Multiple sclerosis (MS) is caused by inflammation in the brain and spine.
This inflammation causes 'white spots' or 'lesions', which we can see on MRI scans.
The cells causing the inflammation enter the brain through blood vessels, specifically veins.
In MS, the 'white spots' typically have a vein running through the middle of them. This is because the inflammation spreads from these veins (or 'central veins').
Central veins help neurologists to diagnose MS.
Doctors can request a special MRI scan which looks for central veins (not yet at all hospitals).
This helps neurologists to tell if the 'white spots' are caused by MS, or another similar condition.
In the past, a lot of people needed to have a 'lumbar puncture' to be diagnosed with MS.
A lumbar puncture involves a needle being inserted into the back to collect fluid from around the spine. It can be very useful for the diagnosis of MS, but can cause headaches, back pain, and lead to people taking time off work.
Now, neurologists can look for central veins on MRI scans in place of lumbar punctures in many cases.
Who prefers a lumbar puncture over an MRI?