id sid tid token lemma pos cord-022594-fx044gcd 1 1 key key JJ cord-022594-fx044gcd 1 2 : : : cord-022594-fx044gcd 1 3 cord-022594-fx044gcd cord-022594-fx044gcd CD cord-022594-fx044gcd 1 4 authors author NNS cord-022594-fx044gcd 1 5 : : : cord-022594-fx044gcd 1 6 Pirko Pirko NNP cord-022594-fx044gcd 1 7 , , , cord-022594-fx044gcd 1 8 Istvan Istvan NNP cord-022594-fx044gcd 1 9 ; ; : cord-022594-fx044gcd 1 10 Noseworthy Noseworthy NNP cord-022594-fx044gcd 1 11 , , , cord-022594-fx044gcd 2 1 John John NNP cord-022594-fx044gcd 2 2 H. H. NNP cord-022594-fx044gcd 2 3 title title NN cord-022594-fx044gcd 2 4 : : : cord-022594-fx044gcd 3 1 Demyelinating demyelinate VBG cord-022594-fx044gcd 3 2 Disorders disorder NNS cord-022594-fx044gcd 3 3 of of IN cord-022594-fx044gcd 3 4 the the DT cord-022594-fx044gcd 3 5 Central Central NNP cord-022594-fx044gcd 3 6 Nervous Nervous NNP cord-022594-fx044gcd 3 7 System System NNP cord-022594-fx044gcd 3 8 date date NN cord-022594-fx044gcd 3 9 : : : cord-022594-fx044gcd 3 10 2009 2009 CD cord-022594-fx044gcd 3 11 - - SYM cord-022594-fx044gcd 3 12 05 05 CD cord-022594-fx044gcd 3 13 - - SYM cord-022594-fx044gcd 3 14 18 18 CD cord-022594-fx044gcd 3 15 journal journal NN cord-022594-fx044gcd 3 16 : : : cord-022594-fx044gcd 4 1 Textbook textbook NN cord-022594-fx044gcd 4 2 of of IN cord-022594-fx044gcd 4 3 Clinical Clinical NNP cord-022594-fx044gcd 4 4 Neurology Neurology NNP cord-022594-fx044gcd 4 5 DOI DOI NNP cord-022594-fx044gcd 4 6 : : : cord-022594-fx044gcd 5 1 10.1016 10.1016 CD cord-022594-fx044gcd 5 2 / / SYM cord-022594-fx044gcd 5 3 b978 b978 NNP cord-022594-fx044gcd 5 4 - - HYPH cord-022594-fx044gcd 5 5 141603618 141603618 CD cord-022594-fx044gcd 5 6 - - HYPH cord-022594-fx044gcd 5 7 0.10048 0.10048 CD cord-022594-fx044gcd 5 8 - - SYM cord-022594-fx044gcd 5 9 7 7 CD cord-022594-fx044gcd 5 10 sha sha NN cord-022594-fx044gcd 5 11 : : : cord-022594-fx044gcd 5 12 fb064d9389faa4ca474ec0b4490857981484e522 fb064d9389faa4ca474ec0b4490857981484e522 NNP cord-022594-fx044gcd 5 13 doc_id doc_id CD cord-022594-fx044gcd 5 14 : : : cord-022594-fx044gcd 6 1 22594 22594 CD cord-022594-fx044gcd 6 2 cord_uid cord_uid NNS cord-022594-fx044gcd 6 3 : : : cord-022594-fx044gcd 6 4 fx044gcd fx044gcd NNP cord-022594-fx044gcd 6 5 nan nan NNP cord-022594-fx044gcd 6 6 Demyelinating Demyelinating NNP cord-022594-fx044gcd 6 7 Disorders disorder NNS cord-022594-fx044gcd 6 8 of of IN cord-022594-fx044gcd 6 9 the the DT cord-022594-fx044gcd 6 10 Central Central NNP cord-022594-fx044gcd 6 11 Nervous Nervous NNP cord-022594-fx044gcd 6 12 System System NNP cord-022594-fx044gcd 6 13 Istvan Istvan NNP cord-022594-fx044gcd 6 14 Pirko Pirko NNP cord-022594-fx044gcd 6 15 and and CC cord-022594-fx044gcd 6 16 John John NNP cord-022594-fx044gcd 6 17 H. H. NNP cord-022594-fx044gcd 6 18 Noseworthy Noseworthy NNP cord-022594-fx044gcd 6 19 Multiple multiple JJ cord-022594-fx044gcd 6 20 sclerosis sclerosis NN cord-022594-fx044gcd 6 21 ( ( -LRB- cord-022594-fx044gcd 6 22 MS MS NNP cord-022594-fx044gcd 6 23 ) ) -RRB- cord-022594-fx044gcd 6 24 is be VBZ cord-022594-fx044gcd 6 25 now now RB cord-022594-fx044gcd 6 26 known know VBN cord-022594-fx044gcd 6 27 to to TO cord-022594-fx044gcd 6 28 be be VB cord-022594-fx044gcd 6 29 a a DT cord-022594-fx044gcd 6 30 common common JJ cord-022594-fx044gcd 6 31 malady malady NN cord-022594-fx044gcd 6 32 even even RB cord-022594-fx044gcd 6 33 though though IN cord-022594-fx044gcd 6 34 it -PRON- PRP cord-022594-fx044gcd 6 35 was be VBD cord-022594-fx044gcd 6 36 first first RB cord-022594-fx044gcd 6 37 recognized recognize VBN cord-022594-fx044gcd 6 38 as as IN cord-022594-fx044gcd 6 39 a a DT cord-022594-fx044gcd 6 40 distinct distinct JJ cord-022594-fx044gcd 6 41 clinicopathological clinicopathological JJ cord-022594-fx044gcd 6 42 entity entity NN cord-022594-fx044gcd 6 43 less less JJR cord-022594-fx044gcd 6 44 than than IN cord-022594-fx044gcd 6 45 150 150 CD cord-022594-fx044gcd 6 46 years year NNS cord-022594-fx044gcd 6 47 ago ago RB cord-022594-fx044gcd 6 48 . . . cord-022594-fx044gcd 7 1 1 1 LS cord-022594-fx044gcd 8 1 The the DT cord-022594-fx044gcd 8 2 lack lack NN cord-022594-fx044gcd 8 3 of of IN cord-022594-fx044gcd 8 4 clear clear JJ cord-022594-fx044gcd 8 5 medical medical JJ cord-022594-fx044gcd 8 6 reports report NNS cord-022594-fx044gcd 8 7 before before IN cord-022594-fx044gcd 8 8 the the DT cord-022594-fx044gcd 8 9 early early JJ cord-022594-fx044gcd 8 10 1800s 1800 NNS cord-022594-fx044gcd 8 11 is be VBZ cord-022594-fx044gcd 8 12 sometimes sometimes RB cord-022594-fx044gcd 8 13 interpreted interpret VBN cord-022594-fx044gcd 8 14 as as IN cord-022594-fx044gcd 8 15 evidence evidence NN cord-022594-fx044gcd 8 16 that that IN cord-022594-fx044gcd 8 17 MS MS NNP cord-022594-fx044gcd 8 18 is be VBZ cord-022594-fx044gcd 8 19 a a DT cord-022594-fx044gcd 8 20 relatively relatively RB cord-022594-fx044gcd 8 21 new new JJ cord-022594-fx044gcd 8 22 disease disease NN cord-022594-fx044gcd 8 23 . . . cord-022594-fx044gcd 9 1 However however RB cord-022594-fx044gcd 9 2 , , , cord-022594-fx044gcd 9 3 it -PRON- PRP cord-022594-fx044gcd 9 4 is be VBZ cord-022594-fx044gcd 9 5 more more RBR cord-022594-fx044gcd 9 6 likely likely JJ cord-022594-fx044gcd 9 7 that that IN cord-022594-fx044gcd 9 8 the the DT cord-022594-fx044gcd 9 9 evolution evolution NN cord-022594-fx044gcd 9 10 of of IN cord-022594-fx044gcd 9 11 medicine medicine NN cord-022594-fx044gcd 9 12 into into IN cord-022594-fx044gcd 9 13 science science NN cord-022594-fx044gcd 9 14 led lead VBD cord-022594-fx044gcd 9 15 to to IN cord-022594-fx044gcd 9 16 more more RBR cord-022594-fx044gcd 9 17 precise precise JJ cord-022594-fx044gcd 9 18 observation observation NN cord-022594-fx044gcd 9 19 and and CC cord-022594-fx044gcd 9 20 description description NN cord-022594-fx044gcd 9 21 of of IN cord-022594-fx044gcd 9 22 human human JJ cord-022594-fx044gcd 9 23 diseases disease NNS cord-022594-fx044gcd 9 24 , , , cord-022594-fx044gcd 9 25 including include VBG cord-022594-fx044gcd 9 26 MS MS NNP cord-022594-fx044gcd 9 27 . . . cord-022594-fx044gcd 10 1 Saint Saint NNP cord-022594-fx044gcd 10 2 Lidwina Lidwina NNP cord-022594-fx044gcd 10 3 of of IN cord-022594-fx044gcd 10 4 Schiedam Schiedam NNP cord-022594-fx044gcd 10 5 ( ( -LRB- cord-022594-fx044gcd 10 6 1380 1380 CD cord-022594-fx044gcd 10 7 - - SYM cord-022594-fx044gcd 10 8 1433 1433 CD cord-022594-fx044gcd 10 9 ) ) -RRB- cord-022594-fx044gcd 10 10 developed develop VBD cord-022594-fx044gcd 10 11 a a DT cord-022594-fx044gcd 10 12 relapsing relapse VBG cord-022594-fx044gcd 10 13 neurological neurological JJ cord-022594-fx044gcd 10 14 disorder disorder NN cord-022594-fx044gcd 10 15 at at IN cord-022594-fx044gcd 10 16 the the DT cord-022594-fx044gcd 10 17 age age NN cord-022594-fx044gcd 10 18 of of IN cord-022594-fx044gcd 10 19 18 18 CD cord-022594-fx044gcd 10 20 and and CC cord-022594-fx044gcd 10 21 may may MD cord-022594-fx044gcd 10 22 be be VB cord-022594-fx044gcd 10 23 the the DT cord-022594-fx044gcd 10 24 first first JJ cord-022594-fx044gcd 10 25 case case NN cord-022594-fx044gcd 10 26 of of IN cord-022594-fx044gcd 10 27 clinically clinically RB cord-022594-fx044gcd 10 28 described describe VBN cord-022594-fx044gcd 10 29 MS MS NNP cord-022594-fx044gcd 10 30 . . . cord-022594-fx044gcd 11 1 2 2 LS cord-022594-fx044gcd 11 2 Ollivier Ollivier NNP cord-022594-fx044gcd 11 3 was be VBD cord-022594-fx044gcd 11 4 the the DT cord-022594-fx044gcd 11 5 first first JJ cord-022594-fx044gcd 11 6 to to TO cord-022594-fx044gcd 11 7 report report VB cord-022594-fx044gcd 11 8 a a DT cord-022594-fx044gcd 11 9 clinical clinical JJ cord-022594-fx044gcd 11 10 case case NN cord-022594-fx044gcd 11 11 in in IN cord-022594-fx044gcd 11 12 the the DT cord-022594-fx044gcd 11 13 medical medical JJ cord-022594-fx044gcd 11 14 literature literature NN cord-022594-fx044gcd 11 15 in in IN cord-022594-fx044gcd 11 16 1824 1824 CD cord-022594-fx044gcd 11 17 . . . cord-022594-fx044gcd 12 1 1 1 LS cord-022594-fx044gcd 13 1 Shortly shortly RB cord-022594-fx044gcd 13 2 thereafter thereafter RB cord-022594-fx044gcd 13 3 , , , cord-022594-fx044gcd 13 4 Carswell Carswell NNP cord-022594-fx044gcd 13 5 illustrated illustrate VBD cord-022594-fx044gcd 13 6 a a DT cord-022594-fx044gcd 13 7 case case NN cord-022594-fx044gcd 13 8 of of IN cord-022594-fx044gcd 13 9 what what WP cord-022594-fx044gcd 13 10 is be VBZ cord-022594-fx044gcd 13 11 now now RB cord-022594-fx044gcd 13 12 clearly clearly RB cord-022594-fx044gcd 13 13 recognizable recognizable JJ cord-022594-fx044gcd 13 14 as as IN cord-022594-fx044gcd 13 15 MS MS NNP cord-022594-fx044gcd 13 16 in in IN cord-022594-fx044gcd 13 17 his -PRON- PRP$ cord-022594-fx044gcd 13 18 atlas atlas NN cord-022594-fx044gcd 13 19 of of IN cord-022594-fx044gcd 13 20 anatomical anatomical JJ cord-022594-fx044gcd 13 21 pathology pathology NN cord-022594-fx044gcd 13 22 . . . cord-022594-fx044gcd 14 1 Cruveilhier Cruveilhier NNP cord-022594-fx044gcd 14 2 published publish VBD cord-022594-fx044gcd 14 3 gross gross JJ cord-022594-fx044gcd 14 4 pathological pathological JJ cord-022594-fx044gcd 14 5 and and CC cord-022594-fx044gcd 14 6 clinical clinical JJ cord-022594-fx044gcd 14 7 descriptions description NNS cord-022594-fx044gcd 14 8 of of IN cord-022594-fx044gcd 14 9 MS MS NNP cord-022594-fx044gcd 14 10 . . . cord-022594-fx044gcd 15 1 Vulpian Vulpian NNP cord-022594-fx044gcd 15 2 first first RB cord-022594-fx044gcd 15 3 suggested suggest VBD cord-022594-fx044gcd 15 4 the the DT cord-022594-fx044gcd 15 5 rubric rubric NN cord-022594-fx044gcd 15 6 of of IN cord-022594-fx044gcd 15 7 " " `` cord-022594-fx044gcd 15 8 sclerose sclerose NNP cord-022594-fx044gcd 15 9 en en IN cord-022594-fx044gcd 15 10 plaque plaque NN cord-022594-fx044gcd 15 11 " " '' cord-022594-fx044gcd 15 12 in in IN cord-022594-fx044gcd 15 13 1866 1866 CD cord-022594-fx044gcd 15 14 . . . cord-022594-fx044gcd 16 1 Charcot Charcot NNP cord-022594-fx044gcd 16 2 was be VBD cord-022594-fx044gcd 16 3 primarily primarily RB cord-022594-fx044gcd 16 4 responsible responsible JJ cord-022594-fx044gcd 16 5 for for IN cord-022594-fx044gcd 16 6 establishing establish VBG cord-022594-fx044gcd 16 7 MS MS NNP cord-022594-fx044gcd 16 8 as as IN cord-022594-fx044gcd 16 9 a a DT cord-022594-fx044gcd 16 10 unique unique JJ cord-022594-fx044gcd 16 11 and and CC cord-022594-fx044gcd 16 12 recognizable recognizable JJ cord-022594-fx044gcd 16 13 syndrome syndrome NN cord-022594-fx044gcd 16 14 . . . cord-022594-fx044gcd 17 1 3 3 LS cord-022594-fx044gcd 18 1 He -PRON- PRP cord-022594-fx044gcd 18 2 also also RB cord-022594-fx044gcd 18 3 described describe VBD cord-022594-fx044gcd 18 4 the the DT cord-022594-fx044gcd 18 5 clinical clinical JJ cord-022594-fx044gcd 18 6 spectrum spectrum NN cord-022594-fx044gcd 18 7 and and CC cord-022594-fx044gcd 18 8 the the DT cord-022594-fx044gcd 18 9 histological histological JJ cord-022594-fx044gcd 18 10 appearance appearance NN cord-022594-fx044gcd 18 11 . . . cord-022594-fx044gcd 19 1 Pierre Pierre NNP cord-022594-fx044gcd 19 2 Marie Marie NNP cord-022594-fx044gcd 19 3 was be VBD cord-022594-fx044gcd 19 4 the the DT cord-022594-fx044gcd 19 5 first first JJ cord-022594-fx044gcd 19 6 to to TO cord-022594-fx044gcd 19 7 suggest suggest VB cord-022594-fx044gcd 19 8 an an DT cord-022594-fx044gcd 19 9 infectious infectious JJ cord-022594-fx044gcd 19 10 cause cause NN cord-022594-fx044gcd 19 11 of of IN cord-022594-fx044gcd 19 12 MS MS NNP cord-022594-fx044gcd 19 13 in in IN cord-022594-fx044gcd 19 14 1884 1884 CD cord-022594-fx044gcd 19 15 , , , cord-022594-fx044gcd 19 16 a a DT cord-022594-fx044gcd 19 17 hypothesis hypothesis NN cord-022594-fx044gcd 19 18 that that WDT cord-022594-fx044gcd 19 19 is be VBZ cord-022594-fx044gcd 19 20 still still RB cord-022594-fx044gcd 19 21 debated debate VBN cord-022594-fx044gcd 19 22 . . . cord-022594-fx044gcd 20 1 Toxins toxin NNS cord-022594-fx044gcd 20 2 were be VBD cord-022594-fx044gcd 20 3 also also RB cord-022594-fx044gcd 20 4 considered consider VBN cord-022594-fx044gcd 20 5 to to TO cord-022594-fx044gcd 20 6 be be VB cord-022594-fx044gcd 20 7 responsible responsible JJ cord-022594-fx044gcd 20 8 in in IN cord-022594-fx044gcd 20 9 the the DT cord-022594-fx044gcd 20 10 early early JJ cord-022594-fx044gcd 20 11 1900s 1900s CD cord-022594-fx044gcd 20 12 . . . cord-022594-fx044gcd 21 1 A a DT cord-022594-fx044gcd 21 2 major major JJ cord-022594-fx044gcd 21 3 advance advance NN cord-022594-fx044gcd 21 4 toward toward IN cord-022594-fx044gcd 21 5 the the DT cord-022594-fx044gcd 21 6 understanding understanding NN cord-022594-fx044gcd 21 7 of of IN cord-022594-fx044gcd 21 8 demyelinating demyelinate VBG cord-022594-fx044gcd 21 9 diseases disease NNS cord-022594-fx044gcd 21 10 was be VBD cord-022594-fx044gcd 21 11 the the DT cord-022594-fx044gcd 21 12 discovery discovery NN cord-022594-fx044gcd 21 13 of of IN cord-022594-fx044gcd 21 14 experimental experimental JJ cord-022594-fx044gcd 21 15 allergic allergic JJ cord-022594-fx044gcd 21 16 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 21 17 ( ( -LRB- cord-022594-fx044gcd 21 18 EAE EAE NNP cord-022594-fx044gcd 21 19 ) ) -RRB- cord-022594-fx044gcd 21 20 by by IN cord-022594-fx044gcd 21 21 Rivers Rivers NNPS cord-022594-fx044gcd 21 22 in in IN cord-022594-fx044gcd 21 23 1935 1935 CD cord-022594-fx044gcd 21 24 . . . cord-022594-fx044gcd 22 1 4 4 LS cord-022594-fx044gcd 23 1 A a DT cord-022594-fx044gcd 23 2 variety variety NN cord-022594-fx044gcd 23 3 of of IN cord-022594-fx044gcd 23 4 different different JJ cord-022594-fx044gcd 23 5 demyelinating demyelinating JJ cord-022594-fx044gcd 23 6 diseases disease NNS cord-022594-fx044gcd 23 7 have have VBP cord-022594-fx044gcd 23 8 subsequently subsequently RB cord-022594-fx044gcd 23 9 been be VBN cord-022594-fx044gcd 23 10 described describe VBN cord-022594-fx044gcd 23 11 ( ( -LRB- cord-022594-fx044gcd 23 12 Table table NN cord-022594-fx044gcd 23 13 48 48 CD cord-022594-fx044gcd 23 14 -1 -1 CD cord-022594-fx044gcd 23 15 ) ) -RRB- cord-022594-fx044gcd 23 16 . . . cord-022594-fx044gcd 24 1 Myelin Myelin NNP cord-022594-fx044gcd 24 2 provides provide VBZ cord-022594-fx044gcd 24 3 insulation insulation NN cord-022594-fx044gcd 24 4 for for IN cord-022594-fx044gcd 24 5 axons axon NNS cord-022594-fx044gcd 24 6 and and CC cord-022594-fx044gcd 24 7 is be VBZ cord-022594-fx044gcd 24 8 necessary necessary JJ cord-022594-fx044gcd 24 9 for for IN cord-022594-fx044gcd 24 10 saltatory saltatory JJ cord-022594-fx044gcd 24 11 conduction conduction NN cord-022594-fx044gcd 24 12 . . . cord-022594-fx044gcd 25 1 It -PRON- PRP cord-022594-fx044gcd 25 2 is be VBZ cord-022594-fx044gcd 25 3 composed compose VBN cord-022594-fx044gcd 25 4 of of IN cord-022594-fx044gcd 25 5 tightly tightly RB cord-022594-fx044gcd 25 6 wrapped wrap VBN cord-022594-fx044gcd 25 7 lipid lipid NN cord-022594-fx044gcd 25 8 bilayers bilayer NNS cord-022594-fx044gcd 25 9 with with IN cord-022594-fx044gcd 25 10 specialized specialized JJ cord-022594-fx044gcd 25 11 protein protein NN cord-022594-fx044gcd 25 12 constituents constituent NNS cord-022594-fx044gcd 25 13 . . . cord-022594-fx044gcd 26 1 Peripheral peripheral JJ cord-022594-fx044gcd 26 2 nervous nervous JJ cord-022594-fx044gcd 26 3 system system NN cord-022594-fx044gcd 26 4 ( ( -LRB- cord-022594-fx044gcd 26 5 PNS PNS NNP cord-022594-fx044gcd 26 6 ) ) -RRB- cord-022594-fx044gcd 26 7 myelin myelin NN cord-022594-fx044gcd 26 8 is be VBZ cord-022594-fx044gcd 26 9 formed form VBN cord-022594-fx044gcd 26 10 by by IN cord-022594-fx044gcd 26 11 the the DT cord-022594-fx044gcd 26 12 extension extension NN cord-022594-fx044gcd 26 13 of of IN cord-022594-fx044gcd 26 14 Schwann Schwann NNP cord-022594-fx044gcd 26 15 cells cell NNS cord-022594-fx044gcd 26 16 , , , cord-022594-fx044gcd 26 17 and and CC cord-022594-fx044gcd 26 18 central central JJ cord-022594-fx044gcd 26 19 nervous nervous JJ cord-022594-fx044gcd 26 20 system system NN cord-022594-fx044gcd 26 21 ( ( -LRB- cord-022594-fx044gcd 26 22 CNS CNS NNP cord-022594-fx044gcd 26 23 ) ) -RRB- cord-022594-fx044gcd 26 24 myelin myelin NN cord-022594-fx044gcd 26 25 is be VBZ cord-022594-fx044gcd 26 26 produced produce VBN cord-022594-fx044gcd 26 27 by by IN cord-022594-fx044gcd 26 28 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 26 29 . . . cord-022594-fx044gcd 27 1 The the DT cord-022594-fx044gcd 27 2 myelin myelin NN cord-022594-fx044gcd 27 3 coating coating NN cord-022594-fx044gcd 27 4 is be VBZ cord-022594-fx044gcd 27 5 interrupted interrupt VBN cord-022594-fx044gcd 27 6 at at IN cord-022594-fx044gcd 27 7 regular regular JJ cord-022594-fx044gcd 27 8 intervals interval NNS cord-022594-fx044gcd 27 9 ( ( -LRB- cord-022594-fx044gcd 27 10 nodes node NNS cord-022594-fx044gcd 27 11 of of IN cord-022594-fx044gcd 27 12 Ranvier Ranvier NNP cord-022594-fx044gcd 27 13 ) ) -RRB- cord-022594-fx044gcd 27 14 where where WRB cord-022594-fx044gcd 27 15 the the DT cord-022594-fx044gcd 27 16 axon axon NN cord-022594-fx044gcd 27 17 membrane membrane NN cord-022594-fx044gcd 27 18 with with IN cord-022594-fx044gcd 27 19 its -PRON- PRP$ cord-022594-fx044gcd 27 20 concentration concentration NN cord-022594-fx044gcd 27 21 of of IN cord-022594-fx044gcd 27 22 voltagegated voltagegate VBN cord-022594-fx044gcd 27 23 sodium sodium NN cord-022594-fx044gcd 27 24 channels channel NNS cord-022594-fx044gcd 27 25 is be VBZ cord-022594-fx044gcd 27 26 exposed expose VBN cord-022594-fx044gcd 27 27 to to IN cord-022594-fx044gcd 27 28 the the DT cord-022594-fx044gcd 27 29 extracellular extracellular JJ cord-022594-fx044gcd 27 30 environment environment NN cord-022594-fx044gcd 27 31 ( ( -LRB- cord-022594-fx044gcd 27 32 Fig fig NN cord-022594-fx044gcd 27 33 . . . cord-022594-fx044gcd 28 1 48 48 CD cord-022594-fx044gcd 28 2 - - SYM cord-022594-fx044gcd 28 3 1 1 CD cord-022594-fx044gcd 28 4 ) ) -RRB- cord-022594-fx044gcd 28 5 . . . cord-022594-fx044gcd 29 1 5 5 LS cord-022594-fx044gcd 30 1 The the DT cord-022594-fx044gcd 30 2 presence presence NN cord-022594-fx044gcd 30 3 of of IN cord-022594-fx044gcd 30 4 myelin myelin NN cord-022594-fx044gcd 30 5 is be VBZ cord-022594-fx044gcd 30 6 essential essential JJ cord-022594-fx044gcd 30 7 to to TO cord-022594-fx044gcd 30 8 maintain maintain VB cord-022594-fx044gcd 30 9 conduction conduction NN cord-022594-fx044gcd 30 10 velocity velocity NN cord-022594-fx044gcd 30 11 ; ; : cord-022594-fx044gcd 30 12 its -PRON- PRP$ cord-022594-fx044gcd 30 13 loss loss NN cord-022594-fx044gcd 30 14 or or CC cord-022594-fx044gcd 30 15 damage damage NN cord-022594-fx044gcd 30 16 can can MD cord-022594-fx044gcd 30 17 lead lead VB cord-022594-fx044gcd 30 18 to to IN cord-022594-fx044gcd 30 19 significantly significantly RB cord-022594-fx044gcd 30 20 slower slow JJR cord-022594-fx044gcd 30 21 conduction conduction NN cord-022594-fx044gcd 30 22 or or CC cord-022594-fx044gcd 30 23 conduction conduction NN cord-022594-fx044gcd 30 24 block block NN cord-022594-fx044gcd 30 25 . . . cord-022594-fx044gcd 31 1 Other other JJ cord-022594-fx044gcd 31 2 factors factor NNS cord-022594-fx044gcd 31 3 affect affect VBP cord-022594-fx044gcd 31 4 conduction conduction NN cord-022594-fx044gcd 31 5 velocity velocity NN cord-022594-fx044gcd 31 6 including include VBG cord-022594-fx044gcd 31 7 certain certain JJ cord-022594-fx044gcd 31 8 antibodies antibody NNS cord-022594-fx044gcd 31 9 and and CC cord-022594-fx044gcd 31 10 chemicals chemical NNS cord-022594-fx044gcd 31 11 like like IN cord-022594-fx044gcd 31 12 nitric nitric NN cord-022594-fx044gcd 31 13 oxide oxide NN cord-022594-fx044gcd 31 14 . . . cord-022594-fx044gcd 32 1 In in IN cord-022594-fx044gcd 32 2 certain certain JJ cord-022594-fx044gcd 32 3 cases case NNS cord-022594-fx044gcd 32 4 , , , cord-022594-fx044gcd 32 5 blockade blockade NN cord-022594-fx044gcd 32 6 may may MD cord-022594-fx044gcd 32 7 be be VB cord-022594-fx044gcd 32 8 the the DT cord-022594-fx044gcd 32 9 initial initial JJ cord-022594-fx044gcd 32 10 event event NN cord-022594-fx044gcd 32 11 in in IN cord-022594-fx044gcd 32 12 the the DT cord-022594-fx044gcd 32 13 cascade cascade NN cord-022594-fx044gcd 32 14 of of IN cord-022594-fx044gcd 32 15 events event NNS cord-022594-fx044gcd 32 16 leading lead VBG cord-022594-fx044gcd 32 17 to to IN cord-022594-fx044gcd 32 18 demyelination demyelination NN cord-022594-fx044gcd 32 19 . . . cord-022594-fx044gcd 33 1 CNS CNS NNP cord-022594-fx044gcd 33 2 and and CC cord-022594-fx044gcd 33 3 PNS PNS NNP cord-022594-fx044gcd 33 4 myelin myelin NN cord-022594-fx044gcd 33 5 differ differ VBP cord-022594-fx044gcd 33 6 in in IN cord-022594-fx044gcd 33 7 a a DT cord-022594-fx044gcd 33 8 number number NN cord-022594-fx044gcd 33 9 of of IN cord-022594-fx044gcd 33 10 important important JJ cord-022594-fx044gcd 33 11 ways way NNS cord-022594-fx044gcd 33 12 . . . cord-022594-fx044gcd 34 1 Schwann Schwann NNP cord-022594-fx044gcd 34 2 cells cell NNS cord-022594-fx044gcd 34 3 myelinate myelinate VBP cord-022594-fx044gcd 34 4 only only RB cord-022594-fx044gcd 34 5 one one CD cord-022594-fx044gcd 34 6 internodal internodal JJ cord-022594-fx044gcd 34 7 segment segment NN cord-022594-fx044gcd 34 8 from from IN cord-022594-fx044gcd 34 9 a a DT cord-022594-fx044gcd 34 10 single single JJ cord-022594-fx044gcd 34 11 PNS PNS NNP cord-022594-fx044gcd 34 12 axon axon NN cord-022594-fx044gcd 34 13 , , , cord-022594-fx044gcd 34 14 whereas whereas IN cord-022594-fx044gcd 34 15 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 34 16 myelinate myelinate JJ cord-022594-fx044gcd 34 17 multiple multiple JJ cord-022594-fx044gcd 34 18 CNS CNS NNP cord-022594-fx044gcd 34 19 axons axon NNS cord-022594-fx044gcd 34 20 . . . cord-022594-fx044gcd 35 1 The the DT cord-022594-fx044gcd 35 2 proteins protein NNS cord-022594-fx044gcd 35 3 also also RB cord-022594-fx044gcd 35 4 differ differ VBP cord-022594-fx044gcd 35 5 . . . cord-022594-fx044gcd 36 1 Proteolipid Proteolipid NNP cord-022594-fx044gcd 36 2 protein protein NN cord-022594-fx044gcd 36 3 ( ( -LRB- cord-022594-fx044gcd 36 4 PLP PLP NNP cord-022594-fx044gcd 36 5 ) ) -RRB- cord-022594-fx044gcd 36 6 accounts account VBZ cord-022594-fx044gcd 36 7 for for IN cord-022594-fx044gcd 36 8 approximately approximately RB cord-022594-fx044gcd 36 9 50 50 CD cord-022594-fx044gcd 36 10 % % NN cord-022594-fx044gcd 36 11 of of IN cord-022594-fx044gcd 36 12 the the DT cord-022594-fx044gcd 36 13 CNS CNS NNP cord-022594-fx044gcd 36 14 myelin myelin NN cord-022594-fx044gcd 36 15 proteins protein NNS cord-022594-fx044gcd 36 16 . . . cord-022594-fx044gcd 37 1 Mutations mutation NNS cord-022594-fx044gcd 37 2 in in IN cord-022594-fx044gcd 37 3 this this DT cord-022594-fx044gcd 37 4 highly highly RB cord-022594-fx044gcd 37 5 conserved conserved JJ cord-022594-fx044gcd 37 6 protein protein NN cord-022594-fx044gcd 37 7 cause cause IN cord-022594-fx044gcd 37 8 Pelizaeus Pelizaeus NNP cord-022594-fx044gcd 37 9 - - HYPH cord-022594-fx044gcd 37 10 Merzbacher Merzbacher NNP cord-022594-fx044gcd 37 11 disease disease NN cord-022594-fx044gcd 37 12 . . . cord-022594-fx044gcd 38 1 Protein protein NN cord-022594-fx044gcd 38 2 zero zero CD cord-022594-fx044gcd 38 3 is be VBZ cord-022594-fx044gcd 38 4 the the DT cord-022594-fx044gcd 38 5 major major JJ cord-022594-fx044gcd 38 6 PNS PNS NNP cord-022594-fx044gcd 38 7 myelin myelin NN cord-022594-fx044gcd 38 8 protein protein NN cord-022594-fx044gcd 38 9 and and CC cord-022594-fx044gcd 38 10 performs perform VBZ cord-022594-fx044gcd 38 11 a a DT cord-022594-fx044gcd 38 12 function function NN cord-022594-fx044gcd 38 13 similar similar JJ cord-022594-fx044gcd 38 14 to to IN cord-022594-fx044gcd 38 15 PLP PLP NNP cord-022594-fx044gcd 38 16 in in IN cord-022594-fx044gcd 38 17 compacting compact VBG cord-022594-fx044gcd 38 18 the the DT cord-022594-fx044gcd 38 19 intraperiod intraperiod NN cord-022594-fx044gcd 38 20 line line NN cord-022594-fx044gcd 38 21 . . . cord-022594-fx044gcd 39 1 Myelin myelin JJ cord-022594-fx044gcd 39 2 basic basic JJ cord-022594-fx044gcd 39 3 protein protein NN cord-022594-fx044gcd 39 4 ( ( -LRB- cord-022594-fx044gcd 39 5 MBP MBP NNP cord-022594-fx044gcd 39 6 ) ) -RRB- cord-022594-fx044gcd 39 7 makes make VBZ cord-022594-fx044gcd 39 8 up up RP cord-022594-fx044gcd 39 9 30 30 CD cord-022594-fx044gcd 39 10 % % NN cord-022594-fx044gcd 39 11 of of IN cord-022594-fx044gcd 39 12 CNS CNS NNP cord-022594-fx044gcd 39 13 and and CC cord-022594-fx044gcd 39 14 10 10 CD cord-022594-fx044gcd 39 15 % % NN cord-022594-fx044gcd 39 16 of of IN cord-022594-fx044gcd 39 17 PNS PNS NNP cord-022594-fx044gcd 39 18 myelin myelin NN cord-022594-fx044gcd 39 19 proteins protein NNS cord-022594-fx044gcd 39 20 . . . cord-022594-fx044gcd 40 1 MBP MBP NNP cord-022594-fx044gcd 40 2 is be VBZ cord-022594-fx044gcd 40 3 not not RB cord-022594-fx044gcd 40 4 an an DT cord-022594-fx044gcd 40 5 integral integral JJ cord-022594-fx044gcd 40 6 protein protein NN cord-022594-fx044gcd 40 7 but but CC cord-022594-fx044gcd 40 8 binds bind VBZ cord-022594-fx044gcd 40 9 to to IN cord-022594-fx044gcd 40 10 the the DT cord-022594-fx044gcd 40 11 cytoplasmic cytoplasmic JJ cord-022594-fx044gcd 40 12 surface surface NN cord-022594-fx044gcd 40 13 and and CC cord-022594-fx044gcd 40 14 is be VBZ cord-022594-fx044gcd 40 15 responsible responsible JJ cord-022594-fx044gcd 40 16 for for IN cord-022594-fx044gcd 40 17 compaction compaction NN cord-022594-fx044gcd 40 18 at at IN cord-022594-fx044gcd 40 19 the the DT cord-022594-fx044gcd 40 20 major major JJ cord-022594-fx044gcd 40 21 dense dense JJ cord-022594-fx044gcd 40 22 line line NN cord-022594-fx044gcd 40 23 . . . cord-022594-fx044gcd 41 1 Myelin myelin JJ cord-022594-fx044gcd 41 2 associate associate NN cord-022594-fx044gcd 41 3 glycoprotein glycoprotein NN cord-022594-fx044gcd 41 4 accounts account VBZ cord-022594-fx044gcd 41 5 for for IN cord-022594-fx044gcd 41 6 about about RB cord-022594-fx044gcd 41 7 1 1 CD cord-022594-fx044gcd 41 8 % % NN cord-022594-fx044gcd 41 9 of of IN cord-022594-fx044gcd 41 10 both both CC cord-022594-fx044gcd 41 11 peripheral peripheral JJ cord-022594-fx044gcd 41 12 and and CC cord-022594-fx044gcd 41 13 central central JJ cord-022594-fx044gcd 41 14 myelin myelin NN cord-022594-fx044gcd 41 15 . . . cord-022594-fx044gcd 42 1 Myelin Myelin NNP cord-022594-fx044gcd 42 2 oligodendrocyte oligodendrocyte VBN cord-022594-fx044gcd 42 3 glycoprotein glycoprotein NN cord-022594-fx044gcd 42 4 and and CC cord-022594-fx044gcd 42 5 cyclic cyclic JJ cord-022594-fx044gcd 42 6 nucleotide nucleotide JJ cord-022594-fx044gcd 42 7 phosphodiesterase phosphodiesterase NN cord-022594-fx044gcd 42 8 are be VBP cord-022594-fx044gcd 42 9 minor minor JJ cord-022594-fx044gcd 42 10 constituents constituent NNS cord-022594-fx044gcd 42 11 of of IN cord-022594-fx044gcd 42 12 CNS CNS NNP cord-022594-fx044gcd 42 13 myelin myelin NN cord-022594-fx044gcd 42 14 and and CC cord-022594-fx044gcd 42 15 are be VBP cord-022594-fx044gcd 42 16 not not RB cord-022594-fx044gcd 42 17 found find VBN cord-022594-fx044gcd 42 18 in in IN cord-022594-fx044gcd 42 19 the the DT cord-022594-fx044gcd 42 20 PNS PNS NNP cord-022594-fx044gcd 42 21 . . . cord-022594-fx044gcd 43 1 Peripheral peripheral JJ cord-022594-fx044gcd 43 2 myelin myelin NN cord-022594-fx044gcd 43 3 protein protein NN cord-022594-fx044gcd 43 4 22 22 CD cord-022594-fx044gcd 43 5 is be VBZ cord-022594-fx044gcd 43 6 a a DT cord-022594-fx044gcd 43 7 minor minor JJ cord-022594-fx044gcd 43 8 component component NN cord-022594-fx044gcd 43 9 of of IN cord-022594-fx044gcd 43 10 PNS PNS NNP cord-022594-fx044gcd 43 11 myelin myelin NN cord-022594-fx044gcd 43 12 . . . cord-022594-fx044gcd 44 1 MS MS NNP cord-022594-fx044gcd 44 2 is be VBZ cord-022594-fx044gcd 44 3 an an DT cord-022594-fx044gcd 44 4 inflammatory inflammatory JJ cord-022594-fx044gcd 44 5 relapsing relapse VBG cord-022594-fx044gcd 44 6 or or CC cord-022594-fx044gcd 44 7 progressive progressive JJ cord-022594-fx044gcd 44 8 disorder disorder NN cord-022594-fx044gcd 44 9 of of IN cord-022594-fx044gcd 44 10 CNS CNS NNP cord-022594-fx044gcd 44 11 white white JJ cord-022594-fx044gcd 44 12 matter matter NN cord-022594-fx044gcd 44 13 and and CC cord-022594-fx044gcd 44 14 is be VBZ cord-022594-fx044gcd 44 15 a a DT cord-022594-fx044gcd 44 16 major major JJ cord-022594-fx044gcd 44 17 cause cause NN cord-022594-fx044gcd 44 18 of of IN cord-022594-fx044gcd 44 19 disability disability NN cord-022594-fx044gcd 44 20 in in IN cord-022594-fx044gcd 44 21 young young JJ cord-022594-fx044gcd 44 22 adults adult NNS cord-022594-fx044gcd 44 23 . . . cord-022594-fx044gcd 45 1 Pathologically pathologically RB cord-022594-fx044gcd 45 2 , , , cord-022594-fx044gcd 45 3 it -PRON- PRP cord-022594-fx044gcd 45 4 is be VBZ cord-022594-fx044gcd 45 5 characterized characterize VBN cord-022594-fx044gcd 45 6 by by IN cord-022594-fx044gcd 45 7 multifocal multifocal JJ cord-022594-fx044gcd 45 8 areas area NNS cord-022594-fx044gcd 45 9 of of IN cord-022594-fx044gcd 45 10 demyelination demyelination NN cord-022594-fx044gcd 45 11 , , , cord-022594-fx044gcd 45 12 loss loss NN cord-022594-fx044gcd 45 13 of of IN cord-022594-fx044gcd 45 14 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 45 15 , , , cord-022594-fx044gcd 45 16 and and CC cord-022594-fx044gcd 45 17 astrogliosis astrogliosis NN cord-022594-fx044gcd 45 18 but but CC cord-022594-fx044gcd 45 19 with with IN cord-022594-fx044gcd 45 20 relative relative JJ cord-022594-fx044gcd 45 21 preservation preservation NN cord-022594-fx044gcd 45 22 of of IN cord-022594-fx044gcd 45 23 axons axon NNS cord-022594-fx044gcd 45 24 . . . cord-022594-fx044gcd 46 1 While while IN cord-022594-fx044gcd 46 2 demyelination demyelination NN cord-022594-fx044gcd 46 3 is be VBZ cord-022594-fx044gcd 46 4 the the DT cord-022594-fx044gcd 46 5 classic classic JJ cord-022594-fx044gcd 46 6 hallmark hallmark NN cord-022594-fx044gcd 46 7 of of IN cord-022594-fx044gcd 46 8 MS MS NNP cord-022594-fx044gcd 46 9 , , , cord-022594-fx044gcd 46 10 axonal axonal JJ cord-022594-fx044gcd 46 11 and and CC cord-022594-fx044gcd 46 12 neuronal neuronal JJ cord-022594-fx044gcd 46 13 injury injury NN cord-022594-fx044gcd 46 14 are be VBP cord-022594-fx044gcd 46 15 important important JJ cord-022594-fx044gcd 46 16 aspects aspect NNS cord-022594-fx044gcd 46 17 of of IN cord-022594-fx044gcd 46 18 the the DT cord-022594-fx044gcd 46 19 disease disease NN cord-022594-fx044gcd 46 20 and and CC cord-022594-fx044gcd 46 21 are be VBP cord-022594-fx044gcd 46 22 gaining gain VBG cord-022594-fx044gcd 46 23 more more JJR cord-022594-fx044gcd 46 24 recognition recognition NN cord-022594-fx044gcd 46 25 . . . cord-022594-fx044gcd 47 1 Although although IN cord-022594-fx044gcd 47 2 certain certain JJ cord-022594-fx044gcd 47 3 clinical clinical JJ cord-022594-fx044gcd 47 4 features feature NNS cord-022594-fx044gcd 47 5 are be VBP cord-022594-fx044gcd 47 6 characteristic characteristic JJ cord-022594-fx044gcd 47 7 of of IN cord-022594-fx044gcd 47 8 MS MS NNP cord-022594-fx044gcd 47 9 , , , cord-022594-fx044gcd 47 10 investigative investigative JJ cord-022594-fx044gcd 47 11 studies study NNS cord-022594-fx044gcd 47 12 are be VBP cord-022594-fx044gcd 47 13 often often RB cord-022594-fx044gcd 47 14 needed need VBN cord-022594-fx044gcd 47 15 to to TO cord-022594-fx044gcd 47 16 confirm confirm VB cord-022594-fx044gcd 47 17 the the DT cord-022594-fx044gcd 47 18 clinical clinical JJ cord-022594-fx044gcd 47 19 suspicion