Functional symptoms in clinically definite MS--pseudo-relapse syndrome.

Hdl Handle:
http://hdl.handle.net/10147/208829
Title:
Functional symptoms in clinically definite MS--pseudo-relapse syndrome.
Authors:
Merwick, A; Sweeney, B J
Affiliation:
Department of Clinical Neurology, Cork University Hospital, Wilton, Cork,, Ireland. ainemerwick@yahoo.co.uk
Citation:
Int MS J. 2008 Jun;15(2):47-51.
Journal:
International MS journal / MS Forum
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208829
PubMed ID:
18782499
Abstract:
Although the diagnostic criteria for multiple sclerosis (MS) have become more formalized and sensitive in the era of magnetic resonance imaging (MRI) scanning, the assessment of individual relapses may not always be straightforward or easily linked to a particular lesion seen on imaging. In addition, acute episodes often have to be assessed outside of normal working hours or when the individual patients usual medical team is not available. Often the emergency department physicians have little formal neurological training and are under time pressure to get patients through the system as quickly as possible. It is therefore possible to mislabel functional symptoms as being true relapses. To illustrate scenarios of possible pseudo-relapse, three clinical vignettes are described. Misclassification of functional symptoms as relapse carries a number of inherent risks. Functional symptoms can be multifactorial and may cause a burden of disease. A multidisciplinary approach may be useful in minimizing unnecessary harm and identify if there is more than meets the eye to an episode of clinical deterioration.
Language:
eng
MeSH:
Adult; Female; Humans; Male; Middle Aged; Multiple Sclerosis, Relapsing-Remitting/complications/*diagnosis/psychology; Psychophysiologic Disorders/diagnosis/etiology/therapy; Syndrome
ISSN:
1352-8963 (Print); 1352-8963 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMerwick, Aen_GB
dc.contributor.authorSweeney, B Jen_GB
dc.date.accessioned2012-02-03T15:04:43Z-
dc.date.available2012-02-03T15:04:43Z-
dc.date.issued2012-02-03T15:04:43Z-
dc.identifier.citationInt MS J. 2008 Jun;15(2):47-51.en_GB
dc.identifier.issn1352-8963 (Print)en_GB
dc.identifier.issn1352-8963 (Linking)en_GB
dc.identifier.pmid18782499en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208829-
dc.description.abstractAlthough the diagnostic criteria for multiple sclerosis (MS) have become more formalized and sensitive in the era of magnetic resonance imaging (MRI) scanning, the assessment of individual relapses may not always be straightforward or easily linked to a particular lesion seen on imaging. In addition, acute episodes often have to be assessed outside of normal working hours or when the individual patients usual medical team is not available. Often the emergency department physicians have little formal neurological training and are under time pressure to get patients through the system as quickly as possible. It is therefore possible to mislabel functional symptoms as being true relapses. To illustrate scenarios of possible pseudo-relapse, three clinical vignettes are described. Misclassification of functional symptoms as relapse carries a number of inherent risks. Functional symptoms can be multifactorial and may cause a burden of disease. A multidisciplinary approach may be useful in minimizing unnecessary harm and identify if there is more than meets the eye to an episode of clinical deterioration.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshMultiple Sclerosis, Relapsing-Remitting/complications/*diagnosis/psychologyen_GB
dc.subject.meshPsychophysiologic Disorders/diagnosis/etiology/therapyen_GB
dc.subject.meshSyndromeen_GB
dc.titleFunctional symptoms in clinically definite MS--pseudo-relapse syndrome.en_GB
dc.contributor.departmentDepartment of Clinical Neurology, Cork University Hospital, Wilton, Cork,, Ireland. ainemerwick@yahoo.co.uken_GB
dc.identifier.journalInternational MS journal / MS Forumen_GB
dc.description.provinceMunster-

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