Abstract:We present a case with diagnosis of multiple sclerosis done on clinical criteria and proved by autopsy. The morphological aspects of the lesions are well known and often related in the literature. Our objective is to describe the first necropsy among 30500 done at Santa Casa de São Paulo in a patient with the disease. The morphological aspects in the CNS with the characteristic plaques in different grades of activity and the detection of immunoglobulins in these plaques confirm the pathogenic hypothesis about … Show more
“…Studies on specific aspects of MS, from its pathology to its immunology, epidemiology, multidisciplinary approach, and treatment 8,9,10,11,12,13,14,15,16,17,18 . Collaborative studies on the prevalence of MS in the city of São Paulo 19,20 .…”
“…Studies on specific aspects of MS, from its pathology to its immunology, epidemiology, multidisciplinary approach, and treatment 8,9,10,11,12,13,14,15,16,17,18 . Collaborative studies on the prevalence of MS in the city of São Paulo 19,20 .…”
The clinical picture of 67 consecutive patients with definite multiple sclerosis in Belo Horizonte, Brazil, was analysed. There were 20 patients with the predominant optic-spinal form of the disease and eight with Devic's disease. Visual loss occurred in 43% of the cases as the presenting symptom and in 84% in the course of the illness. Symptoms related to spinal cord and cerebellar involvement were observed in 64% and 52% respectively. The high prevalence of visual and spinal abnormalities at onset and during the course of the illness, the lesser common involvement of the cerebellum and the relative frequency of Devic's disease make multiple sclerosis in Brazil similar to that observed in Eastern countries in distinction to the clinical pattern seen in the United States and Europe.
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