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Subjects/Medicine/Medicine
Medicine
medium
stethoscope Medicine

Which of the following clinical features of demyelinating myelopathy least likely suggests a progression to multiple sclerosis?

A. Complete cord transection
B. Bilateral visual loss
C. Absence of oligoclonal bands
D. Poor prognosis

Explanation

Answer: c. Absence of oligoclonal bands (Ref Harrison I9/e p2656. 18/e p3372)Oligoclonal bands are variable; but when bands are present, a diagnosis of MS is more likely, thus absence of oligoclonal bands suggests a less likely progression to MS.

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