Multiple sclerosis in most patients is characterized by the removal of worsening and remission, with different lengths of duration (from a few months to several years), and this is a relapse-remitting form of MS. Over time the disease begins progressing, which means a continuous, faster or slower deterioration (secondary progressive form). The smallest number of patients have a progressive course from the beginning (primarily a progressive form).
The clinical picture depends on the location of damage to the brain and spinal cord and is very diverse. Thus, patients may have partial or complete loss of vision, duplicate images, numbness or weakness of an arm or leg, problems with walking, fatigue, problems with urinating, instability
In addition to typical anamnesis and neurological findings, magnetic resonance imaging (MRI) is of utmost importance for proper diagnostics. It allows determining the precise position, size, and activity of these lesions. The deterioration is treated with high doses of corticosteroids, which allow a significantly faster and more complete recovery. Any deterioration means a permanent loss of a large number of nerve fibers, which in time leads to the loss of various functions – walking ability, balance, coordination of movement, vision, control of the sphincter.