MS or Lyme or neither?

7. Brain MRI

11. Brain MRI after Seizure

19. Neurological features of chronic Lyme disease

23. Value of Serology

28. Thyroid function

31. MRI in Hashimoto Encephalopathy

41. Out of 31 MS patients 5 (16%) had Anti TPO Ab’s Normal values: TPO-Ab 0–10 IU/mL;

44. CNS Vasculitis - GANS - PAN ( but no systemic features) GANS CSF and angiography normal MRI probably “ too severe” given mild clinical features prior to stroke No headache Clinical course typical of MS Stroke Optic nerve and spinal cord involvement rare Can simulate relapsing – remitting course of MS Against For

45. Is MS associated with alteration of platelet function? “ platelet aggregation and MS” Neu et al 1982 Acta neurologica Scand.