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Misdiagnosis of Multiple Sclerosis: Frequency, Causes, Effects, and Prevention
Abstract
A diagnosis of multiple sclerosis is heavily influenced by clinical judgment. Misdiagnosis of multiple sclerosis is common and has important consequences for patients and the cost of healthcare. Although rigorous data about the frequency and causes of misdiagnosis are lacking, misinterpretation and misapplication of clinical and radiographic diagnostic criteria and terminology are likely important factors. Appropriate and stringent application of diagnostic criteria and continued vigilance for "red flags" suggesting alternative diagnoses are strategies critical for prevention of misdiagnosis.
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Advances in MRI, serological and genetic tests have greatly helped in distinguishing MS from conditions that mimic it, but misdiagnosis can occur.
“Advances in MRI, serological and genetic tests have greatly helped in distinguishing MS from these conditions, but misdiagnosis can occur.”
From Diagnosis of multiple sclerosis: progress and challenges (2017) · cites this paper as [63]
These disorders usually present quite differently to MS and reasons for misdiagnosis included misinterpretation of clinical findings (symptoms not typical of demyelination, absence of objective neurological signs) and inappropriate application of MRI criteria.
“These disorders usually present quite differently to MS and reasons for misdiagnosis included misinterpretation of clinical findings (symptoms not typical of demyelination, absence of objective neurological signs) and inappropriate application of MRI criteria.63”
From Diagnosis of multiple sclerosis: progress and challenges (2017) · cites this paper as [63]
Rates of misdiagnosis of MS may be as high as 10%.
“Rates of misdiagnosis of MS may be as high as 10%.63”
From Diagnosis of multiple sclerosis: progress and challenges (2017) · cites this paper as [63]
Citations
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Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria
Polman, C. H., Reingold, S. C., Banwell, B., Clanet, M., Cohen, J. A., Filippi, M., Fujihara, K., Havrdova, E., Hutchinson, M., Kappos, L., et al. (2011) · Annals of Neurology · doi:10.1002/ana.22366 · Cited by 9,802
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Selchen, D., Bhan, V., Blevins, G., Devonshire, V., Duquette, P., Grand’Maison, F., Kremenchutzky, M., Lapierre, Y., Li, D., von Riedemann, S. J., et al. (2012) · Neurology · doi:10.1212/wnl.0b013e318277d144 · Cited by 25
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Cited by
Sorted by citations
Diagnosis of multiple sclerosis: progress and challenges
Brownlee, W. J., Hardy, T. A., Fazekas, F., & Miller, D. H. (2017) · The Lancet · doi:10.1016/s0140-6736(16)30959-x · Cited by 701
The contemporary spectrum of multiple sclerosis misdiagnosis
Solomon, A. J., Bourdette, D. N., Cross, A. H., Applebee, A., Skidd, P. M., Howard, D. B., Spain, R. I., Cameron, M. H., Kim, E., Mass, M. K., et al. (2016) · Neurology · doi:10.1212/wnl.0000000000003152 · Cited by 334
Self-citation
Metadata
- Authors
- Solomon, A. J., & Weinshenker, B. G.
- Affiliations
- University of Vermont (US)
- Mayo Clinic (US)
- Corresponding author
- Solomon, Andrew J.
- Venue
- Current Neurology and Neuroscience Reports
- Published
- 2013-10-20
- Volume
- 13
- Issue
- 12
- Pages
- 403-403
- ISSN
- 1528-4042 (ISSN-L)
- 1534-6293
- OpenAlex
- W1971211819
- Cited by
- 100
- References
- 2
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 5 · 2022: 5 · 2021: 6 · 2020: 11 · 2019: 12 · 2018: 11 · 2017: 12 · 2016: 12 · 2015: 6
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Neurology and Neuroscience Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Keywords
- multiple sclerosis, misdiagnosis, diagnostic criteria, red flags, clinical judgment, diagnostic terminology, health care costs
- MeSH terms
- Diagnostic Errors, Humans, Multiple Sclerosis
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