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Clinical impact of intravenous methylprednisolone in attacks of multiple sclerosisUnitat de Neuroimmunologia Clínica, Hospital Vall d'Hebron, Barcelona, Spain
Unitat de Neuroimmunologia Clínica, Hospital Vall d'Hebron, Barcelona, Spain
Unitat de Neuroimmunologia Clínica, Hospital Vall d'Hebron, Barcelona, Spain
Unitat de Neuroimmunologia Clínica, Hospital Vall d'Hebron, Barcelona, Spain
Unitat de Neuroimmunologia Clínica, Hospital Vall d'Hebron, Barcelona, Spain
Unitat de Neuroimmunologia Clínica, Hospital Vall d'Hebron, Barcelona, Spain, xavier.montalban{at}unic-em.com Background: Intravenous methylprednisolone (IVMP) has been shown to hasten recovery from attacks of multiple sclerosis (MS) without altering the long term evolution of the condition; however, there is little evidence available to suggest which patients are more likely to benefit from IVMP treatment. Objective: To measure clinical change after IVMP treatment and to identify predictors of good outcome. Methods: Retrospective open-label study of medical records from 51 patients with clinically isolated syndromes or relapsing-remitting MS treated with IVMP for an acute attack (54 attacks). Results: A measurable neurological improvement was observed at one month in 44% of these attacks; the only predictor of Expanded Disability Status Scale (EDSS) change at one month was the severity of the attack. Conclusion: Attack severity predicts good response to IVMP when measured by means of EDSS.
Key Words: 6-methylprednisolone clinically isolated syndrome Expanded Disability Status Scale multiple sclerosis relapsing-remitting
Multiple Sclerosis, Vol. 10, No. 4,
413-416 (2004) |
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