Symptoms of Primary-Progressive Multiple Sclerosis (PPMS)
The symptoms of primary-progressive multiple sclerosis are similar to those of secondary-progressive multiple sclerosis. The main symptom of both forms of the condition is a gradual worsening of disability.

This may be experienced through increased:

Fatigue
Numbness or tingling
Vision problems, such as double vision
Spasticity or stiffness of the muscles
Difficulty controlling the bladder or bowels
Problems with cognition, such as learning and memory or information processing
Difficulty with walking and coordination
Trouble walking
Muscle weakness
Paralysis
Dizziness
Shakiness
Mood changes
Depression
Sexual dysfunction