How to Diagnose Primary Progressive Multiple Sclerosis
To diagnose MS properly, your doctor will observe you thoroughly to determine which type you have. It is important to note that each type of MS can be treated with a different method. Unlike other types of MS, It is usually more difficult for doctors to diagnose PPMS and other progressive medical conditions. For your healthcare provider to accurately diagnose PPMS. Your neurological issues must have progressed for 1 or 2 years.
The following conditions have similar symptoms with PPMS:
- Lyme disease [4]
- An inherited disease that results in weak legs and stiffness
- viral infections, like human T-cell leukemia virus type 1 (HTLV-1)
- A tumor close to the spinal cord
- Insufficient vitamin B12 [5] that leads to walking difficulties. similar symptoms
- Types of arthritis, [6] like spinal arthritis
Your healthcare provider may do these things to diagnose PPMS:
- Observe your symptoms.
- Evaluate your neurological history.
- Do a physical examination on your nerves and muscles.
- Do an MRI scan to check the activities on your spinal cord and brain.difficult to diagnose
- perform a lumbar puncture to check for signs of MS in the spinal fluid.
- Check the type of multiple sclerosis you have by conducting evoked potential (EP) tests.
Conclusion
Primary progressive multiple sclerosis is a type of multiple sclerosis that is not associated with inflammation. Its common symptoms are walking difficulties and stiff legs. The condition is difficult to be diagnosed. It can be treated by taking drugs that target the symptoms.
Reference:
[1] https://www.hopkinsmedicine.org/health/conditions-and-diseases/bladder-and-bowel-dysfunction
[2] https://www.nimh.nih.gov/health/topics/depression
[3] https://www.mayoclinic.org/symptoms/fatigue/basics/causes/sym-20050894
[4] https://www.mayoclinic.org/diseases-conditions/lyme-disease/symptoms-causes/syc-20374651
[5] https://www.webmd.com/diet/vitamin-b12-deficiency-symptoms-causes
[6] https://www.arthritis.org/