They may have a slow diminution or a spreading of their symptoms. It is important as dentist to find out which of those clinical forms they have from the neurologist. The repetity of the disease may influence your treatment of the patient. You may want to hold dental treatment for someone who has the progressive form of the disease death in 2 years. What they do take is high dose steroids used to help control their immune response, particularly for trying to get them over the hump.
Steroids are very important in maintaining the body's normal structure and function.
When you are supplying external steroids under a stressful situation, their adrenal cortices are shutted down, because you're giving them exogenous steroids. The more exogenous steroids given, the less the adrenal cortex will function. Because the patient is incapable of responding to a stressful situation, i.e., surgical stress, hypotension occurs if they are not covered. Therefore, appropriate steroid coverage must be given to the patient. When the patient flex their neck, they get an electric shock down their back and into the legs.