suspicion NN cord-022594-fx044gcd 47 20 and and CC cord-022594-fx044gcd 47 21 exclude exclude VB cord-022594-fx044gcd 47 22 other other JJ cord-022594-fx044gcd 47 23 possibilities possibility NNS cord-022594-fx044gcd 47 24 . . . cord-022594-fx044gcd 48 1 Recently recently RB cord-022594-fx044gcd 48 2 , , , cord-022594-fx044gcd 48 3 there there EX cord-022594-fx044gcd 48 4 have have VBP cord-022594-fx044gcd 48 5 been be VBN cord-022594-fx044gcd 48 6 advances advance NNS cord-022594-fx044gcd 48 7 in in IN cord-022594-fx044gcd 48 8 understanding understand VBG cord-022594-fx044gcd 48 9 the the DT cord-022594-fx044gcd 48 10 etiology etiology NN cord-022594-fx044gcd 48 11 , , , cord-022594-fx044gcd 48 12 mechanisms mechanism NNS cord-022594-fx044gcd 48 13 of of IN cord-022594-fx044gcd 48 14 myelin myelin NN cord-022594-fx044gcd 48 15 injury injury NN cord-022594-fx044gcd 48 16 , , , cord-022594-fx044gcd 48 17 and and CC cord-022594-fx044gcd 48 18 potential potential NN cord-022594-fx044gcd 48 19 for for IN cord-022594-fx044gcd 48 20 repair repair NN cord-022594-fx044gcd 48 21 , , , cord-022594-fx044gcd 48 22 and and CC cord-022594-fx044gcd 48 23 several several JJ cord-022594-fx044gcd 48 24 partially partially RB cord-022594-fx044gcd 48 25 effective effective JJ cord-022594-fx044gcd 48 26 agents agent NNS cord-022594-fx044gcd 48 27 are be VBP cord-022594-fx044gcd 48 28 now now RB cord-022594-fx044gcd 48 29 approved approve VBN cord-022594-fx044gcd 48 30 for for IN cord-022594-fx044gcd 48 31 use use NN cord-022594-fx044gcd 48 32 in in IN cord-022594-fx044gcd 48 33 relapsing relapse VBG cord-022594-fx044gcd 48 34 - - HYPH cord-022594-fx044gcd 48 35 remitting remit VBG cord-022594-fx044gcd 48 36 and and CC cord-022594-fx044gcd 48 37 secondary secondary JJ cord-022594-fx044gcd 48 38 progressive progressive JJ cord-022594-fx044gcd 48 39 MS MS NNP cord-022594-fx044gcd 48 40 . . . cord-022594-fx044gcd 49 1 The the DT cord-022594-fx044gcd 49 2 pathogenesis pathogenesis NN cord-022594-fx044gcd 49 3 and and CC cord-022594-fx044gcd 49 4 pathophysiology pathophysiology NN cord-022594-fx044gcd 49 5 of of IN cord-022594-fx044gcd 49 6 MS MS NNP cord-022594-fx044gcd 49 7 remains remain VBZ cord-022594-fx044gcd 49 8 incompletely incompletely RB cord-022594-fx044gcd 49 9 understood understand VBN cord-022594-fx044gcd 49 10 . . . cord-022594-fx044gcd 50 1 Several several JJ cord-022594-fx044gcd 50 2 mechanisms mechanism NNS cord-022594-fx044gcd 50 3 may may MD cord-022594-fx044gcd 50 4 be be VB cord-022594-fx044gcd 50 5 important important JJ cord-022594-fx044gcd 50 6 to to IN cord-022594-fx044gcd 50 7 MS MS NNP cord-022594-fx044gcd 50 8 plaque plaque NN cord-022594-fx044gcd 50 9 formation formation NN cord-022594-fx044gcd 50 10 : : : cord-022594-fx044gcd 51 1 autoimmunity autoimmunity NN cord-022594-fx044gcd 51 2 , , , cord-022594-fx044gcd 51 3 infection infection NN cord-022594-fx044gcd 51 4 , , , cord-022594-fx044gcd 51 5 bystander bystander NN cord-022594-fx044gcd 51 6 demyelination demyelination NN cord-022594-fx044gcd 51 7 , , , cord-022594-fx044gcd 51 8 and and CC cord-022594-fx044gcd 51 9 heredity heredity NN cord-022594-fx044gcd 51 10 . . . cord-022594-fx044gcd 52 1 Although although IN cord-022594-fx044gcd 52 2 convincing convincing JJ cord-022594-fx044gcd 52 3 proof proof NN cord-022594-fx044gcd 52 4 is be VBZ cord-022594-fx044gcd 52 5 lacking lack VBG cord-022594-fx044gcd 52 6 , , , cord-022594-fx044gcd 52 7 dietary dietary JJ cord-022594-fx044gcd 52 8 factors factor NNS cord-022594-fx044gcd 52 9 and and CC cord-022594-fx044gcd 52 10 toxin toxin NN cord-022594-fx044gcd 52 11 exposure exposure NN cord-022594-fx044gcd 52 12 have have VBP cord-022594-fx044gcd 52 13 been be VBN cord-022594-fx044gcd 52 14 hypothesized hypothesize VBN cord-022594-fx044gcd 52 15 to to TO cord-022594-fx044gcd 52 16 contribute contribute VB cord-022594-fx044gcd 52 17 as as RB cord-022594-fx044gcd 52 18 well well RB cord-022594-fx044gcd 52 19 . . . cord-022594-fx044gcd 53 1 These these DT cord-022594-fx044gcd 53 2 mechanisms mechanism NNS cord-022594-fx044gcd 53 3 are be VBP cord-022594-fx044gcd 53 4 not not RB cord-022594-fx044gcd 53 5 mutually mutually RB cord-022594-fx044gcd 53 6 exclusive exclusive JJ cord-022594-fx044gcd 53 7 , , , cord-022594-fx044gcd 53 8 and and CC cord-022594-fx044gcd 53 9 the the DT cord-022594-fx044gcd 53 10 true true JJ cord-022594-fx044gcd 53 11 pathophysiology pathophysiology NN cord-022594-fx044gcd 53 12 is be VBZ cord-022594-fx044gcd 53 13 likely likely JJ cord-022594-fx044gcd 53 14 to to TO cord-022594-fx044gcd 53 15 depend depend VB cord-022594-fx044gcd 53 16 on on IN cord-022594-fx044gcd 53 17 more more JJR cord-022594-fx044gcd 53 18 than than IN cord-022594-fx044gcd 53 19 one one CD cord-022594-fx044gcd 53 20 of of IN cord-022594-fx044gcd 53 21 them -PRON- PRP cord-022594-fx044gcd 53 22 . . . cord-022594-fx044gcd 54 1 Autoimmunity Autoimmunity NNP cord-022594-fx044gcd 54 2 . . . cord-022594-fx044gcd 55 1 During during IN cord-022594-fx044gcd 55 2 ontogenesis ontogenesis NN cord-022594-fx044gcd 55 3 , , , cord-022594-fx044gcd 55 4 autoreactive autoreactive JJ cord-022594-fx044gcd 55 5 lymphocytes lymphocyte NNS cord-022594-fx044gcd 55 6 normally normally RB cord-022594-fx044gcd 55 7 undergo undergo VBP cord-022594-fx044gcd 55 8 clonal clonal JJ cord-022594-fx044gcd 55 9 depletion depletion NN cord-022594-fx044gcd 55 10 , , , cord-022594-fx044gcd 55 11 but but CC cord-022594-fx044gcd 55 12 some some DT cord-022594-fx044gcd 55 13 escape escape NN cord-022594-fx044gcd 55 14 and and CC cord-022594-fx044gcd 55 15 are be VBP cord-022594-fx044gcd 55 16 merely merely RB cord-022594-fx044gcd 55 17 suppressed suppress VBN cord-022594-fx044gcd 55 18 , , , cord-022594-fx044gcd 55 19 becoming become VBG cord-022594-fx044gcd 55 20 tolerant tolerant JJ cord-022594-fx044gcd 55 21 to to IN cord-022594-fx044gcd 55 22 their -PRON- PRP$ cord-022594-fx044gcd 55 23 antigens antigen NNS cord-022594-fx044gcd 55 24 . . . cord-022594-fx044gcd 56 1 Low low JJ cord-022594-fx044gcd 56 2 levels level NNS cord-022594-fx044gcd 56 3 of of IN cord-022594-fx044gcd 56 4 autoreactive autoreactive JJ cord-022594-fx044gcd 56 5 T t NN cord-022594-fx044gcd 56 6 and and CC cord-022594-fx044gcd 56 7 B b NN cord-022594-fx044gcd 56 8 cells cell NNS cord-022594-fx044gcd 56 9 persist persist VBP cord-022594-fx044gcd 56 10 even even RB cord-022594-fx044gcd 56 11 in in IN cord-022594-fx044gcd 56 12 normal normal JJ cord-022594-fx044gcd 56 13 individuals individual NNS cord-022594-fx044gcd 56 14 . . . cord-022594-fx044gcd 57 1 Autoimmune autoimmune JJ cord-022594-fx044gcd 57 2 disorders disorder NNS cord-022594-fx044gcd 57 3 occur occur VBP cord-022594-fx044gcd 57 4 when when WRB cord-022594-fx044gcd 57 5 the the DT cord-022594-fx044gcd 57 6 tolerance tolerance NN cord-022594-fx044gcd 57 7 of of IN cord-022594-fx044gcd 57 8 these these DT cord-022594-fx044gcd 57 9 cells cell NNS cord-022594-fx044gcd 57 10 toward toward IN cord-022594-fx044gcd 57 11 their -PRON- PRP$ cord-022594-fx044gcd 57 12 antigen antigen NN cord-022594-fx044gcd 57 13 is be VBZ cord-022594-fx044gcd 57 14 broken break VBN cord-022594-fx044gcd 57 15 . . . cord-022594-fx044gcd 58 1 The the DT cord-022594-fx044gcd 58 2 decreased decreased JJ cord-022594-fx044gcd 58 3 suppressor suppressor NN cord-022594-fx044gcd 58 4 activity activity NN cord-022594-fx044gcd 58 5 of of IN cord-022594-fx044gcd 58 6 circulating circulate VBG cord-022594-fx044gcd 58 7 lymphocytes lymphocyte NNS cord-022594-fx044gcd 58 8 from from IN cord-022594-fx044gcd 58 9 patients patient NNS cord-022594-fx044gcd 58 10 with with IN cord-022594-fx044gcd 58 11 MS MS NNP cord-022594-fx044gcd 58 12 and and CC cord-022594-fx044gcd 58 13 other other JJ cord-022594-fx044gcd 58 14 presumed presume VBN cord-022594-fx044gcd 58 15 autoimmune autoimmune JJ cord-022594-fx044gcd 58 16 diseases disease NNS cord-022594-fx044gcd 58 17 may may MD cord-022594-fx044gcd 58 18 reflect reflect VB cord-022594-fx044gcd 58 19 loss loss NN cord-022594-fx044gcd 58 20 of of IN cord-022594-fx044gcd 58 21 tolerance tolerance NN cord-022594-fx044gcd 58 22 . . . cord-022594-fx044gcd 59 1 6 6 CD cord-022594-fx044gcd 60 1 One one CD cord-022594-fx044gcd 60 2 potential potential JJ cord-022594-fx044gcd 60 3 mechanism mechanism NN cord-022594-fx044gcd 60 4 that that WDT cord-022594-fx044gcd 60 5 may may MD cord-022594-fx044gcd 60 6 break break VB cord-022594-fx044gcd 60 7 tolerance tolerance NN cord-022594-fx044gcd 60 8 is be VBZ cord-022594-fx044gcd 60 9 molecular molecular JJ cord-022594-fx044gcd 60 10 mimicry mimicry NN cord-022594-fx044gcd 60 11 between between IN cord-022594-fx044gcd 60 12 self self NN cord-022594-fx044gcd 60 13 and and CC cord-022594-fx044gcd 60 14 foreign foreign JJ cord-022594-fx044gcd 60 15 antigens antigen NNS cord-022594-fx044gcd 60 16 . . . cord-022594-fx044gcd 61 1 Autoreactive autoreactive JJ cord-022594-fx044gcd 61 2 T4 T4 NNP cord-022594-fx044gcd 61 3 lymphocytes lymphocyte NNS cord-022594-fx044gcd 61 4 may may MD cord-022594-fx044gcd 61 5 become become VB cord-022594-fx044gcd 61 6 activated activate VBN cord-022594-fx044gcd 61 7 on on IN cord-022594-fx044gcd 61 8 exposure exposure NN cord-022594-fx044gcd 61 9 to to IN cord-022594-fx044gcd 61 10 structurally structurally RB cord-022594-fx044gcd 61 11 similar similar JJ cord-022594-fx044gcd 61 12 foreign foreign JJ cord-022594-fx044gcd 61 13 antigens antigen NNS cord-022594-fx044gcd 61 14 . . . cord-022594-fx044gcd 62 1 Some some DT cord-022594-fx044gcd 62 2 evidence evidence NN cord-022594-fx044gcd 62 3 suggests suggest VBZ cord-022594-fx044gcd 62 4 that that IN cord-022594-fx044gcd 62 5 molecular molecular JJ cord-022594-fx044gcd 62 6 mimicry mimicry NN cord-022594-fx044gcd 62 7 is be VBZ cord-022594-fx044gcd 62 8 relevant relevant JJ cord-022594-fx044gcd 62 9 in in IN cord-022594-fx044gcd 62 10 MS MS NNP cord-022594-fx044gcd 62 11 . . . cord-022594-fx044gcd 63 1 Not not RB cord-022594-fx044gcd 63 2 only only RB cord-022594-fx044gcd 63 3 do do VBP cord-022594-fx044gcd 63 4 several several JJ cord-022594-fx044gcd 63 5 viral viral JJ cord-022594-fx044gcd 63 6 and and CC cord-022594-fx044gcd 63 7 bacterial bacterial JJ cord-022594-fx044gcd 63 8 peptides peptide NNS cord-022594-fx044gcd 63 9 share share VBP cord-022594-fx044gcd 63 10 structural structural JJ cord-022594-fx044gcd 63 11 similarities similarity NNS cord-022594-fx044gcd 63 12 with with IN cord-022594-fx044gcd 63 13 MBP MBP NNP cord-022594-fx044gcd 63 14 , , , cord-022594-fx044gcd 63 15 but but CC cord-022594-fx044gcd 63 16 it -PRON- PRP cord-022594-fx044gcd 63 17 has have VBZ cord-022594-fx044gcd 63 18 also also RB cord-022594-fx044gcd 63 19 been be VBN cord-022594-fx044gcd 63 20 demonstrated demonstrate VBN cord-022594-fx044gcd 63 21 that that IN cord-022594-fx044gcd 63 22 these these DT cord-022594-fx044gcd 63 23 antigens antigen NNS cord-022594-fx044gcd 63 24 may may MD cord-022594-fx044gcd 63 25 activate activate VB cord-022594-fx044gcd 63 26 MBP MBP NNP cord-022594-fx044gcd 63 27 - - HYPH cord-022594-fx044gcd 63 28 specific specific JJ cord-022594-fx044gcd 63 29 T t NN cord-022594-fx044gcd 63 30 - - HYPH cord-022594-fx044gcd 63 31 cell cell NN cord-022594-fx044gcd 63 32 clones clone NNS cord-022594-fx044gcd 63 33 derived derive VBN cord-022594-fx044gcd 63 34 from from IN cord-022594-fx044gcd 63 35 MS MS NNP cord-022594-fx044gcd 63 36 patients patient NNS cord-022594-fx044gcd 63 37 . . . cord-022594-fx044gcd 64 1 7 7 CD cord-022594-fx044gcd 64 2 Blood blood NN cord-022594-fx044gcd 64 3 - - HYPH cord-022594-fx044gcd 64 4 brain brain NN cord-022594-fx044gcd 64 5 barrier barrier NN cord-022594-fx044gcd 64 6 leakage leakage NN cord-022594-fx044gcd 64 7 alone alone RB cord-022594-fx044gcd 64 8 may may MD cord-022594-fx044gcd 64 9 break break VB cord-022594-fx044gcd 64 10 tolerance tolerance NN cord-022594-fx044gcd 64 11 because because IN cord-022594-fx044gcd 64 12 it -PRON- PRP cord-022594-fx044gcd 64 13 gives give VBZ cord-022594-fx044gcd 64 14 CNSreactive cnsreactive JJ cord-022594-fx044gcd 64 15 lymphocytes lymphocyte NNS cord-022594-fx044gcd 64 16 easy easy JJ cord-022594-fx044gcd 64 17 access access NN cord-022594-fx044gcd 64 18 to to IN cord-022594-fx044gcd 64 19 otherwise otherwise RB cord-022594-fx044gcd 64 20 inaccessible inaccessible JJ cord-022594-fx044gcd 64 21 antigens antigen NNS cord-022594-fx044gcd 64 22 . . . cord-022594-fx044gcd 65 1 Alternatively alternatively RB cord-022594-fx044gcd 65 2 , , , cord-022594-fx044gcd 65 3 a a DT cord-022594-fx044gcd 65 4 primary primary JJ cord-022594-fx044gcd 65 5 event event NN cord-022594-fx044gcd 65 6 such such JJ cord-022594-fx044gcd 65 7 as as IN cord-022594-fx044gcd 65 8 an an DT cord-022594-fx044gcd 65 9 infection infection NN cord-022594-fx044gcd 65 10 or or CC cord-022594-fx044gcd 65 11 injury injury NN cord-022594-fx044gcd 65 12 may may MD cord-022594-fx044gcd 65 13 release release VB cord-022594-fx044gcd 65 14 CNS CNS NNP cord-022594-fx044gcd 65 15 antigens antigen NNS cord-022594-fx044gcd 65 16 into into IN cord-022594-fx044gcd 65 17 the the DT cord-022594-fx044gcd 65 18 periphery periphery NN cord-022594-fx044gcd 65 19 , , , cord-022594-fx044gcd 65 20 where where WRB cord-022594-fx044gcd 65 21 they -PRON- PRP cord-022594-fx044gcd 65 22 may may MD cord-022594-fx044gcd 65 23 activate activate VB cord-022594-fx044gcd 65 24 corresponding correspond VBG cord-022594-fx044gcd 65 25 autoreactive autoreactive JJ cord-022594-fx044gcd 65 26 cells cell NNS cord-022594-fx044gcd 65 27 . . . cord-022594-fx044gcd 66 1 8 8 CD cord-022594-fx044gcd 67 1 The the DT cord-022594-fx044gcd 67 2 major major JJ cord-022594-fx044gcd 67 3 support support NN cord-022594-fx044gcd 67 4 for for IN cord-022594-fx044gcd 67 5 autoimmunity autoimmunity NN cord-022594-fx044gcd 67 6 in in IN cord-022594-fx044gcd 67 7 the the DT cord-022594-fx044gcd 67 8 pathogenesis pathogenesis NN cord-022594-fx044gcd 67 9 and and CC cord-022594-fx044gcd 67 10 pathophysiology pathophysiology NN cord-022594-fx044gcd 67 11 of of IN cord-022594-fx044gcd 67 12 MS MS NNP cord-022594-fx044gcd 67 13 is be VBZ cord-022594-fx044gcd 67 14 by by IN cord-022594-fx044gcd 67 15 analogy analogy NN cord-022594-fx044gcd 67 16 to to IN cord-022594-fx044gcd 67 17 EAE EAE NNP cord-022594-fx044gcd 67 18 , , , cord-022594-fx044gcd 67 19 the the DT cord-022594-fx044gcd 67 20 major major JJ cord-022594-fx044gcd 67 21 animal animal NN cord-022594-fx044gcd 67 22 model model NN cord-022594-fx044gcd 67 23 for for IN cord-022594-fx044gcd 67 24 MS MS NNP cord-022594-fx044gcd 67 25 . . . cord-022594-fx044gcd 68 1 EAE EAE NNP cord-022594-fx044gcd 68 2 is be VBZ cord-022594-fx044gcd 68 3 , , , cord-022594-fx044gcd 68 4 however however RB cord-022594-fx044gcd 68 5 , , , cord-022594-fx044gcd 68 6 an an DT cord-022594-fx044gcd 68 7 artificial artificial JJ cord-022594-fx044gcd 68 8 situation situation NN cord-022594-fx044gcd 68 9 and and CC cord-022594-fx044gcd 68 10 there there EX cord-022594-fx044gcd 68 11 is be VBZ cord-022594-fx044gcd 68 12 no no DT cord-022594-fx044gcd 68 13 spontaneous spontaneous JJ cord-022594-fx044gcd 68 14 autoimmune autoimmune JJ cord-022594-fx044gcd 68 15 animal animal NN cord-022594-fx044gcd 68 16 model model NN cord-022594-fx044gcd 68 17 of of IN cord-022594-fx044gcd 68 18 MS MS NNP cord-022594-fx044gcd 68 19 . . . cord-022594-fx044gcd 69 1 While while IN cord-022594-fx044gcd 69 2 EAE EAE NNP cord-022594-fx044gcd 69 3 is be VBZ cord-022594-fx044gcd 69 4 the the DT cord-022594-fx044gcd 69 5 most most RBS cord-022594-fx044gcd 69 6 commonly commonly RB cord-022594-fx044gcd 69 7 studied study VBN cord-022594-fx044gcd 69 8 model model NN cord-022594-fx044gcd 69 9 of of IN cord-022594-fx044gcd 69 10 MS MS NNP cord-022594-fx044gcd 69 11 , , , cord-022594-fx044gcd 69 12 several several JJ cord-022594-fx044gcd 69 13 features feature NNS cord-022594-fx044gcd 69 14 of of IN cord-022594-fx044gcd 69 15 human human JJ cord-022594-fx044gcd 69 16 MS MS NNP cord-022594-fx044gcd 69 17 can can MD cord-022594-fx044gcd 69 18 not not RB cord-022594-fx044gcd 69 19 be be VB cord-022594-fx044gcd 69 20 adequately adequately RB cord-022594-fx044gcd 69 21 captured capture VBN cord-022594-fx044gcd 69 22 by by IN cord-022594-fx044gcd 69 23 this this DT cord-022594-fx044gcd 69 24 model model NN cord-022594-fx044gcd 69 25 . . . cord-022594-fx044gcd 70 1 9 9 CD cord-022594-fx044gcd 70 2 , , , cord-022594-fx044gcd 70 3 10 10 CD cord-022594-fx044gcd 70 4 Over over IN cord-022594-fx044gcd 70 5 a a DT cord-022594-fx044gcd 70 6 hundred hundred CD cord-022594-fx044gcd 70 7 different different JJ cord-022594-fx044gcd 70 8 effective effective JJ cord-022594-fx044gcd 70 9 treatments treatment NNS cord-022594-fx044gcd 70 10 have have VBP cord-022594-fx044gcd 70 11 been be VBN cord-022594-fx044gcd 70 12 described describe VBN cord-022594-fx044gcd 70 13 for for IN cord-022594-fx044gcd 70 14 EAE EAE NNP cord-022594-fx044gcd 70 15 ; ; : cord-022594-fx044gcd 70 16 however however RB cord-022594-fx044gcd 70 17 , , , cord-022594-fx044gcd 70 18 almost almost RB cord-022594-fx044gcd 70 19 all all DT cord-022594-fx044gcd 70 20 of of IN cord-022594-fx044gcd 70 21 them -PRON- PRP cord-022594-fx044gcd 70 22 are be VBP cord-022594-fx044gcd 70 23 ineffective ineffective JJ cord-022594-fx044gcd 70 24 and and CC cord-022594-fx044gcd 70 25 some some DT cord-022594-fx044gcd 70 26 are be VBP cord-022594-fx044gcd 70 27 harmful harmful JJ cord-022594-fx044gcd 70 28 in in IN cord-022594-fx044gcd 70 29 human human JJ cord-022594-fx044gcd 70 30 MS MS NNP cord-022594-fx044gcd 70 31 . . . cord-022594-fx044gcd 71 1 A a DT cord-022594-fx044gcd 71 2 recent recent JJ cord-022594-fx044gcd 71 3 editorial editorial NN cord-022594-fx044gcd 71 4 discusses discuss VBZ cord-022594-fx044gcd 71 5 the the DT cord-022594-fx044gcd 71 6 merits merit NNS cord-022594-fx044gcd 71 7 and and CC cord-022594-fx044gcd 71 8 important important JJ cord-022594-fx044gcd 71 9 limitations limitation NNS cord-022594-fx044gcd 71 10 of of IN cord-022594-fx044gcd 71 11 EAE EAE NNP cord-022594-fx044gcd 71 12 as as IN cord-022594-fx044gcd 71 13 a a DT cord-022594-fx044gcd 71 14 model model NN cord-022594-fx044gcd 71 15 for for IN cord-022594-fx044gcd 71 16 MS MS NNP cord-022594-fx044gcd 71 17 . . . cord-022594-fx044gcd 72 1 10 10 CD cord-022594-fx044gcd 73 1 In in IN cord-022594-fx044gcd 73 2 EAE EAE NNP cord-022594-fx044gcd 73 3 , , , cord-022594-fx044gcd 73 4 just just RB cord-022594-fx044gcd 73 5 like like IN cord-022594-fx044gcd 73 6 in in IN cord-022594-fx044gcd 73 7 classic classic JJ cord-022594-fx044gcd 73 8 human human JJ cord-022594-fx044gcd 73 9 autoimmune autoimmune JJ cord-022594-fx044gcd 73 10 diseases disease NNS cord-022594-fx044gcd 73 11 such such JJ cord-022594-fx044gcd 73 12 as as IN cord-022594-fx044gcd 73 13 systemic systemic JJ cord-022594-fx044gcd 73 14 lupus lupus NN cord-022594-fx044gcd 73 15 erythematosus erythematosus NN cord-022594-fx044gcd 73 16 ( ( -LRB- cord-022594-fx044gcd 73 17 SLE SLE NNP cord-022594-fx044gcd 73 18 ) ) -RRB- cord-022594-fx044gcd 73 19 or or CC cord-022594-fx044gcd 73 20 rheumatoid rheumatoid JJ cord-022594-fx044gcd 73 21 arthritis arthritis NN cord-022594-fx044gcd 73 22 , , , cord-022594-fx044gcd 73 23 the the DT cord-022594-fx044gcd 73 24 main main JJ cord-022594-fx044gcd 73 25 target target NN cord-022594-fx044gcd 73 26 antigens antigen NNS cord-022594-fx044gcd 73 27 are be VBP cord-022594-fx044gcd 73 28 known know VBN cord-022594-fx044gcd 73 29 . . . cord-022594-fx044gcd 74 1 However however RB cord-022594-fx044gcd 74 2 , , , cord-022594-fx044gcd 74 3 despite despite IN cord-022594-fx044gcd 74 4 the the DT cord-022594-fx044gcd 74 5 discovery discovery NN cord-022594-fx044gcd 74 6 of of IN cord-022594-fx044gcd 74 7 several several JJ cord-022594-fx044gcd 74 8 " " `` cord-022594-fx044gcd 74 9 weak weak JJ cord-022594-fx044gcd 74 10 " " '' cord-022594-fx044gcd 74 11 antigens antigen NNS cord-022594-fx044gcd 74 12 in in IN cord-022594-fx044gcd 74 13 human human JJ cord-022594-fx044gcd 74 14 MS MS NNP cord-022594-fx044gcd 74 15 , , , cord-022594-fx044gcd 74 16 no no DT cord-022594-fx044gcd 74 17 dominant dominant JJ cord-022594-fx044gcd 74 18 antigens antigen NNS cord-022594-fx044gcd 74 19 have have VBP cord-022594-fx044gcd 74 20 been be VBN cord-022594-fx044gcd 74 21 identified identify VBN cord-022594-fx044gcd 74 22 to to IN cord-022594-fx044gcd 74 23 date date NN cord-022594-fx044gcd 74 24 . . . cord-022594-fx044gcd 75 1 The the DT cord-022594-fx044gcd 75 2 only only JJ cord-022594-fx044gcd 75 3 human human JJ cord-022594-fx044gcd 75 4 demyelinating demyelinating NN cord-022594-fx044gcd 75 5 disease disease NN cord-022594-fx044gcd 75 6 with with IN cord-022594-fx044gcd 75 7 an an DT cord-022594-fx044gcd 75 8 identified identify VBN cord-022594-fx044gcd 75 9 specific specific JJ cord-022594-fx044gcd 75 10 antigen antigen NN cord-022594-fx044gcd 75 11 is be VBZ cord-022594-fx044gcd 75 12 Devic Devic NNP cord-022594-fx044gcd 75 13 's 's POS cord-022594-fx044gcd 75 14 disease disease NN cord-022594-fx044gcd 75 15 ( ( -LRB- cord-022594-fx044gcd 75 16 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 75 17 optica optica NNP cord-022594-fx044gcd 75 18 ) ) -RRB- cord-022594-fx044gcd 75 19 , , , cord-022594-fx044gcd 75 20 which which WDT cord-022594-fx044gcd 75 21 appears appear VBZ cord-022594-fx044gcd 75 22 to to TO cord-022594-fx044gcd 75 23 be be VB cord-022594-fx044gcd 75 24 a a DT cord-022594-fx044gcd 75 25 novel novel JJ cord-022594-fx044gcd 75 26 autoimmune autoimmune NN cord-022594-fx044gcd 75 27 chanellopathy chanellopathy JJ cord-022594-fx044gcd 75 28 with with IN cord-022594-fx044gcd 75 29 an an DT cord-022594-fx044gcd 75 30 antigen antigen NN cord-022594-fx044gcd 75 31 that that WDT cord-022594-fx044gcd 75 32 is be VBZ cord-022594-fx044gcd 75 33 neither neither DT cord-022594-fx044gcd 75 34 neuronal neuronal JJ cord-022594-fx044gcd 75 35 nor nor CC cord-022594-fx044gcd 75 36 myelin myelin NN cord-022594-fx044gcd 75 37 related relate VBN cord-022594-fx044gcd 75 38 ( ( -LRB- cord-022594-fx044gcd 75 39 see see VB cord-022594-fx044gcd 75 40 later later JJ cord-022594-fx044gcd 75 41 discussion discussion NN cord-022594-fx044gcd 75 42 of of IN cord-022594-fx044gcd 75 43 Devic Devic NNP cord-022594-fx044gcd 75 44 's 's POS cord-022594-fx044gcd 75 45 syndrome syndrome NN cord-022594-fx044gcd 75 46 under under IN cord-022594-fx044gcd 75 47 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 75 48 Optica Optica NNP cord-022594-fx044gcd 75 49 ) ) -RRB- cord-022594-fx044gcd 75 50 . . . cord-022594-fx044gcd 76 1 11 11 CD cord-022594-fx044gcd 76 2 Infection infection NN cord-022594-fx044gcd 76 3 . . . cord-022594-fx044gcd 77 1 The the DT cord-022594-fx044gcd 77 2 role role NN cord-022594-fx044gcd 77 3 of of IN cord-022594-fx044gcd 77 4 viral viral JJ cord-022594-fx044gcd 77 5 infections infection NNS cord-022594-fx044gcd 77 6 in in IN cord-022594-fx044gcd 77 7 the the DT cord-022594-fx044gcd 77 8 initiation initiation NN cord-022594-fx044gcd 77 9 and and CC cord-022594-fx044gcd 77 10 maintenance maintenance NN cord-022594-fx044gcd 77 11 of of IN cord-022594-fx044gcd 77 12 MS MS NNP cord-022594-fx044gcd 77 13 has have VBZ cord-022594-fx044gcd 77 14 been be VBN cord-022594-fx044gcd 77 15 debated debate VBN cord-022594-fx044gcd 77 16 for for IN cord-022594-fx044gcd 77 17 some some DT cord-022594-fx044gcd 77 18 time time NN cord-022594-fx044gcd 77 19 . . . cord-022594-fx044gcd 78 1 Several several JJ cord-022594-fx044gcd 78 2 viral viral JJ cord-022594-fx044gcd 78 3 infections infection NNS cord-022594-fx044gcd 78 4 are be VBP cord-022594-fx044gcd 78 5 known know VBN cord-022594-fx044gcd 78 6 to to TO cord-022594-fx044gcd 78 7 cause cause VB cord-022594-fx044gcd 78 8 demyelination demyelination NN cord-022594-fx044gcd 78 9 in in IN cord-022594-fx044gcd 78 10 animals animal NNS cord-022594-fx044gcd 78 11 , , , cord-022594-fx044gcd 78 12 including include VBG cord-022594-fx044gcd 78 13 visna visna NNP cord-022594-fx044gcd 78 14 virus virus NN cord-022594-fx044gcd 78 15 of of IN cord-022594-fx044gcd 78 16 goats goat NNS cord-022594-fx044gcd 78 17 and and CC cord-022594-fx044gcd 78 18 sheep sheep NNS cord-022594-fx044gcd 78 19 , , , cord-022594-fx044gcd 78 20 canine canine JJ cord-022594-fx044gcd 78 21 distemper distemper NN cord-022594-fx044gcd 78 22 virus virus NN cord-022594-fx044gcd 78 23 , , , cord-022594-fx044gcd 78 24 and and CC cord-022594-fx044gcd 78 25 Theiler Theiler NNP cord-022594-fx044gcd 78 26 's 's POS cord-022594-fx044gcd 78 27 murine murine JJ cord-022594-fx044gcd 78 28 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 78 29 virus virus NN cord-022594-fx044gcd 78 30 . . . cord-022594-fx044gcd 79 1 Viral viral JJ cord-022594-fx044gcd 79 2 infections infection NNS cord-022594-fx044gcd 79 3 in in IN cord-022594-fx044gcd 79 4 humans human NNS cord-022594-fx044gcd 79 5 can can MD cord-022594-fx044gcd 79 6 also also RB cord-022594-fx044gcd 79 7 cause cause VB cord-022594-fx044gcd 79 8 demyelination demyelination NN cord-022594-fx044gcd 79 9 ( ( -LRB- cord-022594-fx044gcd 79 10 progressive progressive JJ cord-022594-fx044gcd 79 11 multifocal multifocal JJ cord-022594-fx044gcd 79 12 leukoencephalopathy leukoencephalopathy NNP cord-022594-fx044gcd 79 13 [ [ -LRB- cord-022594-fx044gcd 79 14 JC JC NNP cord-022594-fx044gcd 79 15 papillomavirus papillomavirus NN cord-022594-fx044gcd 79 16 ] ] -RRB- cord-022594-fx044gcd 79 17 , , , cord-022594-fx044gcd 79 18 subacute subacute JJ cord-022594-fx044gcd 79 19 sclerosing sclerosing NN cord-022594-fx044gcd 79 20 panencephalitis panencephalitis NN cord-022594-fx044gcd 79 21 [ [ -LRB- cord-022594-fx044gcd 79 22 measles measles NNP cord-022594-fx044gcd 79 23 virus virus NN cord-022594-fx044gcd 79 24 ] ] -RRB- cord-022594-fx044gcd 79 25 , , , cord-022594-fx044gcd 79 26 and and CC cord-022594-fx044gcd 79 27 human human JJ cord-022594-fx044gcd 79 28 T t NN cord-022594-fx044gcd 79 29 - - HYPH cord-022594-fx044gcd 79 30 cell cell NN cord-022594-fx044gcd 79 31 lymphotropic lymphotropic NNP cord-022594-fx044gcd 79 32 or or CC cord-022594-fx044gcd 79 33 leukemia leukemia NN cord-022594-fx044gcd 79 34 virus virus NN cord-022594-fx044gcd 79 35 type type NN cord-022594-fx044gcd 79 36 1 1 CD cord-022594-fx044gcd 79 37 [ [ -LRB- cord-022594-fx044gcd 79 38 HTLV-1]-associated htlv-1]-associate VBN cord-022594-fx044gcd 79 39 myelopathy myelopathy NN cord-022594-fx044gcd 79 40 ) ) -RRB- cord-022594-fx044gcd 79 41 . . . cord-022594-fx044gcd 80 1 The the DT cord-022594-fx044gcd 80 2 epidemiology epidemiology NN cord-022594-fx044gcd 80 3 of of IN cord-022594-fx044gcd 80 4 MS MS NNP cord-022594-fx044gcd 80 5 suggests suggest VBZ cord-022594-fx044gcd 80 6 that that IN cord-022594-fx044gcd 80 7 environmental environmental JJ cord-022594-fx044gcd 80 8 factors factor NNS cord-022594-fx044gcd 80 9 may may MD cord-022594-fx044gcd 80 10 promote promote VB cord-022594-fx044gcd 80 11 the the DT cord-022594-fx044gcd 80 12 disease disease NN cord-022594-fx044gcd 80 13 state state NN cord-022594-fx044gcd 80 14 , , , cord-022594-fx044gcd 80 15 possibly possibly RB cord-022594-fx044gcd 80 16 due due IN cord-022594-fx044gcd 80 17 to to IN cord-022594-fx044gcd 80 18 one one CD cord-022594-fx044gcd 80 19 or or CC cord-022594-fx044gcd 80 20 more more JJR cord-022594-fx044gcd 80 21 viruses virus NNS cord-022594-fx044gcd 80 22 . . . cord-022594-fx044gcd 81 1 A a DT cord-022594-fx044gcd 81 2 virus virus NN cord-022594-fx044gcd 81 3 may may MD cord-022594-fx044gcd 81 4 be be VB cord-022594-fx044gcd 81 5 involved involve VBN cord-022594-fx044gcd 81 6 in in IN cord-022594-fx044gcd 81 7 the the DT cord-022594-fx044gcd 81 8 pathogenesis pathogenesis NN cord-022594-fx044gcd 81 9 of of IN cord-022594-fx044gcd 81 10 MS MS NNP cord-022594-fx044gcd 81 11 in in IN cord-022594-fx044gcd 81 12 several several JJ cord-022594-fx044gcd 81 13 ways way NNS cord-022594-fx044gcd 81 14 : : : cord-022594-fx044gcd 82 1 1 1 LS cord-022594-fx044gcd 82 2 . . . cord-022594-fx044gcd 83 1 Transient transient JJ cord-022594-fx044gcd 83 2 or or CC cord-022594-fx044gcd 83 3 persistent persistent JJ cord-022594-fx044gcd 83 4 infection infection NN cord-022594-fx044gcd 83 5 outside outside IN cord-022594-fx044gcd 83 6 the the DT cord-022594-fx044gcd 83 7 CNS CNS NNP cord-022594-fx044gcd 83 8 may may MD cord-022594-fx044gcd 83 9 activate activate VB cord-022594-fx044gcd 83 10 autoreactive autoreactive JJ cord-022594-fx044gcd 83 11 T t NN cord-022594-fx044gcd 83 12 cells cell NNS cord-022594-fx044gcd 83 13 by by IN cord-022594-fx044gcd 83 14 means mean NNS cord-022594-fx044gcd 83 15 of of IN cord-022594-fx044gcd 83 16 molecular molecular JJ cord-022594-fx044gcd 83 17 mimicry mimicry NN cord-022594-fx044gcd 83 18 or or CC cord-022594-fx044gcd 83 19 by by IN cord-022594-fx044gcd 83 20 other other JJ cord-022594-fx044gcd 83 21 nonspecific nonspecific JJ cord-022594-fx044gcd 83 22 means mean NNS cord-022594-fx044gcd 83 23 ( ( -LRB- cord-022594-fx044gcd 83 24 as as IN cord-022594-fx044gcd 83 25 superantigens superantigens NNP cord-022594-fx044gcd 83 26 do do VBP cord-022594-fx044gcd 83 27 ) ) -RRB- cord-022594-fx044gcd 83 28 . . . cord-022594-fx044gcd 84 1 2 2 LS cord-022594-fx044gcd 84 2 . . . cord-022594-fx044gcd 85 1 Transient transient JJ cord-022594-fx044gcd 85 2 CNS CNS NNP cord-022594-fx044gcd 85 3 infection infection NN cord-022594-fx044gcd 85 4 may may MD cord-022594-fx044gcd 85 5 initiate initiate VB cord-022594-fx044gcd 85 6 a a DT cord-022594-fx044gcd 85 7 cascade cascade NN cord-022594-fx044gcd 85 8 of of IN cord-022594-fx044gcd 85 9 events event NNS cord-022594-fx044gcd 85 10 that that WDT cord-022594-fx044gcd 85 11 fosters foster VBZ cord-022594-fx044gcd 85 12 autoimmunity autoimmunity NN cord-022594-fx044gcd 85 13 ( ( -LRB- cord-022594-fx044gcd 85 14 breach breach VB cord-022594-fx044gcd 85 15 the the DT cord-022594-fx044gcd 85 16 blood blood NN cord-022594-fx044gcd 85 17 - - HYPH cord-022594-fx044gcd 85 18 brain brain NN cord-022594-fx044gcd 85 19 barrier barrier NN cord-022594-fx044gcd 85 20 , , , cord-022594-fx044gcd 85 21 release release NN cord-022594-fx044gcd 85 22 CNS CNS NNP cord-022594-fx044gcd 85 23 antigens antigen NNS cord-022594-fx044gcd 85 24 ) ) -RRB- cord-022594-fx044gcd 85 25 . . . cord-022594-fx044gcd 86 1 3 3 LS cord-022594-fx044gcd 86 2 . . . cord-022594-fx044gcd 87 1 Recurrent recurrent JJ cord-022594-fx044gcd 87 2 CNS CNS NNP cord-022594-fx044gcd 87 3 infections infection NNS cord-022594-fx044gcd 87 4 may may MD cord-022594-fx044gcd 87 5 precipitate precipitate VB cord-022594-fx044gcd 87 6 repeated repeat VBN cord-022594-fx044gcd 87 7 inflammation inflammation NN cord-022594-fx044gcd 87 8 and and CC cord-022594-fx044gcd 87 9 demyelination demyelination NN cord-022594-fx044gcd 87 10 . . . cord-022594-fx044gcd 88 1 4 4 LS cord-022594-fx044gcd 88 2 . . . cord-022594-fx044gcd 89 1 Persistent persistent JJ cord-022594-fx044gcd 89 2 CNS CNS NNP cord-022594-fx044gcd 89 3 viral viral JJ cord-022594-fx044gcd 89 4 infection infection NN cord-022594-fx044gcd 89 5 could could MD cord-022594-fx044gcd 89 6 either either CC cord-022594-fx044gcd 89 7 incite incite VB cord-022594-fx044gcd 89 8 inflammatory inflammatory JJ cord-022594-fx044gcd 89 9 reactions reaction NNS cord-022594-fx044gcd 89 10 detrimental detrimental JJ cord-022594-fx044gcd 89 11 to to IN cord-022594-fx044gcd 89 12 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 89 13 or or