Which specialist consultations are beneficial to patients with primary lateral sclerosis (PLS)?

Updated: Sep 06, 2019
  • Author: Carmel Armon, MD, MSc, MHS; Chief Editor: Nicholas Lorenzo, MD, MHCM, CPE, FAAPL  more...
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Answer

Depending on the type and degree of dysfunction, the following consultations may be considered:

  • Physical medicine specialist

  • Occupational therapist

  • Psychologist/psychiatrist - Many patients with primary lateral sclerosis (PLS) present with neurocognitive impairments reflecting an executive dysfunction; formal assessment may help in educating patients and families and set the stage for using ameliorative and coping strategies

  • Nutritionist

  • Genetic counselor - Appropriate genetic counseling should be offered to patients who are suspected of having HSP or who are diagnosed with HSP, and to patients with unexplained upper motor neuron symptoms who are referred for genetic testing


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