When MOGAD mimics MS: diagnostic and therapeutic insights from a unique CNS demyelinating case

This case reveals that varied MRI features in MOGAD underscore the complexity of the disease. Although OCB positivity is associated with a higher risk of relapse in MOGAD patients [1-3]continuous MRI remains the primary method for detecting subclinical disease activity. Due to its invasive nature and limited value in assessing disease progression, repeated CSF analysis for routine OCB monitoring is not recommended.