Multiple Sclerosis Center | Johns Hopkins Neurology and Neurosurgery

Experts at the Johns Hopkins Multiple Sclerosis Center provide targeted diagnosis and treatment for people with multiple sclerosis (MS). We know every person’s experience with MS is unique, so we design treatment plans that match each patient’s needs, lifestyle and health concerns, aiming to offer the right treatment at the right time. One of the largest clinical and research MS centers in the world, our center combines cutting-edge technology and research with a patient-first approach to care, with the ultimate goal of curing this disease.

Learn More About:

Our Team | Approach | Appointments | Clinical Trials | Patient Resources | Donate

Request an Appointment

410-614-1522

Our Approach to MS Treatment

We believe in a team approach. In addition to providing a comprehensive neurological evaluation and interpretation of MRI studies, we involve nursing, physical therapy and social work assessments as needed. This coordinated, comprehensive, multi-specialty approach helps us provide an accurate diagnosis, quality patient care and an effective treatment plan to help you manage MS long term.

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  Years of studying retinal scans, brain MRIs and clinical characteristics from people with MS have allowed us to develop a system of personalized assessment and monitoring of MS that helps us anticipate and prepare for changes in your condition. Our evaluation and testing methods include:

  • Innovative diagnostic tests that help us precisely identify your type of MS
  • Imaging tests
  • Lifestyle assessments
  • Reviews of your medical history
  • Ongoing genetic and blood tests




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  A simple imaging test of your retina – the light-sensitive tissue that lines the back of the eye – allows us to identify the likelihood of rapid disease progression. The test, called optical coherence tomography (OCT) may also help determine your best course of treatment.

  Ongoing genetic and blood tests may also help predict who is at risk for future disability. By partnering with our team, the knowledge gained from your case helps provide even better treatment for future patients.




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  As leaders in both patient care and biomedical discovery, we provide the highest level of research-based, personalized care. Our team will create a personalized MS treatment plan that may include:

  • Managing MS flare-ups and accelerating recovery with the help of steroids and other medications.
  • Reducing the frequency and severity of MS flare-ups and treating worsening MS with beta interferon, glatiramer acetate and other FDA-approved drugs and therapies.
  • Managing the variety of physical MS symptoms and mental health implications with medications, physical and occupational therapy, rehabilitation psychology, and working closely with specialists in other fields.

Patient Resources

Appointments and Referrals

Your fist visit will be at the Johns Hopkins Outpatient Center. Our team may refer you to other Johns Hopkins specialists for consultation or testing.

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  To schedule an appointment at the Johns Hopkins Multiple Sclerosis Center, we will need the following:

  • Recent medical records
  • Reports of any MRI testing and other radiology testing
  • A list of current medications
  • Physician referral
  • Lab reports
  • Any other relevant records

  Please submit the above information to our Referral Coordinator, who will assist with scheduling:

  Referral Coordinator
  
  600 N. Wolfe Street
  
  Pathology 627
  
  Baltimore, MD 21287
  Phone: 410-614-1522
  Fax: 410-367-3212




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  We recommend that you contact your insurance company to verify your benefits. We suggest confirming coverage for radiology, lab work and other services you may need, such as psychiatry and physical therapy.




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  • Original (or copies) of any MRIs of both the brain and spinal cord
  • Any recent test results that have not already been sent to us — some examples may include visual evoked potentials (VEP) or lumbar puncture (spinal tap) results
  • A list of medications you use, including doses, start date, ordering physician and reason for taking the medication
  • Completed new patient packet that we will send to you, including:
  • New patient questionnaire
  • Symptoms check list 90 (SCL-90)
  • Sickness impact profile questionnaire (SIP)




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  On certain days, we have a representative from the National MS Society DC-Maryland Chapter in our clinic to answer questions about the programs and services provided by the society. If you wish to meet with the representative, please notify our staff during your appointment. If you are unable to meet with the representative during your appointment or would like additional services provided by the MS Society, please contact them directly.

Support the Johns Hopkins MS Center

Great progress has been made in the last decade in developing new treatments for MS. We are confident that future research will yield new breakthroughs and hope for people with MS. At Johns Hopkins, we strive to bring scientific research and discovery into clinical services to improve the lives of all patients. Our research continues thanks to support and generosity of people like you.

Donate Online

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Multiple Sclerosis | University of Miami Health System

Multiple Sclerosis (MS) affects your central nervous system – the brain, spine and optic nerves. When you have MS, your body’s immune system attacks nerve fibers, which are similar to electrical wiring. When this wiring is damaged, your brain cannot properly deliver messages to the rest of your body. Therefore, the disease can affect your entire body, from memory issues and fatigue to the ability to walk or see.

The disease varies in its severity; the mild cases sometimes go undetected while more severe MS may reduce longevity. There are four general “disease courses” that many patients go through. Knowing which course or type of MS you have can help you receive the right type of care.

1. Relapsing-Remitting – you experience spans of time where symptoms may be light or you may not experience symptoms at all. Later, you may get “flare-ups” or strong symptoms for a span of time lasting from days to weeks.
2. Secondary-Progressive – your symptoms get progressively worse without any periods of remission.
3. Primary-Progressive – you do not have any distinct periods of remission.
4. Progressive-Relapsing – you may progressively get worse, but also has periods of time when your symptoms suddenly worsen.

The causes of MS are not yet known but scientists theorize that it is the result of a virus or autoimmune condition in which the body becomes allergic to itself.

Tests

The neurologists at the UHealth Department of Neurology Multiple Sclerosis Center of Excellence are experts in the field of MS and can help you to reach a diagnosis quickly and accurately.

MRI
The purpose of an MRI is to look at images for evidence of damage in the brain or spinal cord, such as a lesion (or white spot) on the brain.

Lumbar Puncture
This is a diagnostic study to test the cerebrospinal fluid to help diagnose certain health conditions such as Multiple Sclerosis.
While people with cystic fibrosis initially make some – but not enough – insulin, by the time they are adults, more than half of the patients have cystic fibrosis-related diabetes. Blood glucose and other tests can help diagnose this type of diabetes.

Laboratory Testing
The purpose of specific laboratory tests is to rule out conditions that mimic Multiple Sclerosis.

Treatments

Modifying Therapies
Disease modifying therapies are just that – therapies that change the course of your MS and slow the progression of the disease. There are more than 10 different therapies available today and that number is growing. These medicines may be pills, shots or even intravenous (IV) infusions, each with their own benefits and side effects.

Symptomatic Treatments
Symptomatic treatments address the actual symptoms associated with MS. This is a disease that can affect your entire body and different symptoms may come and go. Our medical team can customize your treatment plan to address your unique symptoms. A physical therapist can help you with exercises or stretching that will increase your movement or decrease your pain. A urologist can help prescribe medication for bowel incontinency. A neuropsychologist can help with fatigue or depression issues.

Why Choose UHealth?

Our Multiple Sclerosis Center of Excellence is dedicated to providing the best in diagnostic tools and comprehensive care to our patients. We are not just a team of neurologists – we believe in providing our patients with a multi-disciplinary approach through highly specialized, expert care from our:

• Physicians
• Nurses
• Occupational therapists
• Physical therapists
• Speech therapists

Center for comprehensive MS care. The Multiple Sclerosis (MS) Center of Excellence is a National MS Society affiliated program which offers services in Downtown Miami, Coral Gables, and Boca Raton. Patients by a medical team of MS experts – MS neurologists, Nurse Practitioners, Nurses, Medical Assistants and Clinical Patient Representatives to help meet each of your needs.

State-of-the-art facilities. You will have access to better diagnostic tools to facilitate early diagnosis and treatment to help reduce long-term disability. At our infusion lab, you can receive intravenous drug therapy and neurological imaging that uses MRI to track the disease.

Our commitment to our patients. We are focused on your specific needs. That is why we insist on doing everything possible to establish and enhance a strong quality of life for our MS patients and their families.

Education and empowerment. We empower our patients and their families to learn about and take charge of their treatment by educating themselves. We provide extensive resources for effectively managing MS and its symptoms and we encourage our patients to live life to the fullest, including working and remaining active in their communities.

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