Multiple Sclerosis 3, Volume 34

Author: Lucchinetti> Claudia  

Publisher: Elsevier Health Sciences‎

Publication year: 2009

E-ISBN: 9781437711295

P-ISBN(Paperback): 9781416060680

Subject: R744.5 demyelinating diseases

Keyword: 神经病学与精神病学

Language: ENG

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Description

Multiple Sclerosis 3 emphasizes the latest in the pharmacologic treatment of this incurable inflammatory demyelinating disorder. Primary editors Claudia Lucchinetti, MD, and Reinhard Hohlfeld, MD, with the aid of all new contributors, present a complete and current reference on multiple sclerosis that includes discussions of such hot topics as Biomarkers, Genomics, and Surrogate Outcomes in MS; Pediatric MS; Transverse Myelitis; Attack Therapies in MS; Current Disease-Modifying Therapeutic Strategies in MS; Management of Aggressive MS; Symptomatic Therapies in MS; Complementary and Alternative Medical Therapies; and Strategies to Promote Neuroprotection and Repair. Distinguish between MS and other similar demyelinating disorders and know the best and most aggressive methods of treatment. This title in the Blue Books of Neurology series is exactly what you need to treat the disease and its relapses.Covers the latest clinical advances and relevant discussions-Biomarkers, Genomics, and Surrogate Outcomes in MS; Pediatric MS; Transverse Myelitis; Attack Therapies in MS; Current Disease-Modifying Therapeutic Strategies in MS; Management of Aggressive MS; Symptomatic Therapies in MS; Complementary and Alternative Medical Therapies; and Strategies to Promote Neuroprotection and Repair-to bring you up to date and keep your practice state-of-the-art.Features a greater emphasis on practical management to help you determine the type of multiple sclerosis and the best course of therapy.

Chapter

PREFACE

Chapter 1 Clinical Features and Natural History of Multiple Sclerosis:The Nature of the Beast

Disability Progression: What Happens to Patients over Time?

What Affects Long-Term Disability Outcome?

Benign Multiple Sclerosis

References

Chapter 2 Differential Diagnosis and Diagnostic Criteria for Multiple Sclerosis: Application and Pitfalls

Multiple Sclerosis Diagnostic Criteria

Idiopathic Inflammatory Demyelinating Diseases

Differential Diagnosis

Conclusion

Chapter 3 Uncovering the Genetic Architectureof Multiple Sclerosis

The MHC and Multiple Sclerosis Susceptibility

A Meta-analysis of MHC Studies in Multiple Sclerosis

Whole Genome Scan Methodology and Its Application in Multiple Sclerosis

Genome Scan Results: What Do They Mean?

Integrating Disease Risk

Susceptibility to Autoimmunity

The Impact and Role of Genetic Analysis in Multiple Sclerosis Research and Care

References

Chapter 4 Epidemiology of Multiple Sclerosis:Environmental Factors

Epidemiology in Perspective

Descriptive Epidemiology of Multiple Sclerosis

Infection and Multiple Sclerosis

Sunlight Exposure and Vitamin D

Cigarette Smoking

Other Possible Risk Factors

References

Chapter 5 Advances in Multiple Sclerosis Imaging

Physics of Magnetic Resonance Imaging

High-Field-Strength Magnetic Resonance Imaging

Conventional Magnetic Resonance Imaging Techniques

The role of Magnetic Resonance Imaging in the Diagnostic Criteria of Multiple Sclerosis

