Multiple sclerosis is less common in children compared to adults. Usually it is more in females compared to males. Usually the common presenting complains are weakness in one side of the body or sometimes of both the lower limbs and mostly it is a problem for the urine and the stools and sometimes they can present with sudden onset of vision loss one eye of both the eyes. Rarely they can present with convulsions, that is fits also. These episodes are recurrent. Usually the first episode we may not be able to find out if there are Multiple sclerosis or sometimes it can be mistaken for stroke or brain fever. So if this is coming once or more than 2 -3 times, then you can think of Multiple sclerosis and we can identify it with MRI of the brain. So in MRI we can identify it with signal changes and multiple areas of the brain will be involved. Both upper part of the brain and lower part of the brain and these changes will be there both acute and chronic and these can be diagnosed with RI and with MRI we have to identify various signal abnormalities both old lesions and new lesions appearing in the MRI and it should be there in multiple areas both in the upper part of the brain and lower part of the brain. So multiple sclerosis should be diagnosed by clinical suspicion and it can be confirmed with the MRI of the brain.
