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Which patients will have earlier diagnosis of multiple sclerosis via the new 2024 McDonald Criteria?

Montalban et al., PMID 40975101
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Have you used the 2024 McDonald criteria to support insurance coverage for patients who were previously denied?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Neurology · Unc Institute For Global Health And Infectious Diseases
Answered on

I think the group that will most benefit from the new diagnostic criteria, in terms of earlier diagnosis, is those with a history of optic neuritis. This is because the new criteria expand "typical CNS topographies" from four to 5 to include the optic nerve. In addition, those who present with lesio...

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Mednet Member
Mednet MemberInvited Expert
Neurology · Icahn School of Medicine at Mount Sinai
Answered on

Patients who will have an earlier diagnosis of MS are those who were previously considered to have the radiologically isolated syndrome and patients who present with optic neuritis and have one other typical location (periventricular, juxtacortical, infratentorial, or spinal cord). The latter patien...

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