Table 2.
Clinically isolated syndromes (CIS) in the differential diagnosis of MS
Type 1 CIS: clinically monofocal, at least one asymptomatic MRI lesion |
Type 2 CIS: clinically multifocal, at least one asymptomatic MRI lesion |
Type 3 CIS: clinically monofocal, MRI may appear normal; no asymptomatic MRI lesions |
Type 4 CIS: clinically multifocal, MRI may appear normal; no asymptomatic MRI lesions |
Type 5 CIS: no clinical presentation to suggest demyelinating disease, but MRI is suggestive |
Note: symptomatic lesions should appear typical for demyelination; they may be located in the brain or cord, although more often occur in the brain; current evidence on the prognostic value of asymptomatic lesions comes mainly from brain imaging.