Does a single demyelinating patch that came out on MRI indicate the onset of multiple sclerosis? All other brain tests were OK.

The answer is negative. One plaque cannot be used to diagnose MS. It is necessary to test the cerebrospinal fluid. There are also strictly defined criteria - the so-called McDonald's and Barkhof-Tintory's diagnosis of MS. Another thing is that a single tear may be a symptom of the so-called CIS - Clinical Isolated Syndrome depending on the clinical picture. Treatment and management must be considered individually.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Tomasz W. Rosochowicz

A specialist neurologist - he works in the provinces of Kujawsko - Pomorskie and Mazowieckie. He is passionate about neuropathology and neuroimmunology. I accept privately in Warsaw and Toruń - signups for a mobile visit: 0501 108-204.

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