Multiple sclerosis mimics

Even with all the newer diagnostic tools, including MRI with multiple sequences, evoked potentials, CSF studies, and so forth, multiple sclerosis remains a clinical diagnosis. In the past it was, to a large extent, a wastebasket diagnosis. Since we really could not do much about it, if our diagnosis...

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Bibliographic Details
Published in:	Advances in neurology Vol. 98; p. 161
Main Author:	Herndon, Robert M
Format:	Journal Article
Language:	English
Published:	United States 2006
Subjects:	Central Nervous System - immunology Central Nervous System - pathology Central Nervous System - physiopathology Central Nervous System Diseases - diagnosis Central Nervous System Diseases - pathology Central Nervous System Diseases - physiopathology Diagnosis, Differential Diagnostic Errors - prevention & control Fatigue - diagnosis Fatigue - etiology Fatigue - physiopathology Humans Magnetic Resonance Imaging - standards Multiple Sclerosis - diagnosis Multiple Sclerosis - pathology Multiple Sclerosis - physiopathology Sensation Disorders - diagnosis Sensation Disorders - etiology Sensation Disorders - physiopathology Urinary Bladder, Neurogenic - diagnosis Urinary Bladder, Neurogenic - etiology Urinary Bladder, Neurogenic - physiopathology
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Summary:	Even with all the newer diagnostic tools, including MRI with multiple sequences, evoked potentials, CSF studies, and so forth, multiple sclerosis remains a clinical diagnosis. In the past it was, to a large extent, a wastebasket diagnosis. Since we really could not do much about it, if our diagnosis was wrong it really didn't matter a great deal. Now, with an increasing number of effective therapies and with good therapies for some of the MS mimics, accurate diagnosis is a must. In addition to the cost of treatment, many of the current treatments such as Mitoxantrone (Novantrone) are not benign and we should not subject our patients to unnecessary harmful therapies.
ISSN:	0091-3952