The Role of Magnetic Resonance Imaging in Treatment Decisions

Advanced Magnetic Resonance Imaging Techniques

The Role of MRI in the Diagnosis of Tumefactive Demyelinating Lesions

Magnetic Resonance Imaging of Neuromyelitis Optica

Acute Disseminated Encephalomyelitis

Non–MRI-Based Advanced Imaging Techniques: Optical Coherence Tomography

Conclusions

References

Chapter 6 Biomarkers in Multiple Sclerosis

Definitions of Biomarkers

Biomarkers Related to Diagnosis and Prognosis

Biomarkers for Treatment Responses

Novel Technologies for the Identification of Novel Biomarkers

Concluding Remarks

References

Chapter 7 Cognitive and Psychiatric Disorders in Multiple Sclerosis

Cognitive Dysfunction

Assessment

Psychiatric Disorders

References

Chapter 8 Gender Differences in Multiple Sclerosis

Gender Differences in Multiple Sclerosis

Gender Differences in the Murine Model of Multiple Sclerosis

The Effects of Pregnancy in Clinical Multiple Sclerosis

The Effects of Ovarian Hormones in Multiple Sclerosis

The Effects of Testicular Hormones in Multiple Sclerosis

Effect of Endogenous Androgens in the Mouse Model of Multiple Sclerosis

The Effects of Sex Chromosomes in Multiple Sclerosis

Conclusions

References

Chapter 9 Historical Background

Historical Background

Epidemiology

Clinical Characteristics

Clinical Course of Multiple Sclerosis in Children

Investigations and Differential Diagnosis

Neuroimaging Features of Multiple Sclerosis in Children

Conclusion

References

Chapter 10 Clinically Isolated Syndromes

Natural History of CIS

Clinical, Imaging, and Laboratory Predictors of Outcomein CIS

Medical Management of CIS

References

Chapter 11 Acute Disseminated Encephalomyelitis

Definitions of Acute Disseminated Encephalomyelitis

Clinical Characteristics of ADEM

Practical Recommendations for Clinicians

References

Chapter 12 Transverse Myelitis: Pathogenesis, Diagnosis, and Management

Clinical Features

Natural History

Immunopathogenesis

Diagnosis and Classification of Transverse Myelitis

Management and Treatment of Transverse Myelitis

The Future

References

Chapter 13 Neuromyelitis Optica

History

Epidemiology

Clinical Presentation and Natural History

The NMO-IgG Biomarker

Treatment

Conclusion

References

Chapter 14 Attack Therapies in Multiple Sclerosis

Glucocorticosteroid Therapy for Acute Multiple Sclerosis Relapses

Plasma Exchange Therapy for Acute Deterioration in Relapsing and Secondary Progressive Multiple Sclerosis

Conclusion

References

Chapter 15 Current Disease-ModifyingTherapeuticStrategiesin MultipleSclerosis

General Therapeutic Strategies for Multiple Sclerosis

Overview of Currently Approved Therapies

Treatment Strategies: Relapsing-Remitting Disease

Strategies for Secondary Progressive Multiple Sclerosis

Strategies for Primary Progressive Multiple Sclerosis

Strategies for Very Stable Patients: Stopping Therapy

Conclusions

Chapter 16 Management of Aggressive MultipleSclerosis: Optionsand Challenges

Diagnosis of Menacing Multiple Sclerosis

Use of Therapeutic Plasma Exchange, Cyclophosphamide, and Mitoxantrone in Catastrophic Multiple Sclerosis

Use of Mitoxantrone, Alemtuzumab,and Cyclophosphamide in Aggressive Multiple Sclerosis

Conclusion

References

Chapter 17 Symptomatic Therapy in Multiple Sclerosis

Neuro-ophthalmology

Vestibular Dysfunction

Neurogenic Bowel

Neurogenic Bladder

Sexual Dysfunction

Fatigue

Heat Intolerance

Pain

Spasticity

Conclusion

References

Chapter 18 Unconventional Medicineand Multiple Sclerosis: The Role of Conventional HealthProviders

Definitions

Multiple Sclerosis: Conventional and Unconventional Medicine

Disease-Modifying Effect

Disease-Modifying and Symptomatic Effect

Symptomatic Effect

Conclusion

References

Chapter 19 Is Multiple Sclerosisa Neurodegenerative Disorder?

Neurologic Disability in Relapsing-Remitting Multiple Sclerosis

Neurologic Disability in Secondary Progressive Multiple Sclerosis

Neuronal Compensation

Cortical Demyelination

Future Challenges

References

Chapter 20 Lessons from the Pastand Future Approachesfor Immunologic Therapies in Multiple Sclerosis

Lessons from the Past

Future Therapies

Conclusion

References

Chapter 21 Strategies to Promote Neuroprotectionand Repairin Multiple Sclerosis

The Immunologic Basis of Central Nervous System Injury in Multiple Sclerosis and Its Relevance to Repair

Animal Models of Myelin Diseases

Does Immunomodulation Protect the Multiple Sclerosis Brain from Injury?

Novel Approaches for Neuroprotection in Multiple Sclerosis

Enhancing Repair Processes in Multiple Sclerosis

Is Stem Cell Therapy a Rational Approach for Multiple Sclerosis?

Conclusions

References

INDEX

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