Neurology

Investigating interaction of environmental, genetic factors in MS

 

REPORT FROM THE 26TH CONGRESS OF THE EUROPEAN COMMITTEE FOR TREATMENT AND RESEARCH  IN MS (ECTRIMS), GOTHENBURG, SWEDEN, OCTOBER 13-16, 2010 – Recent papers have speculated that environmental factors, such as vitamin D status, may interact directly with genetic factors to increase the susceptibility to MS (Handunnetthi et al. Neurology 2010; 74: 1905-1910). Of particular interest is the HLA DRB1*1501 allele, which has been shown in numerous studies to influence MS risk (Link et al. J Neuroimmunol 2010; 226: 172-176).

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Benign MS: database analysis

 

REPORT FROM THE 26TH CONGRESS OF THE EUROPEAN COMMITTEE FOR TREATMENT AND RESEARCH  IN MS (ECTRIMS), GOTHENBURG, SWEDEN, OCTOBER 13-16, 2010 – An analysis of data from a longitudinal cohort of MS patients diagnosed in Gothenburg, Sweden (n=307), in the period 1950-1964 reports that 18% have remained non-progressive 45 years after disease onset (Andersen O. ECTRIMS 2010; abstract 36).

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CCSVI: interventions not justified

 

REPORT FROM THE 26TH CONGRESS OF THE EUROPEAN COMMITTEE FOR TREATMENT AND RESEARCH  IN MS (ECTRIMS), GOTHENBURG, SWEDEN, OCTOBER 13-16, 2010 – “We should not be using any interventions to treat CCSVI (chronic cerebrospinal venous insufficiency) until we can demonstrate that it has a pathological role,” stated Dr. Giancarlo Comi, Milan, Italy, at a special symposium organized by the European Charcot Foundation. “CCSVI is not a cause of MS,” he said, “and what is the evidence that it influences the MS disease process?”

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Diagnosing pathological Internet use

 

Report from the 163rd annual meeting of the American Psychiatric Association, New Orleans LA, May 22-26, 2010 – The diagnostic validity of pathological Internet use has been the subject of recent debate but it remains unclear if the phenomenon is a behavioural problem, part of the spectrum of impulsive, compulsive or addictive disorders, or a separate clinical entity (see Beard & Wolf. Cyber Psychol Behav 2001; 4:377-383; Griffiths. Addict Res 2008; 8: 413-418; Young. J Contemp Psychother 2009; 39: 241-246) (For a recent comment from Canadian researchers see El-Guebaly & Mudry. World Psychiatry 2010; 9: 93-94; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC2911084/?tool=pubmed). Clinical data are lacking, but a Problematic Internet Use Questionnaire is currently in development (Thatcher & Goolam. S Afr J Psychol 2005; 35: 793-809).

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ECT: Response and common side effects

 

Report from the 163rd annual meeting of the American Psychiatric Association, New Orleans LA, May 22-26, 2010 – Two studies have examined the effectiveness and side effect profile of electroconvulsive therapy (ECT) in patients with mood disorders.

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