Video – Four Courses Of MS

Video – Four Courses Of MS

There are 4 courses of the disease. In each case, the MS may be mild, moderate or severe.

Relapsing-Remitting MS (RRMS): Over 80% of patients start off with this type.

  • Relapsing – there are acute and unpredictable “exacerbations” (acute attacks, also called “flare-ups”). During this period symptoms get worse.
  • Remitting – and then there are periods of full or partial recovery. Sometimes there is no recovery.
  • The attacks may evolve over days or even weeks, and recovery can take weeks, or even months. In between the attacks there is calm, and symptoms do not worsen.

Primary-Progressive MS (PPMS): About 15% of patients have this type.

  • There are no clear relapses or remissions.
  • The progression of the disease is steady.
  • It is the most common form of MS in those who develop the disease after 40 years of age.

Secondary-Progressive MS (SPMS):

  • Starts off as a relapsing-remitting type of MS. Relapses and partial recoveries occur.
  • However, in between cycles the disability does not go away.
  • Eventually it becomes a progressive disease with no cycles.
  • The progressive stage may start very early on, years, or even decades later.

Progressive-Relapsing MS (PRMS): The least common form.

  • Symptoms worsen progressively, steadily
  • There are acute attacks. Some recovery may follow, or may not.
  • In the early stage, it seems the patient has primary progressive MS.


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