Multiple Sclerosis: Clinical Presentation- Case 3

Case History # 3: Questions

3.1 What is the assumed correlation between optic neuritis and multiple sclerosis?

3.2  There was a substantial "gap" in the disease progress in this patient. How can this gap be explained?


3.3 What would you expect to find on a fundoscopic exam in this patient?


3.4  What signs would you expect to find examining lower extremities of this patient?


3.5  Why does the patient have a permanently flexed posturing?


3.6  How would you distinguish "cerebellar" tremors from tremors due to basal ganglia disease?


3.7  Suppose that this patient recovers substantially and is getting ready to resume driving. In this patient, what are the most crucial tests that you need to perform before you can let her be in control of a car?