Just Me Thinking Out Loud 🤔
For years, MS has been classified into RRMS, SPMS, and PPMS. But what if we looked at it differently? Would proposing a classification system based on lesion location be better to predict the disability risk and personalize treatment.
Brain-Dominant MS (BDMS) – More cognitive and fatigue symptoms
Spinal-Dominant MS (SDMS) – Higher risk of mobility issues
Optic-Spinal MS (OSMS) – Severe vision and motor impairments
Optic Nerve & Brain MS (ONBMS) – Vision and cognitive challenges
Optic Nerve & Spinal MS (ONSMS) – Vision loss with mobility decline
Brain & Spinal MS (BSMS) – Cognitive and motor impairments
Full CNS MS (FMS) – Most severe, widespread impact
Imagine being told not just what ‘type’ of MS you have, but how your specific lesion pattern could impact mobility, cognition, and vision over time. Would you find this approach more helpful?
What about RRMS, PPMS, SPMS? We still need these but instead have them at the end of the Classification for example FMS(Sp) Full Multiple Schlerosis/Secondary Progresive.
(Just me thinking out loud)
I think classification is just to allow people access to meds anyway. All ms have is progressive but we can slow relapse rate with meds, so we have rrms. If you have spms with relapses a good neuro will keep you classed as rrms, so they can still treat the relapses.
@Bold exactly my point the rrms ppms spms don't help the Newly diagnosed Mser what to expect and mainly used to choose Medication. As for taking treatments that are for relapses but you don't have relapses that's somet else.