Multiple Sclerosis Case Study

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The human body relies on a system of electrical impulses and nerves known as the Central Nervous System. This system is dependent on an organization of complex neurons, which are specialized cells that is responsible for sending, receiving, and interpreting the information from every part of the body. And surrounding each neuron is a thin layer of tissue known as the myelin sheath, which insulates the neurons and prevents electrical impulses from leaking. Even though, the neurons are shielded, they can still be damaged. The body’s immune system can attack the protective myelin sheath, which is known as the process of demyelination. The loss of the sheaths causes the electrical impulses to pass more slowly and overtime they become damaged and …show more content…

Most patients have experienced various symptoms of all ranges and were ignored or have been thought to be signs of another illness. When MS is suspected, the patient will undergo a physical exam to see if they have spasms or tremors. A doctor will try to locate damage in two different areas of the Central Nervous System that include the brain, spinal cord, and the optic nerves. They will also perform evaluations on a person’s senses that involve coordination, balance, and vision. (NATIONAL MS SOCIETY WEBSITE) A neurological exam will also need to be in effect, one of these exams could be a Spinal Tap, also known as a Lumbar Puncture, which is a procedure that removes the fluid that surrounds your spinal cord and brain. Once the fluid is removed, it can be tested to reveal the quantity of immunoglobulins (antibodies), oligoclonal bands, and the specific proteins that are responsible for the break down of the myelin sheaths. And after testing, if a large amount of these are found, then it is an indication that there is an “abnormal autoimmune response within the brain and spinal cord, which means that the body is attacking itself” (WEBMD SPINAL TAP). But of course, a spinal tap does not positively confirm MS being present, but it does not deny it either, it is procedure to rule out all other possible diagnosis’ and conditions that …show more content…

A majority (85%) of patients diagnosed with Multiple Sclerosis experience Relapse-Remitting; this is where a patient who has been diagnosed experience clearly defined flare ups, which are also known as relapses or attacks. They also have episodes where their neurological functions worsen which is then followed by a period of recovery (remission) and during this time, the patient is free from progression of the disease. Primary-Progressive is fairly rare in that this type of MS affects approximately 10% of patients. In this case, the disease worsens slowly over time and is continuous and they do not experience a period of remission, though their disease may plateau, where the disease does not get worse, but does not get better. And within ten years of a patient’s initial diagnosis, 50% of patients with Relapse-Remitting MS can develop Secondary Progressive MS. Here, they will experience occasional flare ups and minor periods of remissions and plateaus. Finally, Progressive-Remitting is the rarest form of Multiple Sclerosis in that it affects only five percent of patients. With this form of MS, people will experience their disease steadily worsening, they get clear short relapses and the disease continues to progress even in times of rest. (NEUROLOGY.ORG). If patients are not treated,

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