r/MultipleSclerosis • u/Jg0jg0 • 8h ago
General My life and diagnosis since aged 26 in 2022 - long winded story sorry
In January 2022 I went to the opticians for what I thought would be a routine eye test. During the visual field check they found I had a right superior quadrantanopia, meaning I was missing part of my vision in both eyes. This led to a referral for an MRI in March 2022, which revealed the true extent of what was happening.
That first scan showed a lot of brain lesions and multiple (8 to my estimate) spinal cord lesions at C2, C3, C4, T3, the lower thoracic cord, and the conus. It also reported atrophy of the left occipital lobe, posterior cortical volume loss, and sulcal widening indicating cortical atrophy. Four months later, in July 2022, a follow up MRI showed three more brain lesions, bringing the total to 20ish within 6 monthsr.
Despite the fact I had never experienced a clinical relapse or remission, I was diagnosed with highly active relapsing remitting MS because of the rapid lesion activity. At presentation I already had mild cerebral ataxia, along with my visual field loss. The combination of heavy lesion load across brain and spinal cord together with cortical atrophy so early on made my case stand out to my neurologist and care teams.
O was started on Ocrevus. While the treatment has slowed new lesion, with only three more brain lesions developing in the first year and none since, it has not stopped my symptoms from steadily worsening. My MS has never behaved in a relapsing pattern. Once a symptom appears it remains, and usually progresses.
Vision was the first problem. I developed constant nystagmus and oscillopsia, where the world shakes. Bright light makes it worse, so sunglasses help, and I struggle when moving between dark and bright environments. When I am walking, recognising people is difficult. I have even failed to notice family members coming towards me. If I am stationary I can usually process who I am looking at, but movement overwhelms me.
Balance and mobility problems gradually followed. My right leg can buckle without warning. Clonus in both the ankle and knee makes locking the leg straight difficult. Spasticity and mild ataxia leave me unsteady, and I have had falls. Busy or noisy places are especially difficult, as the overload of information makes me disoriented and unsafe.
I have also developed problems with my right hand and arm. Tremors and weakness interfere with cutting food, shaving, and fine tasks. Recently carpal tunnel syndrome has added to the difficulties with grip and dexterity.
Bladder and bowel function are affected as well. Constipation is frequent unless I use daily laxatives, and I experience muscle spasms in my right leg. Fatigue from baclofen, which I take at 90mg daily to manage spasticity and nystagmus. My cognition is mostly preserved, but I sometimes mix up word order when speaking, struggle with certain word endings, and find reading aloud much slower than reading in my head. Thankfully, I have no real fatigue either up to now.
From starting with just blurred vision in January 2022, I now live with constant oscillopsia, ataxia, clonus, tremor, dexterity loss, and bowel dysfunction. My right leg shakes that much when I stand i feel it's a matter of when, not if I end up with walking aids at 29.
Anyway, my initial diagnosis of highly active RRMS has now come under scrutiny, finally, and I am being considered for early onset PPMS.
If you managed to read all this thank you. I'm not 100 percent sure why I'm posting this but I wanted to get it off my chest that after close to 4 years of being active on this subreddit, asking questions and drawing comparisons I can finally say it all makes sense. If anyone at all relates to this please advocate for yourself. I had to fight hard to get these questions answered, and to get the extent of my MS damage taken seriously.