How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali, Intensivist
Category: Neurology
Satisfied Customers: 7427
Experience:  Experience of Neurology of over 4 years, well versed in EEG, NCS and EMG alongwith MRIs and CT scans
22950887
Type Your Neurology Question Here...
Dr. Muneeb Ali is online now
A new question is answered every 9 seconds

Follow up question on MS Dementia. What type of testing

This answer was rated:

Follow up question on MS Dementia. What type of testing should be done on a patient 69 yr. old female with MS for 50 years who is now developing dementia. Should a baseline be established and what type of follow up

Hi,
Welcome back, actually in this situation first off a MRI should be done again, this will allow us to determine have any changes occurred since the last MRI and whether those changes are consistent with dementia or MS. Secondly, the dementia should be graded on the basis of physical examination and questionarres. These would include the mini mental state examination MMSE or MOCA tests. In addition depression should be ruled out as a cause which can sometimes mimic this problem. This can be done by the geriatric depression scale, Once these are done then the following tests can be considered,

Urinalysis and microscopy

Complete blood cell count

Serum electrolyte levels, including magnesium

Serum chemistry panel, including liver function tests

Thyroid function tests

Serum vitamin B12

Erythrocyte sedimentation rate

Serologic tests for syphilis (or similar)

Chest radiography

Electrocardiography

These can help narrow down the cause for the dementia by excluding most reversible causes for the problem. If a reversible cause is found then it should be treated accordingly. The MRI of the brain would help us to determine if vascular or lewy body dementia are present or if it is another cause.

Regarding follow up it would need to be with the same clinical tests to determine if it is progressing or not.

But yes a baseline should be established.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Dr. Muneeb Ali and other Neurology Specialists are ready to help you