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

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    Authors
    Merwick, A
    Sweeney, B J
    Affiliation
    Department of Clinical Neurology, Cork University Hospital, Wilton, Cork,, Ireland. ainemerwick@yahoo.co.uk
    Issue Date
    2012-02-03T15:04:43Z
    MeSH
    Adult
    Female
    Humans
    Male
    Middle Aged
    Multiple Sclerosis, Relapsing-Remitting/complications/*diagnosis/psychology
    Psychophysiologic Disorders/diagnosis/etiology/therapy
    Syndrome
    
    Metadata
    Show full item record
    Citation
    Int MS J. 2008 Jun;15(2):47-51.
    Journal
    International MS journal / MS Forum
    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
    ISSN
    1352-8963 (Print)
    1352-8963 (Linking)
    Collections
    Cork University Hospital

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