What is a Meningitis/Encephalitis ?

Meningitis is an infection of the meninges, the membranes that surround the brain and spinal cord. Encephalitis is inflammation of the brain itself. Anyone can get encephalitis or meningitis. Causes of encephalitis and meningitis include viruses, bacteria, fungus, and parasites. Anyone experiencing symptoms of meningitis or encephalitis should see a doctor immediately.

Symptoms of encephalitis that might require emergency treatment include loss of consciousness, seizures, or confusion. Other symptoms include: fever, headache, vomiting, heightened sensitivity to light, stiff neck and back, a clumsy and unsteady gait, irritability. Some patients may hallucinate or have severe behavioural problems.

Patients with meningitis and encephalitis require emergency treatment and should attend emergency services.

What is Multiple sclerosis?

Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system). In MS, the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body. Eventually, the disease can cause permanent damage of the nerve fibers

Signs and symptoms of MS vary widely and depend on the site of nervous system involvement. Some people with severe MS may lose the ability to walk independently or at all, while others may experience long periods of remission without any new symptoms. There is no definite cure for multiple sclerosis. However, treatments can help speed recovery from attacks, modify the course of the disease and manage symptoms.

Symptoms

Multiple sclerosis signs and symptoms may differ greatly from person to person and over the course of the disease depending on the location of affected nerve fibers. Symptoms often affect sensation, vision or movement, such as:

Sensory, gait etc symptoms
  • Numbness or weakness in one or more limbs that typically occurs on one side of your body at a time, or the legs and trunk
  • Electric-shock sensations that occur with certain neck movements, especially bending the neck forward (Lhermitte sign)
  • Tremor, lack of coordination or unsteady gait
Tremor, lack of coordination or unsteady gait
  • Partial or complete loss of vision, usually in one eye at a time, often with pain during eye movement
  • Prolonged double vision
  • Blurry vision
Multiple sclerosis symptoms may also include:
  • Slurred speech
  • Fatigue
  • Dizziness
  • Tingling or pain in parts of your body
  • Problems with sexual, bowel and bladder function
NMO associated disorders include visual problems, paralyses of limbs etc.

MS, NMO (demyelinating disorders are investigated with MRI, lumbar puncture and specialised tests. With a clear diagnosis appropriate treatments are instituted. Patients must adhere to drug regimes and remain under regular review.