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Talk to Neuro Physician on Neurological, Epilepsy

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Asking for Other, Male, 45 years old, Lahore

Diagnosed with White Matter Disease about 7,8 years ago. He had Multiple seizures at that time, and he also had asthma at a severe level. He also has multiple other problems, and now he has frequent headaches in the right half of his head, on the upper side of his neck. He has also undergone multiple sort of tests including CT scans, MRI-V, CRP tests, antibody screening e.t.c. The recent test show a number of oligoclonal band which hows the worsening of condition but his physician suggested the same medicine.

Neurologist in Lahore - Dr. Ahmad Nawaz

Dr. Ahmad Nawaz - Neurologist

MBBS, FCPS Neurology | Lahore

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32 Positive Reviews

share please all test results.? specifically OCB result?


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This is ANA report.

6 months ago

Neurologist in Quetta - Dr. Ihsan Ul Haq Zarkoon

Dr. Ihsan Ul Haq Zarkoon - Neurologist

MBBS, FCPS (Neurology) | Quetta

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295 Positive Reviews

Consult Neurologist please


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We have consulted many neurologists. Some think that's the case of MS and some say this is wmd.

6 months ago

Neurologist in Peshawar - Dr. Azrung Fayaz

Dr. Azrung Fayaz - Neurologist

MBBS, FCPS Neurology*, MRCP (UK) | Peshawar

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239 Positive Reviews

Sorry I accidentally deleted my previous comment.

I have reviewed the MRI and spinal fluid results. The findings do not strongly suggest Multiple Sclerosis or a serious white matter disease. The changes seen are more likely related to non-specific or age-related causes, and the spinal fluid results support this. So overall, this does not look like MS, and there is no need for alarm right now.

Of course, we can monitor things over time, but this is encouraging news. I am happy to hop on a call and talk through everything in more detail if that helps.


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I don't know how to react to this news but currently another neuro-physicians suggested it to be a case of MS and she suggested imuran tablet for it. Multiple sort of tests are also happening to be done side by side. Then what do you say the purpose of that?

6 months ago

Neurologist in Peshawar - Dr. Azrung Fayaz
Dr. Azrung Fayaz - Neurologist

MBBS, FCPS Neurology*, MRCP (UK) | Peshawar | Book Appointment

review-stars 13 Positive Reviews

I completely understand how confusing and overwhelming this must feel. It is not uncommon for different doctors to interpret early or unclear findings in slightly different ways, especially when it comes to complex conditions like MS.

From what I have seen so far, including the MRI and spinal fluid results, the evidence for MS is not strong. That is why I felt it was important to share a more cautious and hopeful perspective.

As for the tests and the suggestion to start Imuran (which is azathioprine), that may be part of a broader plan to treat or rule out other autoimmune or inflammatory conditions. It does not necessarily confirm MS, but might be a precaution while the full picture becomes clear.

6 months ago

Neurologist in Peshawar - Dr. Azrung Fayaz
Dr. Azrung Fayaz - Neurologist

MBBS, FCPS Neurology*, MRCP (UK) | Peshawar | Book Appointment

review-stars 13 Positive Reviews

Any update on how the patient is doing now?

6 months ago

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