Document Detail


Clinical characteristics, course and prognosis of spinal multiple sclerosis.
MedLine Citation:
PMID:  16010274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Retrospective examination.Objective:To define the clinical characteristics and response to therapy of spinal multiple sclerosis (MS).
SETTING: Italy.
METHODS: Retrospective review was performed on 563 patients with clinical definite MS. Selection criteria were two or more spinal cord lesions in the presence of normal magnetic resonance imaging of the brain.
RESULTS: Spinal MS was diagnosed in 13 patients (2.3%) out of 563 with clinical definite MS. There were seven female and six male patients; nine had a relapsing-remitting (RR) and four, a primary progressive (PP) course. All patients were treated with immunosoppressive or immunomodulatory therapy. Mean disease duration in patients with RR-MS was 13.1+/-10.1 years with a mean age at onset of 29.5+/-14.3 years; the mean Expanded Disability Status Scale (EDSS) at the time of the study was 3.5+/-2.5 with a progression index of 0.28. Mean disease duration in patients with PP course was 7+/-6.2 years with a mean age at onset of 56.7+/-10.4 years; the mean EDSS at the time of the study was 6.2+/-2.0 with a progression index of 1.48.
CONCLUSIONS: Patients with spinal RR-MS are characterised by an early disease onset with minimal or moderate disability progression; patients with spinal PP-MS show a late disease onset and more rapid disability progression. In our series of spinal MS patients, disability progression seems to be mainly due to the disease course and age at onset rather than to the site of lesion.
Authors:
V Nociti; A Cianfoni; M Mirabella; M Caggiula; G Frisullo; A K Patanella; C Sancricca; F Angelucci; P A Tonali; A P Batocchi
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Spinal cord     Volume:  43     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-12     Completed Date:  2006-01-20     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  731-4     Citation Subset:  IM    
Affiliation:
Institute of Neurology, Catholic University, Largo Gemelli, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age of Onset
Child
Comorbidity
Disease Progression
Female
Humans
Italy / epidemiology
Magnetic Resonance Imaging / statistics & numerical data*
Male
Middle Aged
Multiple Sclerosis / diagnosis*,  epidemiology*,  therapy
Prevalence
Prognosis
Spinal Diseases / diagnosis*,  epidemiology*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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