Which of the following is the least likely presentation of multiple sclerosis?

Multiple sclerosis is a demyelinating disorder of the brain and rarely involve spinal cord, Hence answer is D. If Spinal cord involved, it is called Devic's Disease. Devic's disease -Characterized by presentation of Transverse myelitis and Optic neuritis. MC presentation of MS is sensory loss followed by optic neuritis. Symptom % of cases Sensory loss 37 Optic neuritis 36 Weakness 35 Paresthesias 24 Diplopia 15 Ataxia 11 Veigo 6 Paroxysmal attacks 4 Bladder 4