Henze T, Feneberg W, Flachenecker P, Seidel D, Albrecht H, Starck M, Meuth S G
Praxisgemeinschaft für Neurologie, Psychiatrie, Psychotherapie, Günzstr. 1, 93059, Regensburg, Deutschland.
Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke gemeinnützige GmbH, Berg, Deutschland.
Nervenarzt. 2017 Dec;88(12):1421-1427. doi: 10.1007/s00115-017-0438-4.
The symptomatic treatment of multiple sclerosis (MS) nowadays is of similar importance as immunotherapy within a comprehensive concept of therapy of this chronic disease, since it contributes considerably to the reduction of disabilities in activities of daily living as well as social and occupational life. Moreover, symptomatic treatment is of great importance for amelioration of quality of life. Since our last survey of symptomatic MS treatment in 2004 and publication of the guidelines of the German Neurological Society and the Klinisches Kompetenznetz Multiple Sklerose (KKN‑MS) in 2014 several developments within the topics of mobility, bladder and sexual function, vision, fatigue, cognition and rehabilitation took place. These new findings together with further aspects of disease measures and overall treatment strategies of the respective symptoms, as well as treatment goals are introduced in a series of six individual contributions. Here, the topic will be introduced, the methodical approach will be explained, and the treatment of ataxia and tremor will be discussed.
如今,在多发性硬化症(MS)这种慢性病的综合治疗理念中,对症治疗与免疫疗法具有同等重要性,因为它对减少日常生活活动以及社交和职业生活中的残疾状况有很大帮助。此外,对症治疗对改善生活质量也非常重要。自我们上次在2004年对MS对症治疗进行调查以及德国神经学会和多发性硬化症临床能力网络(KKN-MS)在2014年发布指南以来,在 mobility、膀胱和性功能、视力、疲劳、认知和康复等主题方面有了一些进展。这些新发现连同疾病措施的其他方面以及各个症状的总体治疗策略和治疗目标,在一系列六篇单独的文稿中进行了介绍。在此,将介绍主题,解释方法,并讨论共济失调和震颤的治疗。