Primary progressive multiple sclerosis

Patients with multiple sclerosis who develop progressive disability from onset without relapses or remissions pose difficulties in diagnosis, monitoring of disease activity and treatment. There is a need to define the diagnostic criteria for this group more precisely and, in particular, to describe...

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Veröffentlicht in:Brain (London, England : 1878) England : 1878), 1997-06, Vol.120 (6), p.1085-1096
Hauptverfasser: THOMPSON, A. J, POLMAN, C. H, MILLER, D. H, MCDONALD, W. I, BROCHET, B, FILIPPI, M, MONTALBAN, X, DE SA, J
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container_end_page 1096
container_issue 6
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container_title Brain (London, England : 1878)
container_volume 120
creator THOMPSON, A. J
POLMAN, C. H
MILLER, D. H
MCDONALD, W. I
BROCHET, B
FILIPPI, M
MONTALBAN, X
DE SA, J
description Patients with multiple sclerosis who develop progressive disability from onset without relapses or remissions pose difficulties in diagnosis, monitoring of disease activity and treatment. There is a need to define the diagnostic criteria for this group more precisely and, in particular, to describe a comprehensive battery of investigations to exclude other conditions. The mechanisms underlying the development of disability and the role of MRI in monitoring disease activity in this clinical subgroup require elucidation, particularly in view of the lack of change on conventional imaging in the presence of continuing clinical deterioration. The prognosis is poor and there are currently no treatment trials for this form of the disease.
doi_str_mv 10.1093/brain/120.6.1085
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current)
subjects Biological and medical sciences
Disease Progression
Humans
Medical sciences
Multiple Sclerosis - diagnosis
Multiple Sclerosis - genetics
Multiple Sclerosis - physiopathology
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Neurology
Recurrence
title Primary progressive multiple sclerosis
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