Clinical Services
Multiple Sclerosis (MS) is a chronic, progressive disorder of the central nervous system characterized by diverse symptoms, varying severity, and an unpredictable course. Because several neurological and systemic conditions can closely resemble MS, establishing an accurate diagnosis is essential for effective treatment planning. Conditions that may mimic MS include Neuromyelitis Optica, CNS Lupus, CNS Sarcoidosis, Lyme disease, Vitamin B12 deficiency, CNS vasculitis, CNS viral infections, and leukodystrophies in both adults and children.
Our center provides comprehensive evaluations for a wide range of clinical scenarios, including aggressive forms of MS, family planning considerations for MS patients, and assessment of individuals with abnormal MRI findings who are otherwise healthy. For patients experiencing rapidly progressive MS, we offer in‑depth consultations and potential participation in clinical trials.
Perinatal circumstances (e.g., pregnancy, delivery, and postpartum) can present unique challenges for individuals with MS. Our team offers guidance, monitoring, and support before, during, and after pregnancy. We also closely evaluate and follow patients with abnormal MRI scans to ensure timely and accurate diagnosis.
Diagnostic Services
MRI Imaging
Our center features six state‑of‑the‑art MRI scanners equipped with advanced imaging software. For enrolled research participants, cutting‑edge multimodal, high‑resolution imaging is available, providing highly sensitive data on brain tissue integrity. Sedation is offered for patients with claustrophobia.
Laboratory Evaluation
Specialized laboratory testing is available to help differentiate MS from other conditions with overlapping symptoms, including Lupus, Sarcoidosis, Lyme disease, and other immune‑mediated disorders.
Lumbar Puncture
Lumbar punctures (spinal taps) may be performed on an outpatient basis in the Neurology Clinic or under X‑ray guidance in Radiology, depending on clinical need.
Evoked Potential Studies
We offer a full suite of evoked potential tests to evaluate electrical pathways in the nervous system:
- Visual Evoked Potentials (VEP)
- Somatosensory Evoked Potentials (SSEP)
- Brainstem Auditory Evoked Potentials (BAEP)
Optical Coherence Tomography (OCT)
OCT is a noninvasive imaging technique used to assess the optic nerve and retinal structures, providing valuable information regarding visual pathway integrity.
Treatment Services
This is an exciting era in MS care, with rapid advancements in scientific understanding and a growing number of effective treatment options. Our center provides comprehensive therapeutic services tailored to individual patient needs.
Management of Acute Relapses
- Intravenous corticosteroids
- Oral corticosteroids
- Acthar® Gel
- Plasmapheresis (Plasma Exchange, PLEX) for severe or refractory relapses
Immunomodulatory (Maintenance) Therapies
- Injectable disease‑modifying therapies
- Oral medications
- Intravenous and infused therapies
Targeted Symptomatic Treatments
- 4‑Aminopyridine (4‑AP) for gait and symptomatic improvement
- Intrathecal baclofen for severe spasticity
Experimental Clinical Trials
Opportunities to participate in ongoing clinical trials are available for eligible patients. (Clinical Trials Section)