İleri yaşta multipl skleroz tanısı alan bir olgu

Multipl skleroz (MS), merkezi sinir sisteminin farklı alanlarına ait işlev kaybına ve çok çeşitli klinik tablolara yol açabilen bir hastalıktır. Klinik tablolardaki heterojenite hastalığın seyrinde de göze çarpmaktadır. MS'in seyri hastadan hastaya ve aynı hastanın kendi klinik seyri içinde de farklılıklar gösterebilmektedir. Bu yazıda klinik belirtileri genç erişkin yaşta başlayan, ileri yaşa kadar nispeten iyi bir klinik seyri olan fakat 58 yaşından sonra klinik olarak belirgin kötüleşme gözlenen ve MS tanısını ilk olarak 60 yaşında alan bir olgu, ileri yaştaki hastalarda tanı ve tedavi seçeneklerini gözden geçirmek amacıyla tartışılmıştır.

A case with diagnosed multiple sclerosis in advanced age

Multiple sclerosis (MS) causes functional loss in different areas of central nervous system and, various clinical findings. Progress of MS could distinguish in same patient in different times as well as among different patients. We presented a female patient with diagnosed MS in 60 years old. Her complaints began in good clinical progress in young adult life. She had been observed prominent progression in clinical course after 58 years old. The aim of this article to discuss the choices of diagnosis and treatment in patients advanced ages.

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