Health Care Resource Usage Among NARCOMS Participants

May 12th, 2008
Patricia Davis, MS––NARCOMS Database Coordinator, Barrow Neurological Institute, Arizona; Tuula Tyry, PhD, MAEd–Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona
Introduction
The NARCOMS update surveys routinely include questions related to health care provider visits and treatment patterns. The following article summarizes the responses to some of these questions in the fall 2007 update survey. We are very pleased to share the results with MSQR readers and very grateful for the collaboration of the 10,131 NARCOMS participants who responded to this survey. Read the rest of this entry »

May 7th, 2008

Development of an Educational Program for Caregivers of People Aging With MS

May 7th, 2008
This article in Occupational Therapy International journal describes a three-phase project to identify and develop an occupational therapy response to the challenges experienced by caregivers of middle-aged and older adults with MS. Read the rest of this entry »

Prevalence of ‘Poor Sleep’ Among Patients With MS: An Independent Predictor of Mental and Physical Status

May 5th, 2008
Patients with MS report sleep disturbances more frequently than the general population. Besides specific sleep disturbances, many other conditions could impair nocturnal rest in this population. In addition, information regarding the role of disrupted sleep on quality of life (QoL) in patients with MS is lacking. This study, reported in Sleep Medicine journal, was performed to bridge this gap. Read the rest of this entry »

A Longitudinal Study on Effects of a Six-Week Course for Energy Conservation for Patients With MS

May 5th, 2008
An article published in Multiple Sclerosis journal reports objective fatigue management and energy conservation are effective strategies to minimize fatigue in MS. Sustained results have not yet been reported. A fatigue management course was provided for 32 patients with MS. Read the rest of this entry »

MSQR 27.1 Table of Contents

February 4th, 2008

Feature Articles

Optic Neuritis in Multiple Sclerosis

Neuromyelitis Optica

NARCOMS Report

Breaking News

Optic Neuritis in Multiple Sclerosis

February 4th, 2008

Jane W. Chan, MD–Associate Professor of Neurology Ophthalmology, Departments of Neurology and Ophthalmology, University of Kentucky Medical Center, Lexington, Kentucky

<Risk Factors for Developing Optic Neuritis in Autoimmune Disease

Although optic neuritis most often affects young adults, atypical cases of optic neuritis are sometimes seen in elderly patients. Bilateral optic neuritis in childhood is not uncommon, and it is believed that in these cases there is less risk of progression to MS (Beck et al., 1993b). Read the rest of this entry »

Neuromyelitis Optica

February 4th, 2008

Dean M. Wingerchuk, MD, MSc, FRCP(C)

A Historical Perspective on NMO

Neuromyelitis optica (NMO), also known as Devic’s disease, was identified more than one hundred years ago as a severe disorder affecting the spinal cord (causing paralysis) and both optic nerves (causing blindness). Read the rest of this entry »

NARCOMS Report-2007 Registry Update

February 4th, 2008

2007 Registry Update

Patricia Davis, MS––NARCOMS Database Coordinator, Barrow Neurological Institute, Arizona; Tuula Tyry, PhD, MAEd–Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona

Introduction

CMSC/NARCOMS is a long-term MS research project driven by voluntary enrollee participation. Participants are asked to complete updates twice a year by mail or a secure online survey. Read the rest of this entry »

MSQR 26.4 Table of Contents

November 14th, 2007

Feature Articles

Treatment of Multiple Sclerosis Relapses

Living With Multiple Sclerosis Disease Progression

NARCOMS Report-Relapse Management

Treatment of Multiple Sclerosis Relapses

November 14th, 2007

Denise I. Campagnolo, MD, MS––Director Clinical Multiple Sclerosis Research, Barrow Neurological Institute, Phoenix,
Arizona; Timothy L.Vollmer, MD–– VanDenburgh Fellow, Director BNI Neuroimmunology Program, Barrow Neurological
Institute, Phoenix, Arizona

Key Words:

Antigens – Any substance that provokes an immune response. Ideally, the antigen is a foreign substance, like a protein made by a bacterium. Sometimes T cells inappropriately react with “self-antigens” ( i.e., substances made by the body). When this happens, an autoimmune disease can develop. MS is thought to be, at least in part, an autoimmune disease. Read the rest of this entry »

Living With Multiple Sclerosis Disease Progression

November 14th, 2007

Elizabeth Auld, PA- C––Spinal Cord Program, MSCS,VA Connecticut Healthcare System,West Haven, Connecticut

