Muscular Diseases (Myopathy)
Multiple Sclerosis- Ms Disease
• Prof. Aytekin AKYÜZ, MD
• Burak PAKÖZ, MD
• Sezgin ÖZTEKİN, MD
• Yaprak ALPER, MD
MULTIPLE SCLEROSIS-MS DISEASE
Multiple sclerosis (MS) is the disease of brain and spinal cord (central nervous system). There are hardened tissues (sclerosis) in areas where the protective sheath (myelin sheath) around the nerve fibers transmitting messages in brain and spinal cord is damaged. This hardened area is called as plaque. These plaque may be seen in many areas of nervous system and prevent message transmission along the nerves. MS disease damages control ability of brain on the functions of vision, speaking, walking.
It is generally observed in young people, women, high socio-economic level societies and persons living in cities and with high educational level. Reasons known as autoimmunity become prominent in MS.
The first symptoms of disease are seen within a few days, it progresses with inflammation and improvement. While it improves completely at the beginning, worsening may be observed in few patients in advanced stage without any improvement. Main symptoms include visual disorder, double vision, blurred vision, weakness, numbness, difficulty of continence or frequent urination and difficulty of walking in some cases.
MS disease has no definite treatment. A number of symptomatic treatments are administered to eliminate symptoms of MS and enable MS patients to have more comfortable life with MS. On the other hand, corticosteroid is used to eliminate attack signs and interferon is used to reduce the frequency of attack. As a result of developments of MS pathology and neuroimmunology, there are different treatments. In addition to modern drugs, complementary support treatments can be preferred. Physiotherapy methods help to eliminate marks of attack periods and spasm and by means of personal and group therapies, patients and families are helped to struggle with depression, fear and restriction of MS.