Managing cognitive impairment and its impact in multiple sclerosis: An Australian multidisciplinary perspective

Jeannette Lechner-Scott, Susan Agland, Michelle Allan, David Darby, Keri Diamond, Daniel Merlo, Anneke van der Walt

Research output: Contribution to journalReview ArticleResearchpeer-review


Cognitive impairment in multiple sclerosis (MS) affects approximately 40–70% of patients and can have varying degrees of severity. Even mild cognitive impairment can impact on quality of life and productivity. Despite this, patients are not routinely screened or monitored for cognitive impairment in Australia due to a range of issues, with time and space being the main limiting factors. This Australian multidisciplinary perspective provides recommendations on cognition management in Australia. It gives a broad overview of cognition in MS, advice on the screening and monitoring tools available to clinicians, and strategies that can be implemented in clinics to help monitor for cognitive impairment in patients with MS. We suggest a routine baseline assessment and multidomain cognitive battery in regular intervals; a change should trigger a thorough investigation of the cause.

Original languageEnglish
Article number104952
Number of pages11
JournalMultiple Sclerosis and Related Disorders
Publication statusPublished - Nov 2023


  • Cognition management
  • Cognitive impairment
  • Cognitive screening
  • Progressive multiple sclerosis

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