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Early Indicators Early Treatments Neuroprotection in Multiple Sclerosis

  • Book
  • © 2004

Overview

  • Updates the reader on evolution in the MS field
  • New hypotheses and therapeutic options are presented

Part of the book series: Topics in Neuroscience (TOPNEURO)

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Table of contents (20 chapters)

Keywords

About this book

There is now evidence that irreversible brain damage accumulates very early in the course of multiple sclerosis. This book reviews the main neurobiological, magnetic resonance imaging, and clinical aspects of the early phases of the dis­ ease. Mechanisms ofirreversible axonal damage and the role played by the inter­ action of glia and the axon are highlighted. In contrast to what was believed for a long time, the sufficient availability of oligodendrocyte precursor cells to promote remyelination in acute lesions has now been demonstrated. For reasons not understood, this remyelination process fails or does not start, particularly in the chronic stages ofthe disease. These findings emphasize the importance of the "milieu" changes induced by an inflammatory process in limiting remyelination. However, first indications are that part of this inflammatory process may have a neuroprotective effect. Pathological studies in multiple sclerosis have now clearly demonstrated that destructive processes may be followed by recovery phases in such a way that myelin may be morphologically and functionally reconstituted. These findings provide the rationale for early treatment and emphasize the importance of clinical trials in early multiple sclerosis. Early treatment is one of the most important aspects in multiple sclerosis today.

Editors and Affiliations

  • European Charcot Foundation, Nijmegen, The Netherlands

    Otto R. Hommes

  • Department of Neurology, Scientific Institute and University Ospedale San Raffaele, Milan, Italy

    Giancarlo Comi

Bibliographic Information

  • Book Title: Early Indicators Early Treatments Neuroprotection in Multiple Sclerosis

  • Editors: Otto R. Hommes, Giancarlo Comi

  • Series Title: Topics in Neuroscience

  • DOI: https://doi.org/10.1007/978-88-470-2117-4

  • Publisher: Springer Milano

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Italia 2004

  • Hardcover ISBN: 978-88-470-0195-4Published: 06 February 2004

  • Softcover ISBN: 978-88-470-2171-6Published: 28 September 2012

  • eBook ISBN: 978-88-470-2117-4Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XV, 199

  • Topics: Neurology, Neuroradiology

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