By the time someone seeks a diagnosis for MSA, the signs are often no longer subtle. The first step is often a visit to a GP, who may not immediately see the full picture. After all, each symptom on its own can look like something else. But when those pieces are viewed together - and especially when they’re getting worse - a GP may refer you to a neurologist or other specialist.
From there, the diagnostic process includes a range of assessments including but not limited to:
- Neurological examination: to check muscle tone, coordination, reflexes, and balance.
- MRI scan: to detect any structural brain changes, especially in the cerebellum or brainstem.
- Tilt-table test or blood pressure monitoring: to evaluate orthostatic hypotension (a key sign of autonomic dysfunction).
- Urodynamic testing: to assess how the bladder stores and releases urine.
- Sleep study (polysomnography): to detect REM Sleep Behaviour Disorder (RBD), which can be a very early sign of MSA.
No single test confirms MSA. It’s the pattern across systems, across time that begins to tell the story. Sometimes the diagnosis is described as “probable MSA” or “possible MSA,” with certainty only increasing as the condition progresses.
Disclaimer
The information on this website is provided for general awareness and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this site.
