Table 1.

Differential diagnosis of multiple sclerosis

Autoimmune/inflammatoryCNS infectionsMetabolicVascular conditionsOther
Neuromyelitis optica spectrum disorder (NMOSD)CNS syphilisVitamin B12 deficiencySmall vessel diseaseCNS lymphoma
Acute disseminated encephalomyelitis (ADEM)Lyme diseaseCopper deficiencyStrokeParaneoplastic
Myelin oligodendrocyte glycoprotein (MOG) antibody diseaseHuman T-lymphotropic virus (HTLV)Mitochondrial diseaseCADASIL
Sjögren's syndromeHIVLeukodystrophiesSusac's syndrome
CNS lupusAnti-phospholipid antibody syndrome
Sarcoidosis
Behçet's
CNS vasculitis
  • CADASIL = cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy; CNS = central nervous system.