A Silent Creeper-Multiple Sclerosis

Multiple Sclerosis (MS) is an immune mediated process in which an abnormal response of the bodys immune system is directed against the central nervous system (CNS). Multiple sclerosis is a very variable condition and the symptoms depend on which areas of the CNS have been affected. There is no set pattern for MS and everyone with MS has a different set of symptoms, which vary from time to time and can change in severity and duration, even in the same person. Hence diagnosing MS at the earliest is very essential. Therefore we report an unusual case of a 42-year-old man who presented with painful limp in the left leg on walking a distance of around 200 metres attributed to fracture of left leg 20 years back with history of repeated falls and trivial trauma. After thorough history taking and detailed clinical examination he was finally diagnosed to have Multiple Sclerosis. This case is being reported in view of varied clinical presentation, subtle symptoms, occurrence in male sex and delayed onset.