Some patients will have several severe attacks in the first five years, casting an ominous shadow over the future. But then the disease will stop spontaneously, there will be no more attacks, and the patient will return to normal or near normal. It's as if the disease just burned itself out.
Dramatic recoveries have occurred in patients with seemingly severe damage. It is these "miracles" that lead to claims for various treatments from quack cures to faith healing. One of the most incredible turnarounds I personally observed was in a patient who at age thirty-eight had a devastating attack.
She went into a convulsion and was left in a state of stupor - unable to talk, walk, or use her arms or legs at all. She was blind, had severely slurred speech, and could not swallow or even stay awake. Unable to care for herself at home, she was hospitalized.
Since she did not respond to standard treatment, her prognosis was very gloomy. In fact, it appeared that she would never recover. Incredibly, however, she made a slow improvement in the hospital and eventually returned completely to normal.
Her recovery was not due to treatment but apparently due to some body defense system. And for the next twelve years, her multiple sclerosis (MS) continued on a mild relapsing-remitting course.
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