CC cord-022594-fx044gcd 89 14 directly directly RB cord-022594-fx044gcd 89 15 injure injure VB cord-022594-fx044gcd 89 16 them -PRON- PRP cord-022594-fx044gcd 89 17 . . . cord-022594-fx044gcd 90 1 Beyond beyond IN cord-022594-fx044gcd 90 2 speculation speculation NN cord-022594-fx044gcd 90 3 and and CC cord-022594-fx044gcd 90 4 epidemiological epidemiological JJ cord-022594-fx044gcd 90 5 observations observation NNS cord-022594-fx044gcd 90 6 , , , cord-022594-fx044gcd 90 7 there there EX cord-022594-fx044gcd 90 8 is be VBZ cord-022594-fx044gcd 90 9 insufficient insufficient JJ cord-022594-fx044gcd 90 10 evidence evidence NN cord-022594-fx044gcd 90 11 for for IN cord-022594-fx044gcd 90 12 a a DT cord-022594-fx044gcd 90 13 viral viral JJ cord-022594-fx044gcd 90 14 infection infection NN cord-022594-fx044gcd 90 15 playing play VBG cord-022594-fx044gcd 90 16 a a DT cord-022594-fx044gcd 90 17 causative causative JJ cord-022594-fx044gcd 90 18 role role NN cord-022594-fx044gcd 90 19 in in IN cord-022594-fx044gcd 90 20 MS MS NNP cord-022594-fx044gcd 90 21 . . . cord-022594-fx044gcd 91 1 Early early JJ cord-022594-fx044gcd 91 2 serological serological JJ cord-022594-fx044gcd 91 3 studies study NNS cord-022594-fx044gcd 91 4 are be VBP cord-022594-fx044gcd 91 5 difficult difficult JJ cord-022594-fx044gcd 91 6 to to TO cord-022594-fx044gcd 91 7 interpret interpret VB cord-022594-fx044gcd 91 8 because because IN cord-022594-fx044gcd 91 9 of of IN cord-022594-fx044gcd 91 10 nonspecific nonspecific JJ cord-022594-fx044gcd 91 11 immune immune JJ cord-022594-fx044gcd 91 12 activation activation NN cord-022594-fx044gcd 91 13 and and CC cord-022594-fx044gcd 91 14 resulting result VBG cord-022594-fx044gcd 91 15 elevation elevation NN cord-022594-fx044gcd 91 16 of of IN cord-022594-fx044gcd 91 17 titers titer NNS cord-022594-fx044gcd 91 18 to to IN cord-022594-fx044gcd 91 19 many many JJ cord-022594-fx044gcd 91 20 different different JJ cord-022594-fx044gcd 91 21 viruses virus NNS cord-022594-fx044gcd 91 22 . . . cord-022594-fx044gcd 92 1 Many many JJ cord-022594-fx044gcd 92 2 MS MS NNP cord-022594-fx044gcd 92 3 patients patient NNS cord-022594-fx044gcd 92 4 have have VBP cord-022594-fx044gcd 92 5 elevated elevate VBN cord-022594-fx044gcd 92 6 cerebrospinal cerebrospinal JJ cord-022594-fx044gcd 92 7 fluid fluid NN cord-022594-fx044gcd 92 8 ( ( -LRB- cord-022594-fx044gcd 92 9 CSF csf NN cord-022594-fx044gcd 92 10 ) ) -RRB- cord-022594-fx044gcd 92 11 titers titer NNS cord-022594-fx044gcd 92 12 to to IN cord-022594-fx044gcd 92 13 measles measle NNS cord-022594-fx044gcd 92 14 and and CC cord-022594-fx044gcd 92 15 herpes herpes NN cord-022594-fx044gcd 92 16 simplex simplex NN cord-022594-fx044gcd 92 17 ( ( -LRB- cord-022594-fx044gcd 92 18 HSV HSV NNP cord-022594-fx044gcd 92 19 ) ) -RRB- cord-022594-fx044gcd 92 20 viruses virus NNS cord-022594-fx044gcd 92 21 , , , cord-022594-fx044gcd 92 22 but but CC cord-022594-fx044gcd 92 23 this this DT cord-022594-fx044gcd 92 24 finding finding NN cord-022594-fx044gcd 92 25 appears appear VBZ cord-022594-fx044gcd 92 26 nonspecific nonspecific JJ cord-022594-fx044gcd 92 27 . . . cord-022594-fx044gcd 93 1 Virus virus NN cord-022594-fx044gcd 93 2 has have VBZ cord-022594-fx044gcd 93 3 rarely rarely RB cord-022594-fx044gcd 93 4 been be VBN cord-022594-fx044gcd 93 5 cultured culture VBN cord-022594-fx044gcd 93 6 from from IN cord-022594-fx044gcd 93 7 CSF CSF NNP cord-022594-fx044gcd 93 8 of of IN cord-022594-fx044gcd 93 9 MS MS NNP cord-022594-fx044gcd 93 10 patients patient NNS cord-022594-fx044gcd 93 11 , , , cord-022594-fx044gcd 93 12 but but CC cord-022594-fx044gcd 93 13 a a DT cord-022594-fx044gcd 93 14 new new JJ cord-022594-fx044gcd 93 15 strain strain NN cord-022594-fx044gcd 93 16 of of IN cord-022594-fx044gcd 93 17 HSV HSV NNP cord-022594-fx044gcd 93 18 ( ( -LRB- cord-022594-fx044gcd 93 19 the the DT cord-022594-fx044gcd 93 20 MS MS NNP cord-022594-fx044gcd 93 21 strain strain NN cord-022594-fx044gcd 93 22 ) ) -RRB- cord-022594-fx044gcd 93 23 and and CC cord-022594-fx044gcd 93 24 a a DT cord-022594-fx044gcd 93 25 new new JJ cord-022594-fx044gcd 93 26 virus virus NN cord-022594-fx044gcd 93 27 ( ( -LRB- cord-022594-fx044gcd 93 28 Inoue Inoue NNP cord-022594-fx044gcd 93 29 - - HYPH cord-022594-fx044gcd 93 30 Melnick Melnick NNP cord-022594-fx044gcd 93 31 virus virus NN cord-022594-fx044gcd 93 32 ) ) -RRB- cord-022594-fx044gcd 93 33 were be VBD cord-022594-fx044gcd 93 34 first first RB cord-022594-fx044gcd 93 35 isolated isolate VBN cord-022594-fx044gcd 93 36 from from IN cord-022594-fx044gcd 93 37 the the DT cord-022594-fx044gcd 93 38 CSF CSF NNP cord-022594-fx044gcd 93 39 of of IN cord-022594-fx044gcd 93 40 MS MS NNP cord-022594-fx044gcd 93 41 patients patient NNS cord-022594-fx044gcd 93 42 . . . cord-022594-fx044gcd 94 1 12 12 CD cord-022594-fx044gcd 94 2 , , , cord-022594-fx044gcd 94 3 13 13 CD cord-022594-fx044gcd 94 4 Newer new JJR cord-022594-fx044gcd 94 5 molecular molecular JJ cord-022594-fx044gcd 94 6 techniques technique NNS cord-022594-fx044gcd 94 7 to to TO cord-022594-fx044gcd 94 8 search search VB cord-022594-fx044gcd 94 9 for for IN cord-022594-fx044gcd 94 10 a a DT cord-022594-fx044gcd 94 11 viral viral JJ cord-022594-fx044gcd 94 12 genome genome NN cord-022594-fx044gcd 94 13 in in IN cord-022594-fx044gcd 94 14 CSF CSF NNP cord-022594-fx044gcd 94 15 and and CC cord-022594-fx044gcd 94 16 brain brain NN cord-022594-fx044gcd 94 17 have have VBP cord-022594-fx044gcd 94 18 rejected reject VBN cord-022594-fx044gcd 94 19 the the DT cord-022594-fx044gcd 94 20 claim claim NN cord-022594-fx044gcd 94 21 that that IN cord-022594-fx044gcd 94 22 HTLV-1 HTLV-1 NNP cord-022594-fx044gcd 94 23 is be VBZ cord-022594-fx044gcd 94 24 associated associate VBN cord-022594-fx044gcd 94 25 with with IN cord-022594-fx044gcd 94 26 MS MS NNP cord-022594-fx044gcd 94 27 . . . cord-022594-fx044gcd 95 1 The the DT cord-022594-fx044gcd 95 2 finding finding NN cord-022594-fx044gcd 95 3 that that IN cord-022594-fx044gcd 95 4 human human JJ cord-022594-fx044gcd 95 5 herpesvirus herpesvirus NN cord-022594-fx044gcd 95 6 6 6 CD cord-022594-fx044gcd 95 7 ( ( -LRB- cord-022594-fx044gcd 95 8 HHV6 HHV6 NNP cord-022594-fx044gcd 95 9 ) ) -RRB- cord-022594-fx044gcd 95 10 , , , cord-022594-fx044gcd 95 11 although although IN cord-022594-fx044gcd 95 12 present present JJ cord-022594-fx044gcd 95 13 in in IN cord-022594-fx044gcd 95 14 70 70 CD cord-022594-fx044gcd 95 15 % % NN cord-022594-fx044gcd 95 16 of of IN cord-022594-fx044gcd 95 17 brains brain NNS cord-022594-fx044gcd 95 18 from from IN cord-022594-fx044gcd 95 19 both both DT cord-022594-fx044gcd 95 20 control control NN cord-022594-fx044gcd 95 21 subjects subject NNS cord-022594-fx044gcd 95 22 and and CC cord-022594-fx044gcd 95 23 MS MS NNP cord-022594-fx044gcd 95 24 patients patient NNS cord-022594-fx044gcd 95 25 , , , cord-022594-fx044gcd 95 26 is be VBZ cord-022594-fx044gcd 95 27 localized localize VBN cord-022594-fx044gcd 95 28 to to IN cord-022594-fx044gcd 95 29 the the DT cord-022594-fx044gcd 95 30 oligodendrocyte oligodendrocyte VBN cord-022594-fx044gcd 95 31 nuclei nucleus NNS cord-022594-fx044gcd 95 32 near near IN cord-022594-fx044gcd 95 33 plaques plaque NNS cord-022594-fx044gcd 95 34 of of IN cord-022594-fx044gcd 95 35 MS MS NNP cord-022594-fx044gcd 95 36 patients patient NNS cord-022594-fx044gcd 95 37 and and CC cord-022594-fx044gcd 95 38 to to IN cord-022594-fx044gcd 95 39 oligodendrocyte oligodendrocyte NNP cord-022594-fx044gcd 95 40 cytoplasm cytoplasm VB cord-022594-fx044gcd 95 41 in in IN cord-022594-fx044gcd 95 42 control control NN cord-022594-fx044gcd 95 43 subjects subject NNS cord-022594-fx044gcd 95 44 indicates indicate VBZ cord-022594-fx044gcd 95 45 that that IN cord-022594-fx044gcd 95 46 persistent persistent JJ cord-022594-fx044gcd 95 47 CNS CNS NNP cord-022594-fx044gcd 95 48 viral viral JJ cord-022594-fx044gcd 95 49 infection infection NN cord-022594-fx044gcd 95 50 is be VBZ cord-022594-fx044gcd 95 51 common common JJ cord-022594-fx044gcd 95 52 . . . cord-022594-fx044gcd 96 1 14 14 CD cord-022594-fx044gcd 97 1 This this DT cord-022594-fx044gcd 97 2 raises raise VBZ cord-022594-fx044gcd 97 3 the the DT cord-022594-fx044gcd 97 4 possibility possibility NN cord-022594-fx044gcd 97 5 that that IN cord-022594-fx044gcd 97 6 MS MS NNP cord-022594-fx044gcd 97 7 may may MD cord-022594-fx044gcd 97 8 depend depend VB cord-022594-fx044gcd 97 9 on on IN cord-022594-fx044gcd 97 10 an an DT cord-022594-fx044gcd 97 11 aberrant aberrant JJ cord-022594-fx044gcd 97 12 host host NN cord-022594-fx044gcd 97 13 response response NN cord-022594-fx044gcd 97 14 to to IN cord-022594-fx044gcd 97 15 this this DT cord-022594-fx044gcd 97 16 normal normal JJ cord-022594-fx044gcd 97 17 condition condition NN cord-022594-fx044gcd 97 18 or or CC cord-022594-fx044gcd 97 19 that that IN cord-022594-fx044gcd 97 20 a a DT cord-022594-fx044gcd 97 21 defective defective JJ cord-022594-fx044gcd 97 22 virus virus NN cord-022594-fx044gcd 97 23 that that WDT cord-022594-fx044gcd 97 24 lacks lack VBZ cord-022594-fx044gcd 97 25 the the DT cord-022594-fx044gcd 97 26 ability ability NN cord-022594-fx044gcd 97 27 to to TO cord-022594-fx044gcd 97 28 evade evade VB cord-022594-fx044gcd 97 29 immune immune JJ cord-022594-fx044gcd 97 30 detection detection NN cord-022594-fx044gcd 97 31 may may MD cord-022594-fx044gcd 97 32 be be VB cord-022594-fx044gcd 97 33 to to TO cord-022594-fx044gcd 97 34 blame blame VB cord-022594-fx044gcd 97 35 . . . cord-022594-fx044gcd 98 1 More more RBR cord-022594-fx044gcd 98 2 recently recently RB cord-022594-fx044gcd 98 3 , , , cord-022594-fx044gcd 98 4 measles measle NNS cord-022594-fx044gcd 98 5 and and CC cord-022594-fx044gcd 98 6 canine canine JJ cord-022594-fx044gcd 98 7 distemper distemper NN cord-022594-fx044gcd 98 8 virus virus NN cord-022594-fx044gcd 98 9 antibodies antibody NNS cord-022594-fx044gcd 98 10 were be VBD cord-022594-fx044gcd 98 11 found find VBN cord-022594-fx044gcd 98 12 elevated elevate VBN cord-022594-fx044gcd 98 13 in in IN cord-022594-fx044gcd 98 14 blood blood NN cord-022594-fx044gcd 98 15 and and CC cord-022594-fx044gcd 98 16 CSF csf NN cord-022594-fx044gcd 98 17 samples sample NNS cord-022594-fx044gcd 98 18 of of IN cord-022594-fx044gcd 98 19 MS MS NNP cord-022594-fx044gcd 98 20 patients patient NNS cord-022594-fx044gcd 98 21 , , , cord-022594-fx044gcd 98 22 although although IN cord-022594-fx044gcd 98 23 their -PRON- PRP$ cord-022594-fx044gcd 98 24 relationship relationship NN cord-022594-fx044gcd 98 25 is be VBZ cord-022594-fx044gcd 98 26 not not RB cord-022594-fx044gcd 98 27 clear clear JJ cord-022594-fx044gcd 98 28 to to IN cord-022594-fx044gcd 98 29 the the DT cord-022594-fx044gcd 98 30 disease disease NN cord-022594-fx044gcd 98 31 process process NN cord-022594-fx044gcd 98 32 . . . cord-022594-fx044gcd 99 1 In in IN cord-022594-fx044gcd 99 2 a a DT cord-022594-fx044gcd 99 3 study study NN cord-022594-fx044gcd 99 4 from from IN cord-022594-fx044gcd 99 5 Denmark Denmark NNP cord-022594-fx044gcd 99 6 , , , cord-022594-fx044gcd 99 7 patients patient NNS cord-022594-fx044gcd 99 8 with with IN cord-022594-fx044gcd 99 9 serological serological JJ cord-022594-fx044gcd 99 10 markers marker NNS cord-022594-fx044gcd 99 11 for for IN cord-022594-fx044gcd 99 12 late late JJ cord-022594-fx044gcd 99 13 - - HYPH cord-022594-fx044gcd 99 14 stage stage NN cord-022594-fx044gcd 99 15 Epstein Epstein NNP cord-022594-fx044gcd 99 16 - - HYPH cord-022594-fx044gcd 99 17 Barr Barr NNP cord-022594-fx044gcd 99 18 virus virus NN cord-022594-fx044gcd 99 19 ( ( -LRB- cord-022594-fx044gcd 99 20 EBV EBV NNP cord-022594-fx044gcd 99 21 ) ) -RRB- cord-022594-fx044gcd 99 22 infection infection NN cord-022594-fx044gcd 99 23 had have VBD cord-022594-fx044gcd 99 24 a a DT cord-022594-fx044gcd 99 25 threefold threefold JJ cord-022594-fx044gcd 99 26 increase increase NN cord-022594-fx044gcd 99 27 in in IN cord-022594-fx044gcd 99 28 the the DT cord-022594-fx044gcd 99 29 likelihood likelihood NN cord-022594-fx044gcd 99 30 of of IN cord-022594-fx044gcd 99 31 developing develop VBG cord-022594-fx044gcd 99 32 MS MS NNP cord-022594-fx044gcd 99 33 . . . cord-022594-fx044gcd 100 1 A a DT cord-022594-fx044gcd 100 2 follow follow VB cord-022594-fx044gcd 100 3 - - HYPH cord-022594-fx044gcd 100 4 up up NN cord-022594-fx044gcd 100 5 study study NN cord-022594-fx044gcd 100 6 from from IN cord-022594-fx044gcd 100 7 Sweden Sweden NNP cord-022594-fx044gcd 100 8 failed fail VBD cord-022594-fx044gcd 100 9 to to TO cord-022594-fx044gcd 100 10 reach reach VB cord-022594-fx044gcd 100 11 this this DT cord-022594-fx044gcd 100 12 conclusion conclusion NN cord-022594-fx044gcd 100 13 . . . cord-022594-fx044gcd 101 1 In in IN cord-022594-fx044gcd 101 2 general general JJ cord-022594-fx044gcd 101 3 , , , cord-022594-fx044gcd 101 4 serum serum NN cord-022594-fx044gcd 101 5 samples sample NNS cord-022594-fx044gcd 101 6 of of IN cord-022594-fx044gcd 101 7 MS MS NNP cord-022594-fx044gcd 101 8 patients patient NNS cord-022594-fx044gcd 101 9 may may MD cord-022594-fx044gcd 101 10 contain contain VB cord-022594-fx044gcd 101 11 higher high JJR cord-022594-fx044gcd 101 12 titers titer NNS cord-022594-fx044gcd 101 13 of of IN cord-022594-fx044gcd 101 14 antibodies antibody NNS cord-022594-fx044gcd 101 15 to to IN cord-022594-fx044gcd 101 16 the the DT cord-022594-fx044gcd 101 17 following follow VBG cord-022594-fx044gcd 101 18 infectious infectious JJ cord-022594-fx044gcd 101 19 organisms organism NNS cord-022594-fx044gcd 101 20 : : : cord-022594-fx044gcd 101 21 adenovirus adenovirus NN cord-022594-fx044gcd 101 22 , , , cord-022594-fx044gcd 101 23 canine canine JJ cord-022594-fx044gcd 101 24 distemper distemper NN cord-022594-fx044gcd 101 25 virus virus NN cord-022594-fx044gcd 101 26 , , , cord-022594-fx044gcd 101 27 HSV HSV NNP cord-022594-fx044gcd 101 28 , , , cord-022594-fx044gcd 101 29 HHV6 HHV6 NNP cord-022594-fx044gcd 101 30 , , , cord-022594-fx044gcd 101 31 and and CC cord-022594-fx044gcd 101 32 influenza influenza NN cord-022594-fx044gcd 101 33 , , , cord-022594-fx044gcd 101 34 measles measle NNS cord-022594-fx044gcd 101 35 , , , cord-022594-fx044gcd 101 36 mumps mumps NN cord-022594-fx044gcd 101 37 , , , cord-022594-fx044gcd 101 38 parainfluenza parainfluenza NNP cord-022594-fx044gcd 101 39 , , , cord-022594-fx044gcd 101 40 rubella rubella NN cord-022594-fx044gcd 101 41 , , , cord-022594-fx044gcd 101 42 vaccinia vaccinia NN cord-022594-fx044gcd 101 43 , , , cord-022594-fx044gcd 101 44 and and CC cord-022594-fx044gcd 101 45 varicella varicella NN cord-022594-fx044gcd 101 46 zoster zoster NN cord-022594-fx044gcd 101 47 virus virus NN cord-022594-fx044gcd 101 48 ( ( -LRB- cord-022594-fx044gcd 101 49 VZV VZV NNP cord-022594-fx044gcd 101 50 ) ) -RRB- cord-022594-fx044gcd 101 51 . . . cord-022594-fx044gcd 102 1 Similarly similarly RB cord-022594-fx044gcd 102 2 , , , cord-022594-fx044gcd 102 3 CSF CSF NNP cord-022594-fx044gcd 102 4 samples sample NNS cord-022594-fx044gcd 102 5 from from IN cord-022594-fx044gcd 102 6 MS MS NNP cord-022594-fx044gcd 102 7 patients patient NNS cord-022594-fx044gcd 102 8 may may MD cord-022594-fx044gcd 102 9 show show VB cord-022594-fx044gcd 102 10 higher high JJR cord-022594-fx044gcd 102 11 titers titer NNS cord-022594-fx044gcd 102 12 of of IN cord-022594-fx044gcd 102 13 adenovirus adenovirus NN cord-022594-fx044gcd 102 14 ; ; : cord-022594-fx044gcd 102 15 Chlamydia Chlamydia NNP cord-022594-fx044gcd 102 16 pneumoniae pneumoniae NN cord-022594-fx044gcd 102 17 ; ; : cord-022594-fx044gcd 102 18 cytomegalovirus cytomegalovirus NNP cord-022594-fx044gcd 102 19 ( ( -LRB- cord-022594-fx044gcd 102 20 CMV CMV NNP cord-022594-fx044gcd 102 21 ) ) -RRB- cord-022594-fx044gcd 102 22 ; ; : cord-022594-fx044gcd 102 23 EBV EBV NNP cord-022594-fx044gcd 102 24 ; ; : cord-022594-fx044gcd 102 25 HHV6 HHV6 NNP cord-022594-fx044gcd 102 26 ; ; : cord-022594-fx044gcd 102 27 coronavirus coronavirus NN cord-022594-fx044gcd 102 28 ; ; , cord-022594-fx044gcd 102 29 influenza influenza NN cord-022594-fx044gcd 102 30 viruses viruse VBZ cord-022594-fx044gcd 102 31 A A NNP cord-022594-fx044gcd 102 32 and and CC cord-022594-fx044gcd 102 33 B b NN cord-022594-fx044gcd 102 34 ; ; : cord-022594-fx044gcd 102 35 measles measle NNS cord-022594-fx044gcd 102 36 or or CC cord-022594-fx044gcd 102 37 mumps mumps NN cord-022594-fx044gcd 102 38 virus virus NN cord-022594-fx044gcd 102 39 ; ; : cord-022594-fx044gcd 102 40 Mycoplasma mycoplasma NN cord-022594-fx044gcd 102 41 pneumoniae pneumoniae NNS cord-022594-fx044gcd 102 42 ; ; : cord-022594-fx044gcd 102 43 parainfluenza parainfluenza NNP cord-022594-fx044gcd 102 44 viruses virus NNS cord-022594-fx044gcd 102 45 1 1 CD cord-022594-fx044gcd 102 46 , , , cord-022594-fx044gcd 102 47 2 2 CD cord-022594-fx044gcd 102 48 , , , cord-022594-fx044gcd 102 49 and and CC cord-022594-fx044gcd 102 50 3 3 CD cord-022594-fx044gcd 102 51 ; ; , cord-022594-fx044gcd 102 52 respiratory respiratory JJ cord-022594-fx044gcd 102 53 syncytial syncytial JJ cord-022594-fx044gcd 102 54 virus virus NN cord-022594-fx044gcd 102 55 ; ; : cord-022594-fx044gcd 102 56 rubella rubella NN cord-022594-fx044gcd 102 57 virus virus NN cord-022594-fx044gcd 102 58 ; ; : cord-022594-fx044gcd 102 59 vaccinia vaccinia NN cord-022594-fx044gcd 102 60 ; ; : cord-022594-fx044gcd 102 61 and and CC cord-022594-fx044gcd 102 62 VZV VZV NNP cord-022594-fx044gcd 102 63 . . . cord-022594-fx044gcd 103 1 There there EX cord-022594-fx044gcd 103 2 has have VBZ cord-022594-fx044gcd 103 3 been be VBN cord-022594-fx044gcd 103 4 an an DT cord-022594-fx044gcd 103 5 interest interest NN cord-022594-fx044gcd 103 6 recently recently RB cord-022594-fx044gcd 103 7 in in IN cord-022594-fx044gcd 103 8 a a DT cord-022594-fx044gcd 103 9 potential potential JJ cord-022594-fx044gcd 103 10 link link NN cord-022594-fx044gcd 103 11 between between IN cord-022594-fx044gcd 103 12 C. C. NNP cord-022594-fx044gcd 103 13 pneumoniae pneumoniae NN cord-022594-fx044gcd 103 14 infection infection NN cord-022594-fx044gcd 103 15 and and CC cord-022594-fx044gcd 103 16 the the DT cord-022594-fx044gcd 103 17 development development NN cord-022594-fx044gcd 103 18 of of IN cord-022594-fx044gcd 103 19 MS MS NNP cord-022594-fx044gcd 103 20 . . . cord-022594-fx044gcd 104 1 No no DT cord-022594-fx044gcd 104 2 direct direct JJ cord-022594-fx044gcd 104 3 cause cause NN cord-022594-fx044gcd 104 4 - - HYPH cord-022594-fx044gcd 104 5 and and CC cord-022594-fx044gcd 104 6 - - HYPH cord-022594-fx044gcd 104 7 effect effect NN cord-022594-fx044gcd 104 8 relationship relationship NN cord-022594-fx044gcd 104 9 has have VBZ cord-022594-fx044gcd 104 10 been be VBN cord-022594-fx044gcd 104 11 observed observe VBN cord-022594-fx044gcd 104 12 between between IN cord-022594-fx044gcd 104 13 any any DT cord-022594-fx044gcd 104 14 of of IN cord-022594-fx044gcd 104 15 these these DT cord-022594-fx044gcd 104 16 infections infection NNS cord-022594-fx044gcd 104 17 and and CC cord-022594-fx044gcd 104 18 MS MS NNP cord-022594-fx044gcd 104 19 . . . cord-022594-fx044gcd 105 1 " " `` cord-022594-fx044gcd 105 2 Bystander bystander NN cord-022594-fx044gcd 105 3 " " '' cord-022594-fx044gcd 105 4 Demyelination Demyelination NNP cord-022594-fx044gcd 105 5 . . . cord-022594-fx044gcd 106 1 Immune immune JJ cord-022594-fx044gcd 106 2 actions action NNS cord-022594-fx044gcd 106 3 may may MD cord-022594-fx044gcd 106 4 mediate mediate VB cord-022594-fx044gcd 106 5 myelin myelin JJ cord-022594-fx044gcd 106 6 injury injury NN cord-022594-fx044gcd 106 7 in in IN cord-022594-fx044gcd 106 8 a a DT cord-022594-fx044gcd 106 9 nonspecific nonspecific JJ cord-022594-fx044gcd 106 10 manner manner NN cord-022594-fx044gcd 106 11 . . . cord-022594-fx044gcd 107 1 Many many JJ cord-022594-fx044gcd 107 2 soluble soluble JJ cord-022594-fx044gcd 107 3 products product NNS cord-022594-fx044gcd 107 4 of of IN cord-022594-fx044gcd 107 5 the the DT cord-022594-fx044gcd 107 6 immune immune JJ cord-022594-fx044gcd 107 7 response response NN cord-022594-fx044gcd 107 8 other other JJ cord-022594-fx044gcd 107 9 than than IN cord-022594-fx044gcd 107 10 immunoglobulins immunoglobulin NNS cord-022594-fx044gcd 107 11 are be VBP cord-022594-fx044gcd 107 12 known know VBN cord-022594-fx044gcd 107 13 or or CC cord-022594-fx044gcd 107 14 suspected suspect VBN cord-022594-fx044gcd 107 15 to to TO cord-022594-fx044gcd 107 16 be be VB cord-022594-fx044gcd 107 17 toxic toxic JJ cord-022594-fx044gcd 107 18 to to IN cord-022594-fx044gcd 107 19 myelin myelin NN cord-022594-fx044gcd 107 20 and and CC cord-022594-fx044gcd 107 21 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 107 22 . . . cord-022594-fx044gcd 108 1 Activated activate VBN cord-022594-fx044gcd 108 2 complement complement NN cord-022594-fx044gcd 108 3 is be VBZ cord-022594-fx044gcd 108 4 capable capable JJ cord-022594-fx044gcd 108 5 of of IN cord-022594-fx044gcd 108 6 lysing lyse VBG cord-022594-fx044gcd 108 7 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 108 8 in in IN cord-022594-fx044gcd 108 9 an an DT cord-022594-fx044gcd 108 10 antibody antibody NN cord-022594-fx044gcd 108 11 - - HYPH cord-022594-fx044gcd 108 12 independent independent JJ cord-022594-fx044gcd 108 13 fashion fashion NN cord-022594-fx044gcd 108 14 . . . cord-022594-fx044gcd 109 1 15 15 CD cord-022594-fx044gcd 110 1 The the DT cord-022594-fx044gcd 110 2 proinflammatory proinflammatory JJ cord-022594-fx044gcd 110 3 cytokine cytokine NN cord-022594-fx044gcd 110 4 tumor tumor NN cord-022594-fx044gcd 110 5 necrosis necrosis NN cord-022594-fx044gcd 110 6 factor factor NN cord-022594-fx044gcd 110 7 - - : cord-022594-fx044gcd 110 8 a a DT cord-022594-fx044gcd 110 9 causes cause VBZ cord-022594-fx044gcd 110 10 myelin myelin NN cord-022594-fx044gcd 110 11 disruption disruption NN cord-022594-fx044gcd 110 12 and and CC cord-022594-fx044gcd 110 13 oligodendrocyte oligodendrocyte VBN cord-022594-fx044gcd 110 14 apoptosis apoptosis NN cord-022594-fx044gcd 110 15 in in IN cord-022594-fx044gcd 110 16 vitro vitro FW cord-022594-fx044gcd 110 17 . . . cord-022594-fx044gcd 111 1 16 16 CD cord-022594-fx044gcd 111 2 Arachidonic arachidonic JJ cord-022594-fx044gcd 111 3 acid acid NN cord-022594-fx044gcd 111 4 metabolites metabolite NNS cord-022594-fx044gcd 111 5 may may MD cord-022594-fx044gcd 111 6 also also RB cord-022594-fx044gcd 111 7 participate participate VB cord-022594-fx044gcd 111 8 in in IN cord-022594-fx044gcd 111 9 myelinolysis myelinolysis NNP cord-022594-fx044gcd 111 10 , , , cord-022594-fx044gcd 111 11 and and CC cord-022594-fx044gcd 111 12 reactive reactive JJ cord-022594-fx044gcd 111 13 oxygen oxygen NN cord-022594-fx044gcd 111 14 species specie NNS cord-022594-fx044gcd 111 15 released release VBN cord-022594-fx044gcd 111 16 by by IN cord-022594-fx044gcd 111 17 macrophages macrophage NNS cord-022594-fx044gcd 111 18 cause cause VBP cord-022594-fx044gcd 111 19 lipid lipid NN cord-022594-fx044gcd 111 20 peroxidation peroxidation NN cord-022594-fx044gcd 111 21 that that WDT cord-022594-fx044gcd 111 22 can can MD cord-022594-fx044gcd 111 23 damage damage VB cord-022594-fx044gcd 111 24 myelin myelin NN cord-022594-fx044gcd 111 25 . . . cord-022594-fx044gcd 112 1 Other other JJ cord-022594-fx044gcd 112 2 soluble soluble JJ cord-022594-fx044gcd 112 3 substances substance NNS cord-022594-fx044gcd 112 4 that that WDT cord-022594-fx044gcd 112 5 are be VBP cord-022594-fx044gcd 112 6 potentially potentially RB cord-022594-fx044gcd 112 7 toxic toxic JJ cord-022594-fx044gcd 112 8 to to IN cord-022594-fx044gcd 112 9 myelin myelin NN cord-022594-fx044gcd 112 10 include include VBP cord-022594-fx044gcd 112 11 nitric nitric NN cord-022594-fx044gcd 112 12 oxide oxide NN cord-022594-fx044gcd 112 13 and and CC cord-022594-fx044gcd 112 14 vasoactive vasoactive JJ cord-022594-fx044gcd 112 15 amines amine NNS cord-022594-fx044gcd 112 16 . . . cord-022594-fx044gcd 113 1 Histological Histological NNP cord-022594-fx044gcd 113 2 Subtypes Subtypes NNPS cord-022594-fx044gcd 113 3 of of IN cord-022594-fx044gcd 113 4 MS MS NNP cord-022594-fx044gcd 113 5 Lesion Lesion NNP cord-022594-fx044gcd 113 6 Development Development NNP cord-022594-fx044gcd 113 7 . . . cord-022594-fx044gcd 114 1 Through through IN cord-022594-fx044gcd 114 2 the the DT cord-022594-fx044gcd 114 3 groundbreaking groundbreaking JJ cord-022594-fx044gcd 114 4 work work NN cord-022594-fx044gcd 114 5 of of IN cord-022594-fx044gcd 114 6 Lucchinetti Lucchinetti NNP cord-022594-fx044gcd 114 7 and and CC cord-022594-fx044gcd 114 8 associates associate NNS cord-022594-fx044gcd 114 9 in in IN cord-022594-fx044gcd 114 10 the the DT cord-022594-fx044gcd 114 11 MS MS NNP cord-022594-fx044gcd 114 12 lesion lesion NN cord-022594-fx044gcd 114 13 project project NN cord-022594-fx044gcd 114 14 , , , cord-022594-fx044gcd 114 15 it -PRON- PRP cord-022594-fx044gcd 114 16 is be VBZ cord-022594-fx044gcd 114 17 postulated postulate VBN cord-022594-fx044gcd 114 18 that that IN cord-022594-fx044gcd 114 19 the the DT cord-022594-fx044gcd 114 20 formation formation NN cord-022594-fx044gcd 114 21 of of IN cord-022594-fx044gcd 114 22 MS MS NNP cord-022594-fx044gcd 114 23 lesions lesion NNS cord-022594-fx044gcd 114 24 follows follow VBZ cord-022594-fx044gcd 114 25 one one CD cord-022594-fx044gcd 114 26 of of IN cord-022594-fx044gcd 114 27 four four CD cord-022594-fx044gcd 114 28 patterns pattern NNS cord-022594-fx044gcd 114 29 . . . cord-022594-fx044gcd 115 1 17 17 CD cord-022594-fx044gcd 115 2 Patterns pattern NNS cord-022594-fx044gcd 115 3 I -PRON- PRP cord-022594-fx044gcd 115 4 and and CC cord-022594-fx044gcd 115 5 II II NNP cord-022594-fx044gcd 115 6 are be VBP cord-022594-fx044gcd 115 7 related relate VBN cord-022594-fx044gcd 115 8 to to IN cord-022594-fx044gcd 115 9 immune immune NN cord-022594-fx044gcd 115 10 - - HYPH cord-022594-fx044gcd 115 11 mediated mediate VBN cord-022594-fx044gcd 115 12 damage damage NN cord-022594-fx044gcd 115 13 to to IN cord-022594-fx044gcd 115 14 myelin myelin NN cord-022594-fx044gcd 115 15 sheaths sheath NNS cord-022594-fx044gcd 115 16 . . . cord-022594-fx044gcd 116 1 In in IN cord-022594-fx044gcd 116 2 pattern pattern NN cord-022594-fx044gcd 116 3 I -PRON- PRP cord-022594-fx044gcd 116 4 , , , cord-022594-fx044gcd 116 5 cellular cellular JJ cord-022594-fx044gcd 116 6 mechanisms mechanism NNS cord-022594-fx044gcd 116 7 of of IN cord-022594-fx044gcd 116 8 injury injury NN cord-022594-fx044gcd 116 9 seem seem VBP cord-022594-fx044gcd 116 10 to to TO cord-022594-fx044gcd 116 11 prevail prevail VB cord-022594-fx044gcd 116 12 ( ( -LRB- cord-022594-fx044gcd 116 13 macrophages macrophage NNS cord-022594-fx044gcd 116 14 and and CC cord-022594-fx044gcd 116 15 T t NN cord-022594-fx044gcd 116 16 - - HYPH cord-022594-fx044gcd 116 17 lymphocytes lymphocyte NNS cord-022594-fx044gcd 116 18 ) ) -RRB- cord-022594-fx044gcd 117 1 whereas whereas IN cord-022594-fx044gcd 117 2 in in IN cord-022594-fx044gcd 117 3 pattern pattern NN cord-022594-fx044gcd 117 4 II ii CD cord-022594-fx044gcd 117 5 humoral humoral JJ cord-022594-fx044gcd 117 6 mechanisms mechanism NNS cord-022594-fx044gcd 117 7 of of IN cord-022594-fx044gcd 117 8 injury injury NN cord-022594-fx044gcd 117 9 predominate predominate NNS cord-022594-fx044gcd 117 10 ( ( -LRB- cord-022594-fx044gcd 117 11 e.g. e.g. RB cord-022594-fx044gcd 117 12 , , , cord-022594-fx044gcd 117 13 antibody antibody NN cord-022594-fx044gcd 117 14 and and CC cord-022594-fx044gcd 117 15 complement complement NN cord-022594-fx044gcd 117 16 - - HYPH cord-022594-fx044gcd 117 17 mediated mediate VBN cord-022594-fx044gcd 117 18 mechanisms mechanism NNS cord-022594-fx044gcd 117 19 ) ) -RRB- cord-022594-fx044gcd 117 20 . . . cord-022594-fx044gcd 118 1 Patterns pattern NNS cord-022594-fx044gcd 118 2 III III NNP cord-022594-fx044gcd 118 3 and and CC cord-022594-fx044gcd 118 4 IV IV NNP cord-022594-fx044gcd 118 5 are be VBP cord-022594-fx044gcd 118 6 related relate VBN cord-022594-fx044gcd 118 7 to to IN cord-022594-fx044gcd 118 8 oligondendrocye oligondendrocye FW cord-022594-fx044gcd 118 9 pathology pathology NN cord-022594-fx044gcd 118 10 : : : cord-022594-fx044gcd 119 1 in in IN cord-022594-fx044gcd 119 2 pattern pattern NN cord-022594-fx044gcd 119 3 III III NNP cord-022594-fx044gcd 119 4 , , , cord-022594-fx044gcd 119 5 a a DT cord-022594-fx044gcd 119 6 distal distal JJ cord-022594-fx044gcd 119 7 oligdendrogliopathy oligdendrogliopathy NN cord-022594-fx044gcd 119 8 and and CC cord-022594-fx044gcd 119 9 apoptosis apoptosis NN cord-022594-fx044gcd 119 10 have have VBP cord-022594-fx044gcd 119 11 been be VBN cord-022594-fx044gcd 119 12 reported report VBN cord-022594-fx044gcd 119 13 , , , cord-022594-fx044gcd 119 14 whereas whereas IN cord-022594-fx044gcd 119 15 in in IN cord-022594-fx044gcd 119 16 pattern pattern NN cord-022594-fx044gcd 119 17 IV IV NNP cord-022594-fx044gcd 119 18 , , , cord-022594-fx044gcd 119 19 primary primary JJ cord-022594-fx044gcd 119 20 oligodendrogliopathy oligodendrogliopathy NN cord-022594-fx044gcd 119 21 and and CC cord-022594-fx044gcd 119 22 degeneration degeneration NN cord-022594-fx044gcd 119 23 of of IN cord-022594-fx044gcd 119 24 oligodendrocytes oligodendrocyte NNS cord-022594-fx044gcd 119 25 have have VBP cord-022594-fx044gcd 119 26 been be VBN cord-022594-fx044gcd 119 27 described describe VBN cord-022594-fx044gcd 119 28 . . . cord-022594-fx044gcd 120 1 Currently currently RB cord-022594-fx044gcd 120 2 these these DT cord-022594-fx044gcd 120 3 subtypes subtype NNS cord-022594-fx044gcd 120 4 can can MD cord-022594-fx044gcd 120 5 be be VB cord-022594-fx044gcd 120 6 diagnosed diagnose VBN cord-022594-fx044gcd 120 7 only only RB cord-022594-fx044gcd 120 8 by by IN cord-022594-fx044gcd 120 9 biopsy biopsy NN cord-022594-fx044gcd 120 10 ; ; : cord-022594-fx044gcd 120 11 serum serum NN cord-022594-fx044gcd 120 12 and and CC cord-022594-fx044gcd 120 13 magnetic magnetic JJ cord-022594-fx044gcd 120 14 resonance resonance NN cord-022594-fx044gcd 120 15 imaging imaging NN cord-022594-fx044gcd 120 16 ( ( -LRB- cord-022594-fx044gcd 120 17 MRI MRI NNP cord-022594-fx044gcd 120 18 ) ) -RRB- cord-022594-fx044gcd 120 19 markers marker NNS cord-022594-fx044gcd 120 20 are be VBP cord-022594-fx044gcd 120 21 not not RB cord-022594-fx044gcd 120 22 yet yet RB cord-022594-fx044gcd 120 23 known know VBN cord-022594-fx044gcd 120 24 , , , cord-022594-fx044gcd 120 25 although although IN cord-022594-fx044gcd 120 26 lesional lesional NNP cord-022594-fx044gcd 120 27 T2 T2 NNP cord-022594-fx044gcd 120 28 hypointense hypointense NN cord-022594-fx044gcd 120 29 rims rim NNS cord-022594-fx044gcd 120 30 and and CC cord-022594-fx044gcd 120 31 response response NN cord-022594-fx044gcd 120 32 to to IN cord-022594-fx044gcd 120 33 plasma plasma NN cord-022594-fx044gcd 120 34 exchange exchange NN cord-022594-fx044gcd 120 35 may may MD cord-022594-fx044gcd 120 36 correlate correlate VB cord-022594-fx044gcd 120 37 well well RB cord-022594-fx044gcd 120 38 with with IN cord-022594-fx044gcd 120 39 pattern pattern NN cord-022594-fx044gcd 120 40 II ii CD cord-022594-fx044gcd 120 41 pathology pathology NN cord-022594-fx044gcd 120 42 . . . cord-022594-fx044gcd 121 1 It -PRON- PRP cord-022594-fx044gcd 121 2 is be VBZ cord-022594-fx044gcd 121 3 important important JJ cord-022594-fx044gcd 121 4 to to TO cord-022594-fx044gcd 121 5 note note VB cord-022594-fx044gcd 121 6 that that IN cord-022594-fx044gcd 121 7 the the DT cord-022594-fx044gcd 121 8 