Therefore, it would be prudent to consult your neurologist with these concerns. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs.
It has multiple symptoms and signs and is a diagnosis of exclusion.
Multiple sclerosis needs to be evaluated where the disease phase is characterized by active phase and remissions.
Is your neurologist reducing the drug dose or stopping it abruptly? That could be responsible for electric sensations and shakes in the head. Duloxetine or cymbalta on withdrawal or discontinuation presents with dysphoric mood, irritability, agitation, dizziness, and sensory disturbances like paresthesiae or electric shock sensations, anxiety, confusion, tinnitus and seizures.
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