Optic Spinal Form Of Multiple Sclerosis Treatment in India

Vikram Khan, a 42-year-old software engineer...

Vikram Khan, a 42-year-old software engineer and father of two, had always been active. Over six months, he experienced episodes of severe, sharp pain behind his right eye, especially when moving it, and noticed his vision in that eye would blur. This was followed by a frightening episode of numbness and a 'band-like' squeezing sensation around his torso. His primary care doctor referred him to a neurologist, Dr. Sharma. After a detailed history, neurological exam, and an MRI of his brain and spine, Dr. Sharma diagnosed him with the opticospinal form of Multiple Sclerosis (also known as Neuromyelitis Optica Spectrum Disorder - NMOSD). She explained this was a rare, aggressive subtype affecting the optic nerves and spinal cord. Dr. Sharma recommended immediate, high-dose intravenous corticosteroid therapy to halt the acute attack, followed by a long-term immunosuppressant, Rituximab, to prevent future relapses. Vikram spent five days in the hospital receiving steroids, feeling anxious and overwhelmed by the diagnosis. The treatment initially caused insomnia and mood swings, but the eye pain and torso numbness began to recede. After discharge, he started his long-term infusions. Six months later, while he has some residual blurriness in his right eye and occasional fatigue, he has had no new attacks. Emotionally, Vikram went from fear and denial, worrying about his career and ability to play with his kids, to a determined acceptance. He now sees himself as a manager of his condition, finding solace in a support group and focusing on the stability his treatment has brought.