Multiple sclerosis (MS): differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Multiple sclerosis (MS): differential diagnosis. Neuromyelitis optica (NMO). Fully referenced neurology checklist.

Neuroinflammatory

  • Neuromyelitis optica (NMO)
  • Acute disseminated encephalomyelitis (ADEM)
  • Behcet’s disease
  • Progressive multifocal leukoencephalopathy (PML)
  • Neurosarcoidosis
  • Chronic relapsing inflammatory optic neuropathy (CRION)
  • Leukoencephalopathy
  • Schilder’s disease
  • Familial hemophagocytic lymphohistiocytosis (fHLH)
  • Anti MOG antibody disease
  • Atopic myelitis

Autoimmune

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Vascular

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Infective

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Neoplastic

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Leukodystrophies

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Metabolic

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Nutritional

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Haematological

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Mitochondrial

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Drug-induced

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Other differentials

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Acronym

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References

  1. Ropper AH, Brown RH. Principles of Neurology Eighth edition. McGraw Hill New York 2005 p785-786.
  2. Tzementzis S. Differential Diagnosis in Neurology and Neurosurgery. Thieme 2000 p144-146.
  3. Kaimen-Maciel DR, Callegaro D. Unusual clinical cases that mimic MS. Int MS J 2006; 23:77-83.
  4. Hardy TA, Reddel SW, Barnett MH, Palace J, Lucchinetti CF, Weinshenker BG. Atypical inflammatory demyelinating syndromes of the CNS. Lancet Neurol 2016; 15:967-981.
  5. Solomon AJ, Arrambide G, Brownlee WJ, et al. Differential diagnosis of suspected multiple sclerosis: an updated consensus approach. Lancet Neurol 2023; 22:750-768.
  6. And 6 more. Subscribe to see the full list

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