{"id":14647,"date":"2023-07-16T14:59:01","date_gmt":"2023-07-16T12:59:01","guid":{"rendered":"https:\/\/www.apo.com/magazin\/?post_type=ratgeber&#038;p=14647"},"modified":"2024-09-30T14:15:51","modified_gmt":"2024-09-30T12:15:51","slug":"multiple-sklerose","status":"publish","type":"ratgeber","link":"https:\/\/www.apo.com/magazin\/multiple-sklerose","title":{"rendered":"Multiple Sklerose: Ursachen, Symptome, Diagnose und Behandlung"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><p>Multiple Sklerose (MS) ist eine chronisch-entz\u00fcndliche Erkrankung des zentralen Nervensystems (ZNS) und betrifft Gehirn und R\u00fcckenmark. MS beginnt meist im fr\u00fchen Erwachsenenalter und bedarf einer kontinuierlichen Therapie. Dank moderner Medizin ist MS heute gut behandelbar. Lesen Sie hier, was \u00fcber m\u00f6gliche Ursachen von MS bekannt ist, welche Symptome auftreten k\u00f6nnen, wie die Diagnose erfolgt und welche Behandlungsm\u00f6glichkeiten es gibt.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0 !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 30px;margin-top : 30px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><p><strong>Inhaltsverzeichnis<\/strong><\/p>\n<ul>\n<li><a href=\"#Was ist Multiple Sklerose (MS)?\">Was ist Multiple Sklerose (MS)?<\/a><\/li>\n<li><a href=\"#Welche Ursachen hat Multiple Sklerose?\">Welche Ursachen hat Multiple Sklerose?<\/a><\/li>\n<li><a href=\"#Welche Symptome treten bei Multipler Sklerose auf?\">Welche Symptome treten bei Multipler Sklerose auf?<\/a><\/li>\n<li><a href=\"#Wie l\u00e4sst sich Multiple Sklerose diagnostizieren?\">Wie l\u00e4sst sich Multiple Sklerose diagnostizieren?<\/a><\/li>\n<li><a href=\"#Wie wird Multiple Sklerose behandelt?\">Wie wird Multiple Sklerose behandelt?<\/a><\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-3\"><h3>Das Wichtigste in K\u00fcrze<\/h3>\n<\/div><div class=\"fusion-text fusion-text-4\"><ul>\n<li>Multiple Sklerose ist eine chronisch-entz\u00fcndliche Autoimmunerkrankung, bei der die Myelinschicht der Nervenfasern angegriffen und gesch\u00e4digt wird.<\/li>\n<li>Ausl\u00f6ser ist vermutlich ein Zusammenspiel verschiedener Faktoren.<\/li>\n<li>Symptome und Krankheitsverlauf sind individuell sehr unterschiedlich, weswegen die Multiple Sklerose auch als \u201cKrankheit der 1.000 Gesichter&#8220; bezeichnet wird.<\/li>\n<li>MS ist eine sogenannte Ausschlussdiagnose.<\/li>\n<li>Anhand der McDonald-Kriterien kann MS bereits fr\u00fch diagnostiziert werden.<\/li>\n<li>Man unterscheidet drei wesentliche S\u00e4ulen der MS-Therapie: die Therapie akuter Sch\u00fcbe, die verlaufsmodifizierende Therapie zur langfristigen Behandlung und die symptomatische Behandlung.<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-5\"><div id=\"Was ist Multiple Sklerose (MS)?\">\n<h2>Was ist Multiple Sklerose (MS)?<\/h2>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-6\"><p>Multiple Sklerose, oder Encephalitis disseminata (ED), ist eine <strong>chronisch-entz\u00fcndliche Erkrankung des zentralen Nervensystems<\/strong>. Bei MS wird die Myelinschicht an unterschiedlichen Stellen im Gehirn und R\u00fcckenmark angegriffen und teilweise auch zerst\u00f6rt. Die meisten Nervenfasern sind, \u00e4hnlich wie Kabel elektrischer Leitungen, von einer Isolierschicht umgeben, dem Myelin. Myelin bezeichnet eine spezielle Biomembran, die besonders lipidreich ist. Als sogenannte Myelin- oder Markscheide umschlie\u00dft es die innerhalb der Axone (Fortsatz einer Nervenzelle verlaufenden Nervenfasern und isoliert diese gegen\u00fcber anderen Nerven. Signale k\u00f6nnen so schneller von Zelle zu Zelle weitergegeben werden. Bei MS verwechselt unser Immunsystem die Myelinschicht mit gef\u00e4hrlichen Eindringlingen und greift diese an. In der Folge entstehen Entz\u00fcndungen, die die <strong>Myelinschicht besch\u00e4digen und stellenweise ganz zerst\u00f6ren<\/strong>. Die Nerven verlieren ihren Schutz und k\u00f6nnen ihrerseits selbst Schaden nehmen. Zudem ist die Reizweiterleitung gest\u00f6rt. Dadurch kann es unter anderem zu Empfindungsst\u00f6rungen, L\u00e4hmungen und Spastiken kommen.