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Brain, spinal cord and optic nerves and find evidence that the damage occurred at least one month apart and rule out all other possible diagnoses in 2001, the international panel on the diagnosis of multiple sclerosis updated the criteria to include specific guidelines for using magnetic resonance imaging (mri), visual evoked potentials (vep) and cerebrospinal fluid analysis to speed the diagnostic process. can you buy viagra over counter dubai These tests can be used to look for a second area of damage in a person who has experienced only one attack (also called a relapse or an exacerbation) of ms-like symptoms — referred to as a clinically-isolated syndrome (cis). generic online viagra A person with cis may or may not go on to develop ms. generic viagra without prescription The criteria  (now referred to as the revised mcdonald criteria) were further revised in 2005 and again in 2010 to make the process even easier and more efficient. does viagra works women The tools for making a diagnosis medical history and neurologic exam the physician takes a careful history to identify any past or present symptoms that might be caused by ms and to gather information about birthplace, family history and places traveled that might provide further clues. discount price on viagra The physician also performs a variety of tests to evaluate mental, emotional and language functions, movement and coordination, balance, vision, and the other four senses. how do you get a prescription for viagra In many instances, the person’s medical history and neurologic exam provide enough evidence to meet the diagnostic criteria. Other tests are used to confirm the diagnosis or provide additional evidence if it’s necessary. buy viagra    mri mri is the best imaging technology for detecting the presence of ms plaques or scarring (also called lesions) in different parts of the cns. It can also differentiate old lesions from those that are new or active. The diagnosis of ms cannot be made solely on the basis of mri because there are other diseases that cause lesions in the cns that look like those caused by ms. generic viagra And even people without any disease — particularly the elderly — can have spots on the brain that are similar to those seen in ms. Although mri is a very useful diagnostic tool, a normal mri of the brain does not rule out the possibility of ms. can healthy men use viagra About 5% of people who ar. cheap quality viagra