Avoid infections, and treat any infection early. Infections may trigger relapses. MRI is the most sensitive imaging technique. Testing may include CT scan, MRI, visual evoked response, laboratory studies of blood and spinal fluid. No specific therapy.
Remissions occur spontaneously and make treatment evaluations difficult.
Emotional support, encouragement, and reassurances are necessary to help avoid a hopeless outlook. Try to lead as normal a life as possible, but avoid fatigue. Avoid warm surroundings, even a hot shower. Heat can temporarily worsen symptoms. Hospitalization or nursing-home care, depending on the severity of the disease.