- Multiple sclerosis (MS) is a neurological disease that affects the brain and spinal cord, characterized by damage to the myelin surrounding nerve fibers.
- The exact cause is unknown, but it has been suggested that an autoimmune process, in which the immune system mistakenly attacks its own healthy cells, may be involved.
- Myelin damage can slow or block nerve signals between the brain and the body, leading to various neurological symptoms.
- Representative clinical manifestations include visual disturbances, muscle weakness, coordination and balance problems, numbness or paresthesia, and cognitive/memory issues.
- It is more common in women and typically begins between the ages of 20 and 40, but the pattern of onset and severity can vary by individual.
- The course ranges from mild to severe, and some individuals may experience a decline in the ability to write, speak, or walk.
- Diagnosis is made by comprehensively integrating medical history, physical and neurological examinations, MRI, and necessary additional tests, rather than relying on any single specific test.
- Since there is no specific single diagnostic test, diagnosis should not be confirmed based solely on MRI or a single symptom; other causes and temporal patterns must be evaluated together.
- Management may include pharmacotherapy to slow disease progression and control symptoms, as well as physical and occupational therapy to help maintain function.
- There is currently no cure for MS, but medications can help slow disease progression and assist in symptom control.