Symptoms causing diagnostic confusion
• bladder disturbances, including retention of urine and urgency
• 'useless hand' due to loss of position sense
• trigeminal neuralgia
• psychiatric symptoms
In established disease common symptoms are fatigue, impotence and bladder disturbances.
• 3r unsteaoiness impaired via an diplopia cerebellar sgns » nte-ntion tremor • ataxia c iz ncss fatigue
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bladder urgency incontinente constipation paraparesis band sensations around trunk or limbs bladder urgency incontinente constipation
Fcaturti
UMN legion > one lesion septate times
Fig. 29.4 Basic clinical signs in multiple sclerosis
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