Pediatric multiple sclerosis
Diagnosing multiple sclerosis (MS) in a child is challenging because of the limited diagnostic criteria and their overlap with acute disseminated encephalomyelitis. Pediatric-onset MS patients are more likely to be male, have seizures, and have brainstem and cerebellar symptoms than adults, and are...
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| Vydáno v: | Current neurology and neuroscience reports Ročník 8; číslo 5; s. 434 - 441 |
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| Hlavní autoři: | , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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New York
Current Science Inc
01.09.2008
Springer Nature B.V |
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| ISSN: | 1528-4042, 1534-6293, 1534-6293 |
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| Abstract | Diagnosing multiple sclerosis (MS) in a child is challenging because of the limited diagnostic criteria and their overlap with acute disseminated encephalomyelitis. Pediatric-onset MS patients are more likely to be male, have seizures, and have brainstem and cerebellar symptoms than adults, and are less likely to have spinal cord symptoms than adults. They mostly experience a relapsing-remitting course. Their initial brain MRI shows more frequent involvement of the posterior fossa, less well-defined ovoid lesions, and more confluent lesions that decrease over time in patients with prepubertal onset, making early diagnosis even more difficult. Although disability progression is slower than in adults, pediatric onset MS leads to significant disability at a younger age and may be worse in non-white patients (up to 50% in North America). The rareness of pediatric-onset MS has precluded enrollment in clinical trials. Thus, children are receiving off-label adult therapies without clear evidence of their effectiveness and limited knowledge of their tolerability. |
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| AbstractList | Diagnosing multiple sclerosis (MS) in a child is challenging because of the limited diagnostic criteria and their overlap with acute disseminated encephalomyelitis. Pediatric-onset MS patients are more likely to be male, have seizures, and have brainstem and cerebellar symptoms than adults, and are less likely to have spinal cord symptoms than adults. They mostly experience a relapsing-remitting course. Their initial brain MRI shows more frequent involvement of the posterior fossa, less well-defined ovoid lesions, and more confluent lesions that decrease over time in patients with prepubertal onset, making early diagnosis even more difficult. Although disability progression is slower than in adults, pediatric onset MS leads to significant disability at a younger age and may be worse in non-white patients (up to 50% in North America). The rareness of pediatric-onset MS has precluded enrollment in clinical trials. Thus, children are receiving off-label adult therapies without clear evidence of their effectiveness and limited knowledge of their tolerability.Diagnosing multiple sclerosis (MS) in a child is challenging because of the limited diagnostic criteria and their overlap with acute disseminated encephalomyelitis. Pediatric-onset MS patients are more likely to be male, have seizures, and have brainstem and cerebellar symptoms than adults, and are less likely to have spinal cord symptoms than adults. They mostly experience a relapsing-remitting course. Their initial brain MRI shows more frequent involvement of the posterior fossa, less well-defined ovoid lesions, and more confluent lesions that decrease over time in patients with prepubertal onset, making early diagnosis even more difficult. Although disability progression is slower than in adults, pediatric onset MS leads to significant disability at a younger age and may be worse in non-white patients (up to 50% in North America). The rareness of pediatric-onset MS has precluded enrollment in clinical trials. Thus, children are receiving off-label adult therapies without clear evidence of their effectiveness and limited knowledge of their tolerability. Diagnosing multiple sclerosis (MS) in a child is challenging because of the limited diagnostic criteria and their overlap with acute disseminated encephalomyelitis. Pediatric-onset MS patients are more likely to be male, have seizures, and have brainstem and cerebellar symptoms than adults, and are less likely to have spinal cord symptoms than adults. They mostly experience a relapsing-remitting course. Their initial brain MRI shows more frequent involvement of the posterior fossa, less well-defined ovoid lesions, and more confluent lesions that decrease over time in patients with prepubertal onset, making early diagnosis even more difficult. Although disability progression is slower than in adults, pediatric onset MS leads to significant disability at a younger age and may be worse in non-white patients (up to 50% in North America). The rareness of pediatric-onset MS has precluded enrollment in clinical trials. Thus, children are receiving off-label adult therapies without clear evidence of their effectiveness and limited knowledge of their tolerability.[PUBLICATION ABSTRACT] Diagnosing multiple sclerosis (MS) in a child is challenging because of the limited diagnostic criteria and their overlap with acute disseminated encephalomyelitis. Pediatric-onset MS patients are more likely to be male, have seizures, and have brainstem and cerebellar symptoms than adults, and are less likely to have spinal cord symptoms than adults. They mostly experience a relapsing-remitting course. Their initial brain MRI shows more frequent involvement of the posterior fossa, less well-defined ovoid lesions, and more confluent lesions that decrease over time in patients with prepubertal onset, making early diagnosis even more difficult. Although disability progression is slower than in adults, pediatric onset MS leads to significant disability at a younger age and may be worse in non-white patients (up to 50% in North America). The rareness of pediatric-onset MS has precluded enrollment in clinical trials. Thus, children are receiving off-label adult therapies without clear evidence of their effectiveness and limited knowledge of their tolerability. |
| Author | Chabas, Dorothee Strober, Jonathan Waubant, Emmanuelle |
| Author_xml | – sequence: 1 givenname: Dorothee surname: Chabas fullname: Chabas, Dorothee email: dorothee.chabas@ucsf.edu organization: Regional Pediatric Multiple Sclerosis Center, University of California, San Francisco – sequence: 2 givenname: Jonathan surname: Strober fullname: Strober, Jonathan – sequence: 3 givenname: Emmanuelle surname: Waubant fullname: Waubant, Emmanuelle |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18713581$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1038_nrneurol_2010_198 crossref_primary_10_1080_09297049_2012_748888 crossref_primary_10_3389_fneur_2024_1359938 crossref_primary_10_1002_ana_24364 crossref_primary_10_1016_j_pediatrneurol_2009_04_018 crossref_primary_10_1016_S0028_3843_14_60027_X crossref_primary_10_1177_1352458515586088 crossref_primary_10_1007_s00276_009_0560_5 crossref_primary_10_1016_j_jns_2015_04_025 crossref_primary_10_1586_ern_12_101 crossref_primary_10_1002_hbm_22148 crossref_primary_10_1007_s11940_009_0024_6 crossref_primary_10_1097_NEN_0000000000000214 crossref_primary_10_3109_09540261003589588 crossref_primary_10_3390_children12050631 crossref_primary_10_4274_jmsr_galenos_2023_2023_9_2 crossref_primary_10_1093_brain_awp278 crossref_primary_10_1111_cen3_12347 crossref_primary_10_1177_1352458516652497 crossref_primary_10_4329_wjr_v8_i1_1 |
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| Keywords | Multiple Sclerosis Optic Neuritis Clinically Isolate Syndrome Neuromyelitis Optica Multiple Sclerosis Patient |
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