Public forum - Last update 14.12.2015

Topics:

Cerebral Functions


11.07.2014

Your forum is confusing. The response to a previous post states that if a patient complains of depression or euphoria then the FS is 1. However, the most recent scoring sheet states that "depression and euphoria are documented on the scoring sheet but are not taken into consideration for FS and EDSS calculation". Which is it? Is the FS =1 if the patient complains of mood alteration without any other abnormality or is the FS=0 in this case?


Thank you for this post! The response you are referring to was actually misleading and has been corrected. Just for clarification: Mood alteration without any other abnormality in cerebral functions results in an FS 0.


28.09.2011

Am I right to understand that the outcome for the cerebellar FS is either 0, 1, 2, 3, 4, 5 and that in addition, the rater can add an X to these scores?


The X should be placed after the FS-Score only if weakness interferes with the testing of ataxia, usually when muscle groups are BMRC grade 3 or less in a limb showing ataxia. Please be aware that the X should not further be placed behind the EDSS-Step. The X is only for documentation of the possible role of weakness (and or severe sensory deficits) when testing cerebellar functions.


11.07.2014

How does the presence of depression or euphoria affect the Cerebral FS score?


Depression or euphoria should be documented on the scoring sheet but are not taken into consideration for FS and EDSS calculation. So the Cerebral FS score is not affected by depression or euphoria alone.


29.11.2007

If the Cerebral FS score is 1 due to the presence of a mood alteration, does this contribute to the EDSS step?


No.


29.11.2007

If a patient has a Cerebral FS score of 1 due to the presence of mild fatigue, will this affect the EDSS step?


Yes.

Example:A patient has a FS score of 0 in every Functional System, except the Cerebral FS. In the Cerebral FS, he has a score of 1. If the score is due to a mood alteration, then it does not affect the EDSS step and the EDSS step is 0. If the score is due to mild fatigue, then it does contribute to the EDSS step and the EDSS step is 1. It is important to distinguish between a mood alteration and mild fatigue when determining the Cerebral FS score and the EDSS step.