Singhal Bhim S, Advani Hemali
Department of Neurology, Bombay Hospital Institute of Medical Sciences, Marine Lines, Mumbai, Maharashtra, India.
Ann Indian Acad Neurol. 2015 Sep;18(Suppl 1):S2-5. doi: 10.4103/0972-2327.164812.
Multiple sclerosis (MS) is being increasingly diagnosed in India mainly due to increase in the number of practicing neurologists and easy and affordable availability of magnetic resonance imaging (MRI). The clinical features and course are largely similar to those seen in the West. The term optico-spinal MS (Asian MS) was coined in the pre-MRI days. Many such patients turn out to be cases of neuromyelitis optica - a distinct disorder and not a variant of MS. Others have shown the classical features of MS on MRI scan. Several of the disease-modifying agents, not all, are now available in India. Their use, however, has been limited in view of the high cost.
在印度,多发性硬化症(MS)的诊断越来越多,这主要归因于执业神经科医生数量的增加以及磁共振成像(MRI)检查便捷且费用可承受。其临床特征和病程在很大程度上与西方所见相似。视神经脊髓型MS(亚洲型MS)这一术语是在MRI出现之前提出的。许多这类患者后来被证实是视神经脊髓炎——一种独特的疾病,而非MS的一种变异型。其他患者在MRI扫描中显示出MS的典型特征。目前,印度已有几种(并非全部)疾病修正治疗药物可供使用。然而,鉴于费用高昂,其使用受到了限制。