Tumefactive multiple sclerosis (TMS): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tumefactive multiple sclerosis (TMS): clinical features. This accounts for about 1-3 per 1000 cases of MS. Fully referenced neurology checklist.

Demographic features

  • This accounts for about 1-3 per 1000 cases of MS
  • It especially occurs in the third to fourth decades of life
  • The affected patients are young and are more likely to be female

Possible triggers

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Clinical features

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Outcome

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Poor prognostic features

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Acronym

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References

  1. Algahtani H, Shirah B, Alassiri A. Tumefactive demyelinating lesions: a comprehensive review. Mult Scler Relat Disord 2017; 14:72-79. 
  2. Lucchinetti CF, Gavrilova RH, Metz I, et al. Clinical and radiographic spectrum of pathologically confirmed tumefactive multiple sclerosis. Brain 2008; 131:1759-1775. 
  3. Hardy TA, Chataway J. Tumefactive demyelination: an approach to diagnosis and management. JNNP 2013; 84:1047-1053. 
  4. Pilz G, Harrer A, Wipfler P, et al. Tumefactive MS lesions under fingolimod: a case report and literature review. Neurology 2013; 81:1654-1658. 
  5. Visser F, Wattjes MP, Pouwels PJ, Linssen WH, van Oosten BW. Tumefactive multiple sclerosis lesions under fingolimod treatment. Neurology 2012; 79:2000-2003.
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