Secondary Progressive Multiple Sclerosis: A Review of Clinical Characteristics, Definition, Prognostic Tools, and Disease-Modifying Therapies
Language English Country United States Media electronic-print
Document type Journal Article, Review, Research Support, Non-U.S. Gov't
PubMed
36414428
PubMed Central
PMC9682625
DOI
10.1212/nxi.0000000000200064
PII: 10/1/e200064
Knihovny.cz E-resources
- MeSH
- Multiple Sclerosis, Chronic Progressive * diagnosis drug therapy MeSH
- Humans MeSH
- Prognosis MeSH
- Prospective Studies MeSH
- Retrospective Studies MeSH
- Multiple Sclerosis * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
Many challenges exist in the precise diagnosis and clinical management of secondary progressive multiple sclerosis (SPMS) because of the lack of definitive clinical, imaging, immunologic, or pathologic criteria that demarcate the transition from relapsing-remitting MS to SPMS. This review provides an overview of the diagnostic criteria/definition and the heterogeneity associated with different SPMS patient populations; it also emphasizes the importance of available prospective/retrospective tools to identify patients with SPMS earlier in the disease course so that approved disease-modifying therapies and nonpharmacological strategies will translate into better outcomes. Delivery of such interventions necessitates an evolving patient-clinician dialog within the context of a multidisciplinary team.
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