Rating Neurological Impairment in Multiple Sclerosis

Abstract

Thirty three patients with definite multiple sclerosis were enrolled in this study. These patients were subjected to full history and examination, then rated according to their (EDSS). Twelve (12) patients (36.3%) had the range (3-4) grade, nine (9) patients (27.7%) had (1-2) grade, eight (8) patients (23.2%) had (7-9) grade and four (4) patients (12.13%) had grade (5-6).This study showed that the highest percentage of the patients with pyramidal involved were with EDSS (3-4) and with score 2 on functional scoring system (FS).The study encourages us, that each patient with multiple sclerosis should be rated according to EDSS and to the functional scores of each functional system and these findings kept in patient's notes and be used in the follow-up of patient and to assess the effect of therapy in progression of disease; the use the score may give clue to the socio-economic impact of the disease on the community and planning of community to give services to such patients.