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Updated: May 31, 2026

09:41
Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Developments in MS over the Past 17 Years the MS Forum and The International MS Journal
Professor David Bates1, S Jacobson
1Bates.
Abstract:
When The International MS Journal (IMSJ) first appeared in 1994 multiple sclerosis (MS) was an under-recognized disease of little interest therapeutically. Its frequency was not great enough to interest the major pharmaceutical companies, its cause was unknown and evidence of any major therapeutic effect was lacking.
Insights
Multiple sclerosis (MS) was under-recognized in 1994, lacking therapeutic interest and pharmaceutical company involvement due to unknown causes and limited treatment evidence.
Area of Science:
- Neurology
- Immunology
- Neuroscience
Background:
- Multiple sclerosis (MS) was poorly understood and recognized in the early 1990s.
- Therapeutic interest and pharmaceutical investment in MS were minimal.
- Key challenges included the disease's unknown etiology and lack of effective treatments.
Purpose of the Study:
- To highlight the historical context of multiple sclerosis research and treatment at the time of the journal's inception.
- To underscore the limited scientific and clinical understanding of MS in 1994.
- To set the stage for the journal's role in advancing MS knowledge.
Main Methods:
- Historical review of the status of multiple sclerosis research.
- Analysis of the therapeutic landscape for MS in the mid-1990s.
- Examination of the perceived prevalence and impact of MS.
Main Results:
- MS was considered an under-recognized condition with limited scientific investigation.
- Pharmaceutical companies showed little interest due to the disease's rarity and lack of therapeutic targets.
- The causal factors of MS remained largely unknown, hindering treatment development.
Conclusions:
- The early 1990s represented a period of low scientific and therapeutic engagement with multiple sclerosis.
- The International MS Journal was founded during a time when MS was a neglected disease.
- Significant advancements in understanding and treating MS were needed.

