Primary progressive multiple sclerosis (PPMS): differentials

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

Primary progressive multiple sclerosis (PPMS): differentials. Motor neurone disease (MND). Fully referenced neurology checklist.

Neurodegenerative and hereditary differentials

  • Motor neurone disease (MND)
  • X-linked adrenomyeloneuropathy (AMN)
  • Leber hereditary optic neuropathy (LHON)
  • Hereditary spastic paraparesis (HSP)
  • Spinocerebellar ataxia (SCA)

Metabolic and nutritional differentials

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Infective differentials

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Inflammatory and autoimmune differentials

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Toxic differentials

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Other differentials

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References

  1. Giovannoni G. Primary progressive multiple sclerosis. ACNR 2012; 12:8-11.
  2. Thompson AJ, Polman CH, Miller DH, et al. Primary progressive multiple sclerosis. Brain 1997; 120:1085-1096.
  3. Rice CM, Cottrell D, Wilkins A, Scolding NJ. Primary progressive multiple sclerosis: progress and challenges. JNNP 2013; 84:1100-1106.
  4. Ito M, Masuda H, Morooka M, et al. Gerstmann-Sträussler-Scheinker disease mimicking primary progressive multiple sclerosis: A case with positive oligoclonal bands. Mult Scler 2026; 32:878-881.

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