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Is Multiple Sclerosis the Silent Invader of the Nervous System?
Published: Nov 19, 2023
Multiple sclerosis (MS) is a mysterious and challenging disease that affects the central nervous system. Learn about its onset, symptoms, and how it’s categorized.
Understanding MS Onset
MS often begins in young adults with episodes of central nervous system dysfunction. Interestingly, MS can sometimes start with a 'prodromal phase,' which includes vague symptoms years before traditional MS symptoms appear. Another possibility is the 'Radiologically Isolated Syndrome' where MRI scans show signs of MS without any actual symptoms.
Identifying MS Phenotypes
MS is categorized into several phenotypes, mainly relapsing-remitting and progressive forms. Relapsing-remitting MS features clear attacks with recovery, while secondary progressive MS follows with gradual worsening. Primary progressive MS is marked by continuous disability increase from the start.
Common Symptoms of MS
Symptoms of MS vary but often include sensory loss, optic neuritis, and motor weakness. These symptoms can be monofocal, affecting one area, or polyfocal, affecting multiple areas. MS diagnosis often relies on MRI findings, revealing characteristic lesions in the brain and spinal cord.
Frequently Asked Questions
Prodromal MS includes non-specific symptoms that occur years before traditional MS symptoms.
Common MS symptoms include sensory loss, optic neuritis, and motor weakness.
It's the most common form where patients experience clear attacks followed by recovery.
MS diagnosis often involves MRI to identify characteristic lesions.
Key Takeaways
MS is a complex disease with diverse symptoms and forms that challenge both diagnosis and treatment.
References
- Makhani N, Tremlett H. The multiple sclerosis prodrome. Nat Rev Neurol 2021; 17:515.
- Yusuf FLA, Ng BC, Wijnands JMA, et al. A systematic review of morbidities suggestive of the multiple sclerosis prodrome. Expert Rev Neurother 2020; 20:799.
- Lebrun-Frenay C, Kantarci O, Siva A, et al. Radiologically isolated syndrome. Lancet Neurol 2023; 22:1075.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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