Neurological Conditions

Diagnosing multiple sclerosis  There is no single specific diagnostic test available, but in practice, the diagnosis is done typically based on the presenting signs and symptoms, in combination with supporting medical imaging and laboratory testing.  Clinical data alone may be sufficient for a diagnosis of MS if an individual has had separate episodes of neurologic symptoms characteristic of the disease. In those who seek medical attention after only one attack, other testing is…

The clinical signs and symptoms of MS depend on the site of the loss of myelin in the central nervous system. The lesions may occur almost anywhere in the central nervous system, but they have a predilection for certain areas.  More than 60% of individuals with MS have visual problems caused by demyelinating lesions (loss of myelin) of the optic nerve, which is the nerve concerned with vision. The loss of vision usually occurs over a period of several days, with partial recovery within 1…

There is no known cure for multiple sclerosis, but several therapies have proven helpful in relieving the symptoms and improving the quality of life. The aims of therapy are to manage the acute condition or attack, returning to function after an attack, preventing new attacks, and preventing disability. Medication Any individual who experiences an acute episode (including optic neuritis) sufficient to cause distressing symptoms or an increased limitation on activities independent of whether it…

There is no method to prevent multiple sclerosis(MS) or its flare-ups. Medication may reduce the frequency or delay the onset of relapse in the case of relapsing-remitting MS and secondary progressive MS.  

There are mainly two types:  1. Relapsing-remitting type 2. Progressive type The relapsing-remitting type is characterised by unpredictable relapses (worsening symptoms) followed by periods of remission (improvement from symptoms). It is the most common type and is seen in 80-90% of patients with MS.  The remaining 10-15% of MS patients have progressive type where the disease keeps on getting worse without any remission. There are 2 sub types in this progressive type. Primary…

Imagine participating in a meeting while lying in bed. This is reality for 35-year-old Smitha Sadasivan, who has Multiple Sclerosis, an autoimmune condition. Her reality has been exhaustion, physical pain, vision problems and many other issues. But this M.Phil holder, who works for an NGO and is a disability rights activist, refuses to give up. Her story.  You were diagnosed with Mutiple Sclerosis (MS) in 1999. What is your present condition – has the disease progressed? Are there some…

Dr. Pettarusp Wadia, Consultant Neurologist and Movement Disorder Specialist, Jaslok Hospital and Research Centre, Mumbai, speaks to Dr Shital Raval about the latest treatments to manage Parkinson’s Disease.  Is Parkinson's a genetic condition? In about 5% of the adult population and 25% of the young-onset Parkinson's disease population, a single gene can be identified. However research is on to identify if certain genes make a person more susceptible to develop…

This is a caregiver training video resource from HCA Hospice Care, Singapore.  It shows how you can gently massage to soothe an elderly person or a patient.   

His parents were told he was mentally retarded, but Siddharth Jayakumar – bank manager, motivational speaker and award-winning role model for the disabled – proved them all wrong. Here, his life and learnings. 1.  Please tell us briefly how you developed Cerebral Palsy (CP). What was your physical condition - your abilities and your limitations?  I developed CP following an attack of jaundice when I was a few days old. This affected my physical movements and clarity of speech. It also…

During the fasting month of Ramadan, Muslims all over the world fast for more than 15 hours a day. Here, 6 possible side effects and how to counter them. It is best to have a check-up before you start fasting for Ramadan. This is particularly important if you have any chronic conditions, like diabetes or migraine. Do remember that the Qur’an exempts the sick from fasting. If your doctor advises against your fasting, speak to your Imam about your situation. Even if you are…