pseudo-exacerbations

[Guest guest]

This is from our favorite guy....Jack Burk

http://www.msaa.com/publications/winter04/ask_the_doctor.htm

Q: How can regular MS symptoms be differentiated from those caused by an attack?

A: “True exacerbations†are defined as new symptoms or the reoccurrence of old symptoms that: last more than 48 hours; are documented on neurological examination; and have no other explanations for occurring. Magnetic resonance imaging (MRI) studies, however, reveal that new lesions can accumulate, without “true exacerbations.†An estimated 10 “MRI attacks†(new lesions) occur for every one “true exacerbation†documented by the patient and the neurologist. That is one reason some neurologists order “routine MRI’s†every year or two.

Other explanations for increasing symptoms include fever (most common) and even bladder infections without fever. Stress, fatigue, or over-exertion are also commonly associated with increased symptoms, as well as exposure to hot or cold temperatures. These temporary increases in symptoms are called “pseudo exacerbations,†because they mimic exacerbations, but not as a result of actual myelin damage.

[Guest guest]

Thank you kiki for this explanation on pseudo attacks. It is clear

to me now, All that's left is the 'revisiting' whilst on lDN to be

explained.

Friday

Kiki wrote:

> Other explanations for increasing symptoms include fever (most

common) and

> even bladder infections without fever. Stress, fatigue, or over-

exertion are

> also commonly associated with increased symptoms, as well as

exposure to hot or

> cold temperatures. These temporary increases in symptoms are called

“pseudo

> exacerbations,†because they mimic exacerbations, but not as a

result of actual

> myelin damage.