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Based on the severity and the come and go pattern of the symptoms, MS is grouped into four different categories.
They are:

1) Benign (Least Severe):

This is the least severe type of MS. It includes a few, mild early attacks and complete clearing of symptoms. There is minimal or no disability to a person with Benign MS. Approximately 20% of diagnosed cases are Benign.

2) Relapsing/Remitting (Somewhat Severe):

This type of MS means a person experiences more frequent, early attacks and less complete clearing, but shows long periods of stability. Some degree of disability is usually present. Approximately 25% of diagnosed cases fall into this category.

3) Secondary Chronic Progressive (Moderate to Seriously Severe):

More attacks, more often and fewer and less complete remissions after the attack. The disease increases in effect and is greater than seen in the previous forms. The MS may continue to worsen for many years and then level off with moderate to severe disability. Nearly 40% of all diagnosed cases are secondary chronic progressive.

4) Primary Progressive (Extremely Severe):

The is the most severe form of multiple sclerosis. The onset is quite severe and the course is slowly progressive without any clearing of symptoms. This is also the least common form of MS with only 15% of diagnosed cases.

Common Symptoms include:

  • A "pins and needles" prickling sensation most often in your toes or fingers - like your foot or hand fell asleep
  • Numbness - again most often in your toes or fingers
  • Problems with speech and swallowing
  • Eye trouble - seeing double, blurry vision, or uncontrolled eye movements
  • Slight memory problems
  • Tremors in your arms, wrists, and hands - particularly when you try to pick something up or write
  • Loss of balance and poor coordination
  • Gait difficulties
  • Extreme weakness
  • Abnormal fatigue
  • Partial or complete paralysis
  • Bowel and bladder dysfunction
  • Sexual function problems

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This diagram illustrates how symptoms come and go over time in each type of multiple sclerosis.

MS Classifications

(Source: MS Tutorial - www-medlib.med.utah.edu/kw/ms)

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