{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:21:10Z","timestamp":1787728870429,"version":"build-2784847793"},"reference-count":111,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most people with multiple sclerosis (MS) present with a clinically isolated syndrome (CIS); however, not all individuals with CIS are subsequently diagnosed with MS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic literature review was conducted until December 2025. Observational studies of adults with CIS that were later diagnosed with MS were included. Odds ratios (ORs) were pooled using random\u2010effects meta\u2010analysis. Heterogeneity was assessed with I\n                      <jats:sup>2<\/jats:sup>\n                      , sensitivity analyses with leave\u2010one\u2010out procedures, and publication bias with funnel plots and Egger's test. Meta\u2010regression was performed to explore further sources of heterogeneity when appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010two studies with 9915 adults were included. In the meta\u2010analysis, younger age (OR\u2009=\u20091.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and multifocal presentation (OR\u2009=\u20091.55,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) were associated with a diagnosis of MS after a CIS. Magnetic resonance imaging findings, including a higher number of T2 lesions (OR\u2009=\u20097.46,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), periventricular lesions (OR\u2009=\u20094.08,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), corpus callosum lesions (OR\u2009=\u200914.89,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), infratentorial lesions (OR\u2009=\u20092.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03), spinal cord lesions (OR\u2009=\u20091.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03), and gadolinium\u2010enhancing lesions (OR\u2009=\u20091.91,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01), as well as cerebrospinal fluid inflammatory markers such as oligoclonal bands (OR\u2009=\u20093.57,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and pleocytosis (OR\u2009=\u20093.34,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), were also associated with a subsequent diagnosis of MS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This meta\u2010analysis identified factors associated with an increased likelihood of MS after a CIS. These findings may help identify high\u2010risk individuals and guide personalized treatment strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.70711","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:35:17Z","timestamp":1785566117000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Multiple Sclerosis After Clinically Isolated Syndrome: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7793-0703","authenticated-orcid":false,"given":"Mar\u00eda Paula","family":"Zafra\u2010Sierra","sequence":"first","affiliation":[{"name":"Department of Neurology Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"},{"name":"School of Medicine Universidad El Bosque  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0853-7163","authenticated-orcid":false,"given":"Carolina","family":"Ferreira\u2010Atuesta","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2246-5883","authenticated-orcid":false,"given":"Daniela Sof\u00eda","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Neurology Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"},{"name":"School of Medicine Universidad El Bosque  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jairo","family":"Gait\u00e1n","sequence":"additional","affiliation":[{"name":"School of Medicine Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Otero","sequence":"additional","affiliation":[{"name":"Multiple Sclerosis Centre of Catalonia (Cemcat) Vall D'hebron Barcelona Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9999-5359","authenticated-orcid":false,"given":"Mar","family":"Tintor\u00e9","sequence":"additional","affiliation":[{"name":"Multiple Sclerosis Centre of Catalonia (Cemcat) Vall D'hebron Barcelona Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Lublin","sequence":"additional","affiliation":[{"name":"The Corinne Goldsmith Dickinson Center for Multiple Sclerosis and Department of Neurology Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9995-1700","authenticated-orcid":false,"given":"Gavin","family":"Giovannoni","sequence":"additional","affiliation":[{"name":"Blizard Institute, Faculty of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7129-0058","authenticated-orcid":false,"given":"Jaime","family":"Toro","sequence":"additional","affiliation":[{"name":"Department of Neurology Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"},{"name":"School of Medicine Universidad El Bosque  Bogot\u00e1 Colombia"},{"name":"School of Medicine Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3230-3263","authenticated-orcid":false,"given":"Sa\u00fal","family":"Reyes","sequence":"additional","affiliation":[{"name":"Department of Neurology Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"},{"name":"School of Medicine Universidad de los Andes  Bogot\u00e1 Colombia"},{"name":"Blizard Institute, Faculty of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"165","article-title":"GBD 2017 US Neurological Disorders Collaborators Et al. 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