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MS
cortical and justacrotical lesions
33
Medical
Graduate
10/27/2011

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Term
mRI
Definition
used to image Periventricualr and juxtacrotical elsions. FLAIR
Term
clnical pathology of mS
Definition
demyelingatino follwoed yb later axona ldegeneration, and plaque formation
Term
acute ms relapses
Definition
occur on average once a year in untreated patients , relaspeh ast o bem ore than 24 hour ocurence
Term
natural yhistory
Definition
average 1 lrelapse per yera , most never have dls deilitated. Rarely death as primary cause
Term
clnically isoalted sydnrome
Definition
one isoalted atack of MS, not clnically edefinite until get a second unrelated attakc. may return to baseline between atacks
Term
relapsing remitting ms
Definition
have between clinidcaly definite ms and secodn progregsisve ms
Term
secondary progessive ms
Definition
you continue too have stymtpoms and dont return toe baseline after atack
Term
primary progressive
Definition
from the outsidey ou dont go back down to baseline stay up
Term
diagnosis of ms
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
Term
Clincialy isoalted sndrome lastign
Definition
needs tobe mroe than 24 hours
Term
major presenting sytmpsom fo first attack ms
Definition
sensory loss in limbs, visual loss, motor
Term
Mcdonalds criteria
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
Term
primary progressive criteria
Definition
at least one year of diseasep rogresison bltu 2/3: lesions in the brain t2. lesiosn in spinal cord (dissemianted). or positive csf
Term
t1 lesiosn
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
Term
ms lesions apepar beore lcinical symptoms
Definition
Term
7t mri useful for cortical lesiosn
Definition
Term
elevated iGG
Definition
oligoclonal bands
Term
mroe asymoptomatic lesiosn = mroe likely to progress to clnidicaly deifnit
Definition
Term
ms liek disease
Definition
lymes dissease, sle, tumors, vitamin b2112 deficienceis , neurospyhphillis
Term
neuromyelitis optica
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
Term
ADEm
Definition
oen time demyliatnion usually due to virsuses or vaccines. resovles on own.
Term
neuroborrelosis
Definition
lyemdisease frequently indisgitnuishable from MS
Term
tabes dorsalisclassic syphillis sign
Definition
Term
hiv paatients
Definition
more susceptible to Ms like syptoms
Term
acute ms relapsem anagement
Definition
high dose steroids, plasmashpherisis or ivig
Term
disease modifiaction
Definition
delayign course of hte disease, use of immunomodulating therapy, and immunosuppressants, statted soon after diagnosis
Term
fingolomdo only one not injected
Definition
Term
IFN B- moa
Definition
decreased th1 cells . Also reduced MMp and increases VCAM which binds toVLA4 receptor on th1 cells.
Term
natulzibmab
Definition
bidns to vla4 receptor on th1 cells
Term
glatimir aceteatae
Definition
th2 bias
Term
fingolomod moa.
Definition
modulas s1p receptor, itenralnlization in t cells so that it prevents t cel egress into cell
Term
novatron
Definition
only drug apropved for secondarily progresisve disease but leads to significatn cardiotoxicity
Term
incidence ofm ri lesions decreases after treatment
Definition
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