patterns pattern NNS cord-022594-fx044gcd 121 9 do do VBP cord-022594-fx044gcd 121 10 not not RB cord-022594-fx044gcd 121 11 correlate correlate VB cord-022594-fx044gcd 121 12 with with IN cord-022594-fx044gcd 121 13 clinical clinical JJ cord-022594-fx044gcd 121 14 subtypes subtype NNS cord-022594-fx044gcd 121 15 of of IN cord-022594-fx044gcd 121 16 MS MS NNP cord-022594-fx044gcd 121 17 , , , cord-022594-fx044gcd 121 18 with with IN cord-022594-fx044gcd 121 19 the the DT cord-022594-fx044gcd 121 20 exception exception NN cord-022594-fx044gcd 121 21 of of IN cord-022594-fx044gcd 121 22 pattern pattern NN cord-022594-fx044gcd 121 23 IV IV NNP cord-022594-fx044gcd 121 24 , , , cord-022594-fx044gcd 121 25 which which WDT cord-022594-fx044gcd 121 26 has have VBZ cord-022594-fx044gcd 121 27 been be VBN cord-022594-fx044gcd 121 28 identified identify VBN cord-022594-fx044gcd 121 29 only only RB cord-022594-fx044gcd 121 30 in in IN cord-022594-fx044gcd 121 31 primary primary JJ cord-022594-fx044gcd 121 32 progressive progressive JJ cord-022594-fx044gcd 121 33 ( ( -LRB- cord-022594-fx044gcd 121 34 PPMS PPMS NNP cord-022594-fx044gcd 121 35 ) ) -RRB- cord-022594-fx044gcd 121 36 patients patient NNS cord-022594-fx044gcd 121 37 . . . cord-022594-fx044gcd 122 1 Evidence evidence NN cord-022594-fx044gcd 122 2 to to IN cord-022594-fx044gcd 122 3 date date NN cord-022594-fx044gcd 122 4 suggests suggest VBZ cord-022594-fx044gcd 122 5 that that IN cord-022594-fx044gcd 122 6 the the DT cord-022594-fx044gcd 122 7 pattern pattern NN cord-022594-fx044gcd 122 8 of of IN cord-022594-fx044gcd 122 9 lesion lesion NN cord-022594-fx044gcd 122 10 formation formation NN cord-022594-fx044gcd 122 11 remains remain VBZ cord-022594-fx044gcd 122 12 the the DT cord-022594-fx044gcd 122 13 same same JJ cord-022594-fx044gcd 122 14 within within IN cord-022594-fx044gcd 122 15 an an DT cord-022594-fx044gcd 122 16 individual individual JJ cord-022594-fx044gcd 122 17 patient patient NN cord-022594-fx044gcd 122 18 ; ; : cord-022594-fx044gcd 122 19 patients patient NNS cord-022594-fx044gcd 122 20 do do VBP cord-022594-fx044gcd 122 21 not not RB cord-022594-fx044gcd 122 22 " " `` cord-022594-fx044gcd 122 23 switch switch VB cord-022594-fx044gcd 122 24 " " '' cord-022594-fx044gcd 122 25 from from IN cord-022594-fx044gcd 122 26 one one CD cord-022594-fx044gcd 122 27 pattern pattern NN cord-022594-fx044gcd 122 28 to to IN cord-022594-fx044gcd 122 29 the the DT cord-022594-fx044gcd 122 30 other other JJ cord-022594-fx044gcd 122 31 . . . cord-022594-fx044gcd 123 1 Also also RB cord-022594-fx044gcd 123 2 , , , cord-022594-fx044gcd 123 3 the the DT cord-022594-fx044gcd 123 4 patterns pattern NNS cord-022594-fx044gcd 123 5 do do VBP cord-022594-fx044gcd 123 6 not not RB cord-022594-fx044gcd 123 7 seem seem VB cord-022594-fx044gcd 123 8 to to TO cord-022594-fx044gcd 123 9 represent represent VB cord-022594-fx044gcd 123 10 different different JJ cord-022594-fx044gcd 123 11 chronological chronological JJ cord-022594-fx044gcd 123 12 stages stage NNS cord-022594-fx044gcd 123 13 of of IN cord-022594-fx044gcd 123 14 lesion lesion NN cord-022594-fx044gcd 123 15 formation formation NN cord-022594-fx044gcd 123 16 . . . cord-022594-fx044gcd 124 1 Gray Gray NNP cord-022594-fx044gcd 124 2 Matter Matter NNP cord-022594-fx044gcd 124 3 Involvement Involvement NNP cord-022594-fx044gcd 124 4 . . . cord-022594-fx044gcd 125 1 It -PRON- PRP cord-022594-fx044gcd 125 2 has have VBZ cord-022594-fx044gcd 125 3 been be VBN cord-022594-fx044gcd 125 4 known know VBN cord-022594-fx044gcd 125 5 since since IN cord-022594-fx044gcd 125 6 the the DT cord-022594-fx044gcd 125 7 late late JJ cord-022594-fx044gcd 125 8 19th 19th JJ cord-022594-fx044gcd 125 9 century century NN cord-022594-fx044gcd 125 10 that that WDT cord-022594-fx044gcd 125 11 MS MS NNP cord-022594-fx044gcd 125 12 affects affect VBZ cord-022594-fx044gcd 125 13 both both CC cord-022594-fx044gcd 125 14 gray gray JJ cord-022594-fx044gcd 125 15 and and CC cord-022594-fx044gcd 125 16 white white JJ cord-022594-fx044gcd 125 17 matter matter NN cord-022594-fx044gcd 125 18 structures structure NNS cord-022594-fx044gcd 125 19 . . . cord-022594-fx044gcd 126 1 The the DT cord-022594-fx044gcd 126 2 importance importance NN cord-022594-fx044gcd 126 3 of of IN cord-022594-fx044gcd 126 4 gray gray JJ cord-022594-fx044gcd 126 5 matter matter NN cord-022594-fx044gcd 126 6 involvement involvement NN cord-022594-fx044gcd 126 7 has have VBZ cord-022594-fx044gcd 126 8 received receive VBN cord-022594-fx044gcd 126 9 little little JJ cord-022594-fx044gcd 126 10 attention attention NN cord-022594-fx044gcd 126 11 until until IN cord-022594-fx044gcd 126 12 recently recently RB cord-022594-fx044gcd 126 13 , , , cord-022594-fx044gcd 126 14 largely largely RB cord-022594-fx044gcd 126 15 due due JJ cord-022594-fx044gcd 126 16 to to IN cord-022594-fx044gcd 126 17 the the DT cord-022594-fx044gcd 126 18 development development NN cord-022594-fx044gcd 126 19 of of IN cord-022594-fx044gcd 126 20 advanced advanced JJ cord-022594-fx044gcd 126 21 MRI MRI NNP cord-022594-fx044gcd 126 22 techniques technique NNS cord-022594-fx044gcd 126 23 ( ( -LRB- cord-022594-fx044gcd 126 24 see see VB cord-022594-fx044gcd 126 25 later later RBR cord-022594-fx044gcd 126 26 ) ) -RRB- cord-022594-fx044gcd 126 27 that that WDT cord-022594-fx044gcd 126 28 indicate indicate VBP cord-022594-fx044gcd 126 29 neuronal neuronal JJ cord-022594-fx044gcd 126 30 and and CC cord-022594-fx044gcd 126 31 axonal axonal JJ cord-022594-fx044gcd 126 32 involvement involvement NN cord-022594-fx044gcd 126 33 even even RB cord-022594-fx044gcd 126 34 in in IN cord-022594-fx044gcd 126 35 the the DT cord-022594-fx044gcd 126 36 earliest early JJS cord-022594-fx044gcd 126 37 stages stage NNS cord-022594-fx044gcd 126 38 of of IN cord-022594-fx044gcd 126 39 this this DT cord-022594-fx044gcd 126 40 disease disease NN cord-022594-fx044gcd 126 41 . . . cord-022594-fx044gcd 127 1 A a DT cord-022594-fx044gcd 127 2 classification classification NN cord-022594-fx044gcd 127 3 system system NN cord-022594-fx044gcd 127 4 of of IN cord-022594-fx044gcd 127 5 gray gray JJ cord-022594-fx044gcd 127 6 matter matter NN cord-022594-fx044gcd 127 7 plaques plaque NNS cord-022594-fx044gcd 127 8 was be VBD cord-022594-fx044gcd 127 9 proposed propose VBN cord-022594-fx044gcd 127 10 by by IN cord-022594-fx044gcd 127 11 Peterson Peterson NNP cord-022594-fx044gcd 127 12 and and CC cord-022594-fx044gcd 127 13 associates associate NNS cord-022594-fx044gcd 127 14 18 18 CD cord-022594-fx044gcd 128 1 They -PRON- PRP cord-022594-fx044gcd 128 2 described describe VBD cord-022594-fx044gcd 128 3 three three CD cord-022594-fx044gcd 128 4 patterns pattern NNS cord-022594-fx044gcd 128 5 of of IN cord-022594-fx044gcd 128 6 cortical cortical JJ cord-022594-fx044gcd 128 7 demyelination demyelination NN cord-022594-fx044gcd 128 8 : : : cord-022594-fx044gcd 129 1 type type NN cord-022594-fx044gcd 129 2 I -PRON- PRP cord-022594-fx044gcd 129 3 lesions lesion NNS cord-022594-fx044gcd 129 4 are be VBP cord-022594-fx044gcd 129 5 contiguous contiguous JJ cord-022594-fx044gcd 129 6 with with IN cord-022594-fx044gcd 129 7 subcortical subcortical JJ cord-022594-fx044gcd 129 8 white white JJ cord-022594-fx044gcd 129 9 matter matter NN cord-022594-fx044gcd 129 10 lesions lesion NNS cord-022594-fx044gcd 129 11 ; ; : cord-022594-fx044gcd 129 12 type type NN cord-022594-fx044gcd 129 13 II ii CD cord-022594-fx044gcd 129 14 lesions lesion NNS cord-022594-fx044gcd 129 15 are be VBP cord-022594-fx044gcd 129 16 confined confine VBN cord-022594-fx044gcd 129 17 to to IN cord-022594-fx044gcd 129 18 the the DT cord-022594-fx044gcd 129 19 cortex cortex NN cord-022594-fx044gcd 129 20 , , , cord-022594-fx044gcd 129 21 and and CC cord-022594-fx044gcd 129 22 are be VBP cord-022594-fx044gcd 129 23 often often RB cord-022594-fx044gcd 129 24 perivascular perivascular JJ cord-022594-fx044gcd 129 25 ; ; : cord-022594-fx044gcd 129 26 type type NN cord-022594-fx044gcd 129 27 III iii CD cord-022594-fx044gcd 129 28 lesions lesion NNS cord-022594-fx044gcd 129 29 extend extend VBP cord-022594-fx044gcd 129 30 from from IN cord-022594-fx044gcd 129 31 the the DT cord-022594-fx044gcd 129 32 pial pial JJ cord-022594-fx044gcd 129 33 surface surface NN cord-022594-fx044gcd 129 34 to to IN cord-022594-fx044gcd 129 35 cortical cortical JJ cord-022594-fx044gcd 129 36 layer layer NN cord-022594-fx044gcd 129 37 3 3 CD cord-022594-fx044gcd 129 38 or or CC cord-022594-fx044gcd 129 39 4 4 CD cord-022594-fx044gcd 129 40 . . . cord-022594-fx044gcd 130 1 Besides besides IN cord-022594-fx044gcd 130 2 cortical cortical JJ cord-022594-fx044gcd 130 3 gray gray JJ cord-022594-fx044gcd 130 4 matter matter NN cord-022594-fx044gcd 130 5 involvement involvement NN cord-022594-fx044gcd 130 6 , , , cord-022594-fx044gcd 130 7 there there EX cord-022594-fx044gcd 130 8 is be VBZ cord-022594-fx044gcd 130 9 also also RB cord-022594-fx044gcd 130 10 evidence evidence NN cord-022594-fx044gcd 130 11 for for IN cord-022594-fx044gcd 130 12 prominent prominent JJ cord-022594-fx044gcd 130 13 basal basal NN cord-022594-fx044gcd 130 14 ganglia ganglion NNS cord-022594-fx044gcd 130 15 involvement involvement NN cord-022594-fx044gcd 130 16 , , , cord-022594-fx044gcd 130 17 which which WDT cord-022594-fx044gcd 130 18 can can MD cord-022594-fx044gcd 130 19 be be VB cord-022594-fx044gcd 130 20 seen see VBN cord-022594-fx044gcd 130 21 in in IN cord-022594-fx044gcd 130 22 the the DT cord-022594-fx044gcd 130 23 early early JJ cord-022594-fx044gcd 130 24 stages stage NNS cord-022594-fx044gcd 130 25 of of IN cord-022594-fx044gcd 130 26 MS MS NNP cord-022594-fx044gcd 130 27 , , , cord-022594-fx044gcd 130 28 and and CC cord-022594-fx044gcd 130 29 may may MD cord-022594-fx044gcd 130 30 correlate correlate VB cord-022594-fx044gcd 130 31 better well RBR cord-022594-fx044gcd 130 32 with with IN cord-022594-fx044gcd 130 33 motor motor NN cord-022594-fx044gcd 130 34 outcome outcome NN cord-022594-fx044gcd 130 35 and and CC cord-022594-fx044gcd 130 36 cognitive cognitive JJ cord-022594-fx044gcd 130 37 measures measure NNS cord-022594-fx044gcd 130 38 than than IN cord-022594-fx044gcd 130 39 measures measure NNS cord-022594-fx044gcd 130 40 of of IN cord-022594-fx044gcd 130 41 white white JJ cord-022594-fx044gcd 130 42 matter matter NN cord-022594-fx044gcd 130 43 involvement involvement NN cord-022594-fx044gcd 130 44 . . . cord-022594-fx044gcd 131 1 Lucchinetti Lucchinetti NNP cord-022594-fx044gcd 131 2 and and CC cord-022594-fx044gcd 131 3 associates associate NNS cord-022594-fx044gcd 131 4 demonstrated demonstrate VBD cord-022594-fx044gcd 131 5 that that IN cord-022594-fx044gcd 131 6 biopsy biopsy NN cord-022594-fx044gcd 131 7 samples sample NNS cord-022594-fx044gcd 131 8 from from IN cord-022594-fx044gcd 131 9 newly newly RB cord-022594-fx044gcd 131 10 diagnosed diagnose VBN cord-022594-fx044gcd 131 11 demyelinating demyelinating JJ cord-022594-fx044gcd 131 12 cases case NNS cord-022594-fx044gcd 131 13 contain contain VBP cord-022594-fx044gcd 131 14 numerous numerous JJ cord-022594-fx044gcd 131 15 infiltrating infiltrate VBG cord-022594-fx044gcd 131 16 immune immune JJ cord-022594-fx044gcd 131 17 cells cell NNS cord-022594-fx044gcd 131 18 , , , cord-022594-fx044gcd 131 19 and and CC cord-022594-fx044gcd 131 20 can can MD cord-022594-fx044gcd 131 21 be be VB cord-022594-fx044gcd 131 22 destructive destructive JJ cord-022594-fx044gcd 131 23 . . . cord-022594-fx044gcd 132 1 The the DT cord-022594-fx044gcd 132 2 pathological pathological JJ cord-022594-fx044gcd 132 3 classification classification NN cord-022594-fx044gcd 132 4 of of IN cord-022594-fx044gcd 132 5 cortical cortical JJ cord-022594-fx044gcd 132 6 lesions lesion NNS cord-022594-fx044gcd 132 7 as as IN cord-022594-fx044gcd 132 8 described describe VBN cord-022594-fx044gcd 132 9 by by IN cord-022594-fx044gcd 132 10 Petersen Petersen NNP cord-022594-fx044gcd 132 11 can can MD cord-022594-fx044gcd 132 12 also also RB cord-022594-fx044gcd 132 13 be be VB cord-022594-fx044gcd 132 14 found find VBN cord-022594-fx044gcd 132 15 in in IN cord-022594-fx044gcd 132 16 these these DT cord-022594-fx044gcd 132 17 early early JJ cord-022594-fx044gcd 132 18 MS MS NNP cord-022594-fx044gcd 132 19 biopsy biopsy NN cord-022594-fx044gcd 132 20 samples sample NNS cord-022594-fx044gcd 132 21 . . . cord-022594-fx044gcd 133 1 Approximately approximately RB cord-022594-fx044gcd 133 2 20 20 CD cord-022594-fx044gcd 133 3 % % NN cord-022594-fx044gcd 133 4 of of IN cord-022594-fx044gcd 133 5 biopsy biopsy NN cord-022594-fx044gcd 133 6 cases case NNS cord-022594-fx044gcd 133 7 in in IN cord-022594-fx044gcd 133 8 which which WDT cord-022594-fx044gcd 133 9 gray gray JJ cord-022594-fx044gcd 133 10 matter matter NN cord-022594-fx044gcd 133 11 was be VBD cord-022594-fx044gcd 133 12 also also RB cord-022594-fx044gcd 133 13 sampled sample VBN cord-022594-fx044gcd 133 14 had have VBD cord-022594-fx044gcd 133 15 evidence evidence NN cord-022594-fx044gcd 133 16 of of IN cord-022594-fx044gcd 133 17 clear clear JJ cord-022594-fx044gcd 133 18 cortical cortical JJ cord-022594-fx044gcd 133 19 demyelination demyelination NN cord-022594-fx044gcd 133 20 . . . cord-022594-fx044gcd 134 1 In in IN cord-022594-fx044gcd 134 2 2005 2005 CD cord-022594-fx044gcd 134 3 , , , cord-022594-fx044gcd 134 4 an an DT cord-022594-fx044gcd 134 5 extensive extensive JJ cord-022594-fx044gcd 134 6 histological histological JJ cord-022594-fx044gcd 134 7 study study NN cord-022594-fx044gcd 134 8 by by IN cord-022594-fx044gcd 134 9 Kutzelnigg Kutzelnigg NNP cord-022594-fx044gcd 134 10 and and CC cord-022594-fx044gcd 134 11 associates associate NNS cord-022594-fx044gcd 134 12 investigated investigate VBD cord-022594-fx044gcd 134 13 the the DT cord-022594-fx044gcd 134 14 role role NN cord-022594-fx044gcd 134 15 of of IN cord-022594-fx044gcd 134 16 cortical cortical JJ cord-022594-fx044gcd 134 17 demyelination demyelination NN cord-022594-fx044gcd 134 18 in in IN cord-022594-fx044gcd 134 19 all all DT cord-022594-fx044gcd 134 20 clinical clinical JJ cord-022594-fx044gcd 134 21 subtypes subtype NNS cord-022594-fx044gcd 134 22 of of IN cord-022594-fx044gcd 134 23 MS MS NNP cord-022594-fx044gcd 134 24 . . . cord-022594-fx044gcd 135 1 19 19 CD cord-022594-fx044gcd 136 1 In in IN cord-022594-fx044gcd 136 2 this this DT cord-022594-fx044gcd 136 3 study study NN cord-022594-fx044gcd 136 4 , , , cord-022594-fx044gcd 136 5 52 52 CD cord-022594-fx044gcd 136 6 brains brain NNS cord-022594-fx044gcd 136 7 of of IN cord-022594-fx044gcd 136 8 MS MS NNP cord-022594-fx044gcd 136 9 patients patient NNS cord-022594-fx044gcd 136 10 ( ( -LRB- cord-022594-fx044gcd 136 11 relapsing relapse VBG cord-022594-fx044gcd 136 12 - - HYPH cord-022594-fx044gcd 136 13 remitting remit VBG cord-022594-fx044gcd 136 14 [ [ -LRB- cord-022594-fx044gcd 136 15 RR rr NN cord-022594-fx044gcd 136 16 ] ] -RRB- cord-022594-fx044gcd 136 17 , , , cord-022594-fx044gcd 136 18 secondary secondary JJ cord-022594-fx044gcd 136 19 progressive progressive JJ cord-022594-fx044gcd 136 20 [ [ -LRB- cord-022594-fx044gcd 136 21 SP SP NNP cord-022594-fx044gcd 136 22 ] ] -RRB- cord-022594-fx044gcd 136 23 , , , cord-022594-fx044gcd 136 24 and and CC cord-022594-fx044gcd 136 25 PPMS PPMS NNP cord-022594-fx044gcd 136 26 ) ) -RRB- cord-022594-fx044gcd 136 27 and and CC cord-022594-fx044gcd 136 28 30 30 CD cord-022594-fx044gcd 136 29 control control NN cord-022594-fx044gcd 136 30 subjects subject NNS cord-022594-fx044gcd 136 31 were be VBD cord-022594-fx044gcd 136 32 studied study VBN cord-022594-fx044gcd 136 33 using use VBG cord-022594-fx044gcd 136 34 advanced advanced JJ cord-022594-fx044gcd 136 35 quantitative quantitative JJ cord-022594-fx044gcd 136 36 morphological morphological JJ cord-022594-fx044gcd 136 37 techniques technique NNS cord-022594-fx044gcd 136 38 . . . cord-022594-fx044gcd 137 1 Cortical cortical JJ cord-022594-fx044gcd 137 2 demyelination demyelination NN cord-022594-fx044gcd 137 3 and and CC cord-022594-fx044gcd 137 4 diffuse diffuse VB cord-022594-fx044gcd 137 5 axonal axonal JJ cord-022594-fx044gcd 137 6 injury injury NN cord-022594-fx044gcd 137 7 in in IN cord-022594-fx044gcd 137 8 the the DT cord-022594-fx044gcd 137 9 normal normal JJ cord-022594-fx044gcd 137 10 appearing appear VBG cord-022594-fx044gcd 137 11 white white JJ cord-022594-fx044gcd 137 12 matter matter NN cord-022594-fx044gcd 137 13 ( ( -LRB- cord-022594-fx044gcd 137 14 NAWM NAWM NNP cord-022594-fx044gcd 137 15 ) ) -RRB- cord-022594-fx044gcd 137 16 were be VBD cord-022594-fx044gcd 137 17 reported report VBN cord-022594-fx044gcd 137 18 as as IN cord-022594-fx044gcd 137 19 hallmarks hallmark NNS cord-022594-fx044gcd 137 20 of of IN cord-022594-fx044gcd 137 21 progressive progressive JJ cord-022594-fx044gcd 137 22 forms form NNS cord-022594-fx044gcd 137 23 of of IN cord-022594-fx044gcd 137 24 MS MS NNP cord-022594-fx044gcd 137 25 . . . cord-022594-fx044gcd 138 1 Cortical cortical JJ cord-022594-fx044gcd 138 2 demyelination demyelination NN cord-022594-fx044gcd 138 3 was be VBD cord-022594-fx044gcd 138 4 mainly mainly RB cord-022594-fx044gcd 138 5 seen see VBN cord-022594-fx044gcd 138 6 in in IN cord-022594-fx044gcd 138 7 the the DT cord-022594-fx044gcd 138 8 subpial subpial JJ cord-022594-fx044gcd 138 9 layer layer NN cord-022594-fx044gcd 138 10 of of IN cord-022594-fx044gcd 138 11 cortex cortex NN cord-022594-fx044gcd 138 12 , , , cord-022594-fx044gcd 138 13 and and CC cord-022594-fx044gcd 138 14 was be VBD cord-022594-fx044gcd 138 15 associated associate VBN cord-022594-fx044gcd 138 16 with with IN cord-022594-fx044gcd 138 17 significant significant JJ cord-022594-fx044gcd 138 18 inflammatory inflammatory JJ cord-022594-fx044gcd 138 19 infiltrates infiltrate NNS cord-022594-fx044gcd 138 20 in in IN cord-022594-fx044gcd 138 21 the the DT cord-022594-fx044gcd 138 22 surrounding surround VBG cord-022594-fx044gcd 138 23 meninges meninge NNS cord-022594-fx044gcd 138 24 . . . cord-022594-fx044gcd 139 1 Diffuse diffuse JJ cord-022594-fx044gcd 139 2 inflammation inflammation NN cord-022594-fx044gcd 139 3 was be VBD cord-022594-fx044gcd 139 4 also also RB cord-022594-fx044gcd 139 5 found find VBN cord-022594-fx044gcd 139 6 throughout throughout IN cord-022594-fx044gcd 139 7 the the DT cord-022594-fx044gcd 139 8 white white JJ cord-022594-fx044gcd 139 9 matter matter NN cord-022594-fx044gcd 139 10 of of IN cord-022594-fx044gcd 139 11 the the DT cord-022594-fx044gcd 139 12 progressive progressive JJ cord-022594-fx044gcd 139 13 cases case NNS cord-022594-fx044gcd 139 14 , , , cord-022594-fx044gcd 139 15 associated associate VBN cord-022594-fx044gcd 139 16 with with IN cord-022594-fx044gcd 139 17 activation activation NN cord-022594-fx044gcd 139 18 of of IN cord-022594-fx044gcd 139 19 microglia microglia NNP cord-022594-fx044gcd 139 20 . . . cord-022594-fx044gcd 140 1 No no DT cord-022594-fx044gcd 140 2 significant significant JJ cord-022594-fx044gcd 140 3 correlation correlation NN cord-022594-fx044gcd 140 4 was be VBD cord-022594-fx044gcd 140 5 shown show VBN cord-022594-fx044gcd 140 6 between between IN cord-022594-fx044gcd 140 7 focal focal JJ cord-022594-fx044gcd 140 8 white white JJ cord-022594-fx044gcd 140 9 matter matter NN cord-022594-fx044gcd 140 10 lesion lesion NN cord-022594-fx044gcd 140 11 load load NN cord-022594-fx044gcd 140 12 and and CC cord-022594-fx044gcd 140 13 cortical cortical JJ cord-022594-fx044gcd 140 14 demyelination demyelination NN cord-022594-fx044gcd 140 15 . . . cord-022594-fx044gcd 141 1 This this DT cord-022594-fx044gcd 141 2 study study NN cord-022594-fx044gcd 141 3 defines define VBZ cord-022594-fx044gcd 141 4 three three CD cord-022594-fx044gcd 141 5 crucially crucially RB cord-022594-fx044gcd 141 6 important important JJ cord-022594-fx044gcd 141 7 pathological pathological JJ cord-022594-fx044gcd 141 8 hallmarks hallmark NNS cord-022594-fx044gcd 141 9 of of IN cord-022594-fx044gcd 141 10 MS MS NNP cord-022594-fx044gcd 141 11 - - HYPH cord-022594-fx044gcd 141 12 focal focal JJ cord-022594-fx044gcd 141 13 demyelinated demyelinated JJ cord-022594-fx044gcd 141 14 white white JJ cord-022594-fx044gcd 141 15 matter matter NN cord-022594-fx044gcd 141 16 lesions lesion NNS cord-022594-fx044gcd 141 17 , , , cord-022594-fx044gcd 141 18 diffuse diffuse VBP cord-022594-fx044gcd 141 19 injury injury NN cord-022594-fx044gcd 141 20 in in IN cord-022594-fx044gcd 141 21 the the DT cord-022594-fx044gcd 141 22 white white JJ cord-022594-fx044gcd 141 23 matter matter NN cord-022594-fx044gcd 141 24 , , , cord-022594-fx044gcd 141 25 and and CC cord-022594-fx044gcd 141 26 cortical cortical JJ cord-022594-fx044gcd 141 27 plaque plaque NN cord-022594-fx044gcd 141 28 formation formation NN cord-022594-fx044gcd 141 29 - - , cord-022594-fx044gcd 141 30 and and CC cord-022594-fx044gcd 141 31 concludes conclude VBZ cord-022594-fx044gcd 141 32 that that IN cord-022594-fx044gcd 141 33 white white JJ cord-022594-fx044gcd 141 34 matter matter NN cord-022594-fx044gcd 141 35 lesion lesion NN cord-022594-fx044gcd 141 36 formation formation NN cord-022594-fx044gcd 141 37 predominates predominate VBZ cord-022594-fx044gcd 141 38 in in IN cord-022594-fx044gcd 141 39 active active JJ cord-022594-fx044gcd 141 40 forms form NNS cord-022594-fx044gcd 141 41 of of IN cord-022594-fx044gcd 141 42 MS MS NNP cord-022594-fx044gcd 141 43 , , , cord-022594-fx044gcd 141 44 while while IN cord-022594-fx044gcd 141 45 cortical cortical JJ cord-022594-fx044gcd 141 46 pathology pathology NN cord-022594-fx044gcd 141 47 and and CC cord-022594-fx044gcd 141 48 diffuse diffuse VB cord-022594-fx044gcd 141 49 white white JJ cord-022594-fx044gcd 141 50 matter matter NN cord-022594-fx044gcd 141 51 injury injury NN cord-022594-fx044gcd 141 52 characterizes characterize VBZ cord-022594-fx044gcd 141 53 the the DT cord-022594-fx044gcd 141 54 progressive progressive JJ cord-022594-fx044gcd 141 55 forms form NNS cord-022594-fx044gcd 141 56 . . . cord-022594-fx044gcd 142 1 The the DT cord-022594-fx044gcd 142 2 authors author NNS cord-022594-fx044gcd 142 3 of of IN cord-022594-fx044gcd 142 4 this this DT cord-022594-fx044gcd 142 5 landmark landmark NN cord-022594-fx044gcd 142 6 paper paper NN cord-022594-fx044gcd 142 7 also also RB cord-022594-fx044gcd 142 8 established establish VBD cord-022594-fx044gcd 142 9 that that IN cord-022594-fx044gcd 142 10 these these DT cord-022594-fx044gcd 142 11 three three CD cord-022594-fx044gcd 142 12 processes process NNS cord-022594-fx044gcd 142 13 are be VBP cord-022594-fx044gcd 142 14 potentially potentially RB cord-022594-fx044gcd 142 15 independent independent JJ cord-022594-fx044gcd 142 16 of of IN cord-022594-fx044gcd 142 17 each each DT cord-022594-fx044gcd 142 18 other other JJ cord-022594-fx044gcd 142 19 . . . cord-022594-fx044gcd 143 1 Heredity heredity NN cord-022594-fx044gcd 143 2 . . . cord-022594-fx044gcd 144 1 Epidemiological epidemiological JJ cord-022594-fx044gcd 144 2 findings finding NNS cord-022594-fx044gcd 144 3 support support VBP cord-022594-fx044gcd 144 4 a a DT cord-022594-fx044gcd 144 5 polygenic polygenic JJ cord-022594-fx044gcd 144 6 hereditary hereditary JJ cord-022594-fx044gcd 144 7 predisposition predisposition NN cord-022594-fx044gcd 144 8 to to IN cord-022594-fx044gcd 144 9 MS MS NNP cord-022594-fx044gcd 144 10 . . . cord-022594-fx044gcd 145 1 A a DT cord-022594-fx044gcd 145 2 number number NN cord-022594-fx044gcd 145 3 of of IN cord-022594-fx044gcd 145 4 candidate candidate NN cord-022594-fx044gcd 145 5 genes gene NNS cord-022594-fx044gcd 145 6 have have VBP cord-022594-fx044gcd 145 7 been be VBN cord-022594-fx044gcd 145 8 investigated investigate VBN cord-022594-fx044gcd 145 9 , , , cord-022594-fx044gcd 145 10 often often RB cord-022594-fx044gcd 145 11 with with IN cord-022594-fx044gcd 145 12 conflicting conflicting JJ cord-022594-fx044gcd 145 13 results result NNS cord-022594-fx044gcd 145 14 . . . cord-022594-fx044gcd 146 1 The the DT cord-022594-fx044gcd 146 2 only only JJ cord-022594-fx044gcd 146 3 definitive definitive JJ cord-022594-fx044gcd 146 4 genetic genetic JJ cord-022594-fx044gcd 146 5 association association NN cord-022594-fx044gcd 146 6 in in IN cord-022594-fx044gcd 146 7 MS MS NNP cord-022594-fx044gcd 146 8 is be VBZ cord-022594-fx044gcd 146 9 with with IN cord-022594-fx044gcd 146 10 the the DT cord-022594-fx044gcd 146 11 serologically serologically RB cord-022594-fx044gcd 146 12 defined define VBN cord-022594-fx044gcd 146 13 human human JJ cord-022594-fx044gcd 146 14 leukocyte leukocyte NN cord-022594-fx044gcd 146 15 antigen antigen NN cord-022594-fx044gcd 146 16 ( ( -LRB- cord-022594-fx044gcd 146 17 HLA HLA NNP cord-022594-fx044gcd 146 18 ) ) -RRB- cord-022594-fx044gcd 146 19 DR15 DR15 NNP cord-022594-fx044gcd 146 20 , , , cord-022594-fx044gcd 146 21 DQ6 dq6 JJ cord-022594-fx044gcd 146 22 . . . cord-022594-fx044gcd 147 1 This this DT cord-022594-fx044gcd 147 2 is be VBZ cord-022594-fx044gcd 147 3 one one CD cord-022594-fx044gcd 147 4 of of IN cord-022594-fx044gcd 147 5 the the DT cord-022594-fx044gcd 147 6 DR2 DR2 NNP cord-022594-fx044gcd 147 7 haplotypes haplotype NNS cord-022594-fx044gcd 147 8 , , , cord-022594-fx044gcd 147 9 also also RB cord-022594-fx044gcd 147 10 known know VBN cord-022594-fx044gcd 147 11 as as IN cord-022594-fx044gcd 147 12 Dw2 dw2 NN cord-022594-fx044gcd 147 13 in in IN cord-022594-fx044gcd 147 14 cellular cellular JJ cord-022594-fx044gcd 147 15 terminology terminology NN cord-022594-fx044gcd 147 16 and and CC cord-022594-fx044gcd 147 17 DRB1 DRB1 NNP cord-022594-fx044gcd 148 1 * * NFP cord-022594-fx044gcd 148 2 1501 1501 CD cord-022594-fx044gcd 148 3 , , , cord-022594-fx044gcd 148 4 DQA1 DQA1 NNPS cord-022594-fx044gcd 148 5 * * NFP cord-022594-fx044gcd 148 6 0102 0102 CD cord-022594-fx044gcd 148 7 , , , cord-022594-fx044gcd 148 8 DQB1 DQB1 NNP cord-022594-fx044gcd 148 9 * * NFP cord-022594-fx044gcd 148 10 0602 0602 CD cord-022594-fx044gcd 148 11 in in IN cord-022594-fx044gcd 148 12 molecular molecular JJ cord-022594-fx044gcd 148 13 nomenclature nomenclature NN cord-022594-fx044gcd 148 14 . . . cord-022594-fx044gcd 149 1 Though though IN cord-022594-fx044gcd 149 2 its -PRON- PRP$ cord-022594-fx044gcd 149 3 link link NN cord-022594-fx044gcd 149 4 to to IN cord-022594-fx044gcd 149 5 MS MS NNP cord-022594-fx044gcd 149 6 is be VBZ cord-022594-fx044gcd 149 7 well well RB cord-022594-fx044gcd 149 8 established establish VBN cord-022594-fx044gcd 149 9 , , , cord-022594-fx044gcd 149 10 the the DT cord-022594-fx044gcd 149 11 risk risk NN cord-022594-fx044gcd 149 12 conferred confer VBN cord-022594-fx044gcd 149 13 by by IN cord-022594-fx044gcd 149 14 this this DT cord-022594-fx044gcd 149 15 haplotype haplotype NN cord-022594-fx044gcd 149 16 is be VBZ cord-022594-fx044gcd 149 17 small small JJ cord-022594-fx044gcd 149 18 ( ( -LRB- cord-022594-fx044gcd 149 19 relative relative JJ cord-022594-fx044gcd 149 20 risk risk NN cord-022594-fx044gcd 149 21 of of IN cord-022594-fx044gcd 149 22 3 3 CD cord-022594-fx044gcd 149 23 to to IN cord-022594-fx044gcd 149 24 4 4 CD cord-022594-fx044gcd 149 25 ) ) -RRB- cord-022594-fx044gcd 149 26 , , , cord-022594-fx044gcd 149 27 and and CC cord-022594-fx044gcd 149 28 it -PRON- PRP cord-022594-fx044gcd 149 29 is be VBZ cord-022594-fx044gcd 149 30 neither neither CC cord-022594-fx044gcd 149 31 necessary necessary JJ cord-022594-fx044gcd 149 32 nor nor CC cord-022594-fx044gcd 149 33 sufficient sufficient JJ cord-022594-fx044gcd 149 34 for for IN cord-022594-fx044gcd 149 35 the the DT cord-022594-fx044gcd 149 36 development development NN cord-022594-fx044gcd 149 37 of of IN cord-022594-fx044gcd 149 38 MS MS NNP cord-022594-fx044gcd 149 39 . . . cord-022594-fx044gcd 150 1 Linkage linkage NN cord-022594-fx044gcd 150 2 to to IN cord-022594-fx044gcd 150 3 this this DT cord-022594-fx044gcd 150 4 locus locus NN cord-022594-fx044gcd 150 5 has have VBZ cord-022594-fx044gcd 150 6 not not RB cord-022594-fx044gcd 150 7 been be VBN cord-022594-fx044gcd 150 8 proved prove VBN cord-022594-fx044gcd 150 9 , , , cord-022594-fx044gcd 150 10 indicating indicate VBG cord-022594-fx044gcd 150 11 that that IN cord-022594-fx044gcd 150 12 it -PRON- PRP cord-022594-fx044gcd 150 13 plays play VBZ cord-022594-fx044gcd 150 14 only only RB cord-022594-fx044gcd 150 15 a a DT cord-022594-fx044gcd 150 16 minor minor JJ cord-022594-fx044gcd 150 17 role role NN cord-022594-fx044gcd 150 18 in in IN cord-022594-fx044gcd 150 19 familial familial JJ cord-022594-fx044gcd 150 20 susceptibility susceptibility NN cord-022594-fx044gcd 150 21 . . . cord-022594-fx044gcd 151 1 Other other JJ cord-022594-fx044gcd 151 2 susceptibility susceptibility NN cord-022594-fx044gcd 151 3 genes gene NNS cord-022594-fx044gcd 151 4 likely likely RB cord-022594-fx044gcd 151 5 contribute contribute VBP cord-022594-fx044gcd 151 6 , , , cord-022594-fx044gcd 151 7 possibly possibly RB cord-022594-fx044gcd 151 8 the the DT cord-022594-fx044gcd 151 9 T t NN cord-022594-fx044gcd 151 10 - - HYPH cord-022594-fx044gcd 151 11 cell cell NN cord-022594-fx044gcd 151 12 receptor receptor NN cord-022594-fx044gcd 151 13 variable variable NN cord-022594-fx044gcd 151 14 b b NN cord-022594-fx044gcd 151 15 region region NN cord-022594-fx044gcd 151 16 and and CC cord-022594-fx044gcd 151 17 the the DT cord-022594-fx044gcd 151 18 IgG IgG NNP cord-022594-fx044gcd 151 19 heavy heavy JJ cord-022594-fx044gcd 151 20 - - HYPH cord-022594-fx044gcd 151 21 chain chain NN cord-022594-fx044gcd 151 22 variable variable NN cord-022594-fx044gcd 151 23 region region NN cord-022594-fx044gcd 151 24 ( ( -LRB- cord-022594-fx044gcd 151 25 especially especially RB cord-022594-fx044gcd 151 26 the the DT cord-022594-fx044gcd 151 27 VH2 VH2 NNP cord-022594-fx044gcd 151 28 - - HYPH cord-022594-fx044gcd 151 29 5 5 CD cord-022594-fx044gcd 151 30 gene gene NN cord-022594-fx044gcd 151 31 ) ) -RRB- cord-022594-fx044gcd 151 32 . . . cord-022594-fx044gcd 152 1 But but CC cord-022594-fx044gcd 152 2 their -PRON- PRP$ cord-022594-fx044gcd 152 3 specific specific JJ cord-022594-fx044gcd 152 4 roles role NNS cord-022594-fx044gcd 152 5 have have VBP cord-022594-fx044gcd 152 6 not not RB cord-022594-fx044gcd 152 7 been be VBN cord-022594-fx044gcd 152 8 established establish VBN cord-022594-fx044gcd 152 9 . . . cord-022594-fx044gcd 153 1 Other other JJ cord-022594-fx044gcd 153 2 genes gene NNS cord-022594-fx044gcd 153 3 under under IN cord-022594-fx044gcd 153 4 study study NN cord-022594-fx044gcd 153 5 have have VBP cord-022594-fx044gcd 153 6 been be VBN cord-022594-fx044gcd 153 7 the the DT cord-022594-fx044gcd 153 8 MBP MBP NNP cord-022594-fx044gcd 153 9 coding code VBG cord-022594-fx044gcd 153 10 gene gene NN cord-022594-fx044gcd 153 11 , , , cord-022594-fx044gcd 153 12 the the DT cord-022594-fx044gcd 153 13 CTLA-4 CTLA-4 NNP cord-022594-fx044gcd 153 14 gene gene NN cord-022594-fx044gcd 153 15 on on IN cord-022594-fx044gcd 153 16 chromosome chromosome NN cord-022594-fx044gcd 153 17 2q33 2q33 CD cord-022594-fx044gcd 153 18 , , , cord-022594-fx044gcd 153 19 and and CC cord-022594-fx044gcd 153 20 the the DT cord-022594-fx044gcd 153 21 interleukin-1ra interleukin-1ra NNP cord-022594-fx044gcd 153 22 associated associate VBN cord-022594-fx044gcd 153 23 gene gene NN cord-022594-fx044gcd 153 24 , , , cord-022594-fx044gcd 153 25 in in IN cord-022594-fx044gcd 153 26 concurrence concurrence NN cord-022594-fx044gcd 153 27 with with IN cord-022594-fx044gcd 153 28 the the