What is a sleeper charge in ms?

A sleeper charge in MS (Multiple Sclerosis) refers to the gradual worsening of symptoms that happens over time despite an apparent period of stability or improvement. It is also known as the "silent progression" or "hidden progression" of MS. It occurs when the disease silently and gradually damages the nerves in the brain and spinal cord, leading to increased disability and reduced quality of life for the person with MS. The sleeper charge can be difficult to detect, as there may be no apparent changes in the person's physical abilities or symptoms during routine clinical assessments. However, regular monitoring of MS with imaging and clinical evaluations can help healthcare professionals identify sleeper charges and adjust treatment plans to prevent further disease progression.