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Can Abnormal Oligoconal Bands Be Found In CSF Fibromyalgia?

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Posted on Mon, 12 May 2014
Question: Hello, Can an abnormal (oligoclonal banding for one) be found in CSF in fibromyalgia and not be indicative of MS?
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Answered by Dr. Sudhir Kumar (5 hours later)
Brief Answer: Oligoconal bands are not usual in fibromyalgia. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms, and the detailed description did help. Regarding oligoconal bands in CSF, they are not commonly seen in fibromyalgia. However, they are not specific for multiple sclerosis (MS) either, as they can be seen in a variety of inflammatory and infective disorders of nervous system. I have also gone through your MRI brain report, which is not suggestive of MS. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (41 minutes later)
So what else could it be? My MRI report originally said in the conclusion that it COULD be demyelinating type of problem.
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Answered by Dr. Sudhir Kumar (6 hours later)
Brief Answer: Other inflammatory diseases Detailed Answer: Thank you for getting back. It could be other inflammatory diseases of the nervous system. This would require further testing such as nerve conduction studies, nerve biopsy, etc (after a detailed neurological examination). I have noted your MRI report, and it is not suggestive of MS, as per the diagnostic criteria. If the symptoms have worsened since the last MRI, it may be repeated. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (11 hours later)
Can you give some examples of the other inflammatory diseases?
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Answered by Dr. Sudhir Kumar (12 hours later)
Brief Answer: My reply is below. Detailed Answer: Examples for other inflammatory diseases include: Central and peripheral nervous system vasculitis, Polymyositis, CIDP- chronic inflammatory demyelinating polyradiculoneuropathy, ADEM-acute disseminated encephalomyelitis, CNS infections, Sarcoidosis. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Can Abnormal Oligoconal Bands Be Found In CSF Fibromyalgia?

Brief Answer: Oligoconal bands are not usual in fibromyalgia. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms, and the detailed description did help. Regarding oligoconal bands in CSF, they are not commonly seen in fibromyalgia. However, they are not specific for multiple sclerosis (MS) either, as they can be seen in a variety of inflammatory and infective disorders of nervous system. I have also gone through your MRI brain report, which is not suggestive of MS. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in