Ramo-Tello Cristina, Blanco Yolanda, Brieva Luis, Casanova Bonaventura, Martínez-Cáceres Eva, Ontaneda Daniel, Ramió-Torrentá Lluís, Rovira Àlex
Multiple Sclerosis and Clinical Neuroimmunology Unit, Germans Trias University Hospital, 08916 Badalona, Spain.
Multiple Sclerosis Unit, Clínic Hospital, 08036 Barcelona, Spain.
J Pers Med. 2021 Dec 22;12(1):6. doi: 10.3390/jpm12010006.
Minimizing the risk of relapse is essential in multiple sclerosis (MS). As none of the treatments currently available are capable of completely preventing relapses, treatment of these episodes remains a cornerstone of MS care. The objective of this manuscript is to reduce uncertainty and improve quality of care of this neurological process. This article addresses definitions of key concepts, recommendations for clinical examination, classification criteria, magnetic resonance imaging, biomarkers, and specific therapeutic counsels including special populations such as pregnant and breastfeeding women, and children. An algorithm for treating MS relapses is also provided.
在多发性硬化症（MS）中，将复发风险降至最低至关重要。由于目前可用的治疗方法均无法完全预防复发，因此对这些发作的治疗仍然是MS护理的基石。本手稿的目的是减少不确定性并提高对这一神经过程的护理质量。本文阐述了关键概念的定义、临床检查建议、分类标准、磁共振成像、生物标志物以及包括孕妇、哺乳期妇女和儿童等特殊人群在内的特定治疗建议。还提供了一种治疗MS复发的算法。
