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afya
MSfeatures
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> ''Features'' non-specific Sx are common (75% lethargy) ''Visual'' Optic neuritis - most common presentation optic atrophy Uhthoff's phenomena (worse Sx as body temp rises) internuclear opthalmoplegia ''Sensory'' pins and needles numbness trigeminal neuralgia Lhermitte's - paraesthesia in limbs on neck flexion ''Motor'' spastic weakness commonly in legs ''Cerebellar'' ataxia (usually in acute relapse not at presentation) tremor ''Other'' Urinary incontinence sexual dysfunction intellectual detrioration
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