Clinical relapse | Clinical evidence (number of lesions) | Paraclinical lesions | CSF OCBs | ||
Clinically definite MS | 22-150 | 22-151 | |||
22-150 | 1 and | 1 or more | |||
Laboratory supported definite MS | 22-150 | 1 or | 1 or more | + | |
1 | 22-152 | + | |||
1 | 12-152 and | 12-152 or more | + |
Clinical evidence means documented neurological signs relating to a lesion. Paraclinical lesions are lesions found by investigation that are distinct from clinical lesions.
↵2-150 Two clinical relapses involve lesions at different times and different sites.
↵2-151 Can substitute documented clinical signs of one episode with strong typical historical information.
↵2-152 Evidence of two different lesions separated in time (that is, not both present initially). CSF, cerebrospinal fluid; OCBs, oligoclonal bands, NA, not available.