Diagnosing Primary Progressive Multiple Sclerosis
Diagnosis of primary progressive multiple sclerosis (PPMS) has special challenges, as people with PPMS have a slow gradual loss of function over months to years. This is in contrast to relapsing-remitting MS, in which a person may recover neurological function after a relapse. The differences between these two types of MS has somewhat to do with the unique biology behind them. Research suggests relapsing-remitting MS is an inflammatory process (the immune system attacking nerve fibers) whereas primary progressive MS is a more degenerative process, where nerve fibers slowly deteriorate....