复发性和渐进性MS中的运动障碍:对大量现实生活队列的全面前性评估
Hannah Kelly1, Rongyi Sun1, Mohamed Elkasaby2
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Journal of the neurological sciences
|March 27, 2025
概括
运动障碍在多发性硬化症 (MS) 中在所有疾病阶段都很常见,特别是在渐进的MS中. 这些与脱髓化相关的症状有时可能是MS的第一个迹象.
科学领域:
- 神经学 神经学
- 神经免疫学 神经免疫学
- 运动障碍 运动障碍
背景情况:
- 运动障碍在多发性硬化症 (MS) 的早期阶段越来越多地被识别出来.
- 然而,缺乏关于它们在所有成员国阶段的频率和特征的全面数据.
研究的目的:
- 确定在复发性和渐进性MS中运动障碍的患病率,临床特征和解剖起源.
- 为了比较不同的MS疾病过程中的这些发现.
主要方法:
- 这是一项前性研究,在神经免疫学诊所从2016年到2022年期间,涉及327名成年多发性硬化症患者.
- 患者接受了调查和专注检查,以确定与脱髓化相关的运动障碍.
- 现象学和病变位置被用来分类疾病并确定解剖相关性,比较复发性与进展性MS.
主要成果:
- 在64.5%的患者中,存在与脱林相关的运动障碍.
- 脊柱运动障碍是最常见的 (54.1%),其次是脑干/大脑管 (18%) 和条纹/脑 (2.4%).
- 性 (39.4%) 和震 (24.5%) 是最常见的亚型;6.4%的运动障碍表明新的MS复发. 进展性多发性硬化症患者患上这些疾病的可能性更高.
结论:
- 在MS的各个阶段中,与化相关的运动障碍非常普遍.
- 渐进性多发性硬化和脊髓病变与这些疾病的发生率更高有关.
- 运动障碍可以作为MS的最初呈现症状.
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