It is a chronic incurable disease caused by improper activation of the immune system against the envelope of nerve structures - myelin. The cause has not been clarified, but the influence of vitamin D, infectious diseases and genetic stress are debated. However, smoking is also a risk factor. It most often starts between 20-40 years of age, significantly more often in women. Typical first symptoms include visual impairment, tingling in the limbs, impaired limb mobility or dizziness. Diagnosis is dominated by examination by magnetic resonance imagingwhich can reveal inflammatory (demyelinating) foci in the brain tissue, as well as examination of the cerebrospinal fluid and visual pathways - VEP. The drugs of first choice are injectable immunomodulatory agents with a proven positive effect on the development of the disease. When injection therapy is ineffective, 2nd line drugs (natalizumab, fingolimod, fumarate) are an option. Rehabilitation is also an important component in the therapy of multiple sclerosis, here again we cooperate with the rehabilitation department of our hospital. We provide complete treatment options for MS in our MS centre.
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