Question

A 27-year-old man presents with acute onset of unilateral visual loss and limb weakness. MRI shows demyelinating lesions consistent with multiple sclerosis (MS). According to Canadian MS guidance, what is the recommended general approach after a first demyelinating event with high risk of MS?

Accepted Answer

Offer early disease-modifying therapy to reduce relapse risk and disability progression

Answer

Observe with no treatment until a second relapse

Answer

Start high-dose corticosteroids only during relapses, no disease-modifying therapy

Answer

Recommend alternative medicine only

Answer

Advise him to stop working and apply for disability immediately

Practice question

A 27-year-old man presents with acute onset of unilateral visual loss and limb weakness. MRI shows demyelinating lesions consistent with multiple sclerosis (MS). According to Canadian MS guidance, what is the recommended general approach after a first demyelinating event with high risk of MS?