By William Sheremata

ISBN-10: 0763747637

ISBN-13: 9780763747633

ISBN-10: 1429492627

ISBN-13: 9781429492621

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Extra resources for 100 Questions & Answers About Multiple Sclerosis (100 Questions Series)

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Large numbers of neurologists interested in MS in the United States, Canada, and Europe have come to the same conclusions regarding the prognosis of MS: 1. Women with MS do better than men! 2. The onset of MS before the age of 30 is associated with a better prognosis. 3. One attack of MS, only, in the first year of illness predicts less disability. qxd 1 0 0 Q & A 12/23/05 A B O U T 9:38 AM Page 43 M U L T I P L E S C L E R O S I S Diagnosis, Identification, and Prognosis 4. Optic neuritis or retrobulbar neuritis as an initial attack has been recognized as being associated with a good prognosis.

There may be a small blind spot left after an attack, and occasionally, this may be large enough to interfere with vision. Glaucoma, which is another type of eye disease, unrelated to MS, is more common as a cause of blindness in MS patients. Karen’s comment: My vision problems range from a bit of blurriness to a complete lack of sight. I inherited extreme myopia; I wear contact lenses and glasses even in the shower. Before MS, changes in my vision required new prescriptions and picking out the least offensive frames.

The ability to walk is affected in an increasing proportion of untreated MS patients over time. However, the rate of progression varies from patient to patient. Frequent attacks with incomplete recovery are indicators of a poorer outlook. Importantly, the likelihood of disability is diminished by (early) therapeutic intervention. The studies of the natural history of MS in patients in southern Ontario documented that half of those who had three attacks within their first year required the use of wheelchairs within 5 years of onset.

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100 Questions & Answers About Multiple Sclerosis (100 Questions Series) by William Sheremata

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