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0 reviewsSerum antibodies directed against myelin oligodendrocyte glycoprotein (MOG) are found in patients with acquired Published OnlineCNS demyelinating syndromes that are distinct from multiple sclerosis and aquaporin-4-seropositive neuromyelitis January 24, 2023optica spectrum disorder. Based on an extensive literature review and a structured consensus process, we propose criteria for MOG antibody-associated disease (MOGAD) in which the presence of MOG-IgG is a core S1474-4422(22)00431-8criterion. According to our proposed criteria, MOGAD is typically associated with acute disseminated See Comment page 193encephalomyelitis, optic neuritis, or transverse myelitis, and is less commonly associated with cerebral cortical *Joint senior authorsencephalitis, brainstem presentations, or cerebellar presentations. MOGAD can present as either a monophasic or Division of Child Neurology, relapsing disease course, and MOG-IgG cell-based assays are important for diagnostic accuracy. Diagnoses such as Children’s Hospital of multiple sclerosis need to be excluded, but not all patients with multiple sclerosis should undergo screening for Philadelphia, Department of MOG-IgG. These proposed diagnostic criteria require validation but have the potential to improve identification of Neurology and Department of Pediatrics, Perelman School individuals with MOGAD, which is essential to define long-term clinical outcomes, refine inclusion criteria for of Medicine, University of clinical trials, and identify predictors of a relapsing versus a monophasic disease course.Pennsylvania, PA, USA