late onset (LOMS) with clean MRIs?
Posted: Sat May 21, 2022 9:07 am
There seems to be some debate about whether all LOMS are actually late diagnosis MS.
A US specialist told me last week that "when I diagnose MS late (in 50s or 60s), when I look at imaging I see that patients must have had the disease for decades." "you can tell from the amount of lesions and the level of brain atrophy." (She seems to believe that in all cases MS has actually started in late youth/early adult years.)
I wondered if anyone had ever seen an example of LOMS presenting initially with clean MRIs?
Many thanks
A US specialist told me last week that "when I diagnose MS late (in 50s or 60s), when I look at imaging I see that patients must have had the disease for decades." "you can tell from the amount of lesions and the level of brain atrophy." (She seems to believe that in all cases MS has actually started in late youth/early adult years.)
I wondered if anyone had ever seen an example of LOMS presenting initially with clean MRIs?
Many thanks