Print This Page     Close Window Consult Request Guidelines for Possible Multiple Sclerosis     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) 1) Support patient through concern about possible diagnosis 2) Multiple Sclerosis Appointment Timeframe 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 Physicians: 800-962-3555 Patients: 734-936-9020 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. Revised on: 10/03/2012