Prevalence and patterns of demyelinating central nervous system disorders in urban Mangalore, South India

Lekha Pandit1, Rashmi Kundapur2

  • 1KS Hegde Medical Academy, Nitte University, Mangalore, India panditmng@gmail.com.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|February 5, 2014
PubMed

Insights

This study provides initial epidemiological data on multiple sclerosis (MS) and related demyelinating disorders in India, revealing a crude prevalence of 8.3/100,000 for MS. Further research is needed to determine the true prevalence of these neurological conditions.

Area of Science:

  • Neurology
  • Epidemiology

Background:

  • Limited epidemiological data exists for multiple sclerosis (MS) and related demyelinating disorders in India.
  • Understanding the prevalence of these conditions is crucial for public health planning and resource allocation.

Purpose of the Study:

  • To estimate the prevalence of multiple sclerosis (MS), clinically-isolated syndrome (CIS), and Neuromyelitis Optica Spectrum Disorders (NMOSD) in India.
  • To establish a baseline for future epidemiological studies on demyelinating disorders in the region.

Main Methods:

  • A registry-based method was employed to collect data from secure sources.
  • Index cases were verified, and a total of 79 patients with demyelinating disorders were identified.

Main Results:

  • The crude prevalence for MS was found to be 8.3/100,000, and for CIS, it was 6.2/100,000.
  • Age-standardized prevalence of MS relative to the world population was 7.8/100,000.
  • Neuromyelitis Optica (NMO) and spectrum disorders (NMOS) accounted for 13.9% of all demyelinating disorders, with a prevalence of 2.6/100,000.

Conclusions:

  • This study provides the first epidemiological estimates for MS and related disorders in India.
  • Larger studies utilizing more refined survey methodologies are necessary to ascertain the precise prevalence of demyelinating disorders across India.

Related Concept Videos

Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
20
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
15
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
22
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
199
Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
59
Disorders of the Nervous Tissue01:28

Disorders of the Nervous Tissue

Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
3.0K