<\/p>\n<\/div><iframe width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/cAQOpqdvarI?si=kiGbSbsCAXTi1sDw\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-7\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-8\"><p>Die H\u00e4ufigkeit von Multipler Sklerose liegt in Deutschland bei rund 0,3 Prozent. Derzeit sind etwa 252.000 Menschen hierzulande davon betroffen. Frauen erkranken h\u00e4ufiger als M\u00e4nner, wobei der Erkrankungsbeginn meist zwischen dem 20. und 40. Lebensjahr liegt. Es k\u00f6nnen aber auch j\u00fcngere oder \u00e4ltere Menschen an MS erkranken.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-4{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-4 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-4{width:100% !important;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-4{width:100% !important;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-5{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-9\"><p>Multiple Sklerose ist eine <strong>chronische Erkrankung, die noch nicht heilbar, jedoch gut behandelbar ist<\/strong>. <a href=\"https:\/\/www.apo.com\/magazin\/multiple-sklerose\/leben-mit-ms\">Mehr zum Leben mit Multipler Sklerose lesen Sie hier.\u00a0<\/a><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-5{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-5 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-5{width:100% !important;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-5{width:100% !important;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-6{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-10\"><div id=\"Welche Ursachen hat Multiple Sklerose?\">\n<h2>Welche Ursachen hat Multiple Sklerose?<\/h2>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-11\"><p>Zu den Ursachen der MS wird weltweit viel geforscht, dennoch ist noch nicht abschlie\u00dfend gekl\u00e4rt, was genau die MS ausl\u00f6st. Vermutet wird ein Zusammenspiel an verschiedenen Ursachen. Wissenschaftler:innen nehmen an, dass mehrere Bedingungen zusammentreffen m\u00fcssen, um die MS zu verursachen (multifaktorielle Entstehung). Die genaue Verkettung dieser Faktoren ist bislang nicht hinreichend bekannt.<\/p>\n<p>Welche Faktoren erh\u00f6hen das Risiko f\u00fcr MS?<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-1\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Erbliche Faktoren (Gene):<\/strong> Multiple Sklerose gilt nicht als klassische Erbkrankheit. Daher ist das famili\u00e4re Risiko bei einem betroffenen Elternteil selbst daran zu erkranken nur geringf\u00fcgig erh\u00f6ht. Eltern mit MS k\u00f6nnen die Krankheit also nicht vererben, ihren Kindern aber dennoch die Neigung f\u00fcr diese Nervenerkrankung mitgeben. Zudem haben die meisten<a href=\"https:\/\/www.apo.com\/magazin\/multiple-sklerose\/ursachen\/multiple-sklerose-genetische-komponenten-und-umwelteinfluesse\"> genetischen Risikofaktoren<\/a>, die mit MS in Verbindung gebracht wurden, eines gemeinsam: sie sind Gene im Immunsystem.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Virusinfektionen:<\/strong> etwa mit Masern- und Herpes-Viren oder dem <a href=\"https:\/\/www.apo.com\/magazin\/multiple-sklerose\/ursachen\/epstein-barr-virus\">Epstein-Barr-Virus (EBV)<\/a>. Insbesondere das EBV steht im Verdacht, an der Entstehung von MS wesentlich beteiligt zu sein.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Vitamin-D-Mangel:<\/strong> Mithilfe von Sonnenstrahlung bildet unser K\u00f6rper Vitamin D (D3). Menschen, die in gem\u00e4\u00dfigtem Klima aufwachsen, weisen daher einen eher niedrigen Vitamin-D-Spiegel auf. Das scheint sich einerseits auf die Entstehung der Krankheit auszuwirken und andererseits zu einer Verst\u00e4rkung der Symptome bei MS zu f\u00fchren.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Rauchen:<\/strong> Das Rauchen gilt als ein genereller Risikofaktor f\u00fcr die Entstehung von Krankheiten, so auch f\u00fcr MS.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>\u00dcbergewicht:<\/strong> Stark \u00fcbergewichtige Menschen haben ein erh\u00f6htes Risiko, an MS zu erkranken. Bereits bei Kindern f\u00f6rdert \u00dcbergewicht das MS-Risiko.<\/p>\n<\/div><\/li><\/ul><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.apo.com\/onlinearzt-teleclinic\" target=\"_self\" aria-label=\"banner_online-arzt_878x200px\"><img decoding=\"async\" width=\"878\" height=\"200\" alt=\"Banner Online Arzt\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px.jpg\" class=\"img-responsive wp-image-19058\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-6{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-6 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-6{width:100% !important;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-6{width:100% !important;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-7{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-12\"><div id=\"Welche Symptome treten bei Multipler Sklerose auf?