6. Four Type
• Relapse Remitting
• Primary Progressive
• Secondary Progressive
• Progressive Relapsing
7. Relapse Remitting
• Unpredictable acute
attacks with worsening
of symptoms followed
by full, partial, or no
recovery
• Then complete or
partial absence of
symptoms (Remission)
8. Primary Progressive
• Steady gradual progression of
disability, without any obvious
relapses and remissions
• Most common after age 40
16. CSF Analysis
• Tell the patient that this test usually takes
at least 15 minutes
• Headache is common adverse effect
• VS
• Pillow support
• Place one arm around knee & neck
• Remain calm and still
• Label containers in which they were
filled
• Allergy check initially
• Remain flat
• Encourage fluids
• Check site for
redness, swelling, drainage hourly 4 1st 4
hours then Q4 for 1st 24hrs.
• Assess neurolgoic Q15 min for 4 hours; it
stable assess Q2 then Q4
Autoimmunean inflammatory disease in which the insulating covers of nerve cells in the brain and spinal cord are damaged
Development of plaque in the white matter of the CNS--- demyelinatedThis plaque damages the myelin sheath and blocks impulse transmission between the CNS system and the body
Inherited--first-degree relative has the disease
Fatigue:especially of the lowerextremitiesAtaxiaDysarthria, dysphagiaUhthoff’s sign:a temporary worsening of vision after exertion or heat exposureTinnitus, vertigo, decreased hearing acuityBladder dysfunction (areflexia, urgency, nocturia)
MRI: most diagnosticMRI of brain and spine
CSF analysis:Elevated proteinIncreased WBCComplications: Reaction to anesthetic, meningitis, bleeding into the spinal canal, cerebellar tonsillar herniation, and medullary compression Signs of meningitis Signs of herniation Infection