velocity testing can also reveal possible nerve damage.

It is important to emphasize that the diagnosis of Multiple Sclerosis is a complex process and should be done in close collaboration between neurologists and other specialists. Only through comprehensive diagnostics can other possible causes of your symptoms be ruled out and a secure diagnosis made.

I strongly recommend that you consult a neurologist to further investigate your symptoms and undergo the necessary tests. The earlier a diagnosis is made, the sooner targeted treatment can be initiated to alleviate your symptoms and control the course of the disease.

I hope that my information is helpful to you and that you gain the necessary clarity about your health situation. Please do not hesitate to contact me if you have any further questions or need support.

Best regards,
Dr. Jonas Schmitt

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Jonas Schmitt