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An animated, cited guide for students, people with MS and their families. Educational only, not medical advice. Your place is saved on this device.

Not medical adviceMS Companion is an educational synthesis of published literature for study and patient understanding. It does not replace a neurologist or MS nurse. Doses, criteria and guideline statements are reported as published, not as instructions for any individual. Never stop or switch a medicine without your own team.

Part 1 · The disease

What MS is

Multiple sclerosis is a long-term disease in which the immune system damages myelin, the insulation on nerve fibres in the brain, optic nerves and spinal cord. Step through the numbers, who gets it and where it strikes, then pick a symptom to see where it comes from.

Bars use published figures. The latitude bars are schematic: they show the direction and steepness of the gradient, not values for any place.

Symptoms and where they come from

MS can affect any part of the central nervous system, so what a person notices depends on where the lesions are. Pick a symptom, or hover over one, to light the part it usually comes from. These are typical links, not a way to tell what is causing anyone's symptoms.

Exam hookMS is a disease of the central nervous system. CNS myelin is made by oligodendrocytes, peripheral myelin by Schwann cells, and the peripheral nerves are not the MS target. 246 Typical patient: a young adult woman; mean age at diagnosis 32, female to male about 2–3 : 1. 488,489
In plain wordsMS is when the body's defence system damages the insulation on the nerve wires of the brain, eyes and spinal cord. Messages along those wires slow down or stop, and what a person feels depends on which wires are hit. It is not contagious.

Key facts

To watch what happens to one nerve fibre when its myelin is stripped, open Myelin & demyelination, animated.

MS Companion is an educational synthesis of the published literature on multiple sclerosis, made for health-science and nursing courses and for patient understanding.

It is not medical advice. It cannot diagnose, and nothing here should change a treatment without your own clinician. Criteria, doses and guideline statements are quoted as published. Please check the original sources, which are listed in full in the Sources module.

Part of Medical Companions, animated and cited guides to one disease each. Also there: Alzheimer's Companion and FMF Companion.