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Brain
Inflammation and Demyelination
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Small vessel ischemic disease is the most common MS look-alike on MRI 🧠 It causes white matter changes that can be mistaken for demyelination — especially in patients with high blood pressure, diabetes, or a smoking history. Key differences: ✔ No true relapses ✔ No spinal cord involvement ✔ No classic enhancing MS lesions This is why we don’t diagnose MS based on MRI alone.#MS #neuro #medicaleducation #neurology #medical
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🌟 Here’s how you stop mixing them up 👇 Three disorders. All cause weakness. Completely different pathophysiology! 🧠 Guillain-Barré syndrome • Peripheral nerve demyelination • Ascending paralysis • Decreased reflexes • Often after infection Priority = monitor respiratory status 🧠 Myasthenia gravis • Autoimmune attack on acetylcholine receptors • Weakness that worsens with use • Ptosis diplopia • Normal sensation Priority = airway medication management 🧠 Multiple sclerosis • CNS demyelination
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– MUST-KNOWS FOR NEUROLOGICAL CONDITIONS– 🧠Multiple Sclerosis (MS) is a demyelination of the myelin sheath, which impairs nerve impulses 🧠Guillain-Barre Syndrome is characterized by ASCENDING (meaning from bottom to top) paralysis. You’ll see paralysis and loss of function from the feet and legs, moving upward. This is gradual! 🧠Autonomic Dysreflexia is paired with spinal cord injury and paralysis. We see vasodilation ABOVE the injury, while vasoconstriction is classically seen BELOW the leve
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