This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Demyelinating disorder, Subject name: Medicine
Which of the following is the least likely presentation of multiple sclerosis? 
Select and explain. 
A. Sensory loss, B. Optic neuritis, C. Veigo, D. Transverse myelitis
D: Transverse myelitis
Answer: D: Transverse myelitis 
Explanation: 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