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 Strategic Engagement Group (SEG) founder John
Guandolo offers education and response training
regarding current and possible threats to the country.
Outside his professional work, John Guandolo supports
the National Multiple Sclerosis Society, an organization
that advocates for MS research and helps those affected
by the condition. The Society identifies four types of MS.
All four may possess a disease course of mild, moderate,
or severe.
-Primary-progressive MS (PPMS): Characterized by the
steady decline of neurological function, PPMS involves
less inflammation and fewer brain lesions than other MS
forms.
 However, those diagnosed tend to possess more spinal
cord lesions and experience more difficulty with everyday
activities. PPMS also involves no distinct relapses or
remission periods.
-Relapsing-remitting MS (RRMS): The most common
form, RRMS makes up approximately 85 percent of MS
diagnoses. People with RRMS experience attacks of
worsening neurological function called relapses, followed
by recovery periods known as remissions. Relapses
involve inflammatory attacks on the membrane within the
central nervous system. Inflammatory cells also cause
brain lesions. During remission, symptoms improve
partially or completely.
 -Secondary-progressive MS (SPMS): After a period of relapses
and remissions, many people with RRMS will transition into
SPMS, in which the disease will begin progressing at a steadier
pace. Disease progression occurs without periods of remission,
and those affected by it may still experience relapses caused by
inflammation. SPMS is characterized by nerve damage or loss.
-Progressive-relapsing MS (PRMS): Approximately 5 percent of
MS patients will receive a PRMS diagnosis, making it the least
common type of MS. PRMS progresses at a rate similar to
PPMS, accompanied with a steady decline in neurological
functions. Unlike the PPMS form, PRMS involves occasional
relapses caused by inflammatory cells.

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The Four Forms of Multiple Sclerosis

  • 1.
  • 2.  Strategic Engagement Group (SEG) founder John Guandolo offers education and response training regarding current and possible threats to the country. Outside his professional work, John Guandolo supports the National Multiple Sclerosis Society, an organization that advocates for MS research and helps those affected by the condition. The Society identifies four types of MS. All four may possess a disease course of mild, moderate, or severe. -Primary-progressive MS (PPMS): Characterized by the steady decline of neurological function, PPMS involves less inflammation and fewer brain lesions than other MS forms.
  • 3.  However, those diagnosed tend to possess more spinal cord lesions and experience more difficulty with everyday activities. PPMS also involves no distinct relapses or remission periods. -Relapsing-remitting MS (RRMS): The most common form, RRMS makes up approximately 85 percent of MS diagnoses. People with RRMS experience attacks of worsening neurological function called relapses, followed by recovery periods known as remissions. Relapses involve inflammatory attacks on the membrane within the central nervous system. Inflammatory cells also cause brain lesions. During remission, symptoms improve partially or completely.
  • 4.  -Secondary-progressive MS (SPMS): After a period of relapses and remissions, many people with RRMS will transition into SPMS, in which the disease will begin progressing at a steadier pace. Disease progression occurs without periods of remission, and those affected by it may still experience relapses caused by inflammation. SPMS is characterized by nerve damage or loss. -Progressive-relapsing MS (PRMS): Approximately 5 percent of MS patients will receive a PRMS diagnosis, making it the least common type of MS. PRMS progresses at a rate similar to PPMS, accompanied with a steady decline in neurological functions. Unlike the PPMS form, PRMS involves occasional relapses caused by inflammatory cells.