New McDonald Criteria for diagnosis MS.
@XMontalban
: New criteria includes RIS under certain circumstances, central vein sign, neurofilament light chain and optic nerve.
#ECTRIMS2024
Thouvenot: Largest therapeutic trial of vitamin D therapy in
#MS
. Oral vitamin D 100,000 IU every two weeks reduced disease activity by 34% in CIS patients and in early RRMS.
#ECTRIMS2024
The decision to unmask the vaccinated general population really leaves behind those immunosuppressed. Many of my patients are very private about their MS diagnosis and chose to be on highly effective medications. If you see someone still wearing a mask, respect their privacy.😷
Great news! Hercules trial results in non-relapsing secondary-progressive
#MS
#SPMS
.
#Tolebrutinib
reduced 6-month disability progression by 31% compared to placebo (P=0.0026). Liver monitoring will be very important.
#ECTRIMS2024
Red Flags 🚩 that patient does not have
#MS
. High CSF protein, high CSF cellularity and lack of OCB. Brainstem/cerebellar lesions can be due to MOGAD, NMO, Sarcoid, PML, Alexander’s, CLIPPERS and even listeria infection.
#ACTRiMS
#ACTRIMSForum
Arrived at
@ECTRIMS
#MSMilan2023
ready to learn and share the latest research news on multiple sclerosis
#MS
! Goal is to improve the lives of those living with MS and hopefully preventing the disease! I’ll be live tweeting as usual.
Bove: SOPRANINO study. Ocrelizumab Ocrevus was undetectable in blood of infants being nursed by mothers with MS being treated with this monoclonal antibody. Also, B cell counts in newborns were reassuringly normal (important for infant vaccines).
#ECTRIMS2024
Ready for
#ECTRIMS2019
! Ready to share advances in
#MS
and will be LIVE tweeting as usual! Particularly interested in
#remyelination
(
#myelin
repair)! People with
#MS
are counting on ACTION from us neurologists & scientists to pave the way for a new generations of treatment!
National Swedish
#MS
Registry study.
#EBV
EBNA1 antibodies appear 10-15 years before onset of disease. sNfL levels rise 5-10 years prior to
#MS
onset.
#ECTRIMS2022
@ECTRIMS
Tremlett:
#MS
prodrome symptoms begin at least 5 years before first neurological attack. May lead to early diagnosis of
#MS
, especially in patients with MS risk factors.
#ECTRIMS2024
Patrucco: McDonald MS criteria is sensitive in LATAM but not very specific. Very important to consider differential diagnoses, especially infectious and nutritional diseases.
#ECTRIMS2024
Should radiological isolated syndrome
#RIS
(
#MS
lesions on MRI but no classic relapse) be treated? Interesting
#ACTRIMS2023
debate.
@XMontalban
emphasized MRI should have classic MRI features. Risk factors for conversion of RIS to CIS👇. Panelists:YES, MS exists without symptoms!
Oligo precursor cells
#OPCs
can regenerate myelin replacing lost myelin but also creating myelin in new locations. Regeneration variable depending on layer of cortex. Barancik Prize Lecture: Dwight Bergles PhD
#ACTRIMS
@ACTRIMS
#remyelination
Zipp:
#CAR
-T is a potential new treatment for multiple sclerosis
#MS
by deeply depleting B cells in the central nervous system. Risks include cytokine release syndrome and immune effector cell-associated neurotoxic syndrome.
#ECTRIMS2024
Subcutaneous monthly, B-cell depleting
#ofatumumab
20 mg reduced relapses by 51-59%, risk of disability progression by 34% and new T2 lesions by 82-84.5% compared to
#teriflunomide
14 mg oral daily in ASCLEPIOS studies enrolling 1882
#MS
patients.
#ECTRIMS2019
NEW
#COVID19
PREVENTION for those with
#MS
that are immunocompromised!
#EVUSHELD
I.M. injection granted EUA by FDA.
Tixagevimab & cilgavimab (the active components) are monoclonal antibodies that bind to spike protein of SARS-CoV-2
#COVID19
virus. INFO:
Cohen: Radiological Isolated Syndrome
#RIS
is the finding of lesions suggestive demyelination without typical
#MS
neurological symptoms. Is RIS simply pre-symptomatic MS??
#ECTRIMS2024
Greater than 9400 people passionate about improving the lives of those with
#MS
attending
#ECTRIMS2018
in Berlin. Should be enough brain power for leaps in innovations. Our patients need advancement!
Piccio: Randomized Clinical Trial of Intermittent Calorie Restriction in People with
#MS
. 2 days a week of 400-500 caloric restriction associated with decrease
#BMI
, lower pro-inflammatory
#leptin
, increase in T regulatory cells & better SDMT scores.
#ACTRIMS2023
#ACTRIMSForum
Hulst: Cognitive rehab should be implemented in
#MS
patients prior to cognitive impairment or with only mild impairment, rather than waiting only for moderate to severe cognitive impairment.
#ECTRIMS2022
🧠
Preparing for
#MSCOVID19
in Midwest USA. All virtual appointments today
@zoom_us
on iPad, routine MRIs delayed, washable scrubs (including old pair from
@nyphospital
residency) & buzz cut (delaying next hair cut). Large majority of my
#MS
patients staying/working from home.
Encouraging topline results regarding
#tolebrutinib
! In Hercules trial, tolebrutinib delayed disability progression vs. placebo in secondary-progressive MS patients without relapses. Thanks to our center's patients that participated in the trials!
Gut microbiome
#MS
study in Japan demonstrates significant differences between relapsing-remitting
#RRMS
and secondary-progressive
#SPMS
. More oxidative stress & pro-inflammatory Th17-inducing Hungatella hatheway in progressive patients. Takewaki Poster 125.
#ACTRIMS
@actrims
#Zeposia
#ozanimod
just
@US_FDA
approved for relapsing forms of multiple sclerosis
#MS
. A S1P modulator that does not require first dose observation. Superior to Avonex on relapses and MRI activity including preserving brain volume. Read more:
@MustStopMS
Frexalimab 2 extension data up to 72 weeks demonstrates robust impact on enhancing lesions and relapses with favorable safety profile.
@GavinGiovannoni
presented
#ECTRIMS2024
Happy Holidays from all of us at The MS Center for Innovations in Care
@MissouriBaptist
. May you have a joyous holiday season and a good 2020! Thanks to all our
#MS
patients that have trusted us with their care!
Marrie: Depression and anxiety in the top 5 of medical conditions that affect people with
#MS
. Anxiety can be associated with more relapses. Depression has been associated with worse disability.
#MSMilan2023
Had fun chairing Walk MS yesterday in St. Louis with Team MoBap despite the cold, rain and wind! Glad to see all the resilient supporters of those living with
#MS
@gatewayms
@mssociety
@MissouriBaptist