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Managing MS Symptoms

Paroxysmal Symptoms

(see also Pain)

Paroxysmal symptoms can occur at any time in the course of MS. Paroxysmal symptoms refer to a sudden onset of a neurological symptom, or cluster of symptoms that may last over seconds to minutes, repeating a few to very many intervals per day. They may vary in intensity and frequency. Paroxysmal symptoms may occur with or without pain, and are disruptive to varying degrees, depending on the presentation. When these symptom clusters occur over several days, it may be considered to be an MS relapse. Paroxysmal symptoms may include (but not limited to) trigeminal neuralgia , tonic spasms, weakness, dysarthria and ataxia, visual disturbance, numbness and other sensory disturbance, and Lhermitte’s sign. Urinary incontinence has also been reported as a paroxysmal event. Management includes ruling out non MS causes of paroxysmal phenomena. Anticonvulsants , particularly carbemazepine are usually helpful. Gabapentin may be helpful as can be benzodiazepines such as clonazepam.

NOTE: The possible sedating effects of the suggested medications may require that added attention be focused on fatigue and safety issues during treatment.

Key Healthcare Professionals:
Neurologist

Symptom Management:
This is usually well managed with medication when symptoms warrant intervention.

Other Resources:
An MS Society of Canada website that provides information on a variety of topics. Information is provided by a range of North American experts who respond to inquires from individuals affected by MS.