Multiple Sclerosis

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Multiple Sclerosis (MS) is an autoimmune neurological disease affecting the central nervous system (the brain and spinal cord). 'Sclerosis' means scarring or hardening of tiny patches of tissue. 'Multiple' is added because this happens at more than one place in the brain and/or spinal cord.

Symptoms

The symptoms of MS vary widely from person to person and can affect any part of the body. The main symptoms include fatigue, difficulty walking, vision problems, such as blurred vision, problems controlling the bladder, numbness or tingling in different parts of the body, muscle stiffness and spasms, problems with balance and coordination, problems with thinking, learning and planning. Depending on the type of MS, symptoms may come and go in phases, or get steadily worse over time.

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1 Consultation
Initial consultation with a psychologist or psychotherapist.
2 Assessment
Appointment with a psychologist or psychotherapist for personal or computerized, detailed assessments of cognitive neuropsychiatric issues associated with mental health.
3 Follow-up
During the 2nd consultation with the psychologist or psychotherapist, a clinical diagnosis & follow-up strategy are discussed, explained and agreed upon.

Diagnosis

The diagnosis is based on clinical presentation, magnetic resonance imaging, lumbar puncture, blood tests and evoked potentials. The diagnosis is made by the consultant neurologist, specialised in MS.

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Treatment

Treatment for MS depends on the specific symptoms and difficulties the person has. It may include the treatment of relapses of MS symptoms (with steroid medication), treatment of specific MS symptoms, or for example treatment to reduce the number of relapses (disease-modifying therapies). In the cases of increasing neurological disability, it is essential to sufficiently support the patients in their rehabilitation and disability management needs. In every case, the patient is supported by a team of different healthcare professionals working together.

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Dr David Choluj
Multiple Sclerosis (MS)

Dr David Choluj is a Consultant Neurologist with a further extensive experience in Stroke Medicine and Neurological Rehabilitation, based in London.

Prof. K. Ray Chaudhuri
Parkinson's Disease Expert

Professor K. Ray Chaudhuri is a world-renowned expert in Parkinson's disease. He is Professor of Neurology/Movement Disorders & Consultant Neurologist at King’s College Hospital & King’s College London and also Principal Investigator at the Maurice Wohl Clinical Neuroscience Institute.

Prof. Aarsland Dag
Geriatric Psychiatry

Dag Aarsland is Professor and Head of Department of Old Age Psychiatry at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London, and Consultant psychiatrist at the Mental Health for Older Adults, South London & Maudsley NHS Health Trust, where he leads the Parkinson Spectrum Memory Clinic.

Dr. Vinod Metta
Lead Interventional Neurologist

Dr Vinod Metta, consultant interventional neurologist and movement disorder specialist trained at Kings College Hospital London and conducted his higher specialist training in neurology and movement disorders at Imperial College, University College London, and Queen Square Hospitals, London.