MS: A New 'Model' and a Possible New Treatment
Multiple sclerosis may be more of a continuum than three distinct types of disease, and a new model attempts to capture that nuance. The "topographical" model could provide a new way of looking at disease course, Stephen Krieger, MD, of The Mount Sinai Hospital in New York City, told MedPage Today. "There's thought that MS is more of a continuum," Krieger said during an interview. "We should not think in terms of those categories, but we should think of it as a mixture of relapses and progression and how specifically they mix together." Currently, MS is classified as being in one of three groups: relapsing-remitting, secondary progressive, and primary progressive. But Krieger -- a protege of Fred Lublin, MD, of The Mount Sinai Hospital, who created the three-category model of MS -- said that system doesn't accurately capture the range of disease.
-Dr. Fred Lublin, the Saunders Family Professor of Neurology, Icahn School of Medicine, Director, The Corinne Goldsmith Dickinson Center for Multiple Sclerosis, The Mount Sinai Hospital
-Dr. Stephen Krieger, Associate Professor, Neurology, Icahn School of Medicine, Attending, The Corinne Goldsmith Dickinson Center for Multiple Sclerosis, The Mount Sinai Hospital