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Multiple sclerosis, Management, prognostic, Moves his left eye laterally -…

- - - - Severe attack but respond well to ttt
      - Dx: MRI spinal cord lesions extending 3 segments or more
        Csf analysis: anti aquaporin 4Abs in preventricular cells
      - Ttt: steroid
        If sever plasmapheresis
        Rituximab ant cd20, micophenolate
- - - - The left eye
        
        Nystagmus abducting eye contralateral to the lesion
      - Right eye
        
        Oppthalmoplegai failure of adduction ipsilateral to the lesion