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Presenting Symptoms in MS Patients

Symptoms

%

Sensory disturbances – limbs

Visual loss

Motor (subacute)

Diplopia

Gait disturbance

Motor (acute)

Balance problems

Sensory disturbance – face

Lhermitte’s phenomenon

Vertigo

Bladder disturbance

Limb ataxia

Acute transverse myelopathy

Pain

Unclassified

Polysymptomatic onset

30.7

15.9

8.9

6.8

4.8

4.3

2.9

2.8

1.8

1.7

1.0

1.0

0.7

0.5

2.5

13.7

Olek, 2005 [adapted from Paty et al., 1994 and Studney D et al., 1993, MS COSTAR: A computerized patient record adapted for clinical research purposes. J Neurol Rehab; 7:145].

Once non-demyelinating disorders have been ruled out, the next step is to rule out non-MS neuroinflammatory disorders.