\">\n<h2>Welche Symptome treten bei Multipler Sklerose auf?<\/h2>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-13\"><p>Die <a href=\"https:\/\/www.apo.com\/magazin\/multiple-sklerose\/symptome\">Symptome bei einer Multiplen Sklerose<\/a> k\u00f6nnen sich unterschiedlich zeigen und sind, sowie der weitere Krankheitsverlauf, ganz individuell. Aufgrund dieser Vielf\u00e4ltigkeit wird MS auch als \u201eKrankheit der 1.000 Gesichter\u201c bezeichnet. Welche Symptome auftreten und wie ausgepr\u00e4gt diese sind, ist abh\u00e4ngig davon, wo im zentralen Nervensystem die Sch\u00e4digungen lokalisiert sind und in welchem Ausma\u00df. <strong>Im Laufe der Zeit k\u00f6nnen Menschen mit MS an unterschiedlichen Symptomen leiden.<\/strong><\/p>\n<p>Typische Fr\u00fchsymptome bei MS sind zum Beispiel M\u00fcdigkeit und rasches Erm\u00fcden (Fatigue), Sensibilit\u00e4tsst\u00f6rungen (z. B. Taubheit, Kribbeln oder Schmerzen in bestimmten K\u00f6rperteilen), Spastiken, Muskelkr\u00e4mpfe, Muskelschw\u00e4che und L\u00e4hmungen. Dar\u00fcber hinaus kann es zu Entz\u00fcndungen des Sehnervs (Optikusneuritis), Sehst\u00f6rungen und Augenschmerzen kommen. Ebenso k\u00f6nnen Schluck- und Sprechst\u00f6rungen, Bewegungsst\u00f6rungen, St\u00f6rungen der Blasen und\/oder Darmfunktion, sexuelle St\u00f6rungen und kognitive St\u00f6rungen (z. B. Konzentrationsst\u00f6rungen sowie psychische St\u00f6rungen (z. B. Depressionen)) auftreten:<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-7{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-7 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-7{width:100% !important;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-7{width:100% !important;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-8{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"750\" height=\"500\" alt=\"Symptome bei MS\" title=\"infografiken_ms_kw33_3\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/infografiken_ms_kw33_3.webp\" class=\"img-responsive wp-image-19779\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/infografiken_ms_kw33_3-200x133.webp 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/infografiken_ms_kw33_3-300x200.webp 300w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/infografiken_ms_kw33_3-400x267.webp 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/infografiken_ms_kw33_3-600x400.webp 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/infografiken_ms_kw33_3.webp 750w\" sizes=\"(max-width: 640px) 100vw, 750px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-8{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-8 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-8{width:100% !important;order : 0;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-8{width:100% !important;order : 0;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-9{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-14\"><h3>Was ist ein MS-Schub?<\/h3>\n<\/div><div class=\"fusion-text fusion-text-15\"><p>H\u00e4ufig \u00e4u\u00dfert sich der Beginn einer Multiplen Sklerose durch einen Schub. Die Mehrheit der Menschen mit MS erleben solche Sch\u00fcbe auch im weiteren Krankheitsverlauf. Mediziner:innen sprechen von einem MS-Schub, wenn neue MS-Beschwerden auftreten oder bereits bekannte sich deutlich verst\u00e4rken. Die Symptome m\u00fcssen zudem <strong>\u00fcber mindestens 24 Stunden hinweg und 30 Tage nach Beginn des letzten Schubs<\/strong> auftreten. Zwischen zwei aufeinanderfolgenden Sch\u00fcben k\u00f6nnen Monate oder sogar Jahre liegen. W\u00e4hrend dieser Zeit verschlechtert sich der Krankheitszustand meist nicht.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-9{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-9 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-9{width:100% !important;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-9{width:100% !important;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-10{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-11 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-16\"><h3>Wie verl\u00e4uft eine Multiple-Sklerose-Erkrankung?