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Causes

By Mayo Clinic staff

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Illustration showing nerve damage 
Multiple sclerosis

The cause of multiple sclerosis is unknown. It's believed to be an autoimmune disease, in which the body's immune system attacks its own tissues. In multiple sclerosis, this process destroys myelin — the fatty substance that coats and protects nerve fibers in the brain and spinal cord.

Myelin can be compared to the insulation on electrical wires. When myelin is damaged, the messages that travel along that nerve may be slowed or blocked.

Doctors and researchers don't understand why multiple sclerosis develops in some people and not others. A combination of factors, ranging from genetics to childhood infections, may play a role.

References
  1. Multiple sclerosis: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/multiple_sclerosis/detail_multiple_sclerosis.htm. Accessed Aug. 7, 2012.
  2. Olek MJ. Epidemiology and clinical features of multiple sclerosis in adults. http://www.uptodate.com/index. Accessed Sept. 19, 2012.
  3. Olek MJ. Treatment of relapsing-remitting multiple sclerosis in adults. http://www.uptodate.com/index. Accessed Sept. 19, 2012.
  4. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Sept. 13, 2012.
  5. Olek MJ. Diagnosis of multiple sclerosis in adults. http://www.uptodate.com/index. Accessed Sept. 19, 2012.
  6. Olek MJ. Treatment of acute exacerbations of multiple sclerosis in adults. http://www.uptodate.com/index. Accessed Sept. 19, 2012.
  7. Foley F, et al. Taming stress in multiple sclerosis. National Multiple Sclerosis Society. http://www.nationalmssociety.org/living-with-multiple-sclerosis/healthy-living/stress/index.aspx. Accessed Sept. 24, 2012.
  8. Harmon M. Exercise as part of everyday life. National Multiple Sclerosis Society. http://www.nationalmssociety.org/living-with-multiple-sclerosis/healthy-living/exercise/index.aspx. Accessed Sept. 25, 2012.
  9. Baclofen. Micromedex Healthcare Series. http://www.micromedex.com. Accessed Sept. 25, 2012.
  10. Tizanidine hydrochloride. Micromedex Healthcare Series. http://www.micromedex.com. Accessed Sept. 25, 2012.
  11. Olek MJ. Treatment of progressive multiple sclerosis in adults. http://www.uptodate.com/index. Accessed Sept. 19, 2012.
  12. Bone marrow transplantation and peripheral blood stem cell transplantation. National Cancer Institute. http://www.cancer.gov/cancertopics/factsheet/Therapy/bone-marrow-transplant/. Accessed Sept. 25, 2012.
  13. Heat and temperature sensitivity. National Multiple Sclerosis Society. http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/treatments/exacerbations/heattemperature-sensitivity/index.aspx. Accessed Sept. 25, 2012.
  14. Food for thought: MS and nutrition. National Multiple Sclerosis Society. http://www.nationalmssociety.org/living-with-multiple-sclerosis/healthy-living/nutirtion-and-diet/index.aspx. Accessed Sept. 25, 2012.
  15. Healthy living with MS. National Multiple Sclerosis Society. http://www.nationalmssociety.org/living-with-multiple-sclerosis/healthy-living/index.aspx. Accessed Sept. 25, 2012.
  16. Weinshenker BG (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 2, 2012.
  17. Olek MJ. Comorbid problems associated with multiple sclerosis in adults. http://www.uptodate.com/index. Accessed Dec. 3, 2012.
  18. Tysabri (prescribing information). Cambridge, Mass.: Biogen Idec; 2012. http://www.biogenidec.com/therapies_tysabri.html. Accessed Dec. 3, 2012.
  19. Medication guide: Tysabri. Biogen Idec. http://www.biogenidec.com/therapies_tysabri.html. Accessed Dec. 3, 2012.
  20. Medication guide: Aubagio. Genzyme Corporation. https://www.aubagio.com/. Accessed Dec. 3, 2012.
DS00188 Dec. 15, 2012

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