Progressive Forms of Multiple Sclerosis

Distinct Entity or Age-Dependent Phenomena

Burcu Zeydan, Orhun H Kantarci

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

In multiple sclerosis (MS), disease course is defined by a subclinical or clinical relapsing remitting phase, a progressive phase, and the overlapping phase in-between. Each phase can have intermittently active or inactive periods. Subclinical activity in radiologically isolated syndrome evolving to primary-progressive MS is mostly indistinguishable from relapsing-remitting MS evolving to secondary-progressive MS. The onset of progressive-phase MS is age-dependent but time and pre-progressive phase agnostic. Pathologic hallmarks of progressive MS onset also appear to be age-dependent but pre-progressive phase agnostic. Onset of progressive MS is characterized by a peak in smoldering plaques.

Original languageEnglish (US)
Pages (from-to)163-171
Number of pages9
JournalNeurologic Clinics
Volume36
Issue number1
DOIs
StatePublished - Feb 1 2018

Fingerprint

Multiple Sclerosis
Chronic Progressive Multiple Sclerosis
Relapsing-Remitting Multiple Sclerosis

Keywords

  • Aging
  • Multiple sclerosis
  • Progression
  • Smoldering plaque

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Progressive Forms of Multiple Sclerosis : Distinct Entity or Age-Dependent Phenomena. / Zeydan, Burcu; Kantarci, Orhun H.

In: Neurologic Clinics, Vol. 36, No. 1, 01.02.2018, p. 163-171.

Research output: Contribution to journalReview article

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AB - In multiple sclerosis (MS), disease course is defined by a subclinical or clinical relapsing remitting phase, a progressive phase, and the overlapping phase in-between. Each phase can have intermittently active or inactive periods. Subclinical activity in radiologically isolated syndrome evolving to primary-progressive MS is mostly indistinguishable from relapsing-remitting MS evolving to secondary-progressive MS. The onset of progressive-phase MS is age-dependent but time and pre-progressive phase agnostic. Pathologic hallmarks of progressive MS onset also appear to be age-dependent but pre-progressive phase agnostic. Onset of progressive MS is characterized by a peak in smoldering plaques.

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