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CONSULT REQUEST GUIDELINES
Possible Multiple Sclerosis
Suggested Pre-Referral Evaluation and Management Guidelines
Does the patient have a history of episodic or chronic progressive neurological deficits?
Suggested Additional Test/Management Prior to Specialty Visit
Obtain an MRI scan of brain (including sagittal FLAIR and post gadolinium T1 sequences).
IF the patient has symptoms or signs suggestive of myelitis/ myelopathy obtain an MRI scan of the spine (including STIR and post gadolinium T1 or T1 FLAIR sequences).
Obtain visual evoked responses and the following serologies: Lyme titer, ANA, angiotensin converting enzyme level, SS-A, SS-B, anticardiolipin antibody titers.
Consider HTLV1 titer, neuromyelitis optica antibody titer, and/ or very long chain fatty if history and exam are suggestive.
Patient Education/Information (includes preps)
Support patient through concern about possible diagnosis
First available MS clinic appointment
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Mail CD of MRI to consultant; mail medical records to clinic
Clinic Contact Information
Clinic Location Sites
Taubman Health Care Center
UM Consulting Physician
David N. Irani, M.D.
Yang Mao-Draayer MD, PhD
Benjamin M. Segal, M.D.
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