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Medicine

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Neurology

Question
8 out of 12
 

Which of the following is least likely to occur in multiple sclerosis (AIIMS Nov 2011)



A Complete transaction of cord

B Bilateral visual loss

C Absence of oligoclonal bands in CSF

D Poor recovery

Ans. C

Absence of oligoclonal bands

Investigations

1). MRI – Increase in vascular permeability – earliest event

a. Dawson’s finger sign – Lesion appear to extent from the ventricular surface,

b. corresponding to a pattern of perivenous demyelination.

c. Lesion of ant corpus callosum are specific as this site is usually spared in cerebro vascular diseases.

2). Evoked responses – To detect slowed or absent conduction in visual, auditory, somatosensory or motor pathways.

3). CSF –

a. Mononuclear pleocytosis, TLC usually < 20 /cmm

b. Increase IgG Q

c. Cytoalbumind Q Dissociation

Neurology Flashcard List

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