Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-5-6
pubmed:abstractText
Fifty-four subjects (36 females and 18 males) affected by clinically definite multiple sclerosis (MS) and with onset of the disease at 15 years of age or before were prospectively studied in five Italian MS centres. Female/male ratio was 4.7 in subjects with age > or = 12 years, suggesting a role of hormonal changes in triggering MS onset The mean follow-up duration was 10.9+/-5.6 years. The functional systems more frequently involved at onset were the pyramidal and brainstem (both in 28% of cases). The onset was monosymptomatic in 31 subjects (57%). The course was relapsing-remitting in 39 subjects (72%) and relapsing-progressive in 15 (28%). Disability was assessed by the Expanded Disability Status Scale (EDSS): the mean score after 8 years of follow up was 3.5 (+/-2.5). The score was <4 in 68% of cases, between 4 and 6 in 8% of cases, >6 in 24% of cases. Disability after 8 years was highly predicted by disability in the first year (p=0.008). There was a tendency to a worse prognosis in relation to the number of relapses in the first 2 years (p=0.08). The outcome was not influenced by the characteristics of symptoms at onset age and gender.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1352-4585
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
115-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11990867-Adolescent, pubmed-meshheading:11990867-Age of Onset, pubmed-meshheading:11990867-Brain Stem, pubmed-meshheading:11990867-Child, pubmed-meshheading:11990867-Disability Evaluation, pubmed-meshheading:11990867-Disease Progression, pubmed-meshheading:11990867-Female, pubmed-meshheading:11990867-Follow-Up Studies, pubmed-meshheading:11990867-Humans, pubmed-meshheading:11990867-Italy, pubmed-meshheading:11990867-Male, pubmed-meshheading:11990867-Multiple Sclerosis, pubmed-meshheading:11990867-Multiple Sclerosis, Chronic Progressive, pubmed-meshheading:11990867-Multiple Sclerosis, Relapsing-Remitting, pubmed-meshheading:11990867-Prospective Studies, pubmed-meshheading:11990867-Pyramidal Tracts, pubmed-meshheading:11990867-Severity of Illness Index, pubmed-meshheading:11990867-Treatment Outcome
pubmed:year
2002
pubmed:articleTitle
Prospective study of multiple sclerosis with early onset.
pubmed:affiliation
Centro Studi Sclerosi Multipla, Ospedale di Gallarate, Universìta di Milano, Milan, Italy. centro.sm@libero.it
pubmed:publicationType
Journal Article, Multicenter Study