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May 29, 2018; 90 (22) Historical Neurology

150th anniversary of clinical description of multiple sclerosis

Leopold Ordenstein's legacy

Helmar C. Lehmann, Alastair Compston, Hans-Peter Hartung
First published May 28, 2018, DOI: https://doi.org/10.1212/WNL.0000000000005613
Helmar C. Lehmann
From the Department of Neurology (H.C.L.), University of Cologne, Germany; Department of Clinical Neurosciences (A.C.), University of Cambridge Medical School, UK; and Department of Neurology, Medical Faculty (H.-P.H.), Heinrich-Heine University Düsseldorf, Germany.
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Alastair Compston
From the Department of Neurology (H.C.L.), University of Cologne, Germany; Department of Clinical Neurosciences (A.C.), University of Cambridge Medical School, UK; and Department of Neurology, Medical Faculty (H.-P.H.), Heinrich-Heine University Düsseldorf, Germany.
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Hans-Peter Hartung
From the Department of Neurology (H.C.L.), University of Cologne, Germany; Department of Clinical Neurosciences (A.C.), University of Cambridge Medical School, UK; and Department of Neurology, Medical Faculty (H.-P.H.), Heinrich-Heine University Düsseldorf, Germany.
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Citation
150th anniversary of clinical description of multiple sclerosis
Leopold Ordenstein's legacy
Helmar C. Lehmann, Alastair Compston, Hans-Peter Hartung
Neurology May 2018, 90 (22) 1011-1016; DOI: 10.1212/WNL.0000000000005613

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Abstract

The clinical features of multiple sclerosis were first defined in detail and with pathologic confirmation in a medical thesis published at the Salpêtrière, Paris, in 1868. The author, Leopold Ordenstein (1835–1902), a German physician, analyzed cases collected by his mentor, Jean-Martin Charcot (1825–1893). The 2 clinician-scientists described the characteristic symptoms, predisposing age, and pathologic features of the disease, and emphasized the clear delineation from other chronic progressive disorders, especially paralysis agitans. The latter was referred to as Parkinson disease by William Sanders in 1865 and adopted by Désiré-Magloire Bourneville on behalf of Charcot in 1875. This essay commemorates the 150th anniversary of the publication of the pioneering work of Leopold Ordenstein and Jean-Martin Charcot.

Glossary

MS=
multiple sclerosis;
PD=
Parkinson disease

Footnotes

  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Received December 12, 2017.
  • Accepted in final form March 12, 2018.
  • © 2018 American Academy of Neurology
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  • Article
    • Abstract
    • Glossary
    • Disease concept at the outset of Ordenstein's thesis
    • Leopold Ordenstein (1835–1902)
    • Delineating MS from PD: 1868
    • Effect of Ordenstein's thesis
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