<\/h3>\n<\/div><div class=\"fusion-text fusion-text-17\"><p>Die Multiple Sklerose unterscheidet sich bei allen Betroffen sowohl in der Art und Anzahl der Symptome, der Dauer, H\u00e4ufigkeit und Schwere der Sch\u00fcbe als auch im m\u00f6glichen Fortschreiten von Beeintr\u00e4chtigungen voneinander. Eine Verlaufs-Prognose ist daher nur bedingt und vorbehaltlich m\u00f6glich.<\/p>\n<p>Trotz des individuellen Krankheitsverlaufes sprechen Mediziner:innen von drei MS-Verlaufsformen: RRMS, SPMS und PPMS.<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-2\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>Bei \u00fcber 85 bis 90 % der Menschen mit MS beginnt die Erkrankung mit einem schubf\u00f6rmig remittierenden Verlauf (<strong>RRMS<\/strong>).<\/p>\n<p>Bei dieser Form der MS k\u00f6nnen sich die schubbedingten Symptome der einzelnen, klar voneinander abgrenzbaren Sch\u00fcbe vollst\u00e4ndig oder teilweise zur\u00fcckbilden \u2013 d. h. sie remittieren.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>Nach etwa 10 bis 15 Jahren kann die RRMS in die sogenannte <strong>sekund\u00e4r progrediente Form (SPMS)<\/strong> \u00fcbergehen, was bei etwa 30 bis 40 % bei Menschen mit MS der Fall ist.\u00a0Dabei nehmen die Beschwerden kontinuierlich zu (= progredient) und das Auftreten einzelner Sch\u00fcbe wird seltener. Auch kann die SPMS v\u00f6llig schubfrei verlaufen. Gekennzeichnet ist die SPMS dadurch, dass die Krankheitsverschlechterung langsam fortschreitet und oft nicht gleich bemerkt wird.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>Die seltenste Verlaufsform der MS ist die <strong>prim\u00e4r progrediente MS (PPMS)<\/strong>. Hiervon betroffen sind etwa 10 % bis 15 % aller MS-Patienten:innen. Die Symptome verschlimmern sich bei dieser Form bereits von Beginn an kontinuierlich (prim\u00e4r). Einzelne Sch\u00fcbe lassen sich meist nicht erkennen und bleibende Beeintr\u00e4chtigungen nehmen stetig zu.<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-text fusion-text-18\"><p>Werden erste MS typische Ver\u00e4nderungen im MRT festgestellt, die jedoch die Diagnosekriterien der Multiplen Sklerose nicht erf\u00fcllen, so sprechen Mediziner:innern vom sogenannten klinisch isolierten Syndrom (KIS). Da KIS allerdings nicht zwangsl\u00e4ufig immer in eine MS \u00fcbergehen muss, z\u00e4hlt es daher nicht zu den Verlaufsformen der Multiplen Sklerose.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-10{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-10 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-10{width:100% !important;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-10{width:100% !important;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-11{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-12 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-19\"><div id=\"Wie l\u00e4sst sich Multiple Sklerose diagnostizieren?\">\n<h2>Wie l\u00e4sst sich Multiple Sklerose diagnostizieren?<\/h2>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-20\"><p>Bis die Diagnose \u201eMultiple Sklerose\u201c gesichert gestellt werden kann, vergehen oft mehrere Monate. Bei milden Verl\u00e4ufen k\u00f6nnen es mitunter auch Jahre sein. MS ist eine sogenannte Ausschlussdiagnose. D. h. erst wenn andere Erkrankungen ausgeschlossen sind, sprich die Symptome durch nichts besser als durch eine MS erkl\u00e4rt werden k\u00f6nnen, kommt es zur MS-Diagnose. Bei Verdacht auf Multiple Sklerose erfolgt eine umfangreiche Diagnostik bestehend aus:<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-3\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>einem <strong>intensiven Anamnesegespr\u00e4ch<\/strong>, zur Ermittlung der Symptome und der Krankengeschichte<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>einer <strong>Kernspintomographie (MRT<\/strong>) von Gehirn und R\u00fcckenmark, um bestehende Entz\u00fcndungsherde (L\u00e4sionen) sichtbar zu machen<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>einer <strong>Lumbalpunktion<\/strong>, bei der Liquor (Nervenwasser) aus dem R\u00fcckenmark entnommen und auf MS typische Zell- und Eiwei\u00dfverbindungen untersucht wird<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>neurophysiologischen Untersuchungen<\/strong> (sogenannte evozierte Potenziale), mit deren Hilfe die Leitf\u00e4higkeit und somit die Funktion von Nervenbahnen getestet werden kann<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>einer <strong>Blut- und Urinuntersuchung<\/strong>, zur weiteren Ausschlussdiagnostik.