A 25-year-old woman is admitted to the hospital after suffering a seizure. She h

Question

A 25-year-old woman is admitted to the hospital after suffering a seizure. She has not personal history of seizures in the past. On admission, an MRI scan demonstrates that the patient has multiple sclerosis.

1. When the nurse initially meets the patient, the patient asks if she can explain what multiple sclerosis is. Can you simply explain the pathophysiology of this disease?

2. What clinical features should the nurse expect to see in a patient with this disease?

3. Compare and contrast upper and lower motor neurons. Which type of neurons can be involved in patients with multiple sclerosis?

Explanation / Answer

1 ans- multiple sclerosis can affect any area of the brain, optic nerve,or spinal cord ,This disease caused by the loss of the covering of both sensory and motor nerves.These nerve are covered by the myelin sheath and this myelin sheath protects your nerve and its very important for the flow of information of the nerve impulse.This disease attack myelin sheath Disruption and inflammation by the autoimmune disease or an abnormal immune-mediated response (attack healthy cells) and cause the disruption in both nerve sensory and motor.

2 ans-The common symptoms are-

3 ans-upper motor neurons originate in the central nervous system in which cell bodies are bigger in size and located in the cortex of the brain.these neuron responsible for the flow of information of the nerve impulse and voluntery motor activity.

The symptoms associated with damage to upper motor neurons include-

The LMN originates in the spinal cord and is responsible for the transmission of motor information from the spinal cord to the involved muscle group i.e. link between the CNS and skeletal muscles.Cell bodies of LMN are smaller in size and located in the grey matter of the spinal cord and brain stem,organized in local circuits.

Symptoms are-

Both Neurons are responsible for the MS.

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