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Updated: Jul 16, 2026

Magnetic Resonance Imaging of Multiple Sclerosis at 7.0 Tesla
Published on: February 19, 2021
The differential diagnosis of multiple sclerosis
Loren A Rolak1, John O Fleming
1Marshfield Multiple Sclerosis Center, Marshfield Clinic, Marshfield, Wisconsin 54449, USA. rolak.loren@marshfieldclinic.org
Objective:
This article will discuss the diagnosis of multiple sclerosis (MS), with particular attention to differentiating it from other diseases that can mimic it.
Methods:
We reviewed our own data, as well as the published experience on the differential diagnosis of MS and the most common errors leading to misdiagnosis.
Results:
Psychiatric diseases are mistaken for multiple sclerosis more often than any other conditions. Other multifocal illnesses or white-matter diseases are seldom confused with multiple sclerosis.
Conclusion:
Neurologists are most likely to misdiagnose multiple sclerosis in patients who have psychiatric problems or who have uncommon presentations of common diseases such as migraine, stroke, or neuropathies.
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