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VIII.91 - Multiple Sclerosis

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Multiple sclerosis is a disease of the central nervous system characterized clinically by recurring episodes of neurological disturbance which, especially early in the course of the disease, tend to remit spontaneously, although as time goes by there is often a gradual accumulation of disability. The course of the disease is quite variable, at one extreme lasting for 50 years without the development of significant disability, and at the other terminating fatally in a matter of months. Overall, about one quarter of patients remain able to work for up to 15 years after the first recognized clinical manifestation, and the mean duration of life is approximately 25 years from that time. Nevertheless, because the disease commonly affects young adults and produces disability in the prime of life, the economic burden is heavy, in the United States averaging $15,000 per annum per family with a member afflicted (Inman 1983 data, cited in McDonald and Silberberg, eds. 1986, 180).

Overview

Multiple sclerosis is a remarkable disease. It was first clearly described more than 120 years ago in a way which we would recognize as a modern, pathologically based account that discusses the clinical features of the illness and their possible pathophysiology (Charcot 1868). It is only since the early 1970s, however, that real progress has been made in understanding its nature, course, and pathogenesis. It was discussed in treatises on pathology by R. Carswell (1838) and J. Cruveilhier (1835–42), and more knowledge was added by E. Rindfleisch (1873), but the French school did most to delineate the disease.

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Barbellion, W. N. P. 1919. The journal of a disappointed man. London.Google Scholar
Carswell, R. 1838. Pathological anatomy: Illustrations of the elementary forms of disease. London.Google Scholar
Charcot, J. M. 1968. Histologie de la sclerose en plaques. Gazette Hôpital (Paris) 41.Google Scholar
Cruveilhier, J. 1835–42. Anatomie pathologique du corps humain: Descriptions avec figures lithographiees et coloriées: Des diverses alterations morbides dont le corps humain est susceptible. Paris.Google Scholar
Dawson, J. W. 1916. The histology of disseminated sclerosis. Transactions of the Royal Society of Edinburgh 50.CrossRefGoogle Scholar
Ebers, G. C., and Bulman, D.. 1986. The geography of MS reflects genetic susceptibility. Neurology 36 (Supplement 1):.Google Scholar
Firth, D. 1948. The case of Augustus d’Esti. Cambridge.Google Scholar
Johnson, R. T. 1982. Viral infections of the nervous system. New York.Google Scholar
Kurtzke, J. F., and Hyllested, K.. 1986. Multiple sclerosi in the Faroe Islands. II. Clinical update, transmission and the nature of MS. Neurology 36.CrossRefGoogle Scholar
MacKarell, P. 1986. Interior journey and beyond: An artist’s view of optic neuritis. In Optic neuritis, ed. Plant, R. F. and Hess, G. T.. Cambridge.Google Scholar
Matthews, W. B., etal. 1985. McAlpine’s multiple sclerosis. London.Google Scholar
McDonald, W. I. 1986. The mystery of the origin of multiple sclerosis. Gowers Lecture. Journal of Neurology, Neurosurgery, and Psychiatry 49.CrossRefGoogle Scholar
McDonald, W. I., and Silberberg, D. H., eds. 1986. Multiple sclerosis. London.Google ScholarPubMed
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  • Multiple Sclerosis
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.153
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  • Multiple Sclerosis
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.153
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Multiple Sclerosis
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.153
Available formats
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