DT cord-022594-fx044gcd 153 29 HLA HLA NNP cord-022594-fx044gcd 153 30 - - HYPH cord-022594-fx044gcd 153 31 DR15 DR15 NNP cord-022594-fx044gcd 153 32 haplotype haplotype NN cord-022594-fx044gcd 153 33 . . . cord-022594-fx044gcd 154 1 Mitochondrial mitochondrial JJ cord-022594-fx044gcd 154 2 mutations mutation NNS cord-022594-fx044gcd 154 3 are be VBP cord-022594-fx044gcd 154 4 also also RB cord-022594-fx044gcd 154 5 under under IN cord-022594-fx044gcd 154 6 investigation investigation NN cord-022594-fx044gcd 154 7 , , , cord-022594-fx044gcd 154 8 and and CC cord-022594-fx044gcd 154 9 an an DT cord-022594-fx044gcd 154 10 LHON LHON NNP cord-022594-fx044gcd 154 11 - - HYPH cord-022594-fx044gcd 154 12 associated associate VBN cord-022594-fx044gcd 154 13 mtDNA mtdna JJ cord-022594-fx044gcd 154 14 mutation mutation NN cord-022594-fx044gcd 154 15 may may MD cord-022594-fx044gcd 154 16 be be VB cord-022594-fx044gcd 154 17 an an DT cord-022594-fx044gcd 154 18 important important JJ cord-022594-fx044gcd 154 19 cofactor cofactor NN cord-022594-fx044gcd 154 20 in in IN cord-022594-fx044gcd 154 21 developing develop VBG cord-022594-fx044gcd 154 22 MS MS NNP cord-022594-fx044gcd 154 23 in in IN cord-022594-fx044gcd 154 24 some some DT cord-022594-fx044gcd 154 25 patients patient NNS cord-022594-fx044gcd 154 26 . . . cord-022594-fx044gcd 155 1 The the DT cord-022594-fx044gcd 155 2 ApoE4 ApoE4 NNP cord-022594-fx044gcd 155 3 gene gene NN cord-022594-fx044gcd 155 4 , , , cord-022594-fx044gcd 155 5 as as IN cord-022594-fx044gcd 155 6 in in IN cord-022594-fx044gcd 155 7 Alzheimer Alzheimer NNP cord-022594-fx044gcd 155 8 's 's POS cord-022594-fx044gcd 155 9 disease disease NN cord-022594-fx044gcd 155 10 , , , cord-022594-fx044gcd 155 11 has have VBZ cord-022594-fx044gcd 155 12 been be VBN cord-022594-fx044gcd 155 13 associated associate VBN cord-022594-fx044gcd 155 14 with with IN cord-022594-fx044gcd 155 15 a a DT cord-022594-fx044gcd 155 16 higher high JJR cord-022594-fx044gcd 155 17 incidence incidence NN cord-022594-fx044gcd 155 18 of of IN cord-022594-fx044gcd 155 19 MS MS NNP cord-022594-fx044gcd 155 20 . . . cord-022594-fx044gcd 156 1 On on IN cord-022594-fx044gcd 156 2 the the DT cord-022594-fx044gcd 156 3 other other JJ cord-022594-fx044gcd 156 4 hand hand NN cord-022594-fx044gcd 156 5 , , , cord-022594-fx044gcd 156 6 ApoE3 ApoE3 NNP cord-022594-fx044gcd 156 7 is be VBZ cord-022594-fx044gcd 156 8 considered consider VBN cord-022594-fx044gcd 156 9 to to TO cord-022594-fx044gcd 156 10 have have VB cord-022594-fx044gcd 156 11 neurotropic neurotropic NNP cord-022594-fx044gcd 156 12 , , , cord-022594-fx044gcd 156 13 immunomodulatory immunomodulatory NNP cord-022594-fx044gcd 156 14 , , , cord-022594-fx044gcd 156 15 and and CC cord-022594-fx044gcd 156 16 antioxidant antioxidant JJ cord-022594-fx044gcd 156 17 properties property NNS cord-022594-fx044gcd 156 18 . . . cord-022594-fx044gcd 157 1 These these DT cord-022594-fx044gcd 157 2 findings finding NNS cord-022594-fx044gcd 157 3 are be VBP cord-022594-fx044gcd 157 4 yet yet RB cord-022594-fx044gcd 157 5 to to TO cord-022594-fx044gcd 157 6 be be VB cord-022594-fx044gcd 157 7 confirmed confirm VBN cord-022594-fx044gcd 157 8 by by IN cord-022594-fx044gcd 157 9 larger large JJR cord-022594-fx044gcd 157 10 studies study NNS cord-022594-fx044gcd 157 11 . . . cord-022594-fx044gcd 158 1 Twenty twenty CD cord-022594-fx044gcd 158 2 percent percent NN cord-022594-fx044gcd 158 3 of of IN cord-022594-fx044gcd 158 4 MS MS NNP cord-022594-fx044gcd 158 5 patients patient NNS cord-022594-fx044gcd 158 6 have have VBP cord-022594-fx044gcd 158 7 at at RB cord-022594-fx044gcd 158 8 least least RBS cord-022594-fx044gcd 158 9 one one CD cord-022594-fx044gcd 158 10 affected affect VBN cord-022594-fx044gcd 158 11 relative relative NN cord-022594-fx044gcd 158 12 . . . cord-022594-fx044gcd 159 1 Only only RB cord-022594-fx044gcd 159 2 about about IN cord-022594-fx044gcd 159 3 4 4 CD cord-022594-fx044gcd 159 4 % % NN cord-022594-fx044gcd 159 5 of of IN cord-022594-fx044gcd 159 6 first first JJ cord-022594-fx044gcd 159 7 - - HYPH cord-022594-fx044gcd 159 8 degree degree NN cord-022594-fx044gcd 159 9 relatives relative NNS cord-022594-fx044gcd 159 10 of of IN cord-022594-fx044gcd 159 11 patients patient NNS cord-022594-fx044gcd 159 12 develop develop VBP cord-022594-fx044gcd 159 13 MS MS NNP cord-022594-fx044gcd 159 14 , , , cord-022594-fx044gcd 159 15 but but CC cord-022594-fx044gcd 159 16 this this DT cord-022594-fx044gcd 159 17 represents represent VBZ cord-022594-fx044gcd 159 18 a a DT cord-022594-fx044gcd 159 19 20-to 20-to CD cord-022594-fx044gcd 159 20 40-fold 40-fold CD cord-022594-fx044gcd 159 21 increase increase NN cord-022594-fx044gcd 159 22 in in IN cord-022594-fx044gcd 159 23 risk risk NN cord-022594-fx044gcd 159 24 compared compare VBN cord-022594-fx044gcd 159 25 with with IN cord-022594-fx044gcd 159 26 the the DT cord-022594-fx044gcd 159 27 general general JJ cord-022594-fx044gcd 159 28 population population NN cord-022594-fx044gcd 159 29 . . . cord-022594-fx044gcd 160 1 Unaffected unaffected JJ cord-022594-fx044gcd 160 2 family family NN cord-022594-fx044gcd 160 3 members member NNS cord-022594-fx044gcd 160 4 sometimes sometimes RB cord-022594-fx044gcd 160 5 have have VBP cord-022594-fx044gcd 160 6 abnormal abnormal JJ cord-022594-fx044gcd 160 7 findings finding NNS cord-022594-fx044gcd 160 8 on on IN cord-022594-fx044gcd 160 9 cranial cranial JJ cord-022594-fx044gcd 160 10 MRI MRI NNP cord-022594-fx044gcd 160 11 , , , cord-022594-fx044gcd 160 12 implying imply VBG cord-022594-fx044gcd 160 13 that that IN cord-022594-fx044gcd 160 14 this this DT cord-022594-fx044gcd 160 15 risk risk NN cord-022594-fx044gcd 160 16 is be VBZ cord-022594-fx044gcd 160 17 even even RB cord-022594-fx044gcd 160 18 higher high JJR cord-022594-fx044gcd 160 19 . . . cord-022594-fx044gcd 161 1 One one CD cord-022594-fx044gcd 161 2 study study NN cord-022594-fx044gcd 161 3 of of IN cord-022594-fx044gcd 161 4 MS MS NNP cord-022594-fx044gcd 161 5 rates rate NNS cord-022594-fx044gcd 161 6 in in IN cord-022594-fx044gcd 161 7 adopted adopt VBN cord-022594-fx044gcd 161 8 relatives relative NNS cord-022594-fx044gcd 161 9 of of IN cord-022594-fx044gcd 161 10 MS MS NNP cord-022594-fx044gcd 161 11 patients patient NNS cord-022594-fx044gcd 161 12 verified verify VBD cord-022594-fx044gcd 161 13 that that IN cord-022594-fx044gcd 161 14 the the DT cord-022594-fx044gcd 161 15 familial familial JJ cord-022594-fx044gcd 161 16 distribution distribution NN cord-022594-fx044gcd 161 17 is be VBZ cord-022594-fx044gcd 161 18 due due JJ cord-022594-fx044gcd 161 19 to to IN cord-022594-fx044gcd 161 20 genetic genetic JJ cord-022594-fx044gcd 161 21 factors factor NNS cord-022594-fx044gcd 161 22 rather rather RB cord-022594-fx044gcd 161 23 than than IN cord-022594-fx044gcd 161 24 shared share VBN cord-022594-fx044gcd 161 25 environment environment NN cord-022594-fx044gcd 161 26 . . . cord-022594-fx044gcd 162 1 20 20 CD cord-022594-fx044gcd 162 2 Twin Twin NNP cord-022594-fx044gcd 162 3 studies study NNS cord-022594-fx044gcd 162 4 lend lend VBP cord-022594-fx044gcd 162 5 support support NN cord-022594-fx044gcd 162 6 to to IN cord-022594-fx044gcd 162 7 both both CC cord-022594-fx044gcd 162 8 genetic genetic JJ cord-022594-fx044gcd 162 9 and and CC cord-022594-fx044gcd 162 10 environmental environmental JJ cord-022594-fx044gcd 162 11 influences influence NNS cord-022594-fx044gcd 162 12 on on IN cord-022594-fx044gcd 162 13 MS MS NNP cord-022594-fx044gcd 162 14 development development NN cord-022594-fx044gcd 162 15 . . . cord-022594-fx044gcd 163 1 Genetically genetically RB cord-022594-fx044gcd 163 2 identical identical JJ cord-022594-fx044gcd 163 3 monozygotic monozygotic JJ cord-022594-fx044gcd 163 4 twins twin NNS cord-022594-fx044gcd 163 5 are be VBP cord-022594-fx044gcd 163 6 more more RBR cord-022594-fx044gcd 163 7 often often RB cord-022594-fx044gcd 163 8 concordant concordant JJ cord-022594-fx044gcd 163 9 for for IN cord-022594-fx044gcd 163 10 MS MS NNP cord-022594-fx044gcd 163 11 than than IN cord-022594-fx044gcd 163 12 dizygotic dizygotic JJ cord-022594-fx044gcd 163 13 twins twin NNS cord-022594-fx044gcd 163 14 ( ( -LRB- cord-022594-fx044gcd 163 15 26 26 CD cord-022594-fx044gcd 163 16 % % NN cord-022594-fx044gcd 163 17 and and CC cord-022594-fx044gcd 163 18 2.4 2.4 CD cord-022594-fx044gcd 163 19 % % NN cord-022594-fx044gcd 163 20 , , , cord-022594-fx044gcd 163 21 respectively respectively RB cord-022594-fx044gcd 163 22 ) ) -RRB- cord-022594-fx044gcd 163 23 , , , cord-022594-fx044gcd 163 24 indicating indicate VBG cord-022594-fx044gcd 163 25 a a DT cord-022594-fx044gcd 163 26 genetic genetic JJ cord-022594-fx044gcd 163 27 component component NN cord-022594-fx044gcd 163 28 ; ; : cord-022594-fx044gcd 163 29 21 21 CD cord-022594-fx044gcd 163 30 however however RB cord-022594-fx044gcd 163 31 , , , cord-022594-fx044gcd 163 32 even even RB cord-022594-fx044gcd 163 33 after after IN cord-022594-fx044gcd 163 34 following follow VBG cord-022594-fx044gcd 163 35 monozygotic monozygotic JJ cord-022594-fx044gcd 163 36 twins twin NNS cord-022594-fx044gcd 163 37 past past IN cord-022594-fx044gcd 163 38 age age NN cord-022594-fx044gcd 163 39 50 50 CD cord-022594-fx044gcd 163 40 or or CC cord-022594-fx044gcd 163 41 using use VBG cord-022594-fx044gcd 163 42 MRI MRI NNP cord-022594-fx044gcd 163 43 data datum NNS cord-022594-fx044gcd 163 44 , , , cord-022594-fx044gcd 163 45 less less JJR cord-022594-fx044gcd 163 46 than than IN cord-022594-fx044gcd 163 47 50 50 CD cord-022594-fx044gcd 163 48 % % NN cord-022594-fx044gcd 163 49 are be VBP cord-022594-fx044gcd 163 50 concordant concordant JJ cord-022594-fx044gcd 163 51 , , , cord-022594-fx044gcd 163 52 suggesting suggest VBG cord-022594-fx044gcd 163 53 a a DT cord-022594-fx044gcd 163 54 role role NN cord-022594-fx044gcd 163 55 for for IN cord-022594-fx044gcd 163 56 environmental environmental JJ cord-022594-fx044gcd 163 57 factors factor NNS cord-022594-fx044gcd 163 58 . . . cord-022594-fx044gcd 164 1 EPIDEMIOLOGY EPIDEMIOLOGY NNP cord-022594-fx044gcd 164 2 AND and CC cord-022594-fx044gcd 164 3 RISK risk NN cord-022594-fx044gcd 164 4 FACTORS factors NN cord-022594-fx044gcd 164 5 . . . cord-022594-fx044gcd 165 1 MS MS NNP cord-022594-fx044gcd 165 2 is be VBZ cord-022594-fx044gcd 165 3 not not RB cord-022594-fx044gcd 165 4 a a DT cord-022594-fx044gcd 165 5 rare rare JJ cord-022594-fx044gcd 165 6 disease disease NN cord-022594-fx044gcd 165 7 . . . cord-022594-fx044gcd 166 1 It -PRON- PRP cord-022594-fx044gcd 166 2 affects affect VBZ cord-022594-fx044gcd 166 3 millions million NNS cord-022594-fx044gcd 166 4 worldwide worldwide RB cord-022594-fx044gcd 166 5 and and CC cord-022594-fx044gcd 166 6 approximately approximately RB cord-022594-fx044gcd 166 7 400,000 400,000 CD cord-022594-fx044gcd 166 8 in in IN cord-022594-fx044gcd 166 9 the the DT cord-022594-fx044gcd 166 10 United United NNP cord-022594-fx044gcd 166 11 States States NNP cord-022594-fx044gcd 166 12 alone alone RB cord-022594-fx044gcd 166 13 . . . cord-022594-fx044gcd 167 1 Symptoms symptom NNS cord-022594-fx044gcd 167 2 usually usually RB cord-022594-fx044gcd 167 3 begin begin VBP cord-022594-fx044gcd 167 4 during during IN cord-022594-fx044gcd 167 5 young young JJ cord-022594-fx044gcd 167 6 adulthood adulthood NN cord-022594-fx044gcd 167 7 , , , cord-022594-fx044gcd 167 8 with with IN cord-022594-fx044gcd 167 9 the the DT cord-022594-fx044gcd 167 10 peak peak JJ cord-022594-fx044gcd 167 11 onset onset NN cord-022594-fx044gcd 167 12 at at IN cord-022594-fx044gcd 167 13 age age NN cord-022594-fx044gcd 167 14 24 24 CD cord-022594-fx044gcd 167 15 . . . cord-022594-fx044gcd 168 1 Approximately approximately RB cord-022594-fx044gcd 168 2 0.3 0.3 CD cord-022594-fx044gcd 168 3 % % NN cord-022594-fx044gcd 168 4 of of IN cord-022594-fx044gcd 168 5 MS MS NNP cord-022594-fx044gcd 168 6 cases case NNS cord-022594-fx044gcd 168 7 are be VBP cord-022594-fx044gcd 168 8 diagnosed diagnose VBN cord-022594-fx044gcd 168 9 before before IN cord-022594-fx044gcd 168 10 age age NN cord-022594-fx044gcd 168 11 15 15 CD cord-022594-fx044gcd 168 12 . . . cord-022594-fx044gcd 169 1 Women woman NNS cord-022594-fx044gcd 169 2 are be VBP cord-022594-fx044gcd 169 3 affected affect VBN cord-022594-fx044gcd 169 4 nearly nearly RB cord-022594-fx044gcd 169 5 twice twice RB cord-022594-fx044gcd 169 6 as as RB cord-022594-fx044gcd 169 7 often often RB cord-022594-fx044gcd 169 8 as as IN cord-022594-fx044gcd 169 9 men man NNS cord-022594-fx044gcd 169 10 . . . cord-022594-fx044gcd 170 1 MS MS NNP cord-022594-fx044gcd 170 2 has have VBZ cord-022594-fx044gcd 170 3 a a DT cord-022594-fx044gcd 170 4 predilection predilection NN cord-022594-fx044gcd 170 5 for for IN cord-022594-fx044gcd 170 6 whites white NNS cord-022594-fx044gcd 170 7 , , , cord-022594-fx044gcd 170 8 especially especially RB cord-022594-fx044gcd 170 9 those those DT cord-022594-fx044gcd 170 10 of of IN cord-022594-fx044gcd 170 11 northern northern JJ cord-022594-fx044gcd 170 12 European european JJ cord-022594-fx044gcd 170 13 heritage heritage NN cord-022594-fx044gcd 170 14 . . . cord-022594-fx044gcd 171 1 Other other JJ cord-022594-fx044gcd 171 2 races race NNS cord-022594-fx044gcd 171 3 and and CC cord-022594-fx044gcd 171 4 ethnic ethnic JJ cord-022594-fx044gcd 171 5 populations population NNS cord-022594-fx044gcd 171 6 are be VBP cord-022594-fx044gcd 171 7 resistant resistant JJ cord-022594-fx044gcd 171 8 to to IN cord-022594-fx044gcd 171 9 a a DT cord-022594-fx044gcd 171 10 variable variable JJ cord-022594-fx044gcd 171 11 extent extent NN cord-022594-fx044gcd 171 12 . . . cord-022594-fx044gcd 172 1 MS MS NNP cord-022594-fx044gcd 172 2 is be VBZ cord-022594-fx044gcd 172 3 virtually virtually RB cord-022594-fx044gcd 172 4 unknown unknown JJ cord-022594-fx044gcd 172 5 among among IN cord-022594-fx044gcd 172 6 black black JJ cord-022594-fx044gcd 172 7 Africans Africans NNPS cord-022594-fx044gcd 172 8 but but CC cord-022594-fx044gcd 172 9 occurs occur VBZ cord-022594-fx044gcd 172 10 in in IN cord-022594-fx044gcd 172 11 African African NNP cord-022594-fx044gcd 172 12 - - HYPH cord-022594-fx044gcd 172 13 Americans Americans NNPS cord-022594-fx044gcd 172 14 at at IN cord-022594-fx044gcd 172 15 half half PDT cord-022594-fx044gcd 172 16 the the DT cord-022594-fx044gcd 172 17 rate rate NN cord-022594-fx044gcd 172 18 of of IN cord-022594-fx044gcd 172 19 whites white NNS cord-022594-fx044gcd 172 20 , , , cord-022594-fx044gcd 172 21 possibly possibly RB cord-022594-fx044gcd 172 22 due due JJ cord-022594-fx044gcd 172 23 to to IN cord-022594-fx044gcd 172 24 racial racial JJ cord-022594-fx044gcd 172 25 admixture admixture NN cord-022594-fx044gcd 172 26 or or CC cord-022594-fx044gcd 172 27 environmental environmental JJ cord-022594-fx044gcd 172 28 factors factor NNS cord-022594-fx044gcd 172 29 . . . cord-022594-fx044gcd 173 1 MS MS NNP cord-022594-fx044gcd 173 2 is be VBZ cord-022594-fx044gcd 173 3 rare rare JJ cord-022594-fx044gcd 173 4 in in IN cord-022594-fx044gcd 173 5 tropical tropical JJ cord-022594-fx044gcd 173 6 areas area NNS cord-022594-fx044gcd 173 7 , , , cord-022594-fx044gcd 173 8 and and CC cord-022594-fx044gcd 173 9 the the DT cord-022594-fx044gcd 173 10 prevalence prevalence NN cord-022594-fx044gcd 173 11 increases increase VBZ cord-022594-fx044gcd 173 12 proportionally proportionally RB cord-022594-fx044gcd 173 13 to to IN cord-022594-fx044gcd 173 14 the the DT cord-022594-fx044gcd 173 15 distance distance NN cord-022594-fx044gcd 173 16 from from IN cord-022594-fx044gcd 173 17 the the DT cord-022594-fx044gcd 173 18 equator equator NN cord-022594-fx044gcd 173 19 , , , cord-022594-fx044gcd 173 20 excluding exclude VBG cord-022594-fx044gcd 173 21 polar polar JJ cord-022594-fx044gcd 173 22 regions region NNS cord-022594-fx044gcd 173 23 . . . cord-022594-fx044gcd 174 1 The the DT cord-022594-fx044gcd 174 2 prevalence prevalence NN cord-022594-fx044gcd 174 3 is be VBZ cord-022594-fx044gcd 174 4 less less JJR cord-022594-fx044gcd 174 5 than than IN cord-022594-fx044gcd 174 6 5 5 CD cord-022594-fx044gcd 174 7 cases case NNS cord-022594-fx044gcd 174 8 per per IN cord-022594-fx044gcd 174 9 100,000 100,000 CD cord-022594-fx044gcd 174 10 in in IN cord-022594-fx044gcd 174 11 tropical tropical JJ cord-022594-fx044gcd 174 12 areas area NNS cord-022594-fx044gcd 174 13 ; ; : cord-022594-fx044gcd 174 14 in in IN cord-022594-fx044gcd 174 15 high high JJ cord-022594-fx044gcd 174 16 prevalence prevalence NN cord-022594-fx044gcd 174 17 areas area NNS cord-022594-fx044gcd 174 18 it -PRON- PRP cord-022594-fx044gcd 174 19 can can MD cord-022594-fx044gcd 174 20 be be VB cord-022594-fx044gcd 174 21 higher high JJR cord-022594-fx044gcd 174 22 than than IN cord-022594-fx044gcd 174 23 30 30 CD cord-022594-fx044gcd 174 24 per per IN cord-022594-fx044gcd 174 25 100,000 100,000 CD cord-022594-fx044gcd 174 26 , , , cord-022594-fx044gcd 174 27 22 22 CD cord-022594-fx044gcd 174 28 reaching reach VBG cord-022594-fx044gcd 174 29 up up IN cord-022594-fx044gcd 174 30 to to TO cord-022594-fx044gcd 174 31 100 100 CD cord-022594-fx044gcd 174 32 per per IN cord-022594-fx044gcd 174 33 100,000 100,000 CD cord-022594-fx044gcd 174 34 in in IN cord-022594-fx044gcd 174 35 selected select VBN cord-022594-fx044gcd 174 36 areas area NNS cord-022594-fx044gcd 174 37 . . . cord-022594-fx044gcd 175 1 Although although IN cord-022594-fx044gcd 175 2 usually usually RB cord-022594-fx044gcd 175 3 interpreted interpret VBN cord-022594-fx044gcd 175 4 as as IN cord-022594-fx044gcd 175 5 the the DT cord-022594-fx044gcd 175 6 effect effect NN cord-022594-fx044gcd 175 7 of of IN cord-022594-fx044gcd 175 8 environmental environmental JJ cord-022594-fx044gcd 175 9 factors factor NNS cord-022594-fx044gcd 175 10 , , , cord-022594-fx044gcd 175 11 the the DT cord-022594-fx044gcd 175 12 prevalence prevalence NN cord-022594-fx044gcd 175 13 gradient gradient NN cord-022594-fx044gcd 175 14 is be VBZ cord-022594-fx044gcd 175 15 at at IN cord-022594-fx044gcd 175 16 least least JJS cord-022594-fx044gcd 175 17 partially partially RB cord-022594-fx044gcd 175 18 due due JJ cord-022594-fx044gcd 175 19 to to IN cord-022594-fx044gcd 175 20 racial racial JJ cord-022594-fx044gcd 175 21 susceptibility susceptibility NN cord-022594-fx044gcd 175 22 . . . cord-022594-fx044gcd 176 1 23 23 CD cord-022594-fx044gcd 177 1 Perhaps perhaps RB cord-022594-fx044gcd 177 2 the the DT cord-022594-fx044gcd 177 3 most most RBS cord-022594-fx044gcd 177 4 incriminating incriminating JJ cord-022594-fx044gcd 177 5 evidence evidence NN cord-022594-fx044gcd 177 6 for for IN cord-022594-fx044gcd 177 7 the the DT cord-022594-fx044gcd 177 8 role role NN cord-022594-fx044gcd 177 9 of of IN cord-022594-fx044gcd 177 10 environmental environmental JJ cord-022594-fx044gcd 177 11 factors factor NNS cord-022594-fx044gcd 177 12 in in IN cord-022594-fx044gcd 177 13 the the DT cord-022594-fx044gcd 177 14 development development NN cord-022594-fx044gcd 177 15 of of IN cord-022594-fx044gcd 177 16 MS MS NNP cord-022594-fx044gcd 177 17 is be VBZ cord-022594-fx044gcd 177 18 the the DT cord-022594-fx044gcd 177 19 changing change VBG cord-022594-fx044gcd 177 20 risk risk NN cord-022594-fx044gcd 177 21 with with IN cord-022594-fx044gcd 177 22 migration migration NN cord-022594-fx044gcd 177 23 and and CC cord-022594-fx044gcd 177 24 the the DT cord-022594-fx044gcd 177 25 occurrence occurrence NN cord-022594-fx044gcd 177 26 of of IN cord-022594-fx044gcd 177 27 MS MS NNP cord-022594-fx044gcd 177 28 clusters cluster NNS cord-022594-fx044gcd 177 29 and and CC cord-022594-fx044gcd 177 30 epidemics epidemic NNS cord-022594-fx044gcd 177 31 . . . cord-022594-fx044gcd 178 1 Immigrant immigrant JJ cord-022594-fx044gcd 178 2 populations population NNS cord-022594-fx044gcd 178 3 tend tend VBP cord-022594-fx044gcd 178 4 to to TO cord-022594-fx044gcd 178 5 acquire acquire VB cord-022594-fx044gcd 178 6 the the DT cord-022594-fx044gcd 178 7 MS MS NNP cord-022594-fx044gcd 178 8 risk risk NN cord-022594-fx044gcd 178 9 inherent inherent JJ cord-022594-fx044gcd 178 10 to to IN cord-022594-fx044gcd 178 11 their -PRON- PRP$ cord-022594-fx044gcd 178 12 new new JJ cord-022594-fx044gcd 178 13 place place NN cord-022594-fx044gcd 178 14 of of IN cord-022594-fx044gcd 178 15 residence residence NN cord-022594-fx044gcd 178 16 . . . cord-022594-fx044gcd 179 1 Migration migration NN cord-022594-fx044gcd 179 2 from from IN cord-022594-fx044gcd 179 3 high high JJ cord-022594-fx044gcd 179 4 to to IN cord-022594-fx044gcd 179 5 low low JJ cord-022594-fx044gcd 179 6 prevalence prevalence NN cord-022594-fx044gcd 179 7 before before IN cord-022594-fx044gcd 179 8 the the DT cord-022594-fx044gcd 179 9 age age NN cord-022594-fx044gcd 179 10 of of IN cord-022594-fx044gcd 179 11 15 15 CD cord-022594-fx044gcd 179 12 lowers lower VBZ cord-022594-fx044gcd 179 13 the the DT cord-022594-fx044gcd 179 14 MS MS NNP cord-022594-fx044gcd 179 15 risk risk NN cord-022594-fx044gcd 179 16 , , , cord-022594-fx044gcd 179 17 whereas whereas IN cord-022594-fx044gcd 179 18 migration migration NN cord-022594-fx044gcd 179 19 after after IN cord-022594-fx044gcd 179 20 this this DT cord-022594-fx044gcd 179 21 age age NN cord-022594-fx044gcd 179 22 does do VBZ cord-022594-fx044gcd 179 23 not not RB cord-022594-fx044gcd 179 24 affect affect VB cord-022594-fx044gcd 179 25 risk risk NN cord-022594-fx044gcd 179 26 . . . cord-022594-fx044gcd 180 1 18 18 CD cord-022594-fx044gcd 180 2 Migration migration NN cord-022594-fx044gcd 180 3 from from IN cord-022594-fx044gcd 180 4 low low JJ cord-022594-fx044gcd 180 5 to to IN cord-022594-fx044gcd 180 6 high high JJ cord-022594-fx044gcd 180 7 prevalence prevalence NN cord-022594-fx044gcd 180 8 areas area NNS cord-022594-fx044gcd 180 9 increases increase VBZ cord-022594-fx044gcd 180 10 the the DT cord-022594-fx044gcd 180 11 risk risk NN cord-022594-fx044gcd 180 12 of of IN cord-022594-fx044gcd 180 13 MS MS NNP cord-022594-fx044gcd 180 14 , , , cord-022594-fx044gcd 180 15 but but CC cord-022594-fx044gcd 180 16 the the DT cord-022594-fx044gcd 180 17 effect effect NN cord-022594-fx044gcd 180 18 of of IN cord-022594-fx044gcd 180 19 age age NN cord-022594-fx044gcd 180 20 is be VBZ cord-022594-fx044gcd 180 21 less less RBR cord-022594-fx044gcd 180 22 clear clear JJ cord-022594-fx044gcd 180 23 . . . cord-022594-fx044gcd 181 1 Many many JJ cord-022594-fx044gcd 181 2 clusters cluster NNS cord-022594-fx044gcd 181 3 of of IN cord-022594-fx044gcd 181 4 MS MS NNP cord-022594-fx044gcd 181 5 have have VBP cord-022594-fx044gcd 181 6 been be VBN cord-022594-fx044gcd 181 7 reported report VBN cord-022594-fx044gcd 181 8 . . . cord-022594-fx044gcd 182 1 24 24 CD cord-022594-fx044gcd 182 2 , , , cord-022594-fx044gcd 182 3 25 25 CD cord-022594-fx044gcd 182 4 The the DT cord-022594-fx044gcd 182 5 occurrences occurrence NNS cord-022594-fx044gcd 182 6 of of IN cord-022594-fx044gcd 182 7 MS MS NNP cord-022594-fx044gcd 182 8 epidemics epidemic NNS cord-022594-fx044gcd 182 9 in in IN cord-022594-fx044gcd 182 10 Iceland Iceland NNP cord-022594-fx044gcd 182 11 and and CC cord-022594-fx044gcd 182 12 the the DT cord-022594-fx044gcd 182 13 Faroe Faroe NNP cord-022594-fx044gcd 182 14 Islands Islands NNPS cord-022594-fx044gcd 182 15 have have VBP cord-022594-fx044gcd 182 16 been be VBN cord-022594-fx044gcd 182 17 proposed propose VBN cord-022594-fx044gcd 182 18 to to TO cord-022594-fx044gcd 182 19 be be VB cord-022594-fx044gcd 182 20 the the DT cord-022594-fx044gcd 182 21 result result NN cord-022594-fx044gcd 182 22 of of IN cord-022594-fx044gcd 182 23 exposure exposure NN cord-022594-fx044gcd 182 24 to to IN cord-022594-fx044gcd 182 25 a a DT cord-022594-fx044gcd 182 26 pathogen pathogen NN cord-022594-fx044gcd 182 27 brought bring VBN cord-022594-fx044gcd 182 28 by by IN cord-022594-fx044gcd 182 29 British british JJ cord-022594-fx044gcd 182 30 troops troop NNS cord-022594-fx044gcd 182 31 during during IN cord-022594-fx044gcd 182 32 their -PRON- PRP$ cord-022594-fx044gcd 182 33 occupation occupation NN cord-022594-fx044gcd 182 34 in in IN cord-022594-fx044gcd 182 35 World World NNP cord-022594-fx044gcd 182 36 War War NNP cord-022594-fx044gcd 182 37 II II NNP cord-022594-fx044gcd 182 38 . . . cord-022594-fx044gcd 183 1 Other other JJ cord-022594-fx044gcd 183 2 environmental environmental JJ cord-022594-fx044gcd 183 3 factors factor NNS cord-022594-fx044gcd 183 4 associated associate VBN cord-022594-fx044gcd 183 5 with with IN cord-022594-fx044gcd 183 6 the the DT cord-022594-fx044gcd 183 7 development development NN cord-022594-fx044gcd 183 8 of of IN cord-022594-fx044gcd 183 9 MS MS NNP cord-022594-fx044gcd 183 10 include include VBP cord-022594-fx044gcd 183 11 cigarette cigarette NN cord-022594-fx044gcd 183 12 smoking smoking NN cord-022594-fx044gcd 183 13 ( ( -LRB- cord-022594-fx044gcd 183 14 odds odd NNS cord-022594-fx044gcd 183 15 ratio ratio NN cord-022594-fx044gcd 183 16 of of IN cord-022594-fx044gcd 183 17 1.81 1.81 CD cord-022594-fx044gcd 183 18 , , , cord-022594-fx044gcd 183 19 CI CI NNP cord-022594-fx044gcd 183 20 : : : cord-022594-fx044gcd 183 21 1.1 1.1 CD cord-022594-fx044gcd 183 22 - - SYM cord-022594-fx044gcd 183 23 2.9 2.9 CD cord-022594-fx044gcd 183 24 ) ) -RRB- cord-022594-fx044gcd 183 25 , , , cord-022594-fx044gcd 183 26 animal animal NN cord-022594-fx044gcd 183 27 fat fat NN cord-022594-fx044gcd 183 28 intake intake NN cord-022594-fx044gcd 183 29 , , , cord-022594-fx044gcd 183 30 and and CC cord-022594-fx044gcd 183 31 deficiency deficiency NN cord-022594-fx044gcd 183 32 of of IN cord-022594-fx044gcd 183 33 vitamin vitamin NN cord-022594-fx044gcd 183 34 D. D. NNP cord-022594-fx044gcd 183 35 26 26 CD cord-022594-fx044gcd 183 36 , , , cord-022594-fx044gcd 183 37 27 27 CD cord-022594-fx044gcd 183 38 Epidemiological epidemiological JJ cord-022594-fx044gcd 183 39 data datum NNS cord-022594-fx044gcd 183 40 support support VBP cord-022594-fx044gcd 183 41 the the DT cord-022594-fx044gcd 183 42 view view NN cord-022594-fx044gcd 183 43 that that IN cord-022594-fx044gcd 183 44 MS MS NNP cord-022594-fx044gcd 183 45 is be VBZ cord-022594-fx044gcd 183 46 caused cause VBN cord-022594-fx044gcd 183 47 or or CC cord-022594-fx044gcd 183 48 triggered trigger VBN cord-022594-fx044gcd 183 49 by by IN cord-022594-fx044gcd 183 50 an an DT cord-022594-fx044gcd 183 51 environmental environmental JJ cord-022594-fx044gcd 183 52 factor factor NN cord-022594-fx044gcd 183 53 in in IN cord-022594-fx044gcd 183 54 persons person NNS cord-022594-fx044gcd 183 55 who who WP cord-022594-fx044gcd 183 56 are be VBP cord-022594-fx044gcd 183 57 genetically genetically RB cord-022594-fx044gcd 183 58 susceptible susceptible JJ cord-022594-fx044gcd 183 59 . . . cord-022594-fx044gcd 184 1 The the DT cord-022594-fx044gcd 184 2 familial familial JJ cord-022594-fx044gcd 184 3 frequency frequency NN cord-022594-fx044gcd 184 4 and and CC cord-022594-fx044gcd 184 5 distribution distribution NN cord-022594-fx044gcd 184 6 implies imply VBZ cord-022594-fx044gcd 184 7 that that IN cord-022594-fx044gcd 184 8 several several JJ cord-022594-fx044gcd 184 9 genes gene NNS cord-022594-fx044gcd 184 10 contribute contribute VBP cord-022594-fx044gcd 184 11 to to IN cord-022594-fx044gcd 184 12 susceptibility susceptibility NN cord-022594-fx044gcd 184 13 , , , cord-022594-fx044gcd 184 14 and and CC cord-022594-fx044gcd 184 15 this this DT cord-022594-fx044gcd 184 16 is be VBZ cord-022594-fx044gcd 184 17 consistent consistent JJ cord-022594-fx044gcd 184 18 with with IN cord-022594-fx044gcd 184 19 the the DT cord-022594-fx044gcd 184 20 low low JJ cord-022594-fx044gcd 184 21 relative relative JJ cord-022594-fx044gcd 184 22 risk risk NN cord-022594-fx044gcd 184 23 conferred confer VBN cord-022594-fx044gcd 184 24 by by IN cord-022594-fx044gcd 184 25 the the DT cord-022594-fx044gcd 184 26 genetic genetic JJ cord-022594-fx044gcd 184 27 loci locus NNS cord-022594-fx044gcd 184 28 studied study VBN cord-022594-fx044gcd 184 29 so so RB cord-022594-fx044gcd 184 30 far far RB cord-022594-fx044gcd 184 31 . . . cord-022594-fx044gcd 185 1 Data datum NNS cord-022594-fx044gcd 185 2 from from IN cord-022594-fx044gcd 185 3 clusters cluster NNS cord-022594-fx044gcd 185 4 , , , cord-022594-fx044gcd 185 5 migration migration NN cord-022594-fx044gcd 185 6 studies study NNS cord-022594-fx044gcd 185 7 , , , cord-022594-fx044gcd 185 8 and and CC cord-022594-fx044gcd 185 9 family family NN cord-022594-fx044gcd 185 10 studies study NNS cord-022594-fx044gcd 185 11 reveal reveal VBP cord-022594-fx044gcd 185 12 that that IN cord-022594-fx044gcd 185 13 there there EX cord-022594-fx044gcd 185 14 is be VBZ cord-022594-fx044gcd 185 15 a a DT cord-022594-fx044gcd 185 16 latent latent JJ cord-022594-fx044gcd 185 17 period period NN cord-022594-fx044gcd 185 18 of of IN cord-022594-fx044gcd 185 19 some some DT cord-022594-fx044gcd 185 20 20 20 CD cord-022594-fx044gcd 185 21 years year NNS cord-022594-fx044gcd 185 22 between between IN cord-022594-fx044gcd 185 23 exposure exposure NN cord-022594-fx044gcd 185 24 to to IN cord-022594-fx044gcd 185 25 the the DT cord-022594-fx044gcd 185 26 environmental environmental JJ cord-022594-fx044gcd 185 27 factor factor NN cord-022594-fx044gcd 185 28 and and CC cord-022594-fx044gcd 185 29 the the DT cord-022594-fx044gcd 185 30 development development NN cord-022594-fx044gcd 185 31 of of IN cord-022594-fx044gcd 185 32 clinical clinical JJ cord-022594-fx044gcd 185 33 symptoms symptom NNS cord-022594-fx044gcd 185 34 and and CC cord-022594-fx044gcd 185 35 that that IN cord-022594-fx044gcd 185 36 the the DT cord-022594-fx044gcd 185 37 age age NN cord-022594-fx044gcd 185 38 at at IN cord-022594-fx044gcd 185 39 exposure exposure NN cord-022594-fx044gcd 185 40 is be VBZ cord-022594-fx044gcd 185 41 around around RB cord-022594-fx044gcd 185 42 15 15 CD cord-022594-fx044gcd 185 43 , , , cord-022594-fx044gcd 185 44 the the DT cord-022594-fx044gcd 185 45 putative putative JJ cord-022594-fx044gcd 185 46 age age NN cord-022594-fx044gcd 185 47 at at IN cord-022594-fx044gcd 185 48 acquisition acquisition NN cord-022594-fx044gcd 185 49 . . . cord-022594-fx044gcd 186 1 The the DT cord-022594-fx044gcd 186 2 precise precise JJ cord-022594-fx044gcd 186 3 environmental environmental JJ cord-022594-fx044gcd 186 4 events event NNS cord-022594-fx044gcd 186 5 that that WDT cord-022594-fx044gcd 186 6 lead lead VBP cord-022594-fx044gcd 186 7 to to IN cord-022594-fx044gcd 186 8 CNS CNS NNP cord-022594-fx044gcd 186 9 demyelination demyelination NN cord-022594-fx044gcd 186 10 are be VBP cord-022594-fx044gcd 186 11 uncertain uncertain JJ cord-022594-fx044gcd 186 12 . . . cord-022594-fx044gcd 187 1 Viral viral JJ cord-022594-fx044gcd 187 2 infection infection NN cord-022594-fx044gcd 187 3 is be VBZ cord-022594-fx044gcd 187 4 the the DT cord-022594-fx044gcd 187 5 most most RBS cord-022594-fx044gcd 187 6 plausible plausible JJ cord-022594-fx044gcd 187 7 , , , cord-022594-fx044gcd 187 8 but but CC cord-022594-fx044gcd 187 9 because because IN cord-022594-fx044gcd 187 10 of of IN cord-022594-fx044gcd 187 11 the the DT cord-022594-fx044gcd 187 12 nonspecific nonspecific JJ cord-022594-fx044gcd 187 13 elevation elevation NN cord-022594-fx044gcd 187 14 of of IN cord-022594-fx044gcd 187 15 viral viral JJ cord-022594-fx044gcd 187 16 titers titer NNS cord-022594-fx044gcd 187 17 and and CC cord-022594-fx044gcd 187 18 long long JJ cord-022594-fx044gcd 187 19 latent latent JJ cord-022594-fx044gcd 187 20 period period NN cord-022594-fx044gcd 187 21 , , , cord-022594-fx044gcd 187 22 there there EX cord-022594-fx044gcd 187 23 is be VBZ cord-022594-fx044gcd 187 24 little little JJ cord-022594-fx044gcd 187 25 direct direct JJ cord-022594-fx044gcd 187 26 evidence evidence NN cord-022594-fx044gcd 187 27 . . . cord-022594-fx044gcd 188 1 Minor minor JJ cord-022594-fx044gcd 188 2 respiratory respiratory JJ cord-022594-fx044gcd 188 3 infections infection NNS cord-022594-fx044gcd 188 4 precede precede VBP cord-022594-fx044gcd 188 5 27 27 CD cord-022594-fx044gcd 188 6 % % NN cord-022594-fx044gcd 188 7 of of IN cord-022594-fx044gcd 188 8 relapses relapse NNS cord-022594-fx044gcd 188 9 in in IN cord-022594-fx044gcd 188 10 patients patient NNS cord-022594-fx044gcd 188 11 with with IN cord-022594-fx044gcd 188 12 established establish VBN cord-022594-fx044gcd 188 13 MS MS NNP cord-022594-fx044gcd 188 14 . . . cord-022594-fx044gcd 189 1 Measles measles NN cord-022594-fx044gcd 189 2 infection infection NN cord-022594-fx044gcd 189 3 was be VBD cord-022594-fx044gcd 189 4 found find VBN cord-022594-fx044gcd 189 5 to to TO cord-022594-fx044gcd 189 6 have have VB cord-022594-fx044gcd 189 7 occurred occur VBN cord-022594-fx044gcd 189 8 at at IN cord-022594-fx044gcd 189 9 a a DT cord-022594-fx044gcd 189 10 later later JJ cord-022594-fx044gcd 189 11 age age NN cord-022594-fx044gcd 189 12 in in IN cord-022594-fx044gcd 189 13 MS MS NNP cord-022594-fx044gcd 189 14 patients patient NNS cord-022594-fx044gcd 189 15 than than IN cord-022594-fx044gcd 189 16 control control NN cord-022594-fx044gcd 189 17 subjects subject NNS cord-022594-fx044gcd 189 18 , , , cord-022594-fx044gcd 189 19 although although IN cord-022594-fx044gcd 189 20 the the DT cord-022594-fx044gcd 189 21 incidence incidence NN cord-022594-fx044gcd 189 22 of of IN cord-022594-fx044gcd 189 23 MS MS NNP cord-022594-fx044gcd 189 24 has have VBZ cord-022594-fx044gcd 189 25 not not RB cord-022594-fx044gcd 189 26 been be VBN cord-022594-fx044gcd 189 27 reduced reduce VBN cord-022594-fx044gcd 189 28 by by IN cord-022594-fx044gcd 189 29 immunization immunization NN cord-022594-fx044gcd 189 30 against against IN cord-022594-fx044gcd 189 31 measles measle NNS cord-022594-fx044gcd 189 32 . . . cord-022594-fx044gcd 190 1 Head Head NNP cord-022594-fx044gcd 190 2 injury injury NN cord-022594-fx044gcd 190 3 and and CC cord-022594-fx044gcd 190 4 trauma trauma NN cord-022594-fx044gcd 190 5 have have VBP cord-022594-fx044gcd 190 6 received receive VBN cord-022594-fx044gcd 190 7 attention attention NN cord-022594-fx044gcd 190 8 as as IN cord-022594-fx044gcd 190 9 putative putative JJ cord-022594-fx044gcd 190 10 triggering trigger VBG cord-022594-fx044gcd 190 11 events event NNS cord-022594-fx044gcd 190 12 , , , cord-022594-fx044gcd 190 13 but but CC cord-022594-fx044gcd 190 14 cohort cohort NN cord-022594-fx044gcd 190 15 studies study NNS cord-022594-fx044gcd 190 16 have have VBP cord-022594-fx044gcd 190 17 not not RB cord-022594-fx044gcd 190 18 verified verify VBN cord-022594-fx044gcd 190 19 any any DT cord-022594-fx044gcd 190 20 link link NN cord-022594-fx044gcd 190 21 . . . cord-022594-fx044gcd 191 1 Pregnancy pregnancy NN cord-022594-fx044gcd 191 2 does do VBZ cord-022594-fx044gcd 191 3 not not RB cord-022594-fx044gcd 191 4 alter alter VB cord-022594-fx044gcd 191 5 the the DT cord-022594-fx044gcd 191 6 risk risk NN cord-022594-fx044gcd 191 7 of of IN cord-022594-fx044gcd 191 8 developing develop VBG cord-022594-fx044gcd 191 9 MS MS NNP cord-022594-fx044gcd 191 10 , , , cord-022594-fx044gcd 191 11 but but CC cord-022594-fx044gcd 191 12 it -PRON- PRP cord-022594-fx044gcd 191 13 does do VBZ cord-022594-fx044gcd 191 14 seem seem VB cord-022594-fx044gcd 191 15 to to TO cord-022594-fx044gcd 191 16 influence influence VB cord-022594-fx044gcd 191 17 disease disease NN cord-022594-fx044gcd 191 18 activity activity NN cord-022594-fx044gcd 191 19 . . . cord-022594-fx044gcd 192 1 The the DT cord-022594-fx044gcd 192 2 annualized annualize VBN cord-022594-fx044gcd 192 3 relapse relapse NN cord-022594-fx044gcd 192 4 rate rate NN cord-022594-fx044gcd 192 5 drops drop NNS cord-022594-fx044gcd 192 6 from from IN cord-022594-fx044gcd 192 7 approximately approximately RB cord-022594-fx044gcd 192 8 0.56 0.56 CD cord-022594-fx044gcd 192 9 to to IN cord-022594-fx044gcd 192 10 0.12 0.12 CD cord-022594-fx044gcd 192 11 by by IN cord-022594-fx044gcd 192 12 the the DT cord-022594-fx044gcd 192 13 third third JJ cord-022594-fx044gcd 192 14 trimester trimester NN cord-022594-fx044gcd 192 15 , , , cord-022594-fx044gcd 192 16 but but CC cord-022594-fx044gcd 192 17 this this DT cord-022594-fx044gcd 192 18 is be VBZ cord-022594-fx044gcd 192 19 offset offset VBN cord-022594-fx044gcd 192 20 by by IN cord-022594-fx044gcd 192 21 an an DT cord-022594-fx044gcd 192 22 increase increase NN cord-022594-fx044gcd 192 23 to to IN cord-022594-fx044gcd 192 24 1.2 1.2 CD cord-022594-fx044gcd 192 25 in in IN cord-022594-fx044gcd 192 26 the the DT cord-022594-fx044gcd 192 27 first first JJ cord-022594-fx044gcd 192 28 3 3 CD cord-022594-fx044gcd 192 29 postpartum postpartum NN cord-022594-fx044gcd 192 30 months month NNS cord-022594-fx044gcd 192 31 . . . cord-022594-fx044gcd 193 1 Most Most JJS cord-022594-fx044gcd 193 2 studies study NNS cord-022594-fx044gcd 193 3 have have VBP cord-022594-fx044gcd 193 4 found find VBN cord-022594-fx044gcd 193 5 no no DT cord-022594-fx044gcd 193 6 longterm longterm JJ cord-022594-fx044gcd 193 7 effects effect NNS cord-022594-fx044gcd 193 8 of of IN cord-022594-fx044gcd 193 9 pregnancy pregnancy NN cord-022594-fx044gcd 193 10 on on IN cord-022594-fx044gcd 193 11 the the DT cord-022594-fx044gcd 193 12 prognosis prognosis NN cord-022594-fx044gcd 193 13 for for IN cord-022594-fx044gcd 193 14 progression progression NN cord-022594-fx044gcd 193 15 or or CC cord-022594-fx044gcd 193 16 disability disability NN cord-022594-fx044gcd 193 17 , , , cord-022594-fx044gcd 193 18 although although IN cord-022594-fx044gcd 193 19 one one PRP cord-022594-fx044gcd 193 20 did do VBD cord-022594-fx044gcd 193 21 report report VB cord-022594-fx044gcd 193 22 a a DT cord-022594-fx044gcd 193 23 favorable favorable JJ cord-022594-fx044gcd 193 24 effect effect NN cord-022594-fx044gcd 193 25 . . . cord-022594-fx044gcd 194 1 28 28 CD cord-022594-fx044gcd 195 1 A a DT cord-022594-fx044gcd 195 2 multitude multitude NN cord-022594-fx044gcd 195 3 of of IN cord-022594-fx044gcd 195 4 other other JJ cord-022594-fx044gcd 195 5 environmental environmental JJ cord-022594-fx044gcd 195 6 factors factor NNS cord-022594-fx044gcd 195 7 have have VBP cord-022594-fx044gcd 195 8 been be VBN cord-022594-fx044gcd 195 9 suspected suspect VBN cord-022594-fx044gcd 195 10 to to TO cord-022594-fx044gcd 195 11 alter alter VB cord-022594-fx044gcd 195 12 the the DT cord-022594-fx044gcd 195 13 risk risk NN cord-022594-fx044gcd 195 14 for for IN cord-022594-fx044gcd 195 15 MS MS NNP cord-022594-fx044gcd 195 16 ( ( -LRB- cord-022594-fx044gcd 195 17 cold cold JJ cord-022594-fx044gcd 195 18 climate climate NN cord-022594-fx044gcd 195 19 , , , cord-022594-fx044gcd 195 20 precipitation precipitation NN cord-022594-fx044gcd 195 21 , , , cord-022594-fx044gcd 195 22 amount amount NN cord-022594-fx044gcd 195 23 of of IN cord-022594-fx044gcd 195 24 peat peat NN cord-022594-fx044gcd 195 25 in in IN cord-022594-fx044gcd 195 26 the the DT cord-022594-fx044gcd 195 27 soil soil NN cord-022594-fx044gcd 195 28 , , , cord-022594-fx044gcd 195 29 exposure exposure NN cord-022594-fx044gcd 195 30 to to IN cord-022594-fx044gcd 195 31 dogs dog NNS cord-022594-fx044gcd 195 32 , , , cord-022594-fx044gcd 195 33 and and CC cord-022594-fx044gcd 195 34 consumption consumption NN cord-022594-fx044gcd 195 35 of of IN cord-022594-fx044gcd 195 36 meat meat NN cord-022594-fx044gcd 195 37 , , , cord-022594-fx044gcd 195 38 processed process VBN cord-022594-fx044gcd 195 39 meat meat NN cord-022594-fx044gcd 195 40 , , , cord-022594-fx044gcd 195 41 and and CC cord-022594-fx044gcd 195 42 dairy dairy NN cord-022594-fx044gcd 195 43 products product NNS cord-022594-fx044gcd 195 44 ) ) -RRB- cord-022594-fx044gcd 195 45 , , , cord-022594-fx044gcd 195 46 but but CC cord-022594-fx044gcd 195 47 none none NN cord-022594-fx044gcd 195 48 has have VBZ cord-022594-fx044gcd 195 49 been be VBN cord-022594-fx044gcd 195 50 verified verify VBN cord-022594-fx044gcd 195 51 to to TO cord-022594-fx044gcd 195 52 be be VB cord-022594-fx044gcd 195 53 an an DT cord-022594-fx044gcd 195 54 independent independent JJ cord-022594-fx044gcd 195 55 risk risk NN cord-022594-fx044gcd 195 56 factor factor NN cord-022594-fx044gcd 195 57 . . . cord-022594-fx044gcd 196 1 MS MS NNP cord-022594-fx044gcd 196 2 can can MD cord-022594-fx044gcd 196 3 cause cause VB cord-022594-fx044gcd 196 4 a a DT cord-022594-fx044gcd 196 5 wide wide JJ cord-022594-fx044gcd 196 6 variety variety NN cord-022594-fx044gcd 196 7 of of IN cord-022594-fx044gcd 196 8 clinical clinical JJ cord-022594-fx044gcd 196 9 features feature NNS cord-022594-fx044gcd 196 10 . . . cord-022594-fx044gcd 197 1 Many many JJ cord-022594-fx044gcd 197 2 signs sign NNS cord-022594-fx044gcd 197 3 and and CC cord-022594-fx044gcd 197 4 symptoms symptom NNS cord-022594-fx044gcd 197 5 are be VBP cord-022594-fx044gcd 197 6 characteristic characteristic JJ cord-022594-fx044gcd 197 7 , , , cord-022594-fx044gcd 197 8 and and CC cord-022594-fx044gcd 197 9 a a DT cord-022594-fx044gcd 197 10 few few JJ cord-022594-fx044gcd 197 11 are be VBP cord-022594-fx044gcd 197 12 virtually virtually RB cord-022594-fx044gcd 197 13 pathognomonic pathognomonic JJ cord-022594-fx044gcd 197 14 for for IN cord-022594-fx044gcd 197 15 the the DT cord-022594-fx044gcd 197 16 disorder disorder NN cord-022594-fx044gcd 197 17 . . . cord-022594-fx044gcd 198 1 Conversely conversely RB cord-022594-fx044gcd 198 2 , , , cord-022594-fx044gcd 198 3 some some DT cord-022594-fx044gcd 198 4 symptoms symptom NNS cord-022594-fx044gcd 198 5 are be VBP cord-022594-fx044gcd 198 6 atypical atypical JJ cord-022594-fx044gcd 198 7 and and CC cord-022594-fx044gcd 198 8 some some DT cord-022594-fx044gcd 198 9 are be VBP cord-022594-fx044gcd 198 10 so so RB cord-022594-fx044gcd 198 11 rare rare JJ cord-022594-fx044gcd 198 12 as as IN cord-022594-fx044gcd 198 13 to to TO cord-022594-fx044gcd 198 14 suggest suggest VB cord-022594-fx044gcd 198 15 a a DT cord-022594-fx044gcd 198 16 different different JJ cord-022594-fx044gcd 198 17 diagnosis diagnosis NN cord-022594-fx044gcd 198 18 ( ( -LRB- cord-022594-fx044gcd 198 19 Table table NN cord-022594-fx044gcd 198 20 48 48 CD cord-022594-fx044gcd 198 21 -2 -2 CD cord-022594-fx044gcd 198 22 ) ) -RRB- cord-022594-fx044gcd 198 23 . . . cord-022594-fx044gcd 199 1 The the DT cord-022594-fx044gcd 199 2 course course NN cord-022594-fx044gcd 199 3 of of IN cord-022594-fx044gcd 199 4 the the DT cord-022594-fx044gcd 199 5 illness illness NN cord-022594-fx044gcd 199 6 is be VBZ cord-022594-fx044gcd 199 7 also also RB cord-022594-fx044gcd 199 8 variable variable JJ cord-022594-fx044gcd 199 9 , , , cord-022594-fx044gcd 199 10 but but CC cord-022594-fx044gcd 199 11 it -PRON- PRP cord-022594-fx044gcd 199 12 remains remain VBZ cord-022594-fx044gcd 199 13 a a DT cord-022594-fx044gcd 199 14 critical critical JJ cord-022594-fx044gcd 199 15 consideration consideration NN cord-022594-fx044gcd 199 16 in in IN cord-022594-fx044gcd 199 17 the the DT cord-022594-fx044gcd 199 18 diagnosis diagnosis NN cord-022594-fx044gcd 199 19 of of IN cord-022594-fx044gcd 199 20 MS MS NNP cord-022594-fx044gcd 199 21 . . . cord-022594-fx044gcd 200 1 Sensory sensory JJ cord-022594-fx044gcd 200 2 symptoms symptom NNS cord-022594-fx044gcd 200 3 are be VBP cord-022594-fx044gcd 200 4 the the DT cord-022594-fx044gcd 200 5 most most RBS cord-022594-fx044gcd 200 6 common common JJ cord-022594-fx044gcd 200 7 presenting present VBG cord-022594-fx044gcd 200 8 manifestation manifestation NN cord-022594-fx044gcd 200 9 in in IN cord-022594-fx044gcd 200 10 MS MS NNP cord-022594-fx044gcd 200 11 ( ( -LRB- cord-022594-fx044gcd 200 12 21 21 CD cord-022594-fx044gcd 200 13 % % NN cord-022594-fx044gcd 200 14 to to IN cord-022594-fx044gcd 200 15 55 55 CD cord-022594-fx044gcd 200 16 % % NN cord-022594-fx044gcd 200 17 ) ) -RRB- cord-022594-fx044gcd 200 18 and and CC cord-022594-fx044gcd 200 19 ultimately ultimately RB cord-022594-fx044gcd 200 20 develop develop VB cord-022594-fx044gcd 200 21 in in IN cord-022594-fx044gcd 200 22 nearly nearly RB cord-022594-fx044gcd 200 23 all all DT cord-022594-fx044gcd 200 24 patients patient NNS cord-022594-fx044gcd 200 25 . . . cord-022594-fx044gcd 201 1 29 29 CD cord-022594-fx044gcd 201 2 Loss loss NN cord-022594-fx044gcd 201 3 of of IN cord-022594-fx044gcd 201 4 sensation sensation NN cord-022594-fx044gcd 201 5 ( ( -LRB- cord-022594-fx044gcd 201 6 numbness numbness NN cord-022594-fx044gcd 201 7 ) ) -RRB- cord-022594-fx044gcd 201 8 , , , cord-022594-fx044gcd 201 9 paresthesias paresthesias NNP cord-022594-fx044gcd 201 10 ( ( -LRB- cord-022594-fx044gcd 201 11 tingling tingle VBG cord-022594-fx044gcd 201 12 ) ) -RRB- cord-022594-fx044gcd 201 13 , , , cord-022594-fx044gcd 201 14 dysesthesias dysesthesias FW cord-022594-fx044gcd 201 15 ( ( -LRB- cord-022594-fx044gcd 201 16 burning burn VBG cord-022594-fx044gcd 201 17 ) ) -RRB- cord-022594-fx044gcd 201 18 , , , cord-022594-fx044gcd 201 19 and and CC cord-022594-fx044gcd 201 20 hyperesthesias hyperesthesias NNP cord-022594-fx044gcd 201 21 are be VBP cord-022594-fx044gcd 201 22 common common JJ cord-022594-fx044gcd 201 23 . . . cord-022594-fx044gcd 202 1 These these DT cord-022594-fx044gcd 202 2 symptoms symptom NNS cord-022594-fx044gcd 202 3 may may MD cord-022594-fx044gcd 202 4 occur occur VB cord-022594-fx044gcd 202 5 in in IN cord-022594-fx044gcd 202 6 practically practically RB cord-022594-fx044gcd 202 7 any any DT cord-022594-fx044gcd 202 8 distribution distribution NN cord-022594-fx044gcd 202 9 : : : cord-022594-fx044gcd 202 10 one one CD cord-022594-fx044gcd 202 11 or or CC cord-022594-fx044gcd 202 12 more more JJR cord-022594-fx044gcd 202 13 limbs limb NNS cord-022594-fx044gcd 202 14 , , , cord-022594-fx044gcd 202 15 part part NN cord-022594-fx044gcd 202 16 of of IN cord-022594-fx044gcd 202 17 a a DT cord-022594-fx044gcd 202 18 limb limb NN cord-022594-fx044gcd 202 19 , , , cord-022594-fx044gcd 202 20 trunk trunk NN cord-022594-fx044gcd 202 21 , , , cord-022594-fx044gcd 202 22 face face NN cord-022594-fx044gcd 202 23 , , , cord-022594-fx044gcd 202 24 or or CC cord-022594-fx044gcd 202 25 combinations combination NNS cord-022594-fx044gcd 202 26 . . . cord-022594-fx044gcd 203 1 The the DT cord-022594-fx044gcd 203 2 more more RBR cord-022594-fx044gcd 203 3 distinctive distinctive JJ cord-022594-fx044gcd 203 4 sensory sensory JJ cord-022594-fx044gcd 203 5 relapses relapse NNS cord-022594-fx044gcd 203 6 of of IN cord-022594-fx044gcd 203 7 MS MS NNP cord-022594-fx044gcd 203 8 consist consist VBP cord-022594-fx044gcd 203 9 of of IN cord-022594-fx044gcd 203 10 the the DT cord-022594-fx044gcd 203 11 sensory sensory JJ cord-022594-fx044gcd 203 12 cord cord NN cord-022594-fx044gcd 203 13 syndrome syndrome NN cord-022594-fx044gcd 203 14 and and CC cord-022594-fx044gcd 203 15 the the DT cord-022594-fx044gcd 203 16 sensory sensory JJ cord-022594-fx044gcd 203 17 useless useless JJ cord-022594-fx044gcd 203 18 hand hand NN cord-022594-fx044gcd 203 19 syndrome syndrome NN cord-022594-fx044gcd 203 20 . . . cord-022594-fx044gcd 204 1 A a DT cord-022594-fx044gcd 204 2 common common JJ cord-022594-fx044gcd 204 3 scenario scenario NN cord-022594-fx044gcd 204 4 is be VBZ cord-022594-fx044gcd 204 5 that that DT cord-022594-fx044gcd 204 6 of of IN cord-022594-fx044gcd 204 7 numbness numbness NN cord-022594-fx044gcd 204 8 or or CC cord-022594-fx044gcd 204 9 tingling tingling JJ cord-022594-fx044gcd 204 10 beginning begin VBG cord-022594-fx044gcd 204 11 in in IN cord-022594-fx044gcd 204 12 one one CD cord-022594-fx044gcd 204 13 foot foot NN cord-022594-fx044gcd 204 14 , , , cord-022594-fx044gcd 204 15 ascending ascend VBG cord-022594-fx044gcd 204 16 first first JJ cord-022594-fx044gcd 204 17 ipsilaterally ipsilaterally RB cord-022594-fx044gcd 204 18 and and CC cord-022594-fx044gcd 204 19 then then RB cord-022594-fx044gcd 204 20 contralaterally contralaterally RB cord-022594-fx044gcd 204 21 . . . cord-022594-fx044gcd 205 1 The the DT cord-022594-fx044gcd 205 2 sensory sensory JJ cord-022594-fx044gcd 205 3 symptoms symptom NNS cord-022594-fx044gcd 205 4 may may MD cord-022594-fx044gcd 205 5 ascend ascend VB cord-022594-fx044gcd 205 6 to to IN cord-022594-fx044gcd 205 7 the the DT cord-022594-fx044gcd 205 8 trunk trunk NN cord-022594-fx044gcd 205 9 , , , cord-022594-fx044gcd 205 10 producing produce VBG cord-022594-fx044gcd 205 11 a a DT cord-022594-fx044gcd 205 12 sensory sensory JJ cord-022594-fx044gcd 205 13 level level NN cord-022594-fx044gcd 205 14 , , , cord-022594-fx044gcd 205 15 or or CC cord-022594-fx044gcd 205 16 may may MD cord-022594-fx044gcd 205 17 involve involve VB cord-022594-fx044gcd 205 18 the the DT cord-022594-fx044gcd 205 19 upper upper JJ cord-022594-fx044gcd 205 20 extremities extremity NNS cord-022594-fx044gcd 205 21 . . . cord-022594-fx044gcd 206 1 Associated associated JJ cord-022594-fx044gcd 206 2 symptoms symptom NNS cord-022594-fx044gcd 206 3 commonly commonly RB cord-022594-fx044gcd 206 4 include include VBP cord-022594-fx044gcd 206 5 poor poor JJ cord-022594-fx044gcd 206 6 balance balance NN cord-022594-fx044gcd 206 7 , , , cord-022594-fx044gcd 206 8 weakness weakness NN cord-022594-fx044gcd 206 9 , , , cord-022594-fx044gcd 206 10 urinary urinary JJ cord-022594-fx044gcd 206 11 urgency urgency NN cord-022594-fx044gcd 206 12 , , , cord-022594-fx044gcd 206 13 constipation constipation NN cord-022594-fx044gcd 206 14 , , , cord-022594-fx044gcd 206 15 and and CC cord-022594-fx044gcd 206 16 Lhermitte Lhermitte NNP cord-022594-fx044gcd 206 17 's 's POS cord-022594-fx044gcd 206 18 sign sign NN cord-022594-fx044gcd 206 19 ( ( -LRB- cord-022594-fx044gcd 206 20 see see VB cord-022594-fx044gcd 206 21 later later RB cord-022594-fx044gcd 206 22 ) ) -RRB- cord-022594-fx044gcd 206 23 . . . cord-022594-fx044gcd 207 1 Brown Brown NNP cord-022594-fx044gcd 207 2 - - HYPH cord-022594-fx044gcd 207 3 Séquard Séquard NNP cord-022594-fx044gcd 207 4 syndrome syndrome NN cord-022594-fx044gcd 207 5 may may MD cord-022594-fx044gcd 207 6 occur occur VB cord-022594-fx044gcd 207 7 with with IN cord-022594-fx044gcd 207 8 sensory sensory JJ cord-022594-fx044gcd 207 9 disassociation disassociation NN cord-022594-fx044gcd 207 10 and and CC cord-022594-fx044gcd 207 11 hemiparesis hemiparesis NN cord-022594-fx044gcd 207 12 . . . cord-022594-fx044gcd 208 1 The the DT cord-022594-fx044gcd 208 2 sensory sensory JJ cord-022594-fx044gcd 208 3 cord cord NN cord-022594-fx044gcd 208 4 syndrome syndrome NN cord-022594-fx044gcd 208 5 reflects reflect VBZ cord-022594-fx044gcd 208 6 an an DT cord-022594-fx044gcd 208 7 evolving evolve VBG cord-022594-fx044gcd 208 8 demyelinating demyelinating JJ cord-022594-fx044gcd 208 9 lesion lesion NN cord-022594-fx044gcd 208 10 that that WDT cord-022594-fx044gcd 208 11 begins begin VBZ cord-022594-fx044gcd 208 12 in in IN cord-022594-fx044gcd 208 13 the the DT cord-022594-fx044gcd 208 14 medial medial JJ cord-022594-fx044gcd 208 15 posterior posterior JJ cord-022594-fx044gcd 208 16 column column NN cord-022594-fx044gcd 208 17 ipsilateral ipsilateral JJ cord-022594-fx044gcd 208 18 to to IN cord-022594-fx044gcd 208 19 the the DT cord-022594-fx044gcd 208 20 first first JJ cord-022594-fx044gcd 208 21 symptoms symptom NNS cord-022594-fx044gcd 208 22 . . . cord-022594-fx044gcd 209 1 Sensory sensory JJ cord-022594-fx044gcd 209 2 cord cord NN cord-022594-fx044gcd 209 3 syndromes syndrome NNS cord-022594-fx044gcd 209 4 are be VBP cord-022594-fx044gcd 209 5 common common JJ cord-022594-fx044gcd 209 6 in in IN cord-022594-fx044gcd 209 7 MS MS NNP cord-022594-fx044gcd 209 8 and and CC cord-022594-fx044gcd 209 9 suggest suggest VBP cord-022594-fx044gcd 209 10 the the DT cord-022594-fx044gcd 209 11 diagnosis diagnosis NN cord-022594-fx044gcd 209 12 when when WRB cord-022594-fx044gcd 209 13 they -PRON- PRP cord-022594-fx044gcd 209 14 occur occur VBP cord-022594-fx044gcd 209 15 in in IN cord-022594-fx044gcd 209 16 young young JJ cord-022594-fx044gcd 209 17 persons person NNS cord-022594-fx044gcd 209 18 and and CC cord-022594-fx044gcd 209 19 remit remit VB cord-022594-fx044gcd 209 20 spontaneously spontaneously RB cord-022594-fx044gcd 209 21 or or CC cord-022594-fx044gcd 209 22 in in IN cord-022594-fx044gcd 209 23 response response NN cord-022594-fx044gcd 209 24 to to IN cord-022594-fx044gcd 209 25 corticosteroids corticosteroid NNS cord-022594-fx044gcd 209 26 . . . cord-022594-fx044gcd 210 1 Patients patient NNS cord-022594-fx044gcd 210 2 with with IN cord-022594-fx044gcd 210 3 the the DT cord-022594-fx044gcd 210 4 sensory sensory JJ cord-022594-fx044gcd 210 5 useless useless JJ cord-022594-fx044gcd 210 6 hand hand NN cord-022594-fx044gcd 210 7 may may MD cord-022594-fx044gcd 210 8 note note VB cord-022594-fx044gcd 210 9 subjective subjective JJ cord-022594-fx044gcd 210 10 numbness numbness NN cord-022594-fx044gcd 210 11 and and CC cord-022594-fx044gcd 210 12 lose lose VB cord-022594-fx044gcd 210 13 discriminatory discriminatory JJ cord-022594-fx044gcd 210 14 and and CC cord-022594-fx044gcd 210 15 proprioceptive proprioceptive JJ cord-022594-fx044gcd 210 16 function function NN cord-022594-fx044gcd 210 17 , , , cord-022594-fx044gcd 210 18 resulting result VBG cord-022594-fx044gcd 210 19 in in IN cord-022594-fx044gcd 210 20 difficulty difficulty NN cord-022594-fx044gcd 210 21 writing writing NN cord-022594-fx044gcd 210 22 , , , cord-022594-fx044gcd 210 23 typing typing NN cord-022594-fx044gcd 210 24 , , , cord-022594-fx044gcd 210 25 buttoning button VBG cord-022594-fx044gcd 210 26 clothes clothe NNS cord-022594-fx044gcd 210 27 , , , cord-022594-fx044gcd 210 28 and and CC cord-022594-fx044gcd 210 29 holding hold VBG cord-022594-fx044gcd 210 30 onto onto IN cord-022594-fx044gcd 210 31 objects object NNS cord-022594-fx044gcd 210 32 , , , cord-022594-fx044gcd 210 33 especially especially RB cord-022594-fx044gcd 210 34 when when WRB cord-022594-fx044gcd 210 35 not not RB cord-022594-fx044gcd 210 36 looking look VBG cord-022594-fx044gcd 210 37 at at IN cord-022594-fx044gcd 210 38 the the DT cord-022594-fx044gcd 210 39 hand hand NN cord-022594-fx044gcd 210 40 . . . cord-022594-fx044gcd 211 1 This this DT cord-022594-fx044gcd 211 2 problem problem NN cord-022594-fx044gcd 211 3 can can MD cord-022594-fx044gcd 211 4 occur occur VB cord-022594-fx044gcd 211 5 bilaterally bilaterally RB cord-022594-fx044gcd 211 6 even even RB cord-022594-fx044gcd 211 7 without without IN cord-022594-fx044gcd 211 8 lower low JJR cord-022594-fx044gcd 211 9 extremity extremity NN cord-022594-fx044gcd 211 10 symptoms symptom NNS cord-022594-fx044gcd 211 11 . . . cord-022594-fx044gcd 212 1 The the DT cord-022594-fx044gcd 212 2 responsible responsible JJ cord-022594-fx044gcd 212 3 lesion lesion NN cord-022594-fx044gcd 212 4 is be VBZ cord-022594-fx044gcd 212 5 in in IN cord-022594-fx044gcd 212 6 the the DT cord-022594-fx044gcd 212 7 lemniscal lemniscal JJ cord-022594-fx044gcd 212 8 pathways pathway NNS cord-022594-fx044gcd 212 9 either either CC cord-022594-fx044gcd 212 10 in in IN cord-022594-fx044gcd 212 11 the the DT cord-022594-fx044gcd 212 12 cervical cervical JJ cord-022594-fx044gcd 212 13 spinal spinal JJ cord-022594-fx044gcd 212 14 cord cord NN cord-022594-fx044gcd 212 15 or or CC cord-022594-fx044gcd 212 16 in in IN cord-022594-fx044gcd 212 17 the the DT cord-022594-fx044gcd 212 18 brain brain NN cord-022594-fx044gcd 212 19 stem stem NN cord-022594-fx044gcd 212 20 . . . cord-022594-fx044gcd 213 1 This this DT cord-022594-fx044gcd 213 2 syndrome syndrome NN cord-022594-fx044gcd 213 3 usually usually RB cord-022594-fx044gcd 213 4 remits remit VBZ cord-022594-fx044gcd 213 5 over over IN cord-022594-fx044gcd 213 6 several several JJ cord-022594-fx044gcd 213 7 months month NNS cord-022594-fx044gcd 213 8 . . . cord-022594-fx044gcd 214 1 The the DT cord-022594-fx044gcd 214 2 useless useless JJ cord-022594-fx044gcd 214 3 hand hand NN cord-022594-fx044gcd 214 4 syndrome syndrome NN cord-022594-fx044gcd 214 5 is be VBZ cord-022594-fx044gcd 214 6 a a DT cord-022594-fx044gcd 214 7 very very RB cord-022594-fx044gcd 214 8 specific specific JJ cord-022594-fx044gcd 214 9 symptom symptom NN cord-022594-fx044gcd 214 10 and and CC cord-022594-fx044gcd 214 11 is be VBZ cord-022594-fx044gcd 214 12 only only RB cord-022594-fx044gcd 214 13 rarely rarely RB cord-022594-fx044gcd 214 14 caused cause VBN cord-022594-fx044gcd 214 15 by by IN cord-022594-fx044gcd 214 16 other other JJ cord-022594-fx044gcd 214 17 disorders disorder NNS cord-022594-fx044gcd 214 18 . . . cord-022594-fx044gcd 215 1 A a DT cord-022594-fx044gcd 215 2 large large JJ cord-022594-fx044gcd 215 3 portion portion NN cord-022594-fx044gcd 215 4 of of IN cord-022594-fx044gcd 215 5 MS MS NNP cord-022594-fx044gcd 215 6 patients patient NNS cord-022594-fx044gcd 215 7 have have VBP cord-022594-fx044gcd 215 8 persistent persistent JJ cord-022594-fx044gcd 215 9 sensory sensory JJ cord-022594-fx044gcd 215 10 loss loss NN cord-022594-fx044gcd 215 11 , , , cord-022594-fx044gcd 215 12 usually usually RB cord-022594-fx044gcd 215 13 consisting consist VBG cord-022594-fx044gcd 215 14 of of IN cord-022594-fx044gcd 215 15 diminished diminished JJ cord-022594-fx044gcd 215 16 vibratory vibratory NN cord-022594-fx044gcd 215 17 and and CC cord-022594-fx044gcd 215 18 position position NN cord-022594-fx044gcd 215 19 sensation sensation NN cord-022594-fx044gcd 215 20 in in IN cord-022594-fx044gcd 215 21 distal distal JJ cord-022594-fx044gcd 215 22 extremities extremity NNS cord-022594-fx044gcd 215 23 ( ( -LRB- cord-022594-fx044gcd 215 24 Video Video NNP cord-022594-fx044gcd 215 25 5 5 CD cord-022594-fx044gcd 215 26 , , , cord-022594-fx044gcd 215 27 Sensory Sensory NNP cord-022594-fx044gcd 215 28 Ataxia Ataxia NNP cord-022594-fx044gcd 215 29 ) ) -RRB- cord-022594-fx044gcd 215 30 . . . cord-022594-fx044gcd 216 1 Itching itching NN cord-022594-fx044gcd 216 2 may may MD cord-022594-fx044gcd 216 3 occur occur VB cord-022594-fx044gcd 216 4 in in IN cord-022594-fx044gcd 216 5 a a DT cord-022594-fx044gcd 216 6 dermatomal dermatomal JJ cord-022594-fx044gcd 216 7 distribution distribution NN cord-022594-fx044gcd 216 8 with with IN cord-022594-fx044gcd 216 9 relapse relapse NN cord-022594-fx044gcd 216 10 or or CC cord-022594-fx044gcd 216 11 in in IN cord-022594-fx044gcd 216 12 paroxysms paroxysm NNS cord-022594-fx044gcd 216 13 . . . cord-022594-fx044gcd 217 1 Pain pain NN cord-022594-fx044gcd 217 2 is be VBZ cord-022594-fx044gcd 217 3 not not RB cord-022594-fx044gcd 217 4 a a DT cord-022594-fx044gcd 217 5 major major JJ cord-022594-fx044gcd 217 6 manifestation manifestation NN cord-022594-fx044gcd 217 7 of of IN cord-022594-fx044gcd 217 8 MS MS NNP cord-022594-fx044gcd 217 9 , , , cord-022594-fx044gcd 217 10 but but CC cord-022594-fx044gcd 217 11 distressing distressing JJ cord-022594-fx044gcd 217 12 lower low JJR cord-022594-fx044gcd 217 13 extremity extremity NN cord-022594-fx044gcd 217 14 dysesthetic dysesthetic JJ cord-022594-fx044gcd 217 15 pain pain NN cord-022594-fx044gcd 217 16 associated associate VBN cord-022594-fx044gcd 217 17 with with IN cord-022594-fx044gcd 217 18 spinal spinal JJ cord-022594-fx044gcd 217 19 cord cord NN cord-022594-fx044gcd 217 20 involvement involvement NN cord-022594-fx044gcd 217 21 , , , cord-022594-fx044gcd 217 22 radicular radicular JJ cord-022594-fx044gcd 217 23 pain pain NN cord-022594-fx044gcd 217 24 from from IN cord-022594-fx044gcd 217 25 lesions lesion NNS cord-022594-fx044gcd 217 26 at at IN cord-022594-fx044gcd 217 27 the the DT cord-022594-fx044gcd 217 28 root root NN cord-022594-fx044gcd 217 29 entry entry NN cord-022594-fx044gcd 217 30 zone zone NN cord-022594-fx044gcd 217 31 , , , cord-022594-fx044gcd 217 32 paroxysms paroxysm NNS cord-022594-fx044gcd 217 33 , , , cord-022594-fx044gcd 217 34 and and CC cord-022594-fx044gcd 217 35 an an DT cord-022594-fx044gcd 217 36 uncomfortable uncomfortable JJ cord-022594-fx044gcd 217 37 sensation sensation NN cord-022594-fx044gcd 217 38 of of IN cord-022594-fx044gcd 217 39 pressure pressure NN cord-022594-fx044gcd 217 40 or or CC cord-022594-fx044gcd 217 41 tightness tightness NN cord-022594-fx044gcd 217 42 surrounding surround VBG cord-022594-fx044gcd 217 43 a a DT cord-022594-fx044gcd 217 44 leg leg NN cord-022594-fx044gcd 217 45 or or CC cord-022594-fx044gcd 217 46 the the DT cord-022594-fx044gcd 217 47 trunk trunk NN cord-022594-fx044gcd 217 48 may may MD cord-022594-fx044gcd 217 49 be be VB cord-022594-fx044gcd 217 50 present present JJ cord-022594-fx044gcd 217 51 . . . cord-022594-fx044gcd 218 1 Pyramidal pyramidal JJ cord-022594-fx044gcd 218 2 tract tract NN cord-022594-fx044gcd 218 3 dysfunction dysfunction NN cord-022594-fx044gcd 218 4 is be VBZ cord-022594-fx044gcd 218 5 common common JJ cord-022594-fx044gcd 218 6 in in IN cord-022594-fx044gcd 218 7 MS MS NNP cord-022594-fx044gcd 218 8 and and CC cord-022594-fx044gcd 218 9 causes cause VBZ cord-022594-fx044gcd 218 10 weakness weakness NN cord-022594-fx044gcd 218 11 , , , cord-022594-fx044gcd 218 12 spasticity spasticity NN cord-022594-fx044gcd 218 13 , , , cord-022594-fx044gcd 218 14 loss loss NN cord-022594-fx044gcd 218 15 of of IN cord-022594-fx044gcd 218 16 dexterity dexterity NN cord-022594-fx044gcd 218 17 , , , cord-022594-fx044gcd 218 18 and and CC cord-022594-fx044gcd 218 19 hyperreflexia hyperreflexia NNP cord-022594-fx044gcd 218 20 ( ( -LRB- cord-022594-fx044gcd 218 21 Video Video NNP cord-022594-fx044gcd 218 22 80 80 CD cord-022594-fx044gcd 218 23 , , , cord-022594-fx044gcd 218 24 Hyper hyper JJ cord-022594-fx044gcd 218 25 - - NN cord-022594-fx044gcd 218 26 reflexia reflexia NNP cord-022594-fx044gcd 218 27 ) ) -RRB- cord-022594-fx044gcd 218 28 . . . cord-022594-fx044gcd 219 1 Motor motor NN cord-022594-fx044gcd 219 2 deficits deficit NNS cord-022594-fx044gcd 219 3 can can MD cord-022594-fx044gcd 219 4 occur occur VB cord-022594-fx044gcd 219 5 acutely acutely RB cord-022594-fx044gcd 219 6 or or CC cord-022594-fx044gcd 219 7 in in IN cord-022594-fx044gcd 219 8 a a DT cord-022594-fx044gcd 219 9 chronic chronic JJ cord-022594-fx044gcd 219 10 progression progression NN cord-022594-fx044gcd 219 11 with with IN cord-022594-fx044gcd 219 12 weakness weakness NN cord-022594-fx044gcd 219 13 of of IN cord-022594-fx044gcd 219 14 one one CD cord-022594-fx044gcd 219 15 or or CC cord-022594-fx044gcd 219 16 more more JJR cord-022594-fx044gcd 219 17 limbs limb NNS cord-022594-fx044gcd 219 18 and and CC cord-022594-fx044gcd 219 19 facial facial JJ cord-022594-fx044gcd 219 20 weakness weakness NN cord-022594-fx044gcd 219 21 , , , cord-022594-fx044gcd 219 22 leg leg NN cord-022594-fx044gcd 219 23 stiffness stiffness NN cord-022594-fx044gcd 219 24 that that WDT cord-022594-fx044gcd 219 25 impairs impair VBZ cord-022594-fx044gcd 219 26 gait gait NN cord-022594-fx044gcd 219 27 and and CC cord-022594-fx044gcd 219 28 balance balance NN cord-022594-fx044gcd 219 29 , , , cord-022594-fx044gcd 219 30 or or CC cord-022594-fx044gcd 219 31 extensor extensor NN cord-022594-fx044gcd 219 32 and and CC cord-022594-fx044gcd 219 33 flexor flexor NN