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Dr. Gupta
Dr. Gupta, Doctor (MD)
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Experience:  Vastly experienced MD Physician with 19 years of experience.
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There are several case studies showing brain atrophy associated

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There are several case studies showing brain atrophy associated with MS. They are showing that the brain atrophy is showing up very in the early stages of diagnosis. I am suspected of having MS, but there is only signs of atrophy and no lesions seen on the MRI. could I still have/get a final diagnosis of MS with just the brain atrophy?

MD doc :

Hello & welcome to Just Answer!

If you have any questions after reading my answer, be sure to let me know.

MD doc :

No, you cannot diagnose MS in this situation of brain atrophy alone,

MD doc :

There are two basic rules for diagnosing MS:

  1. The person must have had at least two relapses (an episode where symptoms were present). These episodes must have been separated by at least one month.

  2. There must be more than one lesion on the brain or spinal cord.

Multiple sclerosis means just that -- multiple (more than one), sclerosis (areas of damage; scarring or hardening).


MD doc :

Hence without the characteristic plaques on an MRI a diagnosis can not be made,

MD doc :

Please remember to accept the answer by pressing the GREEN accept button, do get back for any clarifications

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