Multiple Sclerosis (MS)
Danette C. Taylor, DO, MS, FACN
Dr. Taylor has a passion for treating patients as individuals. In practice since 1994, she has a wide range of experience in treating patients with many types of movement disorders and dementias. In addition to patient care, she is actively involved in the training of residents and medical students, and has been both primary and secondary investigator in numerous research studies through the years. She is a Clinical Assistant Professor at Michigan State University's College of Osteopathic Medicine (Department of Neurology and Ophthalmology). She graduated with a BS degree from Alma College, and an MS (biomechanics) from Michigan State University. She received her medical degree from Michigan State University College of Osteopathic Medicine. Her internship and residency were completed at Botsford General Hospital. Additionally, she completed a fellowship in movement disorders with Dr. Peter LeWitt. She has been named a fellow of the American College of Neuropsychiatrists. She is board-certified in neurology by the American Osteopathic Board of Neurology and Psychiatry. She has authored several articles and lectured extensively; she continues to write questions for two national medical boards. Dr. Taylor is a member of the Medical and Scientific Advisory Council (MSAC) of the Alzheimer's Association of Michigan, and is a reviewer for the journal Clinical Neuropharmacology.
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
- Multiple sclerosis (MS) facts
- Multiple sclerosis definition
- What is multiple sclerosis?
- What causes multiple sclerosis?
- What are the risk factors for developing multiple sclerosis?
- What are multiple sclerosis symptoms and signs?
- What are the different types of multiple sclerosis?
- How is multiple sclerosis diagnosed?
- What are multiple sclerosis treatment options?
- Multiple sclerosis medications
- What is the treatment for multiple sclerosis symptoms?
- What is the prognosis and life expectancy for multiple sclerosis?
- Is it possible to prevent multiple sclerosis?
- What research is being done on multiple sclerosis?
- Multiple Sclerosis (MS) FAQs
- Find a local Neurologist in your town
Multiple sclerosis (MS) facts
- Multiple sclerosis (MS) is a disease that causes demyelination (disruption of the myelin that insulates and protects nerve cells) of spinal nerve and brain cells.
- Although the exact case is unknown, multiple sclerosis is considered to be an autoimmune disease.
- Risk factors for the disease include being between 15-45 years of age; women have about two to three times the risk for multiple sclerosis than men.
- Multiple sclerosis symptoms and signs depend on where the nerves are demyelinated and may include
- There are four types of
- relapsing-remitting multiple sclerosis (RRMS,
- the most common type), secondary-progressive multiple sclerosis (SPMS),
- primary-progressive multiple sclerosis (SPMS), and
- progressive-relapsing multiple sclerosis (PRMS).
- Multiple sclerosis is diagnosed by a patient's history, physical exam, and tests such as MRI, lumbar puncture, and evoked potential testing (speed of nerve impulses); other tests may be done to rule out other diseases that may cause similar symptoms.
Multiple sclerosis treatment options include
- IV steroids,
- interferon injections (Rebif),
- glatiramer acetate (Copaxone),
- dimethyl fumarate (Tecfidera), and
- many others, depending on the patient's symptoms.
- Most multiple sclerosis patients have a normal life expectancy; untreated patients may develop mobility dysfunction while patients with the severe progressive forms may develop complications like pneumonia.
- Ways to prevent getting multiple sclerosis have not been discovered.
- Research is ongoing into developing new medications, immune system modifications, and other ways to identify potential multiple sclerosis causes.
Multiple sclerosis definition
Multiple sclerosis is a disease that involves an immune-mediated process that results in an abnormal response in the body's immune system that damages central nervous system tissues; the immune system attacks myelin, the substance that surrounds and insulate nerves fibers causing demyelination that leads to nerve damage. Because the exact antigen or target of the immune – mediated attack is not known, many experts prefer to label multiple sclerosis as "immune-mediated instead of an "autoimmune disease."
What is multiple sclerosis?
Multiple sclerosis is a disease which causes demyelination of the brain and spinal cord nerve cells. When this occurs, axons (the parts of the nerve cells which conduct impulses to other cells), don't work as well. Myelin acts like insulation on electrical wires. As more areas or nerves are affected by this loss of myelin, patients develop symptoms because the ability of axons to conduct impulses is diminished or lost. The specific symptom that someone experiences is related to the area that has been affected. As demyelination takes place, areas of inflammation and subsequent injury can be identified; these areas of injury are called lesions or plaques and are readily apparent on magnetic resonance imaging (MRI) studies.
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