The variety of clinical manifestations of multiple sclerosis (with the analysis of own clinical observation)

Abstract

Multiple sclerosis is a dysimmune-neurodegenerative disease of the central nervous system that affects mostly young people of working age, manifested in a variety of clinical symptoms and inevitably leading to disability at a certain stage of its development. Timely diagnosis of the disease and proper treatment of its symptoms is extremely important and often determines not only the characteristics of its course and the quality of life of the patient, but also a long-term prognosis for the patient. With multiple sclerosis, certain complications can occur not only at the stage of diagnosis, but also with the appearance of new symptoms of the disease, that may require correction of treatment tactics. So, many of the newly emerging symptoms within the framework of an exacerbation may not respond to traditional symptomatic therapy and require the appointment of a pathogenetic treatment aimed at immunopathological mechanisms of the disease. In the article the authors give their own clinical observation of the patient with 12 years’ anamnesis of the disease, who suffered from neuralgia of the trigeminal nerve for many years. Intensive treatment, including neurosurgical treatment, is ineffective, and only the appointment of pathogenetic therapy (a glucocorticoid) provides a great clinical effect. The presented clinical case allows to demonstrate the importance of correct treatment of the symptoms of the disease with multiple sclerosis, which is the key to successful therapy.