Neurology


Multiple Sclerosis (MS)

Multiple sclerosis is a disease developing in the central nervous system consisting of brain and spinal cord. There is an insulating material around nerve tissues in order to ensure correct and fast communication between nerve cells, and it is called myelin. For reasons unknown, this insulating material can be damaged, resulting in destruction of sensation and movement paths. Especially the brain loses control over areas such as seeing, walking, and talking.

Its symptoms may occur in one or more places. They can be mild or severe, occur suddenly as well as rarely disappear.

Some symptoms of MS include:

  • Restriction of movements of the body (Such as paralysis, weakness, walking unsteadily)
  • Fatigue
  • Tingling , numbness
  • Balance disorders that can be described as dizziness
  • Double or blurred vision
  • Involuntary movement of the pupils (nystagmus )
  • Urinary incontinence, inability to urinate or frequent urination
  • Lack of potency in men
  • Hand tremors
  • Involuntary muscular contraction or relaxation
  • Speech disorder (e.g. slurred speech)

It was found by some statistics that the disease is usually more common in young people , women, people with more advanced socio- economic status and better education.

The severity and course of MS symptoms can vary from patient to patient. The disease is recurrent but it is not clear when the next symptom will appear. Incidence of recurrence is variable so sometimes it can discontinue for a few years.

Causes of MS disease are still unknown.

The main objective for the treatment of multiple sclerosis disease is repair of damaged myelin sheaths and axons (fibers from nerve cells). Therefore, different treatments should be applied according to the types and frequency of symptoms. Some of the drugs used in cancer therapy and cortisone may prove to be successful in the repair of damage seen in central nervous system. Utilization of physical therapy can slow down the rate of clinical manifestations of disease. It will help limited mobility caused by a stroke, balance defects, and hardening of the muscles.