A major component of the success with multiple sclerosis and other well-conducted case/control studies is the definition of rigorous phenotype criteria, usually presented as rule list based on clinical variables. Multiple sclerosis studies often use the McDonald criteria for establishing case/control status and defining clinical subtypes [23]. Standardized methods like the McDonald criteria establish a concise, evidence-based approach that can be uniformly applied by multiple diagnosing clinicians to ensure that consistent phenotype definitions are used for a genetic study.