Diagnostic Approach to Multiple Sclerosis
Symptoms
noYES <-- Sensory disturbances
noYES <-- Motor weakness
noYES <-- Optic neuritis
noYES <-- Lhermitte sign
noYES <-- Fatigue
noYES <-- Impaired coordination

Number of attacks
onetwo or more

Number of deficits
onetwo or more

MRI result --> Note: MS diagnosis does not require MRI with symptoms and two or more attacks with objective evidence of two or more deficits
negativedissemination in time on MRIdissemination in space on MRIdissemination in space and time on MRI

Interpretation --> resultscore=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8);score>3110?'MS diagnosis confirmed':score>3109?'MS diagnosis uncertain':score>3100?'MS diagnosis confirmed':score>3099?'MS diagnosis uncertain':score>3010?'MS diagnosis confirmed':score>3009?'MS diagnosis uncertain':score>3000?'MS diagnosis confirmed':score>2999?'MS diagnosis uncertain':score>2110?'MS diagnosis confirmed':score>2099?'MS diagnosis uncertain':score>2010?'MS diagnosis confirmed':score>1999?'MS diagnosis uncertain':score>1110?'MS diagnosis confirmed':score>1109?'MS diagnosis uncertain':score>1100?'MS diagnosis confirmed':score>999?'MS diagnosis uncertain':score>110?'MS diagnosis confirmed':'MS diagnosis uncertain'
display/hide references
reference:
#1 Saguil A, Kane S, Farnell E. Am Fam Physician. 2014 Nov 1;90(9):644-52. Multiple sclerosis: a primary care perspective.

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