Multiple sclerosis: features
Patient's with multiple sclerosis (MS) may present with non-specific features, for example around 75% of patients have significant lethargy.
Visual
Sensory
Motor
Cerebellar
Others
Visual
- optic neuritis: common presenting feature
- optic atrophy
- Uhthoff's phenomenon: worsening of vision following rise in body temperature
- internuclear ophthalmoplegia
Sensory
- pins/needles
- numbness
- trigeminal neuralgia
- Lhermitte's syndrome: paraesthesiae in limbs on neck flexion
Motor
- spastic weakness: most commonly seen in the legs
Cerebellar
- ataxia: more often seen during an acute relapse than as a presenting symptom
- tremor
Others
- urinary incontinence
- sexual dysfunction
- intellectual deterioration