This document summarizes key points about mitochondria and mitochondrial dysfunction in multiple sclerosis (MS). It discusses how mitochondria provide energy to axons and oligodendrocytes through oxidative phosphorylation. Excitotoxicity can damage mitochondria in oligodendrocytes. Mitochondrial defects are seen in neurons, axons, and oligodendrocytes in MS. Demyelination impairs energy supply from oligodendrocytes to axons. Glutamate and calcium overload can induce mitochondrial damage and cell death. Mitochondrial dysfunction leads to energy failure and vulnerability of demyelinated axons to degeneration in MS lesions.