Onset symptoms
Symptoms depend on where the lesions are and often develop over hours or days, lasting at least one day. Among the most common:
- loss of vision in one eye, often with pain on eye movement (optic neuritis);
- tingling, numbness or altered sensation in part of the body;
- weakness of a limb, balance or coordination problems;
- double vision or vertigo;
- marked fatigue and urinary symptoms.
The role of MRI
MRI of the brain and spinal cord is the key test for diagnosis and monitoring: it shows demyelinating lesions, their distribution in time and space and the presence of active inflammation.
Dr. Bonacchi, a neurologist and specialist in Diagnostic Radiology, has carried out research specifically on neuroimaging in multiple sclerosis and is a member of the Scientific Panel on Multiple Sclerosis of the European Academy of Neurology. This allows the clinical assessment and the specialist reading of the images to be combined in the same visit.
Differential diagnosis
Not all white matter lesions are due to multiple sclerosis: they may be related to vascular factors, migraine or other inflammatory diseases, such as neuromyelitis optica spectrum disorders and MOG antibody-associated disease. Expert interpretation of the images is essential to avoid misdiagnosis.
Treatment and follow-up
Disease-modifying therapies reduce relapses and disability progression. The choice of treatment is based on the characteristics of the disease and of the person, and is followed by scheduled clinical and MRI check-ups.
Neurological visit in Milan, Osio Sotto (Bergamo) and Pistoia
Dr. Raffaello Bonacchi, neurologist and neuroradiologist, sees patients in Milan, Osio Sotto (Bergamo) and Pistoia, and also offers online consultations with review of tests and images already performed.
Frequently asked questions
Can I get a second opinion on my MRI?
Yes. You can book a visit or an online consultation, sending images and reports in advance through the Contact page.
The information on this page is for general information only and does not replace a medical visit. For sudden or severe symptoms call 112 or go to the Emergency Department.