<\/p>\n<\/div><\/li><\/ul><div ><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.apo.com\/e-rezept\" target=\"_self\" aria-label=\"e-rezept_banner_apo-magazin_878x200_v1\"><img decoding=\"async\" width=\"878\" height=\"200\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1.jpg\" class=\"img-responsive wp-image-18349\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-text fusion-text-21\"><h3>Die Bedeutung der r\u00e4umlichen und zeitlichen Dissemination bei der Diagnose von MS<\/h3>\n<\/div><div class=\"fusion-text fusion-text-22\"><p><img decoding=\"async\" class=\"size-full wp-image-15205 alignright\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2022\/11\/ratgeber_ms.jpg\" alt=\"Chirurg pr\u00fcft R\u00f6ntgenbilder\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2022\/11\/ratgeber_ms-200x133.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2022\/11\/ratgeber_ms.jpg 300w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Die Diagnose MS st\u00fctzt sich auf zwei wesentliche Pfeiler: dem Nachweis einer r\u00e4umlichen und zeitlichen Dissemination (Streuung, Ausbreitung) der L\u00e4sionen im ZNS anhand der <a href=\"https:\/\/www.apo.com\/magazin\/multiple-sklerose\/diagnose\/mcdonald\">McDonald-Kriterien<\/a> und dem<strong> Ausschluss relevanter Differenzialdiagnosen<\/strong>. Bei den McDonald-Kriterien handelt es sich um eine ganze Reihe an\u00a0Kriterien, die, je nachdem wie viele und welche davon auftreten, gegen oder f\u00fcr eine Multiple Sklerose sprechen.<\/p>\n<p>Die Systematik beruht darauf, dass man versucht, die f\u00fcr die MS typische \u201eVerteilung in Raum und Zeit\u201c (r\u00e4umliche und zeitliche Dissemination) mithilfe von MRT-Kriterien fr\u00fchzeitig nachzuweisen. Das bedeutet, dass im Falle von MS die Sch\u00e4den an verschiedenen Stellen im ZNS (Gehirn und R\u00fcckenmark) vorliegen und auch zu verschiedenen Zeiten entstanden sein m\u00fcssen. Je fr\u00fcher eine MS erkannt wird, desto besser kann die Erkrankung behandelt werden.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-11{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-11 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-11{width:100% !important;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-11{width:100% !important;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-12{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-13 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-23\"><div id=\"Wie wird Multiple Sklerose behandelt?\">\n<h2>Wie wird Multiple Sklerose behandelt?<\/h2>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-24\"><p>Grunds\u00e4tzlich wird bei der MS-Behandlung zwischen der Therapie akuter Sch\u00fcbe, der verlaufsmodifizierenden Therapie zur langfristigen Behandlung und einer symptomatischen Behandlung unterschieden.<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-4\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong><a href=\"https:\/\/www.apo.com\/magazin\/multiple-sklerose\/therapie\/schubtherapie\">Therapie eines akuten Schubes<\/a>:<\/strong> Bei einem akuten Schub wird meist \u00fcber drei bis f\u00fcnf aufeinanderfolgende Tage hochdosiertes Kortison \u00fcber eine Infusion verabreicht, um so den akuten Entz\u00fcndungsprozess zu stoppen (Kortison-Sto\u00df-Therapie). Bei Nichtansprechen auf die Infusionen oder wenn Gefahr besteht, dass schwere Sch\u00e4den zur\u00fcckbleiben k\u00f6nnen, kann die Schubtherapie mittels Plasmapherese (umgangssprachlich Blutw\u00e4sche) intensiviert werden (eskalierende Schubtherapie).<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Langfristige Immuntherapie:<\/strong> Um neue Sch\u00fcbe zu verhindern, deren St\u00e4rke abzumildern und somit das Fortschreiten der MS aufzuhalten, kommen Wirkstoffe zum Einsatz, die den Verlauf der Erkrankung entsprechend langfristig beeinflussen \u2013 Immuntherapie oder verlaufsmodifizierende Therapie genannt.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Symptomatische Therapie:<\/strong> Die hier verwendeten Arzneimittel und Therapien sollen die Begleiterscheinungen der MS lindern und die K\u00f6rperfunktionen erhalten. Neben der medikament\u00f6sen Unterst\u00fctzung erg\u00e4nzen Rehabilitationsma\u00dfnahmen, physiotherapeutische und ergotherapeutische Anwendungen, Logop\u00e4die, Psychotherapie das Behandlungskonzept, um Beweglichkeit und Ausdauer beizubehalten.