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Update on the diagnosis and management of SPMS

…nd EDSS score at last visit (Ramanujam et al. medRxiv 2020.07.09.20149674; free full text at www.medrxiv.org/content/10.1101/2020.07.09.20149674v1.full.pdf). For example, the probability of SPMS was 93% for any patient with EDSS >6; 76% if EDSS >4.5 in a patient aged >45 years (38% if younger than 45 years); and so on. Applying this algorithm to five MS registries in Europe increased the proportion of patients diagnosed as SPMS from 17% to 31% (Hi…

ACTRIMS-ECTRIMS 2020 HIGHLIGHTS – SATURDAY, SEPTEMBER 12 EDITION

…onth 3. The results indicate that there is a therapeutic effect before the complete two-year course of cladribine is completed. Sequencing has effects on Ig Concerns have been raised about the possible effects on immune competence of sequential disease-modifying therapies. A study compared whole-blood samples from 133 RRMS patients (aged 17-66 years) versus patients with other neurological conditions and healthy controls (Keiner et al. ECTRIMS 202…

ACTRIMS-ECTRIMS 2020 HIGHLIGHTS – FRIDAY, SEPTEMBER 11 EDITION

…A U.S. prospective study found that a PDDS score of 0 (no disability) was comparable to EDSS 1.4; a PDDS score of 8 was comparable to EDSS 8.4. A previous study using a smaller sample size suggested PDDS 0 was equivalent to EDSS 2.9, with more comparable scores at higher levels of disability (Learmonth et al. BMC Neurol 2013;13:37). The results suggest that the PDDS may have some utility in assessing disability during a virtual visit. September 2…

Neurological Complications of COVID-19 slide deck

…Includes an overview of SARS-CoV-2 pathogenesis; the neuroinvasive potential of coronaviruses; proposed mechanisms of CNS invasion with SARS-CoV-2 and possible neuropathological mechanisms; case reports of neurological complications; and recommendations from the European Academy of Neurology. Download the Neurological Complications of COVID-19 slide deck…

Molecular profiling of slowly expanding MS lesions

…le et al. Brain 2020;143:2073-2088; free full text at https://academic.oup.com/brain/article-pdf/143/7/2073/33502654/awaa158.pdf). SELs are considered the pathological correlate of MS disease progression. The post-mortem study examined 21 SELs (mixed active/inactive and demyelinating lesions) from 13 patients with progressive MS aged 30-74 years. Additional tissue samples (chronic inactive lesions, normal-appearing white matter) were also examined…