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The progressive worsening of symptoms is caused by nerve damage or loss rather than the inflammation. The symptoms of primary-progressive multiple sclerosis are similar to those of secondary-progressive multiple sclerosis.
Microglia activation a. Progressive multiple sclerosis and gray matter pathology: an MRI perspective. The sponsor has recently voluntarily terminated the study. Despite our increasing knowledge and better understanding of the underlying mechanisms, many questions remain open. Mult Scler 20 11 — You can login by using one of your existing accounts.
The main symptom of both forms of the condition is a gradual worsening of disability. Ten percent of all multiple sclerosis patients are diagnosed with PPMS. The cause of PPMS is unknown. Patients with PPMS tend to be diagnosed in their mid-to-late 30s. The condition affects men and women equally.
Diagnosis of all forms of MS begins with a detailed medical history and neurological examination. Because MS can have similar symptoms of other nervous system disorders, diagnostic tests help rule out other causes and confirm a diagnosis. These tests may include a magnetic resonance imaging MRI scan of the brain and spinal cord. The patient's medical team may order a lumbar puncture, also known as a spinal tap, and cerebrospinal fluid analysis, as well as nerve function tests. Blood tests may be performed to rule out other conditions that have similar symptoms.
The only definitive way to diagnose PPMS apart from other forms of multiple sclerosis is by observation. Although the FDA has approved medications for relapsing-remitting forms of the disease, there are currently no approved medications for PPMS. Treatment of PPMS is focused on managing the symptoms and increasing daily functioning. Symptoms of PPMS can affect a patient's daily life, so physical and occupational therapy may be used to manage symptoms and help patients adjust to living and working situations.
Choosing the right medication requires careful consideration of the risks and benefits, along with close collaboration with an experienced neurologist with experience in treating the disease, such as those at the Multiple Sclerosis Center in Cedars-Sinai's Department of Neurology. All Rights Reserved. A c 3 non-profit organization.
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