Clinical aspects of multiple sclerosis essentials and current updates /

Multiple Sclerosis (MS) is an inflammatory autoimmune disease affecting the brain and spinal cord.Despite significant advances in treatment modalities the prognosis of this patient population is still poor.

Bibliographic Details
Corporate Author: ScienceDirect (Online service)
Other Authors: Sriwastava, Shitiz (Editor), Bernitsas, Evanthia (Editor)
Format: eBook
Language:English
Published: Amsterdam : Academic Press, 2024.
Subjects:
Online Access:Connect to the full text of this electronic book
Table of Contents:
  • Front Cover
  • Clinical Aspects of Multiple Sclerosis Essentials and Current Updates
  • Clinical Aspects of Multiple Sclerosis Essentials and Current Updates
  • Copyright
  • Contents
  • Contributors
  • Preface
  • Acknowledgment
  • 1
  • Introduction to multiple sclerosis: Subtypes, pathogenesis, and diagnostic criteria
  • Introduction
  • Multiple sclerosis: knowledge and inference
  • Multiple sclerosis: epidemiology
  • Multiple sclerosis: pathogenesis
  • Multiple sclerosis: histological classification
  • Multiple sclerosis: clinical classification
  • Multiple sclerosis: diagnostic criteria
  • Multiple sclerosis: new formalized terms-CIS and RIS
  • Clinically isolated syndrome
  • Radiologically isolated syndrome
  • Case example
  • Multiple sclerosis: history and future prospects
  • Conflict of interest statement
  • References
  • 2
  • An overview of neuromyelitis optica spectrum disorders
  • Overview and epidemiology
  • Pathophysiology
  • Clinical presentation
  • Histopathological findings
  • Radiological findings
  • Diagnosis
  • Management
  • Treatment of acute attacks
  • Preventative (maintenance) therapy
  • Off-label disease-modifying therapies
  • Rituximab
  • Azathioprine
  • Mycophenolate mofetil
  • Methotrexate
  • FDA-approved therapies
  • Targeting the complement system (eculizumab, soliris)
  • Targeting B-lymphocytes cells: (inebilizumab)
  • Targeting the IL-6 receptor (satralizumab, enspryng)
  • Emerging therapies and ongoing trials
  • Tocilizumab
  • Aquaporumab (rAb-53)
  • Bevacizumab
  • Ublituximab
  • Autologous hematological stem cell transplantation
  • Conflict of interest statement
  • References
  • 3
  • Epidemiology, epigenetics, and etiological factors in multiple sclerosis
  • Prevalence and geography
  • Demographics
  • Genetics
  • Genome wide association studies
  • Interleukin 7 receptor alpha, interleukin 2 receptor alpha.
  • Humoral immune system (belimumab, ixazomib)
  • Immune tolerance (ANK-700, Tol-Dec, Neurovax)
  • Neural protection and antioxidation (N-acetyl cysteine, lipoic acid)
  • Microbiome
  • Stem cells therapies
  • Treatment failure
  • When to start
  • When to switch
  • When to discontinue
  • Escalation versus early intense therapy for multiple sclerosis
  • Treatment of clinically and radiologically isolated syndrome
  • COVID and DMT
  • Conflict of interest statement
  • References
  • 6
  • Treatment guidelines and considerations for pediatric multiple sclerosis
  • Epidemiology
  • Risk factors
  • Pathophysiology
  • T cells responses
  • B cells-antibodies
  • CSF proteomics
  • Diagnostic criteria
  • Clinical presentation
  • Disease course
  • Cognitive deficits
  • Disability accrual
  • Acute symptoms
  • Cognitive impairment
  • Clinical outcomes
  • Alternate diagnosis and mimics
  • Diagnostic evaluation
  • MRI
  • CSF
  • MRI findings
  • Treatment approach
  • Goal
  • Approach
  • Challenges
  • Acute treatment
  • Disease modifying agents
  • References
  • 7
  • Multiple sclerosis and pregnancy management: From preconception to postpartum
  • Introduction
  • Prepregnancy, pregnancy, and postpregnancy planning in patients with MS
  • Treatment of MS relapses during pregnancy and breastfeeding
  • Effects of breastfeeding on MS
  • Role of vitamin D in preventing postpartum relapse of MS
  • Best practice recommendations-disease-modifying therapies for pregnant women who have multiple sclerosis
  • Best practice recommendations: Disease-modifying therapies and lactation in women with MS
  • Conclusion
  • Acknowledgment
  • References
  • 8
  • Rare variant of multiple sclerosis
  • Introduction
  • Tumefactive MS
  • Disease overview and epidemiology
  • Pathophysiology
  • Clinical findings
  • Radiologic findings
  • Histopathology findings
  • Investigations and diagnosis
  • Management.
