Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction

Multiple sclerosis (MS) is a chronic autoimmune-mediated neurodegenerative disease that affects young adults. The diagnosis of MS currently based on the McDonald criteria, which based on four core principles: the presence of a symptomatic demyelinating syndrome, an objective neurologic finding, the...

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Main Author: Majed Alluqmani
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Clinical and Translational Neuroscience
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Online Access:https://www.mdpi.com/2514-183X/9/1/19
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author Majed Alluqmani
author_facet Majed Alluqmani
author_sort Majed Alluqmani
collection DOAJ
description Multiple sclerosis (MS) is a chronic autoimmune-mediated neurodegenerative disease that affects young adults. The diagnosis of MS currently based on the McDonald criteria, which based on four core principles: the presence of a symptomatic demyelinating syndrome, an objective neurologic finding, the dissemination in space (DIS), and the dissemination in time (DIT). In addition, the diagnosis of MS relies on the exclusion of any alternative diagnosis. This may implicate the absence of systemic non-neurological symptoms and signs, such as rheumatological, cutaneous, or ophthalmological findings. Nevertheless, the non-neurological symptoms are commonly observed in patients with MS either at the onset of MS, which therefore can delay the diagnosis and the incrementation of a disease-modifying therapy, or during the course of the disease progression. The purpose of our review is to highlight non-neurological symptoms of MS that frequently go undiagnosed or mistakenly linked to other conditions, aiming for the more accurate and earlier diagnosis of MS.
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spelling doaj-art-2087b4f476c943148affc335793c41ea2025-08-20T02:42:42ZengMDPI AGClinical and Translational Neuroscience2514-183X2025-03-01911910.3390/ctn9010019Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor DysfunctionMajed Alluqmani0Department of Neurology, College of Medicine, Taibah University, Madinah 42353, Saudi ArabiaMultiple sclerosis (MS) is a chronic autoimmune-mediated neurodegenerative disease that affects young adults. The diagnosis of MS currently based on the McDonald criteria, which based on four core principles: the presence of a symptomatic demyelinating syndrome, an objective neurologic finding, the dissemination in space (DIS), and the dissemination in time (DIT). In addition, the diagnosis of MS relies on the exclusion of any alternative diagnosis. This may implicate the absence of systemic non-neurological symptoms and signs, such as rheumatological, cutaneous, or ophthalmological findings. Nevertheless, the non-neurological symptoms are commonly observed in patients with MS either at the onset of MS, which therefore can delay the diagnosis and the incrementation of a disease-modifying therapy, or during the course of the disease progression. The purpose of our review is to highlight non-neurological symptoms of MS that frequently go undiagnosed or mistakenly linked to other conditions, aiming for the more accurate and earlier diagnosis of MS.https://www.mdpi.com/2514-183X/9/1/19multiple sclerosisnon-neurologicalsymptomsmusculoskeletaldermatologicalophthalmological
spellingShingle Majed Alluqmani
Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction
Clinical and Translational Neuroscience
multiple sclerosis
non-neurological
symptoms
musculoskeletal
dermatological
ophthalmological
title Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction
title_full Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction
title_fullStr Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction
title_full_unstemmed Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction
title_short Multiple Sclerosis: A Comprehensive Spectrum of Symptoms Beyond Motor Dysfunction
title_sort multiple sclerosis a comprehensive spectrum of symptoms beyond motor dysfunction
topic multiple sclerosis
non-neurological
symptoms
musculoskeletal
dermatological
ophthalmological
url https://www.mdpi.com/2514-183X/9/1/19
work_keys_str_mv AT majedalluqmani multiplesclerosisacomprehensivespectrumofsymptomsbeyondmotordysfunction