Abstract
Multiple sclerosis (MS) is an immune-mediated disease of the centralnervous system (CNS) affecting the brain, spinal cord, andoptic nerves. In patients who have MS, the immune system attacks,damages, and strips the myelin sheath, the insulating cover of nervecells responsible for facilitating the conduction of impulses alongaxons. This injury leads to the interruption of nerve impulses travelingthrough the CNS, producing a multitude of symptoms. 1 The diseasecourse of MS may vary between patients, with some experiencing isolatedattacks and others a more progressive disease. 2
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