<\/p>\n<\/div><\/li><\/ul><div ><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-none\" style=\"margin-bottom:12px;\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.apo.com\/rezept-verteiler \" target=\"_self\" aria-label=\"flatbanner_rezept_apo-com_878x200(1)\"><img decoding=\"async\" width=\"878\" height=\"200\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/flatbanner_rezept_apo-com_878x2001.jpg\" class=\"img-responsive wp-image-17724\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/flatbanner_rezept_apo-com_878x2001-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/flatbanner_rezept_apo-com_878x2001-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/flatbanner_rezept_apo-com_878x2001-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/flatbanner_rezept_apo-com_878x2001-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/flatbanner_rezept_apo-com_878x2001.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-text fusion-text-25\"><p>Neben Sportarten wie Yoga, Aquasport, Radfahren und Tanzen k\u00f6nnen auch ganzheitliche Therapieans\u00e4tze wie stressreduzierende Ma\u00dfnahmen (z. B. Achtsamkeits\u00fcbungen) und eine gesunde Ern\u00e4hrung zur Symptommilderung beitragen.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-12{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-12 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-12{width:100% !important;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-12{width:100% !important;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-13{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-14 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span id=\"kairion_data\" data-kairion=\"multiple sklerose\" style=\"display: none;\"><\/span><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-13{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-13 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-13{width:100% !important;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-13{width:100% !important;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-14{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-15 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">.fusion-accordian  #accordion-14647-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian  #accordion-14647-1 .panel-title a .fa-fusion-box:before{ font-size: 16px; width: 16px;}.fusion-accordian  #accordion-14647-1 .panel-title a{font-size:28px;}.fusion-accordian  #accordion-14647-1 .fa-fusion-box { background-color: #212934;border-color: #212934;}.fusion-accordian  #accordion-14647-1 .panel-title a:hover, #accordion-14647-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #65bc7b;}.fusion-accordian  #accordion-14647-1 .panel-title .active .fa-fusion-box,.fusion-accordian  #accordion-14647-1 .panel-title a:hover .fa-fusion-box { background-color: #65bc7b!important;border-color: #65bc7b!important;}<\/style><div class=\"accordian fusion-accordian\"><div class=\"panel-group\" id=\"accordion-14647-1\"><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"ac8b81e57b7371622\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-14647-1\" data-target=\"#ac8b81e57b7371622\" href=\"#ac8b81e57b7371622\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Quellen<\/span><\/a><\/h4><\/div><div id=\"ac8b81e57b7371622\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li><a href=\"https:\/\/www.neurologen-und-psychiater-im-netz.org\/neurologie\/erkrankungen\/multiple-sklerose-ms\">https:\/\/www.neurologen-und-psychiater-im-netz.org\/neurologie\/erkrankungen\/multiple-sklerose-ms<\/a><\/li>\n<li><a href=\"https:\/\/www.leben-mit-ms.de\/multiple-sklerose\/symptome-der-erkrankung\">https:\/\/www.leben-mit-ms.de\/multiple-sklerose\/symptome-der-erkrankung<\/a><\/li>\n<li><a href=\"https:\/\/www.navigator-medizin.de\/krankheiten\/multiple-sklerose\/verschwinden-symptome-nach-dem-schub.html\">https:\/\/www.navigator-medizin.de\/krankheiten\/multiple-sklerose\/verschwinden-symptome-nach-dem-schub.html<\/a><\/li>\n<li><a href=\"https:\/\/www.dmsg.de\/multiple-sklerose\/haeufige-fragen-faq\">https:\/\/www.dmsg.de\/multiple-sklerose\/haeufige-fragen-faq<\/a><\/li>\n<li><a