cord-022594-fx044gcd 219 34 spasms spasm NNS cord-022594-fx044gcd 219 35 ( ( -LRB- cord-022594-fx044gcd 219 36 Video Video NNP cord-022594-fx044gcd 219 37 3 3 CD cord-022594-fx044gcd 219 38 , , , cord-022594-fx044gcd 219 39 Spastic Spastic NNP cord-022594-fx044gcd 219 40 Gait Gait NNP cord-022594-fx044gcd 219 41 ) ) -RRB- cord-022594-fx044gcd 219 42 . . . cord-022594-fx044gcd 220 1 Exercise exercise NN cord-022594-fx044gcd 220 2 or or CC cord-022594-fx044gcd 220 3 heat heat VB cord-022594-fx044gcd 220 4 frequently frequently RB cord-022594-fx044gcd 220 5 worsens worsen VBZ cord-022594-fx044gcd 220 6 subtle subtle JJ cord-022594-fx044gcd 220 7 deficits deficit NNS cord-022594-fx044gcd 220 8 . . . cord-022594-fx044gcd 221 1 Muscle muscle NN cord-022594-fx044gcd 221 2 atrophy atrophy NN cord-022594-fx044gcd 221 3 is be VBZ cord-022594-fx044gcd 221 4 usually usually RB cord-022594-fx044gcd 221 5 due due JJ cord-022594-fx044gcd 221 6 to to IN cord-022594-fx044gcd 221 7 disuse disuse NN cord-022594-fx044gcd 221 8 , , , cord-022594-fx044gcd 221 9 but but CC cord-022594-fx044gcd 221 10 lesions lesion NNS cord-022594-fx044gcd 221 11 of of IN cord-022594-fx044gcd 221 12 lower low JJR cord-022594-fx044gcd 221 13 motor motor NN cord-022594-fx044gcd 221 14 neuron neuron NN cord-022594-fx044gcd 221 15 fibers fiber NNS cord-022594-fx044gcd 221 16 or or CC cord-022594-fx044gcd 221 17 of of IN cord-022594-fx044gcd 221 18 the the DT cord-022594-fx044gcd 221 19 anterior anterior JJ cord-022594-fx044gcd 221 20 horn horn NN cord-022594-fx044gcd 221 21 itself -PRON- PRP cord-022594-fx044gcd 221 22 can can MD cord-022594-fx044gcd 221 23 cause cause VB cord-022594-fx044gcd 221 24 a a DT cord-022594-fx044gcd 221 25 pseudoradiculopathy pseudoradiculopathy NN cord-022594-fx044gcd 221 26 with with IN cord-022594-fx044gcd 221 27 segmental segmental JJ cord-022594-fx044gcd 221 28 weakness weakness NN cord-022594-fx044gcd 221 29 , , , cord-022594-fx044gcd 221 30 atrophy atrophy NN cord-022594-fx044gcd 221 31 , , , cord-022594-fx044gcd 221 32 and and CC cord-022594-fx044gcd 221 33 diminished diminish VBD cord-022594-fx044gcd 221 34 reflexes reflex NNS cord-022594-fx044gcd 221 35 . . . cord-022594-fx044gcd 222 1 Motor motor NN cord-022594-fx044gcd 222 2 symptoms symptom NNS cord-022594-fx044gcd 222 3 are be VBP cord-022594-fx044gcd 222 4 presenting present VBG cord-022594-fx044gcd 222 5 manifestations manifestation NNS cord-022594-fx044gcd 222 6 of of IN cord-022594-fx044gcd 222 7 MS MS NNP cord-022594-fx044gcd 222 8 in in IN cord-022594-fx044gcd 222 9 32 32 CD cord-022594-fx044gcd 222 10 % % NN cord-022594-fx044gcd 222 11 to to IN cord-022594-fx044gcd 222 12 41 41 CD cord-022594-fx044gcd 222 13 % % NN cord-022594-fx044gcd 222 14 of of IN cord-022594-fx044gcd 222 15 all all DT cord-022594-fx044gcd 222 16 cases case NNS cord-022594-fx044gcd 222 17 ; ; : cord-022594-fx044gcd 222 18 their -PRON- PRP$ cord-022594-fx044gcd 222 19 prevalence prevalence NN cord-022594-fx044gcd 222 20 is be VBZ cord-022594-fx044gcd 222 21 higher high JJR cord-022594-fx044gcd 222 22 than than IN cord-022594-fx044gcd 222 23 60 60 CD cord-022594-fx044gcd 222 24 % % NN cord-022594-fx044gcd 222 25 in in IN cord-022594-fx044gcd 222 26 long long RB cord-022594-fx044gcd 222 27 - - HYPH cord-022594-fx044gcd 222 28 standing stand VBG cord-022594-fx044gcd 222 29 MS MS NNP cord-022594-fx044gcd 222 30 . . . cord-022594-fx044gcd 223 1 The the DT cord-022594-fx044gcd 223 2 initial initial JJ cord-022594-fx044gcd 223 3 symptom symptom NN cord-022594-fx044gcd 223 4 of of IN cord-022594-fx044gcd 223 5 MS MS NNP cord-022594-fx044gcd 223 6 is be VBZ cord-022594-fx044gcd 223 7 optic optic JJ cord-022594-fx044gcd 223 8 neuritis neuritis NN cord-022594-fx044gcd 223 9 ( ( -LRB- cord-022594-fx044gcd 223 10 ON ON NNP cord-022594-fx044gcd 223 11 ) ) -RRB- cord-022594-fx044gcd 224 1 in in IN cord-022594-fx044gcd 224 2 14 14 CD cord-022594-fx044gcd 224 3 % % NN cord-022594-fx044gcd 224 4 to to TO cord-022594-fx044gcd 224 5 23 23 CD cord-022594-fx044gcd 224 6 % % NN cord-022594-fx044gcd 224 7 of of IN cord-022594-fx044gcd 224 8 patients patient NNS cord-022594-fx044gcd 224 9 , , , cord-022594-fx044gcd 224 10 and and CC cord-022594-fx044gcd 224 11 more more JJR cord-022594-fx044gcd 224 12 than than IN cord-022594-fx044gcd 224 13 50 50 CD cord-022594-fx044gcd 224 14 % % NN cord-022594-fx044gcd 224 15 experience experience NN cord-022594-fx044gcd 224 16 a a DT cord-022594-fx044gcd 224 17 clinical clinical JJ cord-022594-fx044gcd 224 18 episode episode NN cord-022594-fx044gcd 224 19 of of IN cord-022594-fx044gcd 224 20 ON ON NNP cord-022594-fx044gcd 224 21 during during IN cord-022594-fx044gcd 224 22 their -PRON- PRP$ cord-022594-fx044gcd 224 23 lifetime lifetime NN cord-022594-fx044gcd 224 24 . . . cord-022594-fx044gcd 225 1 The the DT cord-022594-fx044gcd 225 2 most most RBS cord-022594-fx044gcd 225 3 common common JJ cord-022594-fx044gcd 225 4 manifestation manifestation NN cord-022594-fx044gcd 225 5 is be VBZ cord-022594-fx044gcd 225 6 visual visual JJ cord-022594-fx044gcd 225 7 loss loss NN cord-022594-fx044gcd 225 8 in in IN cord-022594-fx044gcd 225 9 one one CD cord-022594-fx044gcd 225 10 eye eye NN cord-022594-fx044gcd 225 11 that that WDT cord-022594-fx044gcd 225 12 evolves evolve VBZ cord-022594-fx044gcd 225 13 over over IN cord-022594-fx044gcd 225 14 a a DT cord-022594-fx044gcd 225 15 few few JJ cord-022594-fx044gcd 225 16 days day NNS cord-022594-fx044gcd 225 17 . . . cord-022594-fx044gcd 226 1 Periocular Periocular NNP cord-022594-fx044gcd 226 2 pain pain NN cord-022594-fx044gcd 226 3 , , , cord-022594-fx044gcd 226 4 especially especially RB cord-022594-fx044gcd 226 5 with with IN cord-022594-fx044gcd 226 6 eye eye NN cord-022594-fx044gcd 226 7 movement movement NN cord-022594-fx044gcd 226 8 , , , cord-022594-fx044gcd 226 9 usually usually RB cord-022594-fx044gcd 226 10 accompanies accompany VBZ cord-022594-fx044gcd 226 11 and and CC cord-022594-fx044gcd 226 12 may may MD cord-022594-fx044gcd 226 13 precede precede VB cord-022594-fx044gcd 226 14 the the DT cord-022594-fx044gcd 226 15 visual visual JJ cord-022594-fx044gcd 226 16 symptoms symptom NNS cord-022594-fx044gcd 226 17 . . . cord-022594-fx044gcd 227 1 Bilateral bilateral JJ cord-022594-fx044gcd 227 2 simultaneous simultaneous JJ cord-022594-fx044gcd 227 3 ON ON NNP cord-022594-fx044gcd 227 4 is be VBZ cord-022594-fx044gcd 227 5 uncommon uncommon JJ cord-022594-fx044gcd 227 6 in in IN cord-022594-fx044gcd 227 7 adults adult NNS cord-022594-fx044gcd 227 8 , , , cord-022594-fx044gcd 227 9 but but CC cord-022594-fx044gcd 227 10 formal formal JJ cord-022594-fx044gcd 227 11 visual visual JJ cord-022594-fx044gcd 227 12 field field NN cord-022594-fx044gcd 227 13 testing testing NN cord-022594-fx044gcd 227 14 reveals reveal VBZ cord-022594-fx044gcd 227 15 unexpected unexpected JJ cord-022594-fx044gcd 227 16 defects defect NNS cord-022594-fx044gcd 227 17 in in IN cord-022594-fx044gcd 227 18 the the DT cord-022594-fx044gcd 227 19 clinically clinically RB cord-022594-fx044gcd 227 20 normal normal JJ cord-022594-fx044gcd 227 21 eye eye NN cord-022594-fx044gcd 227 22 in in IN cord-022594-fx044gcd 227 23 a a DT cord-022594-fx044gcd 227 24 substantial substantial JJ cord-022594-fx044gcd 227 25 number number NN cord-022594-fx044gcd 227 26 of of IN cord-022594-fx044gcd 227 27 patients patient NNS cord-022594-fx044gcd 227 28 . . . cord-022594-fx044gcd 228 1 Children child NNS cord-022594-fx044gcd 228 2 and and CC cord-022594-fx044gcd 228 3 Asian asian JJ cord-022594-fx044gcd 228 4 patients patient NNS cord-022594-fx044gcd 228 5 are be VBP cord-022594-fx044gcd 228 6 more more RBR cord-022594-fx044gcd 228 7 likely likely JJ cord-022594-fx044gcd 228 8 to to TO cord-022594-fx044gcd 228 9 have have VB cord-022594-fx044gcd 228 10 bilateral bilateral JJ cord-022594-fx044gcd 228 11 simultaneous simultaneous JJ cord-022594-fx044gcd 228 12 ON on NN cord-022594-fx044gcd 228 13 ; ; : cord-022594-fx044gcd 228 14 it -PRON- PRP cord-022594-fx044gcd 228 15 may may MD cord-022594-fx044gcd 228 16 also also RB cord-022594-fx044gcd 228 17 be be VB cord-022594-fx044gcd 228 18 seen see VBN cord-022594-fx044gcd 228 19 in in IN cord-022594-fx044gcd 228 20 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 228 21 optica optica NNP cord-022594-fx044gcd 228 22 ( ( -LRB- cord-022594-fx044gcd 228 23 NMO NMO NNP cord-022594-fx044gcd 228 24 ) ) -RRB- cord-022594-fx044gcd 228 25 patients patient NNS cord-022594-fx044gcd 228 26 . . . cord-022594-fx044gcd 229 1 Examination examination NN cord-022594-fx044gcd 229 2 shows show VBZ cord-022594-fx044gcd 229 3 an an DT cord-022594-fx044gcd 229 4 afferent afferent JJ cord-022594-fx044gcd 229 5 pupillary pupillary JJ cord-022594-fx044gcd 229 6 defect defect NN cord-022594-fx044gcd 229 7 , , , cord-022594-fx044gcd 229 8 diminished diminish VBD cord-022594-fx044gcd 229 9 visual visual JJ cord-022594-fx044gcd 229 10 acuity acuity NN cord-022594-fx044gcd 229 11 , , , cord-022594-fx044gcd 229 12 subdued subdue VBN cord-022594-fx044gcd 229 13 color color NN cord-022594-fx044gcd 229 14 perception perception NN cord-022594-fx044gcd 229 15 , , , cord-022594-fx044gcd 229 16 and and CC cord-022594-fx044gcd 229 17 often often RB cord-022594-fx044gcd 229 18 a a DT cord-022594-fx044gcd 229 19 central central JJ cord-022594-fx044gcd 229 20 scotoma scotoma NN cord-022594-fx044gcd 229 21 ( ( -LRB- cord-022594-fx044gcd 229 22 Video Video NNP cord-022594-fx044gcd 229 23 200 200 CD cord-022594-fx044gcd 229 24 , , , cord-022594-fx044gcd 229 25 Afferent Afferent NNP cord-022594-fx044gcd 229 26 Pupillary Pupillary NNP cord-022594-fx044gcd 229 27 Defect Defect NNP cord-022594-fx044gcd 229 28 ) ) -RRB- cord-022594-fx044gcd 229 29 . . . cord-022594-fx044gcd 230 1 Funduscopic Funduscopic NNP cord-022594-fx044gcd 230 2 examination examination NN cord-022594-fx044gcd 230 3 is be VBZ cord-022594-fx044gcd 230 4 usually usually RB cord-022594-fx044gcd 230 5 normal normal JJ cord-022594-fx044gcd 230 6 but but CC cord-022594-fx044gcd 230 7 occasionally occasionally RB cord-022594-fx044gcd 230 8 will will MD cord-022594-fx044gcd 230 9 reveal reveal VB cord-022594-fx044gcd 230 10 papillitis papillitis NNP cord-022594-fx044gcd 230 11 ( ( -LRB- cord-022594-fx044gcd 230 12 more more RBR cord-022594-fx044gcd 230 13 common common JJ cord-022594-fx044gcd 230 14 in in IN cord-022594-fx044gcd 230 15 children child NNS cord-022594-fx044gcd 230 16 ) ) -RRB- cord-022594-fx044gcd 230 17 or or CC cord-022594-fx044gcd 230 18 venous venous JJ cord-022594-fx044gcd 230 19 sheathing sheathing NN cord-022594-fx044gcd 230 20 . . . cord-022594-fx044gcd 231 1 Most Most JJS cord-022594-fx044gcd 231 2 patients patient NNS cord-022594-fx044gcd 231 3 begin begin VBP cord-022594-fx044gcd 231 4 to to TO cord-022594-fx044gcd 231 5 recover recover VB cord-022594-fx044gcd 231 6 within within IN cord-022594-fx044gcd 231 7 2 2 CD cord-022594-fx044gcd 231 8 weeks week NNS cord-022594-fx044gcd 231 9 , , , cord-022594-fx044gcd 231 10 and and CC cord-022594-fx044gcd 231 11 significant significant JJ cord-022594-fx044gcd 231 12 visual visual JJ cord-022594-fx044gcd 231 13 Patients patient NNS cord-022594-fx044gcd 231 14 with with IN cord-022594-fx044gcd 231 15 frequent frequent JJ cord-022594-fx044gcd 231 16 and and CC cord-022594-fx044gcd 231 17 severe severe JJ cord-022594-fx044gcd 231 18 ON on JJ cord-022594-fx044gcd 231 19 events event NNS cord-022594-fx044gcd 231 20 in in IN cord-022594-fx044gcd 231 21 the the DT cord-022594-fx044gcd 231 22 first first JJ cord-022594-fx044gcd 231 23 2 2 CD cord-022594-fx044gcd 231 24 years year NNS cord-022594-fx044gcd 231 25 were be VBD cord-022594-fx044gcd 231 26 more more RBR cord-022594-fx044gcd 231 27 likely likely JJ cord-022594-fx044gcd 231 28 to to TO cord-022594-fx044gcd 231 29 convert convert VB cord-022594-fx044gcd 231 30 to to IN cord-022594-fx044gcd 231 31 NMO NMO NNP cord-022594-fx044gcd 231 32 ; ; : cord-022594-fx044gcd 231 33 they -PRON- PRP cord-022594-fx044gcd 231 34 also also RB cord-022594-fx044gcd 231 35 had have VBD cord-022594-fx044gcd 231 36 a a DT cord-022594-fx044gcd 231 37 higher high JJR cord-022594-fx044gcd 231 38 likelihood likelihood NN cord-022594-fx044gcd 231 39 for for IN cord-022594-fx044gcd 231 40 significant significant JJ cord-022594-fx044gcd 231 41 persistent persistent JJ cord-022594-fx044gcd 231 42 vision vision NN cord-022594-fx044gcd 231 43 loss loss NN cord-022594-fx044gcd 231 44 . . . cord-022594-fx044gcd 232 1 30 30 CD cord-022594-fx044gcd 232 2 Cerebellar cerebellar JJ cord-022594-fx044gcd 232 3 pathways pathway NNS cord-022594-fx044gcd 232 4 are be VBP cord-022594-fx044gcd 232 5 frequently frequently RB cord-022594-fx044gcd 232 6 involved involve VBN cord-022594-fx044gcd 232 7 during during IN cord-022594-fx044gcd 232 8 the the DT cord-022594-fx044gcd 232 9 course course NN cord-022594-fx044gcd 232 10 of of IN cord-022594-fx044gcd 232 11 MS MS NNP cord-022594-fx044gcd 232 12 , , , cord-022594-fx044gcd 232 13 but but CC cord-022594-fx044gcd 232 14 a a DT cord-022594-fx044gcd 232 15 predominately predominately RB cord-022594-fx044gcd 232 16 cerebellar cerebellar JJ cord-022594-fx044gcd 232 17 syndrome syndrome NN cord-022594-fx044gcd 232 18 is be VBZ cord-022594-fx044gcd 232 19 uncommon uncommon JJ cord-022594-fx044gcd 232 20 at at IN cord-022594-fx044gcd 232 21 onset onset NN cord-022594-fx044gcd 232 22 . . . cord-022594-fx044gcd 233 1 The the DT cord-022594-fx044gcd 233 2 manifestations manifestation NNS cord-022594-fx044gcd 233 3 include include VBP cord-022594-fx044gcd 233 4 dysmetria dysmetria NNP cord-022594-fx044gcd 233 5 , , , cord-022594-fx044gcd 233 6 dysdiadochokinesia dysdiadochokinesia NNP cord-022594-fx044gcd 233 7 ( ( -LRB- cord-022594-fx044gcd 233 8 Video Video NNP cord-022594-fx044gcd 233 9 12 12 CD cord-022594-fx044gcd 233 10 , , , cord-022594-fx044gcd 233 11 Dysdiadochokinesis Dysdiadochokinesis NNP cord-022594-fx044gcd 233 12 ) ) -RRB- cord-022594-fx044gcd 233 13 , , , cord-022594-fx044gcd 233 14 action action NN cord-022594-fx044gcd 233 15 tremor tremor NN cord-022594-fx044gcd 233 16 with with IN cord-022594-fx044gcd 233 17 terminal terminal JJ cord-022594-fx044gcd 233 18 accentuation accentuation NN cord-022594-fx044gcd 233 19 , , , cord-022594-fx044gcd 233 20 dysrhythmia dysrhythmia NN cord-022594-fx044gcd 233 21 , , , cord-022594-fx044gcd 233 22 breakdown breakdown NN cord-022594-fx044gcd 233 23 of of IN cord-022594-fx044gcd 233 24 complex complex JJ cord-022594-fx044gcd 233 25 motor motor NN cord-022594-fx044gcd 233 26 movements movement NNS cord-022594-fx044gcd 233 27 , , , cord-022594-fx044gcd 233 28 and and CC cord-022594-fx044gcd 233 29 loss loss NN cord-022594-fx044gcd 233 30 of of IN cord-022594-fx044gcd 233 31 balance balance NN cord-022594-fx044gcd 233 32 ( ( -LRB- cord-022594-fx044gcd 233 33 Video Video NNP cord-022594-fx044gcd 233 34 14 14 CD cord-022594-fx044gcd 233 35 , , , cord-022594-fx044gcd 233 36 Tremor Tremor NNP cord-022594-fx044gcd 233 37 with with IN cord-022594-fx044gcd 233 38 Ataxia Ataxia NNP cord-022594-fx044gcd 233 39 ) ) -RRB- cord-022594-fx044gcd 233 40 . . . cord-022594-fx044gcd 234 1 Patients patient NNS cord-022594-fx044gcd 234 2 with with IN cord-022594-fx044gcd 234 3 long long RB cord-022594-fx044gcd 234 4 - - HYPH cord-022594-fx044gcd 234 5 standing stand VBG cord-022594-fx044gcd 234 6 MS MS NNP cord-022594-fx044gcd 234 7 may may MD cord-022594-fx044gcd 234 8 develop develop VB cord-022594-fx044gcd 234 9 a a DT cord-022594-fx044gcd 234 10 " " `` cord-022594-fx044gcd 234 11 jiggling jiggle VBG cord-022594-fx044gcd 234 12 " " '' cord-022594-fx044gcd 234 13 gait gait NN cord-022594-fx044gcd 234 14 and and CC cord-022594-fx044gcd 234 15 an an DT cord-022594-fx044gcd 234 16 ataxic ataxic JJ cord-022594-fx044gcd 234 17 dysarthria dysarthria NN cord-022594-fx044gcd 234 18 with with IN cord-022594-fx044gcd 234 19 imprecise imprecise JJ cord-022594-fx044gcd 234 20 articulation articulation NN cord-022594-fx044gcd 234 21 , , , cord-022594-fx044gcd 234 22 scanning scanning NN cord-022594-fx044gcd 234 23 speech speech NN cord-022594-fx044gcd 234 24 , , , cord-022594-fx044gcd 234 25 or or CC cord-022594-fx044gcd 234 26 varying vary VBG cord-022594-fx044gcd 234 27 inflection inflection NN cord-022594-fx044gcd 234 28 , , , cord-022594-fx044gcd 234 29 giving give VBG cord-022594-fx044gcd 234 30 it -PRON- PRP cord-022594-fx044gcd 234 31 an an DT cord-022594-fx044gcd 234 32 explosive explosive JJ cord-022594-fx044gcd 234 33 character character NN cord-022594-fx044gcd 234 34 . . . cord-022594-fx044gcd 235 1 Urinary urinary JJ cord-022594-fx044gcd 235 2 urgency urgency NN cord-022594-fx044gcd 235 3 , , , cord-022594-fx044gcd 235 4 frequency frequency NN cord-022594-fx044gcd 235 5 , , , cord-022594-fx044gcd 235 6 and and CC cord-022594-fx044gcd 235 7 urge urge VB cord-022594-fx044gcd 235 8 incontinence incontinence NN cord-022594-fx044gcd 235 9 ( ( -LRB- cord-022594-fx044gcd 235 10 due due IN cord-022594-fx044gcd 235 11 to to IN cord-022594-fx044gcd 235 12 detrusor detrusor VB cord-022594-fx044gcd 235 13 hyper hyper JJ cord-022594-fx044gcd 235 14 - - JJ cord-022594-fx044gcd 235 15 reflexia reflexia JJ cord-022594-fx044gcd 235 16 or or CC cord-022594-fx044gcd 235 17 detrusor detrusor NN cord-022594-fx044gcd 235 18 - - HYPH cord-022594-fx044gcd 235 19 sphincter sphincter NN cord-022594-fx044gcd 235 20 dyssynergia dyssynergia NN cord-022594-fx044gcd 235 21 ) ) -RRB- cord-022594-fx044gcd 235 22 result result VBP cord-022594-fx044gcd 235 23 from from IN cord-022594-fx044gcd 235 24 spinal spinal JJ cord-022594-fx044gcd 235 25 cord cord NN cord-022594-fx044gcd 235 26 lesions lesion NNS cord-022594-fx044gcd 235 27 and and CC cord-022594-fx044gcd 235 28 are be VBP cord-022594-fx044gcd 235 29 frequently frequently RB cord-022594-fx044gcd 235 30 encountered encounter VBN cord-022594-fx044gcd 235 31 in in IN cord-022594-fx044gcd 235 32 MS MS NNP cord-022594-fx044gcd 235 33 patients patient NNS cord-022594-fx044gcd 235 34 . . . cord-022594-fx044gcd 236 1 The the DT cord-022594-fx044gcd 236 2 combined combined JJ cord-022594-fx044gcd 236 3 incidence incidence NN cord-022594-fx044gcd 236 4 of of IN cord-022594-fx044gcd 236 5 bowel bowel NN cord-022594-fx044gcd 236 6 and and CC cord-022594-fx044gcd 236 7 bladder bladder NN cord-022594-fx044gcd 236 8 dysfunction dysfunction NN cord-022594-fx044gcd 236 9 in in IN cord-022594-fx044gcd 236 10 MS MS NNP cord-022594-fx044gcd 236 11 is be VBZ cord-022594-fx044gcd 236 12 thought think VBN cord-022594-fx044gcd 236 13 to to TO cord-022594-fx044gcd 236 14 be be VB cord-022594-fx044gcd 236 15 higher high JJR cord-022594-fx044gcd 236 16 than than IN cord-022594-fx044gcd 236 17 70 70 CD cord-022594-fx044gcd 236 18 % % NN cord-022594-fx044gcd 236 19 . . . cord-022594-fx044gcd 237 1 Symptoms symptom NNS cord-022594-fx044gcd 237 2 of of IN cord-022594-fx044gcd 237 3 bladder bladder NN cord-022594-fx044gcd 237 4 dysfunction dysfunction NN cord-022594-fx044gcd 237 5 may may MD cord-022594-fx044gcd 237 6 be be VB cord-022594-fx044gcd 237 7 transient transient JJ cord-022594-fx044gcd 237 8 and and CC cord-022594-fx044gcd 237 9 occur occur VBP cord-022594-fx044gcd 237 10 with with IN cord-022594-fx044gcd 237 11 an an DT cord-022594-fx044gcd 237 12 exacerbation exacerbation NN cord-022594-fx044gcd 237 13 but but CC cord-022594-fx044gcd 237 14 are be VBP cord-022594-fx044gcd 237 15 commonly commonly RB cord-022594-fx044gcd 237 16 persistent persistent JJ cord-022594-fx044gcd 237 17 . . . cord-022594-fx044gcd 238 1 Impaired impaired JJ cord-022594-fx044gcd 238 2 vesicular vesicular JJ cord-022594-fx044gcd 238 3 sensation sensation NN cord-022594-fx044gcd 238 4 causes cause VBZ cord-022594-fx044gcd 238 5 a a DT cord-022594-fx044gcd 238 6 high high JJ cord-022594-fx044gcd 238 7 capacity capacity NN cord-022594-fx044gcd 238 8 bladder bladder NN cord-022594-fx044gcd 238 9 and and CC cord-022594-fx044gcd 238 10 may may MD cord-022594-fx044gcd 238 11 lead lead VB cord-022594-fx044gcd 238 12 to to IN cord-022594-fx044gcd 238 13 bladder bladder NN cord-022594-fx044gcd 238 14 atonia atonia NN cord-022594-fx044gcd 238 15 with with IN cord-022594-fx044gcd 238 16 thinning thinning NN cord-022594-fx044gcd 238 17 and and CC cord-022594-fx044gcd 238 18 disruption disruption NN cord-022594-fx044gcd 238 19 of of IN cord-022594-fx044gcd 238 20 the the DT cord-022594-fx044gcd 238 21 detrusor detrusor NN cord-022594-fx044gcd 238 22 muscle muscle NN cord-022594-fx044gcd 238 23 . . . cord-022594-fx044gcd 239 1 Incontinence incontinence NN cord-022594-fx044gcd 239 2 results result NNS cord-022594-fx044gcd 239 3 in in IN cord-022594-fx044gcd 239 4 constant constant JJ cord-022594-fx044gcd 239 5 dribbling dribbling NN cord-022594-fx044gcd 239 6 of of IN cord-022594-fx044gcd 239 7 urine urine NN cord-022594-fx044gcd 239 8 in in IN cord-022594-fx044gcd 239 9 this this DT cord-022594-fx044gcd 239 10 irreversible irreversible JJ cord-022594-fx044gcd 239 11 condition condition NN cord-022594-fx044gcd 239 12 . . . cord-022594-fx044gcd 240 1 Interruption interruption NN cord-022594-fx044gcd 240 2 of of IN cord-022594-fx044gcd 240 3 brain brain NN cord-022594-fx044gcd 240 4 stem stem NN cord-022594-fx044gcd 240 5 micturition micturition NNP cord-022594-fx044gcd 240 6 center center NN cord-022594-fx044gcd 240 7 input input NN cord-022594-fx044gcd 240 8 sometimes sometimes RB cord-022594-fx044gcd 240 9 leads lead VBZ cord-022594-fx044gcd 240 10 to to IN cord-022594-fx044gcd 240 11 cocontracture cocontracture NN cord-022594-fx044gcd 240 12 of of IN cord-022594-fx044gcd 240 13 the the DT cord-022594-fx044gcd 240 14 urinary urinary JJ cord-022594-fx044gcd 240 15 sphincter sphincter NN cord-022594-fx044gcd 240 16 and and CC cord-022594-fx044gcd 240 17 detrusor detrusor NN cord-022594-fx044gcd 240 18 muscles muscle NNS cord-022594-fx044gcd 240 19 ( ( -LRB- cord-022594-fx044gcd 240 20 detrusor detrusor NN cord-022594-fx044gcd 240 21 - - HYPH cord-022594-fx044gcd 240 22 sphincter sphincter NN cord-022594-fx044gcd 240 23 dyssynergia dyssynergia NNP cord-022594-fx044gcd 240 24 ) ) -RRB- cord-022594-fx044gcd 240 25 . . . cord-022594-fx044gcd 241 1 The the DT cord-022594-fx044gcd 241 2 resulting result VBG cord-022594-fx044gcd 241 3 high high JJ cord-022594-fx044gcd 241 4 pressure pressure NN cord-022594-fx044gcd 241 5 may may MD cord-022594-fx044gcd 241 6 lead lead VB cord-022594-fx044gcd 241 7 to to IN cord-022594-fx044gcd 241 8 hydronephrosis hydronephrosis NN cord-022594-fx044gcd 241 9 and and CC cord-022594-fx044gcd 241 10 chronic chronic JJ cord-022594-fx044gcd 241 11 renal renal JJ cord-022594-fx044gcd 241 12 failure failure NN cord-022594-fx044gcd 241 13 if if IN cord-022594-fx044gcd 241 14 untreated untreated JJ cord-022594-fx044gcd 241 15 . . . cord-022594-fx044gcd 242 1 Constipation constipation NN cord-022594-fx044gcd 242 2 is be VBZ cord-022594-fx044gcd 242 3 a a DT cord-022594-fx044gcd 242 4 common common JJ cord-022594-fx044gcd 242 5 problem problem NN cord-022594-fx044gcd 242 6 , , , cord-022594-fx044gcd 242 7 occurring occur VBG cord-022594-fx044gcd 242 8 in in IN cord-022594-fx044gcd 242 9 39 39 CD cord-022594-fx044gcd 242 10 % % NN cord-022594-fx044gcd 242 11 to to IN cord-022594-fx044gcd 242 12 53 53 CD cord-022594-fx044gcd 242 13 % % NN cord-022594-fx044gcd 242 14 of of IN cord-022594-fx044gcd 242 15 MS MS NNP cord-022594-fx044gcd 242 16 patients patient NNS cord-022594-fx044gcd 242 17 , , , cord-022594-fx044gcd 242 18 especially especially RB cord-022594-fx044gcd 242 19 with with IN cord-022594-fx044gcd 242 20 limited limited JJ cord-022594-fx044gcd 242 21 activity activity NN cord-022594-fx044gcd 242 22 and and CC cord-022594-fx044gcd 242 23 spinal spinal JJ cord-022594-fx044gcd 242 24 cord cord NN cord-022594-fx044gcd 242 25 involvement involvement NN cord-022594-fx044gcd 242 26 . . . cord-022594-fx044gcd 243 1 Fecal fecal JJ cord-022594-fx044gcd 243 2 incontinence incontinence NN cord-022594-fx044gcd 243 3 is be VBZ cord-022594-fx044gcd 243 4 a a DT cord-022594-fx044gcd 243 5 socially socially RB cord-022594-fx044gcd 243 6 devastating devastating JJ cord-022594-fx044gcd 243 7 symptom symptom NN cord-022594-fx044gcd 243 8 that that WDT cord-022594-fx044gcd 243 9 is be VBZ cord-022594-fx044gcd 243 10 often often RB cord-022594-fx044gcd 243 11 associated associate VBN cord-022594-fx044gcd 243 12 with with IN cord-022594-fx044gcd 243 13 perineal perineal JJ cord-022594-fx044gcd 243 14 sensory sensory JJ cord-022594-fx044gcd 243 15 loss loss NN cord-022594-fx044gcd 243 16 in in IN cord-022594-fx044gcd 243 17 MS MS NNP cord-022594-fx044gcd 243 18 patients patient NNS cord-022594-fx044gcd 243 19 . . . cord-022594-fx044gcd 244 1 Sexual sexual JJ cord-022594-fx044gcd 244 2 dysfunction dysfunction NN cord-022594-fx044gcd 244 3 is be VBZ cord-022594-fx044gcd 244 4 seldom seldom RB cord-022594-fx044gcd 244 5 mentioned mention VBN cord-022594-fx044gcd 244 6 , , , cord-022594-fx044gcd 244 7 even even RB cord-022594-fx044gcd 244 8 though though IN cord-022594-fx044gcd 244 9 it -PRON- PRP cord-022594-fx044gcd 244 10 is be VBZ cord-022594-fx044gcd 244 11 a a DT cord-022594-fx044gcd 244 12 frequent frequent JJ cord-022594-fx044gcd 244 13 problem problem NN cord-022594-fx044gcd 244 14 in in IN cord-022594-fx044gcd 244 15 MS MS NNP cord-022594-fx044gcd 244 16 . . . cord-022594-fx044gcd 245 1 Nearly nearly RB cord-022594-fx044gcd 245 2 two two CD cord-022594-fx044gcd 245 3 thirds third NNS cord-022594-fx044gcd 245 4 of of IN cord-022594-fx044gcd 245 5 patients patient NNS cord-022594-fx044gcd 245 6 report report VBP cord-022594-fx044gcd 245 7 diminished diminish VBD cord-022594-fx044gcd 245 8 libido libido NN cord-022594-fx044gcd 245 9 . . . cord-022594-fx044gcd 246 1 One one CD cord-022594-fx044gcd 246 2 third third NN cord-022594-fx044gcd 246 3 of of IN cord-022594-fx044gcd 246 4 men man NNS cord-022594-fx044gcd 246 5 have have VBP cord-022594-fx044gcd 246 6 some some DT cord-022594-fx044gcd 246 7 degree degree NN cord-022594-fx044gcd 246 8 of of IN cord-022594-fx044gcd 246 9 erectile erectile NN cord-022594-fx044gcd 246 10 dysfunction dysfunction NN cord-022594-fx044gcd 246 11 , , , cord-022594-fx044gcd 246 12 and and CC cord-022594-fx044gcd 246 13 a a DT cord-022594-fx044gcd 246 14 similar similar JJ cord-022594-fx044gcd 246 15 percentage percentage NN cord-022594-fx044gcd 246 16 of of IN cord-022594-fx044gcd 246 17 women woman NNS cord-022594-fx044gcd 246 18 have have VBP cord-022594-fx044gcd 246 19 deficient deficient JJ cord-022594-fx044gcd 246 20 vaginal vaginal JJ cord-022594-fx044gcd 246 21 lubrication lubrication NN cord-022594-fx044gcd 246 22 . . . cord-022594-fx044gcd 247 1 Besides besides IN cord-022594-fx044gcd 247 2 direct direct JJ cord-022594-fx044gcd 247 3 neurological neurological JJ cord-022594-fx044gcd 247 4 impairment impairment NN cord-022594-fx044gcd 247 5 , , , cord-022594-fx044gcd 247 6 sensory sensory JJ cord-022594-fx044gcd 247 7 loss loss NN cord-022594-fx044gcd 247 8 , , , cord-022594-fx044gcd 247 9 physical physical JJ cord-022594-fx044gcd 247 10 limitations limitation NNS cord-022594-fx044gcd 247 11 , , , cord-022594-fx044gcd 247 12 depression depression NN cord-022594-fx044gcd 247 13 , , , cord-022594-fx044gcd 247 14 and and CC cord-022594-fx044gcd 247 15 fatigue fatigue NN cord-022594-fx044gcd 247 16 additionally additionally RB cord-022594-fx044gcd 247 17 contribute contribute VBP cord-022594-fx044gcd 247 18 to to IN cord-022594-fx044gcd 247 19 sexual sexual JJ cord-022594-fx044gcd 247 20 difficulties difficulty NNS cord-022594-fx044gcd 247 21 in in IN cord-022594-fx044gcd 247 22 MS MS NNP cord-022594-fx044gcd 247 23 patients patient NNS cord-022594-fx044gcd 247 24 . . . cord-022594-fx044gcd 248 1 In in IN cord-022594-fx044gcd 248 2 addition addition NN cord-022594-fx044gcd 248 3 , , , cord-022594-fx044gcd 248 4 the the DT cord-022594-fx044gcd 248 5 partner partner NN cord-022594-fx044gcd 248 6 's 's POS cord-022594-fx044gcd 248 7 attitude attitude NN cord-022594-fx044gcd 248 8 and and CC cord-022594-fx044gcd 248 9 psychological psychological JJ cord-022594-fx044gcd 248 10 factors factor NNS cord-022594-fx044gcd 248 11 dealing deal VBG cord-022594-fx044gcd 248 12 with with IN cord-022594-fx044gcd 248 13 self self NN cord-022594-fx044gcd 248 14 - - HYPH cord-022594-fx044gcd 248 15 image image NN cord-022594-fx044gcd 248 16 , , , cord-022594-fx044gcd 248 17 self self NN cord-022594-fx044gcd 248 18 - - HYPH cord-022594-fx044gcd 248 19 esteem esteem NN cord-022594-fx044gcd 248 20 , , , cord-022594-fx044gcd 248 21 and and CC cord-022594-fx044gcd 248 22 fear fear NN cord-022594-fx044gcd 248 23 of of IN cord-022594-fx044gcd 248 24 rejection rejection NN cord-022594-fx044gcd 248 25 may may MD cord-022594-fx044gcd 248 26 also also RB cord-022594-fx044gcd 248 27 lead lead VB cord-022594-fx044gcd 248 28 to to IN cord-022594-fx044gcd 248 29 impotence impotence NN cord-022594-fx044gcd 248 30 or or CC cord-022594-fx044gcd 248 31 loss loss NN cord-022594-fx044gcd 248 32 of of IN cord-022594-fx044gcd 248 33 libido libido NN cord-022594-fx044gcd 248 34 . . . cord-022594-fx044gcd 249 1 Intense intense JJ cord-022594-fx044gcd 249 2 vertigo vertigo NN cord-022594-fx044gcd 249 3 associated associate VBN cord-022594-fx044gcd 249 4 with with IN cord-022594-fx044gcd 249 5 nausea nausea NN cord-022594-fx044gcd 249 6 and and CC cord-022594-fx044gcd 249 7 emesis emesis NN cord-022594-fx044gcd 249 8 is be VBZ cord-022594-fx044gcd 249 9 an an DT cord-022594-fx044gcd 249 10 occasional occasional JJ cord-022594-fx044gcd 249 11 manifestation manifestation NN cord-022594-fx044gcd 249 12 of of IN cord-022594-fx044gcd 249 13 MS MS NNP cord-022594-fx044gcd 249 14 relapse relapse NN cord-022594-fx044gcd 249 15 . . . cord-022594-fx044gcd 250 1 In in IN cord-022594-fx044gcd 250 2 the the DT cord-022594-fx044gcd 250 3 absence absence NN cord-022594-fx044gcd 250 4 of of IN cord-022594-fx044gcd 250 5 a a DT cord-022594-fx044gcd 250 6 clear clear JJ cord-022594-fx044gcd 250 7 diagnosis diagnosis NN cord-022594-fx044gcd 250 8 of of IN cord-022594-fx044gcd 250 9 MS MS NNP cord-022594-fx044gcd 250 10 , , , cord-022594-fx044gcd 250 11 these these DT cord-022594-fx044gcd 250 12 symptoms symptom NNS cord-022594-fx044gcd 250 13 are be VBP cord-022594-fx044gcd 250 14 often often RB cord-022594-fx044gcd 250 15 attributed attribute VBN cord-022594-fx044gcd 250 16 to to IN cord-022594-fx044gcd 250 17 vestibular vestibular JJ cord-022594-fx044gcd 250 18 neuronitis neuronitis NN cord-022594-fx044gcd 250 19 . . . cord-022594-fx044gcd 251 1 Patients patient NNS cord-022594-fx044gcd 251 2 may may MD cord-022594-fx044gcd 251 3 also also RB cord-022594-fx044gcd 251 4 develop develop VB cord-022594-fx044gcd 251 5 a a DT cord-022594-fx044gcd 251 6 persistent persistent JJ cord-022594-fx044gcd 251 7 but but CC cord-022594-fx044gcd 251 8 mild mild JJ cord-022594-fx044gcd 251 9 vertigo vertigo NN cord-022594-fx044gcd 251 10 that that WDT cord-022594-fx044gcd 251 11 is be VBZ cord-022594-fx044gcd 251 12 precipitated precipitate VBN cord-022594-fx044gcd 251 13 by by IN cord-022594-fx044gcd 251 14 movement movement NN cord-022594-fx044gcd 251 15 , , , cord-022594-fx044gcd 251 16 or or CC cord-022594-fx044gcd 251 17 this this DT cord-022594-fx044gcd 251 18 may may MD cord-022594-fx044gcd 251 19 be be VB cord-022594-fx044gcd 251 20 a a DT cord-022594-fx044gcd 251 21 residual residual JJ cord-022594-fx044gcd 