Case study: managing active secondary progressive MS

A case of rapidly progressing secondary progressive MS despite treatment with rituximab. How to investigate and manage SPMS and at the same time managing expectations.

Case study

I am a 26-year old man who in Nov 2011 developed myelitis shortly after a vaccine. It started as a feeling of weakness and numbness in my left arm that then involved my left leg. I also had balance, bowel and bladder issues. With regular exercises, I gradually recovered to a point where I could run for 3 km at a stretch (85-90% recovery). Howe…

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