Case History # 2: Questions

2.1  How many possible demyelinating lesions could be suspected in this patient based upon the clinical history? Explain.

2.2 What is the most likely location of the demyelinating lesion that is causing these problems in the patient?

2.3  What other emotional problems are common in patients with MS?

2.4  This patient has 2 children. By how much is their risk of acquiring MS later in life increased compared to the risk in the population?

2.5  What range of motion is most severely affected in this patient's left upper extremity?

2.6  Which 2 major neurological systems (or tracts) are quite apparently affected in this patient?

2.7  What general recommendations would you give to this patient? Suppose that this patient is considering having another child. How would you counsel her for or against another pregnancy?