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  4. Clinical Experience in Asian Type Multiple Sclerosis
 
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Clinical Experience in Asian Type Multiple Sclerosis

Resource
JOURNAL OF REHABILITATION MEDICINE ASSOCIATION REPUBLIC OF CHINA v.29 n .4 pp.195-204
Journal
JOURNAL OF REHABILITATION MEDICINE ASSOCIATION REPUBLIC OF CHINA
Journal Volume
v.29
Journal Issue
n
Pages
195-204
Date Issued
2001
Date
2001
Author(s)
HAN, DER-SHENG
LIN, CHAO-CHIA
WANG, YEN-HO
YANG, CHIH-CHAO
URI
http://ntur.lib.ntu.edu.tw//handle/246246/99390
Abstract
Multiple sclerosis is a heterogeneous disease entity, and also the most common disabling neurological disorder of people in middle life in USA. The prevalence of multiple sclerosis in Asia is lower than that in Western countries of similar latitude. Besides, there are some different features , clinically as well as pathologically, between this disease in Asia and in Western countries. We collected 27 cases diagnosed as clinically definite MS at NTUH between 1990-2000, whose clinical presentations are restricted to optic nerves and spinal cord. Their clinical charts were reviewed retrospectively, and the data was collected in a standard coding sheet. The ratio of male to female is 1:8. The average age of onset is 33. 6 years old, and the duration of illness is 10.0 years. Seventy-eight percents of total cases belong to the relapse-remitting type, 15% to the secondary progressive type, and 7% to the primary progressive type. The relapse rate is around 0.8 time/year. The most common initial symptoms are sensory loss (81%), motor weakness (74%), and paresthesia (72%). The positive rate of spine MRI is 83.3%. The segments involved most are T 2-7. Urinary retention is more common than urgency and impaired sensation. Urodynamic studies revealed 47% of cases to be the upper motor neuron type bladder. Although the impairment caused by MS is severe, only one third of patients received intensive rehabilitation. Those who received intensive rehabilitation showed improvment in both functional status and independence of ADL.
Subjects
multiple sclerosis
Asian type
clinical experience

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To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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