  • Balo's concentric sclerosis
  • Disease overview and epidemiology
  • Pathophysiology
  • Clinical findings
  • Radiological findings
  • Histopathological findings
  • Investigations and diagnosis
  • Management
  • Prognosis
  • Schilder's disease
  • Disease overview and epidemiology
  • Pathophysiology
  • Clinical picture
  • Radiological findings
  • Histopathological findings
  • Diagnosis
  • Management
  • Marburg MS
  • Disease overview and epidemiology
  • Pathophysiology
  • Clinical picture
  • Radiological findings
  • Histopathological findings
  • Diagnosis
  • Management
  • Conflict of interest statement
  • References
  • 9
  • Neuroimaging in multiple sclerosis and related disorders: Advancements and concepts
  • Imaging protocols: brain, cervical and thoracic cord, and orbit
  • Protocol for brain imaging
  • Protocol for cervical and thoracic cord imaging
  • Protocol for orbit imaging
  • Imaging findings of brain, spinal cord, and orbits in MS
  • Brain imaging findings
  • Spinal cord imaging findings
  • Orbital imaging findings
  • MS variants and differential diagnosis
  • Balo concentric sclerosis
  • Marburg variant
  • Schilder's disease
  • Acute disseminated encephalomyelitis
  • Neuro Behçet disease
  • Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy
  • Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids
  • Adult-onset leukodystrophy
  • Migraine
  • Neuromyelitis optica spectrum disorder
  • Myelin oligodendrocyte glycoprotein antibody-associated disease
  • Progressive multifocal leukoencephalopathy
  • Neuro sarcoidosis
  • Subacute combined degeneration of the cord
  • Susac syndrome
  • Acute transverse myelopathy
  • Newer imaging studies in multiple sclerosis
  • Magnetic resonance spectroscopy
  • Ultra-high-field MRI
  • Central vein sign
  • Diffusion tensor imaging.
  • Artificial intelligence
  • Dynamic susceptibility contrast perfusion MRI
  • Paramagnetic rim and iron deposits
  • Additional imaging in ultra-high-field MRI
  • References
  • 10
  • Optical coherence tomography in multiple sclerosis: Diagnostic applications
  • Introduction
  • Role of OCT in multiple sclerosis
  • Diagnosis of prior unilateral or bilateral optic neuritis
  • Differentiating neuromyelitis optica spectrum disorder and chronic relapsing inflammatory optic neuritis from multiple scle ...
  • Monitoring MS patients on fingolimod
  • Monitoring of disease activity in multiple sclerosis
  • Prognostication value for MS
  • OCT angiography
  • Acknowledgment
  • References
  • Further reading
  • 11
  • Cognitive impairment in multiple sclerosis
  • Definition
  • Epidemiology
  • Cognitive functions and cognitive reserve
  • Attention and processing speed
  • Cognitive processing speed
  • Attention
  • Executive functioning
  • Learning and memory
  • Visual perception
  • Language
  • Cognitive reserve hypothesis
  • Structural and imaging findings
  • Cortical gray matter
  • Thalamus
  • Basal nuclei
  • Hippocampus
  • White matter
  • Corpus callosum
  • Ventricular enlargement
  • Functional MRI changes
  • Diagnosis and differential diagnosis
  • Screening recommendations
  • Symbol Digit Modalities Test
  • Multiple Sclerosis Neuropsychological Questionnaire
  • Paced Auditory Serial Addition Test
  • Rey Auditory Verbal Learning Test
  • Minimal Assessment of Cognitive Function in MS
  • Brief International Cognitive Assessment for Multiple Sclerosis
  • Differential diagnosis
  • Treatment
  • Cognitive rehabilitation
  • Restorative cognitive rehabilitation
  • Compensatory cognitive rehabilitation
  • Pharmacologic
  • Exercise training
  • Impact
  • References
  • Index.