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Definition
used to image Periventricualr and juxtacrotical elsions. FLAIR |
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Definition
demyelingatino follwoed yb later axona ldegeneration, and plaque formation |
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occur on average once a year in untreated patients , relaspeh ast o bem ore than 24 hour ocurence |
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average 1 lrelapse per yera , most never have dls deilitated. Rarely death as primary cause |
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clnically isoalted sydnrome |
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Definition
one isoalted atack of MS, not clnically edefinite until get a second unrelated attakc. may return to baseline between atacks |
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have between clinidcaly definite ms and secodn progregsisve ms |
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you continue too have stymtpoms and dont return toe baseline after atack |
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from the outsidey ou dont go back down to baseline stay up |
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Definition
based on clincial diagnosis. NEed to have at least one clincia lattack clnicaly isoalted syndrome) and another attack isoalted in time and space , with ms like causes excluded |
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Clincialy isoalted sndrome lastign |
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Definition
needs tobe mroe than 24 hours |
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major presenting sytmpsom fo first attack ms |
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Definition
sensory loss in limbs, visual loss, motor |
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Definition
can diagnoe with oen clinical attack plus a second, OR presences of T2 weighted lesions in characteristic ms lesions such as spinal cord , psoerior fossa, periventricular , juxtacortical areas |
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primary progressive criteria |
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Definition
at least one year of diseasep rogresison bltu 2/3: lesions in the brain t2. lesiosn in spinal cord (dissemianted). or positive csf |
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Definition
hypoinetnese .t2 lesions- show total burden of disease, flair suppress csf to see subcortical orcorical elsion id. Gadolinium- highlights new and active leison s |
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ms lesions apepar beore lcinical symptoms |
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Definition
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7t mri useful for cortical lesiosn |
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mroe asymoptomatic lesiosn = mroe likely to progress to clnidicaly deifnit |
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lymes dissease, sle, tumors, vitamin b2112 deficienceis , neurospyhphillis |
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Definition
mmimcs ms. antibodies to aquapori n four, damge to BB and inflammaiton. On mri see long cord damge to spinal cord over mroe thean 3 segments |
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Definition
oen time demyliatnion usually due to virsuses or vaccines. resovles on own. |
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Definition
lyemdisease frequently indisgitnuishable from MS |
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tabes dorsalisclassic syphillis sign |
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Definition
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Definition
more susceptible to Ms like syptoms |
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acute ms relapsem anagement |
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Definition
high dose steroids, plasmashpherisis or ivig |
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delayign course of hte disease, use of immunomodulating therapy, and immunosuppressants, statted soon after diagnosis |
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fingolomdo only one not injected |
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Definition
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Definition
decreased th1 cells . Also reduced MMp and increases VCAM which binds toVLA4 receptor on th1 cells. |
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Definition
bidns to vla4 receptor on th1 cells |
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Definition
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modulas s1p receptor, itenralnlization in t cells so that it prevents t cel egress into cell |
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only drug apropved for secondarily progresisve disease but leads to significatn cardiotoxicity |
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incidence ofm ri lesions decreases after treatment |
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