Diagnostic criteria for multiple sclerosis: an historical review

@article{Poser2004DiagnosticCF,
  title={Diagnostic criteria for multiple sclerosis: an historical review},
  author={Charles M. Poser and Vesna V. Brinar},
  journal={Clinical Neurology and Neurosurgery},
  year={2004},
  volume={106},
  pages={147-158}
}
Imaging and diagnostic criteria for Multiple Sclerosis: Are we there yet?
TLDR
The primary diagnostic criteria for MS are the International Panel criteria, commonly referred to as the McDonald criteria and it is essential that the radiology community is aware of the work preceding these criteria so that they are understood in the correct context and the importance acknowledged.
Multiple Sclerosis: Diagnosis
There is no specific diagnostic test for MS. The diagnosis is usually made on the basis of a characteristic constellation of symptoms, signs, and laboratory findings. There are no diagnostic criteria
A differential diagnosis of central nervous system demyelination: beyond multiple sclerosis
TLDR
Clinical features, diagnosis, pathology, and treatment of other CNS inflammatory disorders that may mimic MS, including Sjögren's syndrome, systemic lupus erythematosus, Behçet’s disease, and primary CNS vasculitis are described.
Pattern Recognition of the Multiple Sclerosis Syndrome
TLDR
Clinicians’ awareness of the clinical nuances of the autoimmune conditions for MS and NMSOD are increased, and highly suggestive patterns of clinical, paraclinical or imaging presentations are highlighted in order to improve differentiation.
Clinical Symptoms and Therapies for Multiple Sclerosis
TLDR
The substantial variability in multiple sclerosis manifestations leads to elevated figure of misdiagnoses each year, but advances in knowledge and pharmaceuticals are leading to more exact identification and successful management.
Diagnostic Criteria, Classification and Treatment Goals in Multiple Sclerosis: The Chronicles of Time and Space
TLDR
The key events in the history of MS are summarized, the reasoning behind the current criteria for MS diagnosis, classification, and treatment are explained, and suggestions for further improvements that will keep enhancing the clinical practice of MS are provided.
REVIEW ON MULTIPLE SCLEROSIS
TLDR
In last 20 years it was found that MS is progressive immunological mediated disease of brain and spinal cord (CNS).MS management draws on many disciplines, such as pharmacists, neurologists, speech therapists, nurses, physiotherapists, counselors.
The tension between early diagnosis and misdiagnosis of multiple sclerosis
TLDR
For patients who present with brain MRI abnormalities and clinical syndromes that are atypical for MS, strict adherence to MS diagnostic criteria and further clinical, laboratory and radiographic evaluation is prudent and likely to clarify a diagnosis.
The Prototypic Neuroimmunological CNS Disease: Multiple Sclerosis, a Precis
TLDR
In some patients with MS, those with the primary progressive form of the disease, there is simply progression of disability without exacerbations or remissions, and the treatment is currently suboptimal.
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References

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TLDR
Today there is a need for more exact criteria than existed earlier in order to conduct therapeutic trials in multicenter programs, to compare epidemiological surveys, to evaluate new diagnostic procedures, and to estimate the activity of the disease process in MS.
The differential diagnosis of multiple sclerosis
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The revised criteria facilitate the diagnosis of MS in patients with a variety of presentations, including “monosymptomatic” disease suggestive of MS, disease with a typical relapsing‐remitting course, and disease with insidious progression, without clear attacks and remissions.
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From good pathologic and epidemiologic studies it is considered that the disease multiple sclerosis is acquired in youth, particularly in areas of high risk, and that following the beginning of central nervous system pathology, there is a clinical quiescent period of varying duration before the onset of symptoms.
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The results of this study serve to promote critical analysis of the accuracy of diagnosis of MS in individual cases by reviewing 387 patients in Western Australia who had been diagnosed as having MS.
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TLDR
The four dichotomized MR imaging parameters proposed by Barkhof et al are more specific and accurate than the criteria proposed by Paty et al or Fazekas et al for predicting conversion to clinically definite multiple sclerosis.
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TLDR
This study was designed primarily to test the diagnostic reliability of multiple sclerosis investigators in various areas of the world on the basis of a series of detailed protocols, and to attempt to establish a more objective system of scoring, based upon clinical signs and symptoms.
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A simple, numerical system for the classification of multiple sclerosis into probable and definite categories is proposed. This system is based upon the analysis of the clinical symptomatology of 111
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IMAB-Enquête Concerning the Diagnostic Criteria for MS
TLDR
The criteria for MS diagnosis formulated by the Schumacher Committee in 1965 were a part of a system of guidelines for the evaluation of MS therapy and the need to revise and supplement them has become increasingly apparent.
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