href=\"https:\/\/www.trotz-ms.de\/wissen\/forschung\/warum-manner-seltener-an-ms-erkranken\">https:\/\/www.trotz-ms.de\/wissen\/forschung\/warum-manner-seltener-an-ms-erkranken<\/a><\/li>\n<li><a href=\"https:\/\/www.dmsg.de\/multiple-sklerose\/was-ist-ms#c906\">https:\/\/www.dmsg.de\/multiple-sklerose\/was-ist-ms#c906<\/a><\/li>\n<li><a href=\"https:\/\/www.msif.org\/about-ms\/types-of-ms\/\">https:\/\/www.msif.org\/about-ms\/types-of-ms\/<\/a><\/li>\n<li><a href=\"https:\/\/www.msundich.de\/symptome-formen\/krankheitsverlauf-der-ms\/verlaufsformen\">https:\/\/www.msundich.de\/symptome-formen\/krankheitsverlauf-der-ms\/verlaufsformen<\/a><\/li>\n<li><a href=\"https:\/\/www.ms-begleiter.de\/wissen\/welche-moeglichkeiten-zur-ms-behandlung-gibt-es\">https:\/\/www.ms-begleiter.de\/wissen\/welche-moeglichkeiten-zur-ms-behandlung-gibt-es<\/a><\/li>\n<li><a href=\"https:\/\/www.ms-begleiter.de\/wissen\/wie-wird-multiple-sklerose-diagnostiziert\">https:\/\/www.ms-begleiter.de\/wissen\/wie-wird-multiple-sklerose-diagnostiziert<\/a><\/li>\n<li><a href=\"https:\/\/meinalltagmitms.de\/multiple-sklerose\/formen\/\">https:\/\/meinalltagmitms.de\/multiple-sklerose\/formen\/<\/a><\/li>\n<li><a href=\"https:\/\/www.msundich.de\/symptome-formen\/krankheitsverlauf-der-ms\/verlaufsformen\">https:\/\/www.msundich.de\/symptome-formen\/krankheitsverlauf-der-ms\/verlaufsformen<\/a><\/li>\n<li><a href=\"https:\/\/www.multiplesklerose.ch\/de\/ueber-ms\/multiple-sklerose\/verlauf\/\">https:\/\/www.multiplesklerose.ch\/de\/ueber-ms\/multiple-sklerose\/verlauf\/<\/a><\/li>\n<li><a href=\"https:\/\/www.msdmanuals.com\/de-de\/heim\/st%C3%B6rungen-der-hirn-,-r%C3%BCckenmarks-und-nervenfunktion\/multiple-sklerose-ms-und-verwandte-st%C3%B6rungen\/multiple-sklerose-ms\">https:\/\/www.msdmanuals.com\/de-de\/heim\/st%C3%B6rungen-der-hirn-,-r%C3%BCckenmarks-und-nervenfunktion\/multiple-sklerose-ms-und-verwandte-st%C3%B6rungen\/multiple-sklerose-ms<\/a><\/li>\n<li><a href=\"https:\/\/www.ndr.de\/ratgeber\/gesundheit\/Multiple-Sklerose-Zusammenhang-mit-Epstein-Barr-Virus-nachgewiesen,multiplesklerose182.html\">https:\/\/www.ndr.de\/ratgeber\/gesundheit\/Multiple-Sklerose-Zusammenhang-mit-Epstein-Barr-Virus-nachgewiesen,multiplesklerose182.html<\/a><\/li>\n<li><a href=\"https:\/\/www.msges.at\/multiple-sklerose\/entstehung\/\">https:\/\/www.msges.at\/multiple-sklerose\/entstehung\/<\/a><\/li>\n<li><a href=\"https:\/\/focus-arztsuche.de\/magazin\/krankheiten\/neurologie\/multiple-sklerose-symptome-und-verlauf\">https:\/\/focus-arztsuche.de\/magazin\/krankheiten\/neurologie\/multiple-sklerose-symptome-und-verlauf<\/a><\/li>\n<li><a href=\"https:\/\/www.pflege.de\/krankheiten\/ms-multiple-sklerose\/verlauf-schub-therapie\/\">https:\/\/www.pflege.de\/krankheiten\/ms-multiple-sklerose\/verlauf-schub-therapie\/<\/a><\/li>\n<li><a href=\"https:\/\/www.apotheken-umschau.de\/krankheiten-symptome\/neurologische-erkrankungen\/die-wichtigsten-fragen-zu-multipler-sklerose-719445.html\">https:\/\/www.apotheken-umschau.de\/krankheiten-symptome\/neurologische-erkrankungen\/die-wichtigsten-fragen-zu-multipler-sklerose-719445.html<\/a><\/li>\n<li><a href=\"https:\/\/www.kompetenznetz-multiplesklerose.de\/patienteninformationen\/ueber-ms\/verlaufsformen\/\">https:\/\/www.kompetenznetz-multiplesklerose.de\/patienteninformationen\/ueber-ms\/verlaufsformen\/<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-14{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-14 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-15{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-16 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-26\"><h3><strong>Gepr\u00fcft durch unser pharmazeutisches Team<\/strong><\/h3>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-15{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-15 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-15{width:100% !important;order : 0;}.fusion-builder-column-15 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-15{width:100% !important;order : 0;}.fusion-builder-column-15 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_5 1_5 fusion-flex-column fusion-flex-align-self-flex-start\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-center fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-5 hover-type-none\"><img decoding=\"async\" width=\"1200\" height=\"1200\" alt=\"Felix Hoffman, pharmazeutischer Experte\" title=\"Felix Hoffman\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg\" class=\"img-responsive wp-image-19286\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-200x200.