3.7.7
Multiple Sclerosis
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 3, Central Nervous System Conditions.
Clinical Description
A demyelinating disease of the central nervous system characterised by episodes of unifocal or multifocal neurological dysfunction. Diagnosis is confirmed when dissemination in space and time is confirmed by imaging and CSF analysis which may show oligoclonal bands and raised lgG index.
Recovery between acute flares of illness is common, although a general stepwise deterioration in function will be noted.
Consult with neurologist/specialist for diagnosis and treatment.
Complications and Referral Criteria
- All patients.
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