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The MS Clinic

The MS Clinic. Alastair Lansbury Neurologist. What is MS ?. Inflammatory Central Nervous System Autoimmune Relapses and remission (Progressive forms) Any central nervous system symptom or sign. Case Study. 27 year old woman

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The MS Clinic

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  1. The MS Clinic Alastair Lansbury Neurologist

  2. What is MS ? • Inflammatory • Central Nervous System • Autoimmune • Relapses and remission (Progressive forms) • Any central nervous system symptom or sign

  3. Case Study • 27 year old woman • 4 years ago - 2 days of painful loss vision R eye. Resolved over 3 weeks. Diagnosis optic neuritis • 2 week history of weakness, numbness R side and slurred speech

  4. The aims of the service • Diagnosis • Support • Information • Identification and treatment of relapses • Identify those suitable for DMDs • Monitoring of DMDs • Symptom control

  5. Diagnosis • History • Examination • Investigation

  6. Investigations • MRI Scan • Lumbar Puncture • Exclude other causes

  7. Communicating the diagnosis • Guidelines for breaking bad news. • Swift review • Information • Support

  8. The multidisciplinary team • MS nurse • Physiotherapist • Occupational therapist • Speech therapist • MS Society • Psychology • Palliative Care • Neurologist

  9. Symptom management in Multiple Sclerosis • Spasticity • Non-medical • Drug treatment • Intrathecal therapies

  10. Symptom management in Multiple Sclerosis • Fatigue • Fatigue management strategies • Drug treatment • Amantadine • Modafanil

  11. Symptom management in Multiple Sclerosis Pain Bladder problems Sensory symptoms Mobility and dependency Management of relapses Speech and communication Cognitive problems Emotional and psychological support Employment and Finance

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