MS Flashcards
what part of the spine does ms effect
white mater
how does ms effect the spie
caues demylation and inflatom of the spine
course of ms disesease
it is remitiing disease, ie gets worse then better gradually
how preveanlt is ms
1 in 300 people
where is ms found more
it is more prevalent the further north you go
which gender does ms mainly effect
females
what viurs may ms be associated with
epstein barr viurs
common problems in ms relapse
optic neurtisi - inflamtion of optic nerve
sensory smpons
brian stem - diplopia (double vision), vertiog
spinal cord – bilatler motor symptons#
bladder inovmvetn
signs of optic enuritsi
vision loss
pain in movnig eye
colour vision impaired
resolves within weeks or months
swelling of the optic disc
cuaes pupill defect
what is relative affernt pupillary defect
where wehn a tourch is shined on a pupil it will cause it not to constrict due to damage to optic nerve, when shine on other pupil both pupils will constic
which part of the brain is internuclear ophthalmoplegia associated with
pons
what is sigs of internuclear ophthalmoplegia
diffucily moving both eyes horizonally at the same time
one eye will have nystagmus towards the lateral aspect and the other eye will not move
effect of spinal cord lesion in ms
cuase band of hyperaesthis or numbes in the area
can cause bladder or bowel problems
what type of cell is responsibel for demylination
activated t cells crossing the bbb
what is required for an ms diagnosis
multople esposes of demaites, happening in differnt areas over a period of tiem
what hormone may be linked ot ms in women
oestrogen
what is a characties loss that shows progression of the disase
loss of the axons
what is the progressive stage in ms
accumation and symtons such as furher fatique, pins and eends, stiffnes, balance and slurrend speahc, bladder probesl e.ct
what to do in ms exam
pupillary defects
nystagusms or absomaly eye movements
cerebellar signs such as atraxia
weakness
spasticicyt
hyperreflexia
plantar extensor
what are the type sof ms
relapsing / remitting 85%
seconary progressive
primary pregssid 10%
what is primary progessve
where there is none of the relaping and remitting and it is just a deterning in ms, and cause spinal and vbldder problems
deteriatin is at a constant rate
what is seconary progessive
there at first is erapinga nd remiting, then it has a general deteriating of ms that that does improve
criteerai for mri ms diaganso
mcdonalds criteria
clincial criterai for ms diagnossi
posers criteri - mianly 2 realpse in different area so cns months or years apart
