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Prognostic Indicators in Patients with Relapsing Remitting Multiple Sclerosis

    Ali Kadim Karim Nawfal Madhi Sheaheed Abdulraheem Taha Zeki Noah Al-Musawi

Iraqi Postgraduate Medical Journal, 2015, Volume 14, Issue 3, Pages 403-409

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Abstract

ABSTRACT:
BACKGROUND:
Multiple sclerosis is an inflammatory demyelinating disease of the central nervous system affecting nearly 2 million people worldwide. Multiple sclerosis typically begins in early adulthood and has a variable prognosis.
OBJECTIVE:
To determine the factors that affects the prognosis in Iraqi patients with relapsing remitting multiple sclerosis.
PATIENTS AND METHODS:
This study includes fifty patients with relapsing remitting MS and was conducted from March 2007 to July 2008 in Baghdad Teaching Hospital MS clinic. A study protocol sheet was done and filled from the patient’s database in the MS clinic. The prognostic indicator of residual disability depends on the Expanded Disability Status Scale (EDSS).
RESULTS:
The mean age for the study sample was 45.58 years, with 27 male and 23 female. High percentage of patients presented as monosymptomatic (70%), most of the symptoms was spinal (48%). The mean value for relapses was 2.3 with maximum number of 6. The study shows that there is no significant effect of gender as a prognostic indicator on the residual disability of patient with relapsing remitting MS. There is significant correlation between the age at CDMS and the EDSS in the first visit (EDSS1).
CONCLUSION:
We concluded that the older age at onset, pyramidal and sphincteric involvement at the beginning of the illness and more relapses in the first 2 years of the illness all are associated with poor prognosis.
Keywords:
    KEY WORDS prognostic indicator
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(2015). Prognostic Indicators in Patients with Relapsing Remitting Multiple Sclerosis. Iraqi Postgraduate Medical Journal, 14(3), 403-409.
Ali Kadim Karim; Nawfal Madhi Sheaheed; Abdulraheem Taha; Zeki Noah Al-Musawi. "Prognostic Indicators in Patients with Relapsing Remitting Multiple Sclerosis". Iraqi Postgraduate Medical Journal, 14, 3, 2015, 403-409.
(2015). 'Prognostic Indicators in Patients with Relapsing Remitting Multiple Sclerosis', Iraqi Postgraduate Medical Journal, 14(3), pp. 403-409.
Prognostic Indicators in Patients with Relapsing Remitting Multiple Sclerosis. Iraqi Postgraduate Medical Journal, 2015; 14(3): 403-409.
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