Table 1

Impact of spinal cord lesions on the diagnosis of MS

TimePatient characteristicsNo. of patients0 brain lesions1–8 brain lesions⩾9 brain lesions
BaselinePatients with brain lesions (cord)11534 (4)39 (8)42 (19)
Patients with cord lesions11512%21%45%
Mean (range) cord lesions1150.1 (0–1)0.4 (0–4)1.2 (0–11)
DIS: brain, brain+cord11502(5%), 5(13%)39(93%), 39(93%)
3 monthsNew brain lesions941/28 (4%)8/32 (25%)23/34 (68%)
McDonald MS (brain only)940/281/32 (3%)17/34(50%)
McDonald MS (brain+ (baseline only) cord)940/281/32 (3%)17/34(50%)
Clinically definite MS940/280/329/34 (26%)
1 yearNew brain lesions640/1711/22 (50%)18/25 (72%)
New cord lesions632/173/22 (14%)6/24 (25%)
New brain or cord lesions642/17 (12%)11/22 (50%)19/25 (76%)
McDonald MS (brain only)641/17(6%)7/22 (32%)22/25 (88%)
McDonald MS (brain and cord)641/17(6%)8/22 (36%)22/25 (88%)
Clinically definite MS641/17(6%)1/22 (5%)8/25 (32%)
3 yearsNew brain lesions443/15 (20%)11/15 (73%)12/14 (86%)
New cord lesions411/15 (7%)4/14 (29%)5/12 (42%)
New brain or cord lesions443/15 (20%)11/15 (73%)13/14 (93%)
McDonald MS (brain only)441/15(7%)5/15 (33%)14/14 (100%)
McDonald MS (brain and cord)441/15(7%)7/15 (47%)14/14 (100%)
Clinically definite MS 3 years441/15(7%)4/15 (27%)9/14 (64%)