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- Title
Do not treat from CIS onset: evaluate disease course and prognosis first – Yes.
- Authors
Bunyan, Reem F; Pittock, Sean J
- Abstract
As physicians how do we counsel our patients with clinically isolated syndrome (CIS) when they ask, ‘what is the benefit of injecting disease-modifying agents (DMAs) over many years? What disability will they prevent in my future?’ In this debate, we will provide three core points supporting the concept that a watchful waiting approach (annual neurological evaluation and magnetic resonance imaging of the head (with gadolinium) at least for the first few years after diagnosis) for most patients with CIS represents appropriate medical care.
- Subjects
DIAGNOSTIC imaging; GENERAL practitioners; EVALUATION of medical care; MAGNETIC resonance imaging; MEDICAL care
- Publication
Multiple Sclerosis Journal, 2012, Vol 18, Issue 4, p391
- ISSN
1352-4585
- Publication type
Article
- DOI
10.1177/1352458512440604