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Diagnostic and treatment of Multiple sclerosis

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Best hospitals and doctors for multiple sclerosis treatment abroad

Leading hospitals

Cost for treatment

Multiple sclerosis diagnosis
Diagnosis and conservative treatment of multiple sclerosis
Stem cell therapy for multiple sclerosis
Rehabilitation of multiple sclerosis
University Hospital Essen

University Hospital Essen

Overall rating9.6 / 10
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Beta Clinic Bonn

Beta Clinic Bonn

Overall rating9.7 / 10
The Beta Clinic Bonn is a modern private healthcare facility with 20 specialized departments. In addition, the clinic cooperates with 30 independent doctors of various specializations, most of whom have their own private practices. The doors of the clinic first opened for patients in 2008. Since that time, the medical facility h
University Hospital Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
The Bundeswehr Hospital Berlin enjoys a reputation as one of the leading medical facilities in Germany, where patients receive top-class medical care corresponding to the high standards of European university medicine. The medical center is an academic hospital of the Charite University Hospital Berlin – the largest and th
According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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About the disease

Multiple sclerosis is an illness of immune system when the protective sheath covering nerves, causes problems between the brain stems and other parts of the body. It is also known in medical circles as demyelinating disease because the sheath which surrounds the cells gets damaged and consequently nerve endings also become dysfunctional. Ultimately nerves damage themselves, and this process is irreversible. There is no remedy for multiple sclerosis, only medicine and other treatment options which can alleviate the symptoms and slow down the progression of the demyelinating disease. Symptoms of this disease can be different depending on the extent, location and severity of the nervous system disruption. In severe cases, patients who were primarily diagnosed with demyelinating disease can even lose the ability to walk and talk. Detecting multiple sclerosis is difficult in the early stages. Usually they appear at the age between 25 to 45. Very rarely the disease occurs in people older than 50 years. Female population suffers from demyelinating disease twice more often than men. White people, especially those who were primarily born in the Northern part of Europe, are at the highest risk of developing demyelinating disease. The lowest risk of demyelinating disease is among those who were born in Asia, Africa or America. This disease occurs mostly in the Europe with 60 people per 200,000 population having it. Demyelinating disease is much more widespread in Scandinavia and New Zealand. Overall multiple sclerosis prognosis is favorable, because usually people who have it can lead the normal lifestyle regardless of its type.  

Multiple sclerosis causes

The exact and researched causes of demyelinating disease are unknown. It is believed that demyelinating disease is an autoimmune illness, which practically means that the immune system paradoxically destroys its own tissues. In multiple sclerosis, the sheath, a special layer that covers, protects and supports the nerve endings of the brain cord, destroys itself. When myelin sheath is damaged or even destroyed, transmission of impulses that flow along the nerves can be slowed down or blocked. The reason for that may be a complex combination of such common factors as genetic predisposition and childhood infections, which can provoke demyelinating disease. Some viruses are associated with multiple sclerosis. Barr- Epstein virus can trigger the development of demyelinating disease.

Overall multiple sclerosis causes are:

  • Viral infections in childhood
  • Toxins
  • Autoimmune disease
  • Full combination of the above

Usually multiple mutations of genes provoke the immunological disease. It was not yet confirmed if multiple genes mutations are the direct cause of demyelinating disease, but doctors strive to research this issue.   


  • Numbness, weakness, pain of one, two or even more extremities
  • Partial or almost complete loss of vision in one eye. It is often accompanied by pain in the eye
  • Blurred contours
  • Sensations of electric shock under certain head movements
  • Nervous tremors
  • Problems with movement coordination
  • Uncertain gait
  • Increased fatigue
  • Dizziness
  • Fever
  • Prickle
  • Problems with urination
  • Dizziness


There are no special tests or diagnostics for the detection of multiple sclerosis. Diagnosis is solely based on exclusion of other diseases of the nerve system that might cause similar symptoms.

  • If there is any suspicion that a patient of multiple sclerosis, blood test is done to check for presence of other infection or inflammation of nerve endings.
  • A doctor can also perform lumbar puncture, during which a little amount of spinal fluid is removed from the lower spine for thorough laboratory analysis. Testing of this sample can detect abnormalities of demyelinating disease, such as abnormal and excessive levels of antibodies. This method also allows to see if there are other diseases that have neurological dysfunctions similar to multiple sclerosis symptoms.
  • Magnetic imaging (MRI) produces detailed images of internal organs by magnetic field. MRI can reveal nerve endings lesions that indicate damage in the brain and spinal cord. 


Treatment is generally aimed at combating attacks and providing symptoms relief. Some of the symptoms are so minor that patients do not require treatment. During the remission when a person does not have any symptoms, treatment also not necessary. It is an attack, that can be quite dangerous.

  • Usually doctors prescribe drugs intravenously to reduce the inflammation, which is exacerbated during the attack. Side effects can manifest themselves in the form of high blood pressure, mood swings and weight gain. Long-term use can cause vision illness, high blood sugar and increased risk of viral infections. That`s why people who are prescribed with such drugs need always check at doctors`s to see if there are any deteriorations with vision and blood sugar level.
  • Plasmapheresis. The method is similar to dialysis, because technically it separates the blood cells from the plasma, which is the liquid part of blood. Such plasma exchange is sometimes used to help cure severe symptoms of multiple sclerosis, when patients do not respond to steroids which are assigned intravenously.
  • Lymph node irradiation. The total exposure of the lymph nodes to irradiation is mostly used as a treatment for malignant tumors. Sometimes it can be used as a treatment for autoimmune diseases, including Hodgkin's disease and rheumatoid arthritis. Sometimes irradiation of lymph nodes is the only choice that doctors have because patient`s condition may be resistant to other therapies. In addition, this method of treatment option can create a long-term immunosuppression with an absolute decrease in the number of lymphocytes. In that way  person with multiple sclerosis will not feel as much pain in joints as they used to during the attack.
  • Doctors can prescribe immunosuppressants as well. They can be harmful to the heart and recent studies showed that immunosuppression can contribute to the development of blood cancers such as leukemia. So they are used only in severe cases, when it is necessary. Also doctors recommend patients with multiple sclerosis to undergo the physiotherapy. A physical therapist can teach a patient how to stretch the muscles, so that they will not cause pain. Also such exercises can contribute to the strengthening of muscles.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko