Clinical scenario of patients with multiple sclerosis (MS): A north Indian perspective

Tumefactive Multiple Sclerosis (TMS) is a rare variant with 1 per 1000 cases of MS and 3 per million cases per year. TMS can mimic clinical and radiological features of a neoplasm, infarction, or abscess and therefore can be diagnostically challenging for clinicians. We present a clinical scenario of a patient presenting with left homonymous hemianopia with atypical radiological features initially thought to be more consistent with neoplasm or infraction. Ultimately, biopsy was done which led to the diagnosis of tumefactive multiple sclerosis.

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Common invisible symptoms of multiple sclerosis

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20202076 ◽

2020 ◽

Vol 6 (6) ◽

pp. 223

Author(s):

Ansh Chaudhary ◽

Bhupendra Chaudhary

Keyword(s):

Multiple Sclerosis ◽

Nervous System ◽

Peripheral Nervous System ◽

Neurological Disease ◽

Healthcare Team ◽

Clinical Scenario ◽

Other Neurological Disease ◽

Active Disease ◽

Unusual Symptoms

<p class="abstract">Multiple sclerosis (MS) with its protean manifestations of central and peripheral nervous system pose a challenge to its management in different clinical scenario. The issue becomes much more complicated with occurrence of strange and unusual symptoms intermingling with common symptoms in people living with MS. The frequency and severity of these unusual symptoms changes overtime and raise a suspicion of other neurological disease. The occurrence of any of these symptoms at times may be a sign of active disease. A reasonable understanding of these strange symptoms both to the patient and healthcare team could be of help in taking appropriate steps to manage MS more efficiently.</p><p class="abstract"> </p>

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Responding to Clinicians' Challenges in Working With Geriatric Patients

Perspectives on Gerontology ◽

10.1044/gero16.1.22 ◽

2011 ◽

Vol 16 (1) ◽

pp. 22-29

Author(s):

Lisa Y. Milliken ◽

Dawn Ralph ◽

Sally Jones-McNamara

Keyword(s):

Health Care ◽

Geriatric Patients ◽

Clinical Scenario ◽

Medical Diagnoses ◽

Communication Deficits ◽

Resident Care ◽

Physical Limitations

Clinicians work with older residents who have not only multiple physical limitations, but cognitive loss, communication deficits, dysphagia, and multiple medical diagnoses. They must work within procedural, regulatory, and reimbursement systems that challenge them to provide optimal resident care. In this article, the authors will discuss some specific challenges brought forth by clinicians in response to a clinical scenario and will provide information and feedback from several health-care consultants.

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