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I have a 48 year old female who presented to me with the presumptive diagnosis of MS. She's had two prior bouts of what certainly sounds like optic neuritis with currently prolonged P100 of her left eye although asymptomatic. |
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Apparently, from your description, her only objective abnormality at this time is a prolonged P100 left VEP. Spatial dissemination is therefore not established; temporal dissemination is by historical inference only in this patient. In the absence of supportive MRI or CSF abnormalities at this time, a convincing diagnosis of MS is lacking in this patient at this time based on the information that you have provided.
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Multiple sclerosis is a chronic disease, having effective treatments but no cure. Understanding of the clinical manifestations and the pathophysiology that leads to them is crucial for all of the professionals who treat, educate and advise patients. Such an understanding leads to enhanced patient knowledge of disease processes and improved compliance. This program will provide an in depth review of the immunology and pathophysiology of MS which will assist nurses in their management of MS disease and in their communication with patients.
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Robert Fox, MD
Michael Kaufman, MD
Marie Namey, RN, MSN, MSCN |
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Current Concepts in Diagnosis and Treatment of MS provides MS-treating nurses and pharmacists with an overview of the main concepts underlying the development of the disease and the logic behind disease-modifying therapies for MS.
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Colleen E. Miller, RN, NP, DNS
Heidi J Crayton, MD
Marie A. Namey, RN, MSN |
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