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晚发型多发性硬化临床特点分析

张先龙 唐玉兰 肖凯文

实用医学杂志2011,Vol.27Issue(1):61-64,4.
实用医学杂志2011,Vol.27Issue(1):61-64,4.DOI:10.3969/j.issn.1006-5725.2011.01.026

晚发型多发性硬化临床特点分析

Clinical analysis of late-onset multiple sclerosis

张先龙 1唐玉兰 2肖凯文2

作者信息

  • 1. 417000,湖南省娄底市中心医院神经内科
  • 2. 530021,南宁市,广西医科大学第一附属医院神经内科
  • 折叠

摘要

Abstract

Objective To summarize the clinical features of late-onset multiple sclerosis (LOMS). Methods Compared with 215 patients with adult-onset multiple sclerosis in the same period, 33 patients with late-onset multiple sclerosis were analyzed retrospectively from general information, clinical features and ancillary examinations. Results The age of first-episode was from 50 to 71 years, with an average age of 53.82 years, the ratio of male to female was 1:1.54; LOMS were found to be subacute or chronic at onset, accounted for 72.7%; Among 33 LOMS cases, 33.3% of them was relapsing-remitting type, and 21.2% was primary progressive type in clinical classification; The initial symptoms were commonly limb numbness and limb weakness, seizure presented single symptom, movement disorders and paraesthesia were common in clinical manifestations; Prognosis may be related to clinical types. Conclusion The clinical features of LOMS are similar to adult-onset multiple sclerosis, but the emphasis on movement disorders and spinal cord injury are more common; MRI and evoked potentials are helpful to its early diagnosis.

关键词

多发性硬化/晚发型/临床特点

引用本文复制引用

张先龙,唐玉兰,肖凯文..晚发型多发性硬化临床特点分析[J].实用医学杂志,2011,27(1):61-64,4.

基金项目

广西自然科学基金资助项目(编号:桂科回0991009) (编号:桂科回0991009)

广西卫生厅自筹经费科研课题资助项目(编号:Z2009097) (编号:Z2009097)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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