How do doctors examine mental state and speech in cases of MS?

While talking with the patient, the doctor is also evaluating the individual's mental state, noting especially the presence of emotional lability. At the same time, speech will be evaluated. The patient may later be asked to repeat certain standard phrases that may reveal problems with enunciation and rhythm.

Slurring of speech and scanning speech are the important things to note, since they may indicate a brain stem-cerebellar lesion.

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