Which of the following is the most
common initial presenting feature of
multiple sclerosis:
a) Optic Neuritis
b) Cerebellar Ataxia
c) Internuclear ophthalmoplegia
d) Diplopia
Correct Answer - A
Answer is A (Optic Neuritis):
Optic Neuritis is the most frequent initial presenting feature of MS
amongst the options provided.
The most common earliest presenting features of multiple sclerosis
are transient sensory defects followed by visual disturbances due to
optic neuritis.
Initial Symptoms of MS
Symptom Percent of
Cases Symptom Percent of
Cases
Sensory loss 37 Lhermitte’s 3
Optic neuritis 36 Pain 3
Weakness 35 Dementia 2
Paresthesias 24 Visual loss 2
Diplopia 15 Facial palsy 1
Ataxia 11 Impotence 1
Vertigo 6 Myokymia 1
Paroxysmal
attacks 4 Epilepsy 1
4 1
Bladder 4 Falling