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Multiple sclerosis--Indian experience.

B S Singhal

    Annals of the Academy of Medicine, Singapore
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Multiple sclerosis (MS) is rare in India, with prevalence rates varying by region. Indian MS patients exhibit clinical similarities to Asian populations, with a high incidence of optico-spinal forms and optic nerve involvement.

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    Area of Science:

    • Neurology
    • Epidemiology

    Background:

    • Multiple sclerosis (MS) is a rare neurological condition in India, with limited epidemiological data available.
    • Previous studies suggested distinct clinical characteristics of MS in India compared to Western populations.

    Purpose of the Study:

    • To estimate the prevalence of MS in India.
    • To describe the clinical characteristics of MS patients in India.
    • To compare Indian MS patients with those from other global regions.

    Main Methods:

    • Analysis of hospital data to calculate prevalence rates.
    • Retrospective review of 105 clinically definite MS cases and 14 neuromyelitis optica cases in the Bombay region (1957-1983).
    • Assessment of patient demographics, age of onset, clinical presentation, and socioeconomic status.

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    Main Results:

    • Estimated MS prevalence ranges from 0.17 to 1.33 per 100,000 population.
    • Mean age of onset for MS was 27.7 years; 60 females and 45 males.
    • Indian MS patients showed similarities to Asian populations; optico-spinal MS was most common (71.4%), with high rates of optic nerve involvement.
    • Neuromyelitis optica incidence was relatively high (6%).
    • MS affected all communities and dietary habits, predominantly in higher socioeconomic groups, while neuromyelitis optica was more common in lower socioeconomic groups.

    Conclusions:

    • MS is rare in India, with prevalence varying regionally.
    • Clinical presentation of MS in India aligns more closely with Asian rather than Western cohorts.
    • Optic nerve involvement and optico-spinal MS are prominent features in the Indian population.