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Unprovoked seizures in multiple sclerosis: Why are they rare?
Anamarija Kavčič1, Werner E Hofmann1
1Gemeinschaftspraxis Dr. Hofmann & Olschewski Aschaffenburg Germany.
Introduction:
The frequency of seizures in patients with multiple sclerosis (MS) ranges from 1.5% to 7.8% and is considerably more common than chance events. The etiopathogenesis of seizures in MS is still poorly understood.
Method:
A review of the literature on seizures and MS using PubMed.
Results:
Cortical gray matter involvement appears to be an all-too-common pathological finding in MS to play a primary role in the pathogenesis of seizures in MS patients. There is no clear relationship between seizures and the severity of MS. In approximately 10% of cases, a seizure is actually an initial neurological symptom of MS.
Conclusion:
Searching for coherence in the occurrence of unprovoked seizures in MS directs attention to the dichotomy in MS pathology characterized by a complex intertwining of neuroinflammatory and neurodegenerative processes. The appearance (or nonappearance) of seizures in MS in relation to disease activity and disease progression indicates a distinct clinical phenotype of MS that opens up new perspectives in MS research.
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