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Managing multiple sclerosis

Multiple sclerosis is a multifactorial condition, and specialist nurses can help to co-ordinate referrals to appropriate services, Gina Robinson explains

Multiple sclerosis (MS) is a condition of the central nervous system (CNS), and is also considered to be an auto-immune disease.

The CNS consists of the brain 
and spinal cord, and it works in tandem with the peripheral nervous system (PNS) to send messages around the body that may relate to movement or sensation.

Aetiology and epidemiology
Messages are transported from the brain via the spinal cord, through the PNS, via nerves also known as neurons. Neurons contain fibres, similar to wires, which are surrounded and protected by a sheath of protein called myelin. If this sheath is damaged, in a process called demyelination, messages can become confused or lost.

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