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-400x400.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-600x600.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-800x800.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg 1200w\" sizes=\"(max-width: 640px) 100vw, 200px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-16{width:20% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-16 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 9.6%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 9.6%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-16{width:20% !important;order : 0;}.fusion-builder-column-16 > .fusion-column-wrapper {margin-right : 9.6%;margin-left : 9.6%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-16{width:100% !important;order : 0;}.fusion-builder-column-16 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_4_5 4_5 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-27\"><p>\u201e<i><span data-contrast=\"auto\">An der Pharmazie fasziniert mich am meisten, wie alles zusammenspielt. Von Zusammenh\u00e4ngen im Stoffwechsel hin zur Einnahme von Medikamenten. Wer sich damit auskennt, kann sein Leben positiv beeinflussen.\u201c<\/span><\/i><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><div class=\"fusion-text fusion-text-28\"><p><a href=\"https:\/\/de.linkedin.com\/in\/hoffmannfelix90\"><b><span data-contrast=\"none\">Felix Hoffmann<\/span><\/b><\/a>\u00a0<span data-contrast=\"auto\">lebt f\u00fcr die Pharmazie und bringt eine gro\u00dfe Expertise in der Beratung mit. Mit seinem fundierten Wissen garantiert er die hohen Qualit\u00e4tsstandards der pharmazeutischen Inhalte auf\u00a0<\/span><a href=\"https:\/\/www.apo.com\/\"><span data-contrast=\"none\">apo.com<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-17{width:80% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-17 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.4%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.4%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-17{width:80% !important;order : 0;}.fusion-builder-column-17 > .fusion-column-wrapper {margin-right : 2.4%;margin-left : 2.4%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-17{width:100% !important;order : 0;}.fusion-builder-column-17 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-29\"><div class=\"fusion-text fusion-text-29\"><\/div>\n<p>Wichtiger Hinweis: Unsere Artikel und Grafiken werden von unserem Expertenteam f\u00fcr chronische Erkrankungen \u00fcberpr\u00fcft. Grundlage sind stets seri\u00f6se Quellen, wissenschaftliche Artikel, Leitlinien und \u00e4rztliche Aussagen. Die Inhalte werden in regelm\u00e4\u00dfigen Abst\u00e4nden aktualisiert und dienen weder der Selbstdiagnose noch ersetzen sie einen Arztbesuch.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-18{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-18 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-18{width:100% !important;order : 0;}.fusion-builder-column-18 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-18{width:100% !important;order : 0;}.fusion-builder-column-18 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-16{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-17 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-19{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-19 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-19{width:100% !important;order : 0;}.fusion-builder-column-19 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-19{width:100% !important;order : 0;}.fusion-builder-column-19 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-17{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":10,"featured_media":14956,"parent":0,"menu_order":0,"template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[69],"class_list":["post-14647","ratgeber","type-ratgeber","status-publish","has-post-thumbnail","hentry","category-multiple-sklerose"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multiple Sklerose | apo.com Magazin<\/title>\n<meta name=\"description\" content=\"Lesen Sie mehr zu \u25baUrsachen, \u25baSymptomen, \u25baDiagnose \u25baBehandlung von MS \u2013 einer chronisch-entz\u00fcndl. 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