Introduction
Research into what is happening to the central nervous system in multiple sclerosis (MS) gives hope that the disease can be slowed and eventually cured or prevented. Realistically, persons with MS understand that until there is a cure, they will have to accept and make the best of what is, in fact, a disabling disease. Read the rest of this entry »

NARCOMS Report-Relapse Management

November 14th, 2007

Tuula Tyry PhD, MAEd—Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona

Introduction
A relapsing-remitting disease course is typical in most cases of multiple sclerosis (MS), especially during its early stages. Optimal treatment of each relapse (or exacerbation) depends on its severity and other factors as described in the lead article in this issue (see pages 6 – 11). Read the rest of this entry »

MSQR 26.3 Table of Contents

August 17th, 2007

Feature Articles

Neuro-immunologic Perspectives of MS

Understanding and Managing the Bladder Problems that Accompany MS

NARCOMS Report-Recent Research Findings

Neuro-immunologic Perspectives of MS

August 17th, 2007

Amit Bar-Or, MD, FRCPC-Heuroimmunology Unit, Montreal Neurological Institute, Montreal, QC, Canada

Introduction
There are two major body systems whose interactions are responsible for multiple sclerosis (MS). One is the central nervous system (CNS), whose cells are damaged or destroyed by the disease. The other is the immune system, whose cells are thought to perpetrate the damage. Information that is useful for understanding MS can be drawn from studying both of these systems separately and by looking at their interactions. Read the rest of this entry »

Understanding and Managing the Bladder Problems that Accompany MS

August 17th, 2007

Denise I. Campagnolo, MD, MS-Director of Clinical Multiple Sclerosis Reserach, Barrow Neurological Institute, Phoenix, Arizona

Introduction
If you have been living with multiple sclerosis (MS) for ten years or more, there is a greater than 90% chance that you have trouble with urination (Crayton, Neyman, & Rossman, 2004). In fact, even if you were newly diagnosed, you may still have some degree of bladder symptoms. These symptoms are often some of the most distressing, and at times disabling, of MS symptoms. A working knowledge of how the urinary system works and how it is affected in MS is the first step in getting help for these issues. The good news is that more often than not, bladder symptoms can be controlled. Read the rest of this entry »

NARCOMS Report-Recent Research Findings

August 17th, 2007

Ruth Ann Marrie, MD, PhD-Mellen Center for MS Treatment and Research, Cleveland Clinic Foundation-CMSC/NARCOMS Research Fellow; Tuula Tyry, PhD, MAED-NARCOMS Program and Editorial Manager-Barrow Neurological Institute, Phoenix, Arizona

Introduction
The Consortium of Multiple Sclerosis Centers (CMSC) started the NARCOMS project in 1993 to aid multiple sclerosis (MS) research. More than 32,000 persons have enrolled in the NARCOMS Registry since 1996, when enrollment first opened. Participants are from the United States, Canada, and over 50 other countries around the world. After ten years of work, the value of the NARCOMS project is being demonstrated with a growing number of publications and presentations. We are very pleased to share some of the more recent research findings with you. Read the rest of this entry »

MSQR 26.2 Table of Contents

April 25th, 2007

Feature Articles

Nerve Fibers are Severed by Inflammation in MS Lesions, Leading to Permanent Disabilities

Cognitive Issues in Multiple Scelorsis

NARCOMS Report–2006 Registry Update

Nerve Fibers are Severed by Inflammation in MS Lesions, Leading to Permanent Disabilities

April 24th, 2007

Bruce Trapp, PhD––Cleveland Clinic, Lerner Research Institute, Cleveland, Ohio

Background
Multiple sclerosis (MS) is a chronic, disabling neurodegenerative disease. It strikes most often during early adulthood, and it affects about twice as many women as men. Many aspects of MS, including its cause, are not well understood. It is unknown whether MS represents a single disease, or if its symptoms are the result of different diseases that have the same neurodegenerative effects. There is, however, a growing understanding of how the permanent physical and mental disabilities caused by MS arise over time. Read the rest of this entry »

Cognitive Issues in Multiple Scelorsis

April 24th, 2007

Jiong Shi, MD, PhD––Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona; Seema
Khurana, DO––University of Miami, Miller School of Medicine, Miami, Florida

Introduction
Multiple sclerosis (MS) was first described by a French neurologist Jean-Martin Charcot (1815–1893) who identified the typical symptoms of MS. Read the rest of this entry »