multiple sclerosis

Davis Sugar, Jess Pelletier, and Brit Long cover multiple sclerosis in the ED.

A 33-year-old female presents with blurry vision. She has also experienced intermittent paresthesias in her extremities and weakness. Your motor and sensory exam is normal, but you find internuclear ophthalmoplegia and an afferent pupillary defect. With these intermittent neurologic symptoms and ocular findings, what is the likely diagnosis, and what is your next step in evaluation?

Remember that disease you learned about from medical school that presents with varying neurological issues which occur over time? This post details multiple sclerosis in the ED.