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Download An illustrated pocketbook of multiple sclerosis by Charles M. Poser PDF

By Charles M. Poser

This illustrated pocketbook offers an simply obtainable precis of key matters on the subject of diagnosing a number of sclerosis and dealing with sufferers at assorted phases of the disease.

summary: This illustrated pocketbook provides an simply available precis of key matters in relation to diagnosing a number of sclerosis and dealing with sufferers at varied levels of the ailment

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This is often followed by the appearance of macrophages containing myelin debris or fragments, abrupt tapering of the myelin sheath, and axonal denudation. Evidence of remyelination may be seen even in the earliest lesions. 26 AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS Figure 18 Axial MRI (upper) and gross appearance (lower) of brain in Baló’s disease. There is concentric demyelination (arrows) and another lesion (indicated by the triangles). , 1994; reproduced with permission of the Radiological Society of America AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS 27 Figure 19 Brain section in Baló’s disease showing (upper) concentric demyelination in the right centrum semiovale.

This is often followed by the appearance of macrophages containing myelin debris or fragments, abrupt tapering of the myelin sheath, and axonal denudation. Evidence of remyelination may be seen even in the earliest lesions. 26 AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS Figure 18 Axial MRI (upper) and gross appearance (lower) of brain in Baló’s disease. There is concentric demyelination (arrows) and another lesion (indicated by the triangles). , 1994; reproduced with permission of the Radiological Society of America AN ILLUSTRATED POCKETBOOK OF MULTIPLE SCLEROSIS 27 Figure 19 Brain section in Baló’s disease showing (upper) concentric demyelination in the right centrum semiovale.

There are no MRI patterns of ‘lesions’, including the ovoid periventricular lesion, which are essential or even diagnostic of MS. , (2001) criteria were derived retrospectively from the images of patients who had had a clinically isolated syndrome who then had a second episode and thus were deemed to have MS. A very important, but rarely emphasized, use of MRI is in the routine visualization of the cervical cord. In a surprisingly large number of MS patients, cervical cord plaques can be seen adjacent to areas of compression—whether actual, potential or intermittent—by spondylosis and/or herniated disks (Figures 40– 42).

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