Overview
One of the most important differences between multiple sclerosis (MS) and NMO is that some test methods can confirm if a person has it. A healthcare provider can diagnose NMO using a combination of the following:
- Blood tests. One of the most important tools for healthcare providers to diagnose NMO is testing your blood for AQP4 or MOG antibodies. While blood testing can’t always confirm NMO — because about 13.5% of cases don’t involve identifiable antibodies — it’s still useful for diagnosing this condition.
- Magnetic resonance imaging (MRI) scans. MRI scans are especially helpful in identifying NMO. This condition causes changes to your spinal cord and other parts of your central nervous system that an MRI scan can detect. These are usually distinct enough from changes seen with MS for healthcare providers to tell them apart and rule out MS.
- Physical and neurological examinations. These tests look for signs and symptoms that can happen because of NMO. The neurological exam is especially important because it can identify problems with your senses, reflexes, muscle movements, balance and facial functions.
- Personal and medical history. This involves your healthcare provider asking questions about your health, symptoms, and personal and medical history details.
Other tests are also possible, as your healthcare provider may feel it’s important to rule out other conditions. Your provider can tell you more about the tests they recommend and why they recommend those tests.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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