251 22 finding finding NN cord-022594-fx044gcd 251 23 after after IN cord-022594-fx044gcd 251 24 an an DT cord-022594-fx044gcd 251 25 acute acute JJ cord-022594-fx044gcd 251 26 relapse relapse NN cord-022594-fx044gcd 251 27 . . . cord-022594-fx044gcd 252 1 Internuclear Internuclear NNP cord-022594-fx044gcd 252 2 ophthalmoplegia ophthalmoplegia NNP cord-022594-fx044gcd 252 3 , , , cord-022594-fx044gcd 252 4 caused cause VBN cord-022594-fx044gcd 252 5 by by IN cord-022594-fx044gcd 252 6 a a DT cord-022594-fx044gcd 252 7 lesion lesion NN cord-022594-fx044gcd 252 8 in in IN cord-022594-fx044gcd 252 9 the the DT cord-022594-fx044gcd 252 10 medial medial JJ cord-022594-fx044gcd 252 11 longitudinal longitudinal JJ cord-022594-fx044gcd 252 12 fasciculus fasciculus NN cord-022594-fx044gcd 252 13 , , , cord-022594-fx044gcd 252 14 is be VBZ cord-022594-fx044gcd 252 15 the the DT cord-022594-fx044gcd 252 16 most most RBS cord-022594-fx044gcd 252 17 common common JJ cord-022594-fx044gcd 252 18 cause cause NN cord-022594-fx044gcd 252 19 of of IN cord-022594-fx044gcd 252 20 diplopia diplopia NN cord-022594-fx044gcd 252 21 in in IN cord-022594-fx044gcd 252 22 MS MS NNP cord-022594-fx044gcd 252 23 patients patient NNS cord-022594-fx044gcd 252 24 ( ( -LRB- cord-022594-fx044gcd 252 25 Video Video NNP cord-022594-fx044gcd 252 26 200 200 CD cord-022594-fx044gcd 252 27 , , , cord-022594-fx044gcd 252 28 Afferent Afferent NNP cord-022594-fx044gcd 252 29 Pupillary Pupillary NNP cord-022594-fx044gcd 252 30 Defect Defect NNP cord-022594-fx044gcd 252 31 ) ) -RRB- cord-022594-fx044gcd 252 32 . . . cord-022594-fx044gcd 253 1 When when WRB cord-022594-fx044gcd 253 2 symptomatic symptomatic JJ cord-022594-fx044gcd 253 3 , , , cord-022594-fx044gcd 253 4 it -PRON- PRP cord-022594-fx044gcd 253 5 produces produce VBZ cord-022594-fx044gcd 253 6 horizontal horizontal JJ cord-022594-fx044gcd 253 7 diplopia diplopia NN cord-022594-fx044gcd 253 8 on on IN cord-022594-fx044gcd 253 9 lateral lateral JJ cord-022594-fx044gcd 253 10 gaze gaze NN cord-022594-fx044gcd 253 11 that that WDT cord-022594-fx044gcd 253 12 usually usually RB cord-022594-fx044gcd 253 13 remits remit VBZ cord-022594-fx044gcd 253 14 . . . cord-022594-fx044gcd 254 1 Examination examination NN cord-022594-fx044gcd 254 2 discloses disclose VBZ cord-022594-fx044gcd 254 3 incomplete incomplete JJ cord-022594-fx044gcd 254 4 or or CC cord-022594-fx044gcd 254 5 slow slow JJ cord-022594-fx044gcd 254 6 adduction adduction NN cord-022594-fx044gcd 254 7 of of IN cord-022594-fx044gcd 254 8 the the DT cord-022594-fx044gcd 254 9 eye eye NN cord-022594-fx044gcd 254 10 ipsilateral ipsilateral JJ cord-022594-fx044gcd 254 11 to to IN cord-022594-fx044gcd 254 12 the the DT cord-022594-fx044gcd 254 13 lesion lesion NN cord-022594-fx044gcd 254 14 and and CC cord-022594-fx044gcd 254 15 nystagmus nystagmus NN cord-022594-fx044gcd 254 16 of of IN cord-022594-fx044gcd 254 17 the the DT cord-022594-fx044gcd 254 18 contralateral contralateral JJ cord-022594-fx044gcd 254 19 eye eye NN cord-022594-fx044gcd 254 20 during during IN cord-022594-fx044gcd 254 21 abduction abduction NN cord-022594-fx044gcd 254 22 ( ( -LRB- cord-022594-fx044gcd 254 23 see see VB cord-022594-fx044gcd 254 24 Chapter chapter NN cord-022594-fx044gcd 254 25 9 9 CD cord-022594-fx044gcd 254 26 ) ) -RRB- cord-022594-fx044gcd 254 27 . . . cord-022594-fx044gcd 255 1 Dissociated dissociated JJ cord-022594-fx044gcd 255 2 nystagmus nystagmus NN cord-022594-fx044gcd 255 3 may may MD cord-022594-fx044gcd 255 4 be be VB cord-022594-fx044gcd 255 5 the the DT cord-022594-fx044gcd 255 6 only only JJ cord-022594-fx044gcd 255 7 finding finding NN cord-022594-fx044gcd 255 8 of of IN cord-022594-fx044gcd 255 9 an an DT cord-022594-fx044gcd 255 10 old old JJ cord-022594-fx044gcd 255 11 or or CC cord-022594-fx044gcd 255 12 subtle subtle JJ cord-022594-fx044gcd 255 13 internuclear internuclear JJ cord-022594-fx044gcd 255 14 ophthalmoplegia ophthalmoplegia NNP cord-022594-fx044gcd 255 15 ( ( -LRB- cord-022594-fx044gcd 255 16 Video Video NNP cord-022594-fx044gcd 255 17 19 19 CD cord-022594-fx044gcd 255 18 , , , cord-022594-fx044gcd 255 19 Internuclear Internuclear NNP cord-022594-fx044gcd 255 20 Ophthalmoplegia Ophthalmoplegia NNP cord-022594-fx044gcd 255 21 ) ) -RRB- cord-022594-fx044gcd 255 22 . . . cord-022594-fx044gcd 256 1 Bilateral bilateral JJ cord-022594-fx044gcd 256 2 internuclear internuclear NN cord-022594-fx044gcd 256 3 ophthalmoplegia ophthalmoplegia NNP cord-022594-fx044gcd 256 4 is be VBZ cord-022594-fx044gcd 256 5 strongly strongly RB cord-022594-fx044gcd 256 6 suggestive suggestive JJ cord-022594-fx044gcd 256 7 of of IN cord-022594-fx044gcd 256 8 MS MS NNP cord-022594-fx044gcd 256 9 , , , cord-022594-fx044gcd 256 10 although although IN cord-022594-fx044gcd 256 11 this this DT cord-022594-fx044gcd 256 12 rarely rarely RB cord-022594-fx044gcd 256 13 may may MD cord-022594-fx044gcd 256 14 occur occur VB cord-022594-fx044gcd 256 15 with with IN cord-022594-fx044gcd 256 16 tumor tumor NN cord-022594-fx044gcd 256 17 , , , cord-022594-fx044gcd 256 18 infarct infarct NN cord-022594-fx044gcd 256 19 , , , cord-022594-fx044gcd 256 20 mitochondrial mitochondrial NN cord-022594-fx044gcd 256 21 cytopathy cytopathy NNP cord-022594-fx044gcd 256 22 , , , cord-022594-fx044gcd 256 23 Wernicke Wernicke NNP cord-022594-fx044gcd 256 24 's 's POS cord-022594-fx044gcd 256 25 encephalitis encephalitis NN cord-022594-fx044gcd 256 26 , , , cord-022594-fx044gcd 256 27 and and CC cord-022594-fx044gcd 256 28 Chiari Chiari NNP cord-022594-fx044gcd 256 29 malformation malformation NN cord-022594-fx044gcd 256 30 ( ( -LRB- cord-022594-fx044gcd 256 31 Video Video NNP cord-022594-fx044gcd 256 32 229 229 CD cord-022594-fx044gcd 256 33 , , , cord-022594-fx044gcd 256 34 Wernicke Wernicke NNP cord-022594-fx044gcd 256 35 's 's POS cord-022594-fx044gcd 256 36 Encephalopathy Encephalopathy NNP cord-022594-fx044gcd 256 37 ) ) -RRB- cord-022594-fx044gcd 256 38 . . . cord-022594-fx044gcd 257 1 Vertical vertical JJ cord-022594-fx044gcd 257 2 and and CC cord-022594-fx044gcd 257 3 diagonal diagonal JJ cord-022594-fx044gcd 257 4 diplopia diplopia NN cord-022594-fx044gcd 257 5 usually usually RB cord-022594-fx044gcd 257 6 results result VBZ cord-022594-fx044gcd 257 7 from from IN cord-022594-fx044gcd 257 8 skew skew NN cord-022594-fx044gcd 257 9 deviation deviation NN cord-022594-fx044gcd 257 10 . . . cord-022594-fx044gcd 258 1 Nystagmus Nystagmus NNP cord-022594-fx044gcd 258 2 , , , cord-022594-fx044gcd 258 3 slow slow JJ cord-022594-fx044gcd 258 4 saccadic saccadic JJ cord-022594-fx044gcd 258 5 movements movement NNS cord-022594-fx044gcd 258 6 , , , cord-022594-fx044gcd 258 7 broken break VBN cord-022594-fx044gcd 258 8 ocular ocular JJ cord-022594-fx044gcd 258 9 pursuits pursuit NNS cord-022594-fx044gcd 258 10 , , , cord-022594-fx044gcd 258 11 and and CC cord-022594-fx044gcd 258 12 ocular ocular JJ cord-022594-fx044gcd 258 13 dysmetria dysmetria NNS cord-022594-fx044gcd 258 14 are be VBP cord-022594-fx044gcd 258 15 other other JJ cord-022594-fx044gcd 258 16 eye eye NN cord-022594-fx044gcd 258 17 findings finding NNS cord-022594-fx044gcd 258 18 produced produce VBN cord-022594-fx044gcd 258 19 by by IN cord-022594-fx044gcd 258 20 lesions lesion NNS cord-022594-fx044gcd 258 21 of of IN cord-022594-fx044gcd 258 22 cerebellar cerebellar JJ cord-022594-fx044gcd 258 23 and and CC cord-022594-fx044gcd 258 24 vestibular vestibular JJ cord-022594-fx044gcd 258 25 pathways pathway NNS cord-022594-fx044gcd 258 26 ( ( -LRB- cord-022594-fx044gcd 258 27 see see VBP cord-022594-fx044gcd 258 28 Chapters chapter NNS cord-022594-fx044gcd 258 29 9 9 CD cord-022594-fx044gcd 258 30 and and CC cord-022594-fx044gcd 258 31 12 12 CD cord-022594-fx044gcd 258 32 ; ; : cord-022594-fx044gcd 258 33 Video Video NNP cord-022594-fx044gcd 258 34 228 228 CD cord-022594-fx044gcd 258 35 , , , cord-022594-fx044gcd 258 36 Saccadic Saccadic NNP cord-022594-fx044gcd 258 37 Dysmetria Dysmetria NNP cord-022594-fx044gcd 258 38 ) ) -RRB- cord-022594-fx044gcd 258 39 . . . cord-022594-fx044gcd 259 1 Abducens Abducens NNP cord-022594-fx044gcd 259 2 paresis paresis NN cord-022594-fx044gcd 259 3 occurs occur VBZ cord-022594-fx044gcd 259 4 on on IN cord-022594-fx044gcd 259 5 occasion occasion NN cord-022594-fx044gcd 259 6 , , , cord-022594-fx044gcd 259 7 but but CC cord-022594-fx044gcd 259 8 oculomotor oculomotor NN cord-022594-fx044gcd 259 9 and and CC cord-022594-fx044gcd 259 10 trochlear trochlear JJ cord-022594-fx044gcd 259 11 nerve nerve NN cord-022594-fx044gcd 259 12 impairment impairment NN cord-022594-fx044gcd 259 13 is be VBZ cord-022594-fx044gcd 259 14 rare rare JJ cord-022594-fx044gcd 259 15 . . . cord-022594-fx044gcd 260 1 Corticospinal Corticospinal NNP cord-022594-fx044gcd 260 2 , , , cord-022594-fx044gcd 260 3 spinothalamic spinothalamic NNP cord-022594-fx044gcd 260 4 , , , cord-022594-fx044gcd 260 5 lemniscal lemniscal NNP cord-022594-fx044gcd 260 6 , , , cord-022594-fx044gcd 260 7 vestibular vestibular NN cord-022594-fx044gcd 260 8 , , , cord-022594-fx044gcd 260 9 and and CC cord-022594-fx044gcd 260 10 cerebellar cerebellar JJ cord-022594-fx044gcd 260 11 pathways pathway NNS cord-022594-fx044gcd 260 12 can can MD cord-022594-fx044gcd 260 13 all all DT cord-022594-fx044gcd 260 14 be be VB cord-022594-fx044gcd 260 15 affected affect VBN cord-022594-fx044gcd 260 16 . . . cord-022594-fx044gcd 261 1 Cranial cranial JJ cord-022594-fx044gcd 261 2 nerve nerve NN cord-022594-fx044gcd 261 3 impairment impairment NN cord-022594-fx044gcd 261 4 may may MD cord-022594-fx044gcd 261 5 be be VB cord-022594-fx044gcd 261 6 seen see VBN cord-022594-fx044gcd 261 7 with with IN cord-022594-fx044gcd 261 8 lesions lesion NNS cord-022594-fx044gcd 261 9 that that WDT cord-022594-fx044gcd 261 10 affect affect VBP cord-022594-fx044gcd 261 11 brain brain NN cord-022594-fx044gcd 261 12 stem stem NN cord-022594-fx044gcd 261 13 nuclei nucleus NNS cord-022594-fx044gcd 261 14 or or CC cord-022594-fx044gcd 261 15 exiting exit VBG cord-022594-fx044gcd 261 16 and and CC cord-022594-fx044gcd 261 17 entering enter VBG cord-022594-fx044gcd 261 18 fibers fiber NNS cord-022594-fx044gcd 261 19 . . . cord-022594-fx044gcd 262 1 Usually usually RB cord-022594-fx044gcd 262 2 this this DT cord-022594-fx044gcd 262 3 occurs occur VBZ cord-022594-fx044gcd 262 4 in in IN cord-022594-fx044gcd 262 5 association association NN cord-022594-fx044gcd 262 6 with with IN cord-022594-fx044gcd 262 7 other other JJ cord-022594-fx044gcd 262 8 symptoms symptom NNS cord-022594-fx044gcd 262 9 . . . cord-022594-fx044gcd 263 1 Because because IN cord-022594-fx044gcd 263 2 of of IN cord-022594-fx044gcd 263 3 the the DT cord-022594-fx044gcd 263 4 long long JJ cord-022594-fx044gcd 263 5 spinal spinal JJ cord-022594-fx044gcd 263 6 tract tract NN cord-022594-fx044gcd 263 7 and and CC cord-022594-fx044gcd 263 8 nucleus nucleus NN cord-022594-fx044gcd 263 9 , , , cord-022594-fx044gcd 263 10 the the DT cord-022594-fx044gcd 263 11 trigeminal trigeminal JJ cord-022594-fx044gcd 263 12 nerve nerve NN cord-022594-fx044gcd 263 13 is be VBZ cord-022594-fx044gcd 263 14 frequently frequently RB cord-022594-fx044gcd 263 15 involved involve VBN cord-022594-fx044gcd 263 16 ( ( -LRB- cord-022594-fx044gcd 263 17 Video Video NNP cord-022594-fx044gcd 263 18 106 106 CD cord-022594-fx044gcd 263 19 , , , cord-022594-fx044gcd 263 20 Trigeminal Trigeminal NNP cord-022594-fx044gcd 263 21 Neuralgia Neuralgia NNP cord-022594-fx044gcd 263 22 ) ) -RRB- cord-022594-fx044gcd 263 23 . . . cord-022594-fx044gcd 264 1 Facial facial JJ cord-022594-fx044gcd 264 2 nerve nerve NN cord-022594-fx044gcd 264 3 paresis paresis NN cord-022594-fx044gcd 264 4 does do VBZ cord-022594-fx044gcd 264 5 occasionally occasionally RB cord-022594-fx044gcd 264 6 occur occur VB cord-022594-fx044gcd 264 7 , , , cord-022594-fx044gcd 264 8 but but CC cord-022594-fx044gcd 264 9 MS MS NNP cord-022594-fx044gcd 264 10 is be VBZ cord-022594-fx044gcd 264 11 an an DT cord-022594-fx044gcd 264 12 extremely extremely RB cord-022594-fx044gcd 264 13 rare rare JJ cord-022594-fx044gcd 264 14 cause cause NN cord-022594-fx044gcd 264 15 of of IN cord-022594-fx044gcd 264 16 Bell Bell NNP cord-022594-fx044gcd 264 17 's 's POS cord-022594-fx044gcd 264 18 palsy palsy NN cord-022594-fx044gcd 264 19 in in IN cord-022594-fx044gcd 264 20 patients patient NNS cord-022594-fx044gcd 264 21 without without IN cord-022594-fx044gcd 264 22 previous previous JJ cord-022594-fx044gcd 264 23 symptoms symptom NNS cord-022594-fx044gcd 264 24 . . . cord-022594-fx044gcd 265 1 Acute acute JJ cord-022594-fx044gcd 265 2 unilateral unilateral JJ cord-022594-fx044gcd 265 3 hearing hearing NN cord-022594-fx044gcd 265 4 loss loss NN cord-022594-fx044gcd 265 5 is be VBZ cord-022594-fx044gcd 265 6 an an DT cord-022594-fx044gcd 265 7 uncommon uncommon JJ cord-022594-fx044gcd 265 8 manifestation manifestation NN cord-022594-fx044gcd 265 9 . . . cord-022594-fx044gcd 266 1 Dysphagia Dysphagia NNP cord-022594-fx044gcd 266 2 is be VBZ cord-022594-fx044gcd 266 3 often often RB cord-022594-fx044gcd 266 4 due due JJ cord-022594-fx044gcd 266 5 to to IN cord-022594-fx044gcd 266 6 impairment impairment NN cord-022594-fx044gcd 266 7 of of IN cord-022594-fx044gcd 266 8 cranial cranial JJ cord-022594-fx044gcd 266 9 nerves nerve NNS cord-022594-fx044gcd 266 10 IX IX NNP cord-022594-fx044gcd 266 11 , , , cord-022594-fx044gcd 266 12 X X NNP cord-022594-fx044gcd 266 13 , , , cord-022594-fx044gcd 266 14 and and CC cord-022594-fx044gcd 266 15 XII XII NNP cord-022594-fx044gcd 266 16 and and CC cord-022594-fx044gcd 266 17 generally generally RB cord-022594-fx044gcd 266 18 appears appear VBZ cord-022594-fx044gcd 266 19 late late RB cord-022594-fx044gcd 266 20 in in IN cord-022594-fx044gcd 266 21 the the DT cord-022594-fx044gcd 266 22 course course NN cord-022594-fx044gcd 266 23 of of IN cord-022594-fx044gcd 266 24 some some DT cord-022594-fx044gcd 266 25 patients patient NNS cord-022594-fx044gcd 266 26 . . . cord-022594-fx044gcd 267 1 Once once RB cord-022594-fx044gcd 267 2 thought think VBD cord-022594-fx044gcd 267 3 uncommon uncommon JJ cord-022594-fx044gcd 267 4 , , , cord-022594-fx044gcd 267 5 cognitive cognitive JJ cord-022594-fx044gcd 267 6 disorders disorder NNS cord-022594-fx044gcd 267 7 are be VBP cord-022594-fx044gcd 267 8 now now RB cord-022594-fx044gcd 267 9 known know VBN cord-022594-fx044gcd 267 10 to to TO cord-022594-fx044gcd 267 11 be be VB cord-022594-fx044gcd 267 12 present present JJ cord-022594-fx044gcd 267 13 in in IN cord-022594-fx044gcd 267 14 40 40 CD cord-022594-fx044gcd 267 15 % % NN cord-022594-fx044gcd 267 16 to to TO cord-022594-fx044gcd 267 17 70 70 CD cord-022594-fx044gcd 267 18 % % NN cord-022594-fx044gcd 267 19 of of IN cord-022594-fx044gcd 267 20 MS MS NNP cord-022594-fx044gcd 267 21 patients patient NNS cord-022594-fx044gcd 267 22 . . . cord-022594-fx044gcd 268 1 31 31 CD cord-022594-fx044gcd 268 2 Age age NN cord-022594-fx044gcd 268 3 , , , cord-022594-fx044gcd 268 4 duration duration NN cord-022594-fx044gcd 268 5 of of IN cord-022594-fx044gcd 268 6 MS MS NNP cord-022594-fx044gcd 268 7 , , , cord-022594-fx044gcd 268 8 and and CC cord-022594-fx044gcd 268 9 physical physical JJ cord-022594-fx044gcd 268 10 disability disability NN cord-022594-fx044gcd 268 11 do do VBP cord-022594-fx044gcd 268 12 not not RB cord-022594-fx044gcd 268 13 completely completely RB cord-022594-fx044gcd 268 14 predict predict VB cord-022594-fx044gcd 268 15 the the DT cord-022594-fx044gcd 268 16 presence presence NN cord-022594-fx044gcd 268 17 of of IN cord-022594-fx044gcd 268 18 cognitive cognitive JJ cord-022594-fx044gcd 268 19 dysfunction dysfunction NN cord-022594-fx044gcd 268 20 , , , cord-022594-fx044gcd 268 21 but but CC cord-022594-fx044gcd 268 22 classic classic JJ cord-022594-fx044gcd 268 23 MRI MRI NNP cord-022594-fx044gcd 268 24 measures measure NNS cord-022594-fx044gcd 268 25 like like IN cord-022594-fx044gcd 268 26 the the DT cord-022594-fx044gcd 268 27 total total JJ cord-022594-fx044gcd 268 28 T2-weighted t2-weighted JJ cord-022594-fx044gcd 268 29 lesion lesion NN cord-022594-fx044gcd 268 30 load load NN cord-022594-fx044gcd 268 31 does do VBZ cord-022594-fx044gcd 268 32 not not RB cord-022594-fx044gcd 268 33 seem seem VB cord-022594-fx044gcd 268 34 to to TO cord-022594-fx044gcd 268 35 correlate correlate VB cord-022594-fx044gcd 268 36 well well RB cord-022594-fx044gcd 268 37 with with IN cord-022594-fx044gcd 268 38 the the DT cord-022594-fx044gcd 268 39 degree degree NN cord-022594-fx044gcd 268 40 of of IN cord-022594-fx044gcd 268 41 cognitive cognitive JJ cord-022594-fx044gcd 268 42 decline decline NN cord-022594-fx044gcd 268 43 . . . cord-022594-fx044gcd 269 1 Measures measure NNS cord-022594-fx044gcd 269 2 of of IN cord-022594-fx044gcd 269 3 cortical cortical JJ cord-022594-fx044gcd 269 4 atrophy atrophy NN cord-022594-fx044gcd 269 5 , , , cord-022594-fx044gcd 269 6 venticular venticular JJ cord-022594-fx044gcd 269 7 enlargement enlargement NN cord-022594-fx044gcd 269 8 , , , cord-022594-fx044gcd 269 9 and and CC cord-022594-fx044gcd 269 10 neuronal neuronal JJ cord-022594-fx044gcd 269 11 integrity integrity NN cord-022594-fx044gcd 269 12 seem seem VBP cord-022594-fx044gcd 269 13 to to TO cord-022594-fx044gcd 269 14 correlate correlate VB cord-022594-fx044gcd 269 15 better well RBR cord-022594-fx044gcd 269 16 with with IN cord-022594-fx044gcd 269 17 the the DT cord-022594-fx044gcd 269 18 cognitive cognitive JJ cord-022594-fx044gcd 269 19 aspects aspect NNS cord-022594-fx044gcd 269 20 of of IN cord-022594-fx044gcd 269 21 MS MS NNP cord-022594-fx044gcd 269 22 . . . cord-022594-fx044gcd 270 1 The the DT cord-022594-fx044gcd 270 2 problems problem NNS cord-022594-fx044gcd 270 3 are be VBP cord-022594-fx044gcd 270 4 often often RB cord-022594-fx044gcd 270 5 subtle subtle JJ cord-022594-fx044gcd 270 6 and and CC cord-022594-fx044gcd 270 7 may may MD cord-022594-fx044gcd 270 8 not not RB cord-022594-fx044gcd 270 9 be be VB cord-022594-fx044gcd 270 10 detected detect VBN cord-022594-fx044gcd 270 11 on on IN cord-022594-fx044gcd 270 12 standard standard JJ cord-022594-fx044gcd 270 13 mental mental JJ cord-022594-fx044gcd 270 14 status status NN cord-022594-fx044gcd 270 15 evaluation evaluation NN cord-022594-fx044gcd 270 16 . . . cord-022594-fx044gcd 271 1 The the DT cord-022594-fx044gcd 271 2 pattern pattern NN cord-022594-fx044gcd 271 3 of of IN cord-022594-fx044gcd 271 4 cognitive cognitive JJ cord-022594-fx044gcd 271 5 decline decline NN cord-022594-fx044gcd 271 6 is be VBZ cord-022594-fx044gcd 271 7 typified typify VBN cord-022594-fx044gcd 271 8 by by IN cord-022594-fx044gcd 271 9 decrease decrease NN cord-022594-fx044gcd 271 10 of of IN cord-022594-fx044gcd 271 11 episodic episodic JJ cord-022594-fx044gcd 271 12 memory memory NN cord-022594-fx044gcd 271 13 , , , cord-022594-fx044gcd 271 14 processing processing NN cord-022594-fx044gcd 271 15 speed speed NN cord-022594-fx044gcd 271 16 , , , cord-022594-fx044gcd 271 17 verbal verbal JJ cord-022594-fx044gcd 271 18 fluency fluency NN cord-022594-fx044gcd 271 19 , , , cord-022594-fx044gcd 271 20 and and CC cord-022594-fx044gcd 271 21 difficulty difficulty NN cord-022594-fx044gcd 271 22 with with IN cord-022594-fx044gcd 271 23 abstract abstract JJ cord-022594-fx044gcd 271 24 concepts concept NNS cord-022594-fx044gcd 271 25 and and CC cord-022594-fx044gcd 271 26 complex complex JJ cord-022594-fx044gcd 271 27 reasoning reasoning NN cord-022594-fx044gcd 271 28 . . . cord-022594-fx044gcd 272 1 To to IN cord-022594-fx044gcd 272 2 a a DT cord-022594-fx044gcd 272 3 lesser less JJR cord-022594-fx044gcd 272 4 extent extent NN cord-022594-fx044gcd 272 5 , , , cord-022594-fx044gcd 272 6 executive executive JJ cord-022594-fx044gcd 272 7 functioning functioning NN cord-022594-fx044gcd 272 8 and and CC cord-022594-fx044gcd 272 9 visual visual JJ cord-022594-fx044gcd 272 10 perception perception NN cord-022594-fx044gcd 272 11 , , , cord-022594-fx044gcd 272 12 semantic semantic JJ cord-022594-fx044gcd 272 13 memory memory NN cord-022594-fx044gcd 272 14 , , , cord-022594-fx044gcd 272 15 and and CC cord-022594-fx044gcd 272 16 attention attention NN cord-022594-fx044gcd 272 17 span span NN cord-022594-fx044gcd 272 18 may may MD cord-022594-fx044gcd 272 19 also also RB cord-022594-fx044gcd 272 20 be be VB cord-022594-fx044gcd 272 21 also also RB cord-022594-fx044gcd 272 22 decreased decrease VBN cord-022594-fx044gcd 272 23 . . . cord-022594-fx044gcd 273 1 General general JJ cord-022594-fx044gcd 273 2 intelligence intelligence NN cord-022594-fx044gcd 273 3 is be VBZ cord-022594-fx044gcd 273 4 not not RB cord-022594-fx044gcd 273 5 typically typically RB cord-022594-fx044gcd 273 6 affected affect VBN cord-022594-fx044gcd 273 7 . . . cord-022594-fx044gcd 274 1 As as IN cord-022594-fx044gcd 274 2 expected expect VBN cord-022594-fx044gcd 274 3 , , , cord-022594-fx044gcd 274 4 cortical cortical JJ cord-022594-fx044gcd 274 5 symptoms symptom NNS cord-022594-fx044gcd 274 6 such such JJ cord-022594-fx044gcd 274 7 as as IN cord-022594-fx044gcd 274 8 aphasia aphasia NNP cord-022594-fx044gcd 274 9 , , , cord-022594-fx044gcd 274 10 apraxia apraxia NN cord-022594-fx044gcd 274 11 , , , cord-022594-fx044gcd 274 12 and and CC cord-022594-fx044gcd 274 13 agnosia agnosia NN cord-022594-fx044gcd 274 14 are be VBP cord-022594-fx044gcd 274 15 unusual unusual JJ cord-022594-fx044gcd 274 16 . . . cord-022594-fx044gcd 275 1 Homonymous Homonymous NNP cord-022594-fx044gcd 275 2 hemianopia hemianopia RB cord-022594-fx044gcd 275 3 , , , cord-022594-fx044gcd 275 4 which which WDT cord-022594-fx044gcd 275 5 can can MD cord-022594-fx044gcd 275 6 be be VB cord-022594-fx044gcd 275 7 caused cause VBN cord-022594-fx044gcd 275 8 by by IN cord-022594-fx044gcd 275 9 cortical cortical JJ cord-022594-fx044gcd 275 10 or or CC cord-022594-fx044gcd 275 11 subcortical subcortical JJ cord-022594-fx044gcd 275 12 lesions lesion NNS cord-022594-fx044gcd 275 13 , , , cord-022594-fx044gcd 275 14 is be VBZ cord-022594-fx044gcd 275 15 also also RB cord-022594-fx044gcd 275 16 uncommon uncommon JJ cord-022594-fx044gcd 275 17 . . . cord-022594-fx044gcd 276 1 Despite despite IN cord-022594-fx044gcd 276 2 prominent prominent JJ cord-022594-fx044gcd 276 3 cerebral cerebral JJ cord-022594-fx044gcd 276 4 white white JJ cord-022594-fx044gcd 276 5 matter matter NN cord-022594-fx044gcd 276 6 involvement involvement NN cord-022594-fx044gcd 276 7 , , , cord-022594-fx044gcd 276 8 many many JJ cord-022594-fx044gcd 276 9 of of IN cord-022594-fx044gcd 276 10 the the DT cord-022594-fx044gcd 276 11 disconnection disconnection NN cord-022594-fx044gcd 276 12 syndromes syndrome NNS cord-022594-fx044gcd 276 13 such such JJ cord-022594-fx044gcd 276 14 as as IN cord-022594-fx044gcd 276 15 alexia alexia NNP cord-022594-fx044gcd 276 16 without without IN cord-022594-fx044gcd 276 17 agraphia agraphia NNP cord-022594-fx044gcd 276 18 , , , cord-022594-fx044gcd 276 19 conduction conduction NN cord-022594-fx044gcd 276 20 aphasia aphasia NNP cord-022594-fx044gcd 276 21 , , , cord-022594-fx044gcd 276 22 and and CC cord-022594-fx044gcd 276 23 pure pure JJ cord-022594-fx044gcd 276 24 word word NN cord-022594-fx044gcd 276 25 deafness deafness NN cord-022594-fx044gcd 276 26 have have VBP cord-022594-fx044gcd 276 27 not not RB cord-022594-fx044gcd 276 28 been be VBN cord-022594-fx044gcd 276 29 reported report VBN cord-022594-fx044gcd 276 30 in in IN cord-022594-fx044gcd 276 31 MS MS NNP cord-022594-fx044gcd 276 32 patients patient NNS cord-022594-fx044gcd 276 33 . . . cord-022594-fx044gcd 277 1 Affective affective JJ cord-022594-fx044gcd 277 2 disorders disorder NNS cord-022594-fx044gcd 277 3 are be VBP cord-022594-fx044gcd 277 4 more more RBR cord-022594-fx044gcd 277 5 frequent frequent JJ cord-022594-fx044gcd 277 6 in in IN cord-022594-fx044gcd 277 7 MS MS NNP cord-022594-fx044gcd 277 8 patients patient NNS cord-022594-fx044gcd 277 9 than than IN cord-022594-fx044gcd 277 10 in in IN cord-022594-fx044gcd 277 11 the the DT cord-022594-fx044gcd 277 12 general general JJ cord-022594-fx044gcd 277 13 population population NN cord-022594-fx044gcd 277 14 . . . cord-022594-fx044gcd 278 1 These these DT cord-022594-fx044gcd 278 2 include include VBP cord-022594-fx044gcd 278 3 both both DT cord-022594-fx044gcd 278 4 anxiety anxiety NN cord-022594-fx044gcd 278 5 and and CC cord-022594-fx044gcd 278 6 depression depression NN cord-022594-fx044gcd 278 7 . . . cord-022594-fx044gcd 279 1 In in IN cord-022594-fx044gcd 279 2 long long JJ cord-022594-fx044gcd 279 3 - - HYPH cord-022594-fx044gcd 279 4 term term NN cord-022594-fx044gcd 279 5 studies study NNS cord-022594-fx044gcd 279 6 , , , cord-022594-fx044gcd 279 7 the the DT cord-022594-fx044gcd 279 8 incidence incidence NN cord-022594-fx044gcd 279 9 of of IN cord-022594-fx044gcd 279 10 depression depression NN cord-022594-fx044gcd 279 11 in in IN cord-022594-fx044gcd 279 12 MS MS NNP cord-022594-fx044gcd 279 13 patients patient NNS cord-022594-fx044gcd 279 14 is be VBZ cord-022594-fx044gcd 279 15 close close JJ cord-022594-fx044gcd 279 16 to to TO cord-022594-fx044gcd 279 17 75 75 CD cord-022594-fx044gcd 279 18 % % NN cord-022594-fx044gcd 279 19 . . . cord-022594-fx044gcd 280 1 Neither neither DT cord-022594-fx044gcd 280 2 depression depression NN cord-022594-fx044gcd 280 3 nor nor CC cord-022594-fx044gcd 280 4 anxiety anxiety NN cord-022594-fx044gcd 280 5 is be VBZ cord-022594-fx044gcd 280 6 related relate VBN cord-022594-fx044gcd 280 7 to to IN cord-022594-fx044gcd 280 8 physical physical JJ cord-022594-fx044gcd 280 9 or or CC cord-022594-fx044gcd 280 10 cognitive cognitive JJ cord-022594-fx044gcd 280 11 disability disability NN cord-022594-fx044gcd 280 12 or or CC cord-022594-fx044gcd 280 13 MRI MRI NNP cord-022594-fx044gcd 280 14 lesion lesion NN cord-022594-fx044gcd 280 15 load load NN cord-022594-fx044gcd 280 16 . . . cord-022594-fx044gcd 281 1 Patients patient NNS cord-022594-fx044gcd 281 2 sometimes sometimes RB cord-022594-fx044gcd 281 3 experience experience VBP cord-022594-fx044gcd 281 4 uncontrollable uncontrollable JJ cord-022594-fx044gcd 281 5 weeping weeping NN cord-022594-fx044gcd 281 6 or or CC cord-022594-fx044gcd 281 7 less less RBR cord-022594-fx044gcd 281 8 commonly commonly RB cord-022594-fx044gcd 281 9 laughter laughter NN cord-022594-fx044gcd 281 10 incongruent incongruent JJ cord-022594-fx044gcd 281 11 with with IN cord-022594-fx044gcd 281 12 their -PRON- PRP$ cord-022594-fx044gcd 281 13 mood mood NN cord-022594-fx044gcd 281 14 . . . cord-022594-fx044gcd 282 1 Interruption interruption NN cord-022594-fx044gcd 282 2 of of IN cord-022594-fx044gcd 282 3 inhibitory inhibitory JJ cord-022594-fx044gcd 282 4 corticobulbar corticobulbar NN cord-022594-fx044gcd 282 5 fibers fiber NNS cord-022594-fx044gcd 282 6 is be VBZ cord-022594-fx044gcd 282 7 responsible responsible JJ cord-022594-fx044gcd 282 8 for for IN cord-022594-fx044gcd 282 9 these these DT cord-022594-fx044gcd 282 10 symptoms symptom NNS cord-022594-fx044gcd 282 11 ( ( -LRB- cord-022594-fx044gcd 282 12 pseudobulbar pseudobulbar NNP cord-022594-fx044gcd 282 13 affect affect NN cord-022594-fx044gcd 282 14 ) ) -RRB- cord-022594-fx044gcd 282 15 . . . cord-022594-fx044gcd 283 1 Fatigue fatigue NN cord-022594-fx044gcd 283 2 is be VBZ cord-022594-fx044gcd 283 3 a a DT cord-022594-fx044gcd 283 4 pervasive pervasive JJ cord-022594-fx044gcd 283 5 symptom symptom NN cord-022594-fx044gcd 283 6 among among IN cord-022594-fx044gcd 283 7 MS MS NNP cord-022594-fx044gcd 283 8 patients patient NNS cord-022594-fx044gcd 283 9 that that WDT cord-022594-fx044gcd 283 10 is be VBZ cord-022594-fx044gcd 283 11 not not RB cord-022594-fx044gcd 283 12 related relate VBN cord-022594-fx044gcd 283 13 to to IN cord-022594-fx044gcd 283 14 disability disability NN cord-022594-fx044gcd 283 15 or or CC cord-022594-fx044gcd 283 16 depression depression NN cord-022594-fx044gcd 283 17 . . . cord-022594-fx044gcd 284 1 Over over IN cord-022594-fx044gcd 284 2 75 75 CD cord-022594-fx044gcd 284 3 % % NN cord-022594-fx044gcd 284 4 of of IN cord-022594-fx044gcd 284 5 MS MS NNP cord-022594-fx044gcd 284 6 patients patient NNS cord-022594-fx044gcd 284 7 experience experience NN cord-022594-fx044gcd 284 8 fatigue fatigue NN cord-022594-fx044gcd 284 9 during during IN cord-022594-fx044gcd 284 10 their -PRON- PRP$ cord-022594-fx044gcd 284 11 disease disease NN cord-022594-fx044gcd 284 12 course course NN cord-022594-fx044gcd 284 13 . . . cord-022594-fx044gcd 285 1 A a DT cord-022594-fx044gcd 285 2 diurnal diurnal JJ cord-022594-fx044gcd 285 3 pattern pattern NN cord-022594-fx044gcd 285 4 is be VBZ cord-022594-fx044gcd 285 5 characteristic characteristic JJ cord-022594-fx044gcd 285 6 and and CC cord-022594-fx044gcd 285 7 follows follow VBZ cord-022594-fx044gcd 285 8 the the DT cord-022594-fx044gcd 285 9 normal normal JJ cord-022594-fx044gcd 285 10 circadian circadian NN cord-022594-fx044gcd 285 11 pattern pattern NN cord-022594-fx044gcd 285 12 of of IN cord-022594-fx044gcd 285 13 body body NN cord-022594-fx044gcd 285 14 temperature temperature NN cord-022594-fx044gcd 285 15 fluctuations fluctuation NNS cord-022594-fx044gcd 285 16 , , , cord-022594-fx044gcd 285 17 with with IN cord-022594-fx044gcd 285 18 the the DT cord-022594-fx044gcd 285 19 worse bad JJR cord-022594-fx044gcd 285 20 symptoms symptom NNS cord-022594-fx044gcd 285 21 occurring occur VBG cord-022594-fx044gcd 285 22 in in IN cord-022594-fx044gcd 285 23 afternoon afternoon NN cord-022594-fx044gcd 285 24 hours hour NNS cord-022594-fx044gcd 285 25 ( ( -LRB- cord-022594-fx044gcd 285 26 peak peak JJ cord-022594-fx044gcd 285 27 core core NN cord-022594-fx044gcd 285 28 body body NN cord-022594-fx044gcd 285 29 temperature temperature NN cord-022594-fx044gcd 285 30 ) ) -RRB- cord-022594-fx044gcd 285 31 often often RB cord-022594-fx044gcd 285 32 giving give VBG cord-022594-fx044gcd 285 33 way way NN cord-022594-fx044gcd 285 34 to to IN cord-022594-fx044gcd 285 35 improvement improvement NN cord-022594-fx044gcd 285 36 in in IN cord-022594-fx044gcd 285 37 the the DT cord-022594-fx044gcd 285 38 late late JJ cord-022594-fx044gcd 285 39 evening evening NN cord-022594-fx044gcd 285 40 . . . cord-022594-fx044gcd 286 1 MS MS NNP cord-022594-fx044gcd 286 2 symptoms symptom NNS cord-022594-fx044gcd 286 3 may may MD cord-022594-fx044gcd 286 4 fluctuate fluctuate VB cord-022594-fx044gcd 286 5 in in IN cord-022594-fx044gcd 286 6 a a DT cord-022594-fx044gcd 286 7 predictable predictable JJ cord-022594-fx044gcd 286 8 fashion fashion NN cord-022594-fx044gcd 286 9 . . . cord-022594-fx044gcd 287 1 Transient transient JJ cord-022594-fx044gcd 287 2 worsening worsening NN cord-022594-fx044gcd 287 3 of of IN cord-022594-fx044gcd 287 4 symptoms symptom NNS cord-022594-fx044gcd 287 5 frequently frequently RB cord-022594-fx044gcd 287 6 follows follow VBZ cord-022594-fx044gcd 287 7 exercise exercise NN cord-022594-fx044gcd 287 8 or or CC cord-022594-fx044gcd 287 9 elevation elevation NN cord-022594-fx044gcd 287 10 of of IN cord-022594-fx044gcd 287 11 body body NN cord-022594-fx044gcd 287 12 temperature temperature NN cord-022594-fx044gcd 287 13 . . . cord-022594-fx044gcd 288 1 One one CD cord-022594-fx044gcd 288 2 example example NN cord-022594-fx044gcd 288 3 is be VBZ cord-022594-fx044gcd 288 4 Uhtoff Uhtoff NNP cord-022594-fx044gcd 288 5 's 's POS cord-022594-fx044gcd 288 6 phenomenon phenomenon NN cord-022594-fx044gcd 288 7 , , , cord-022594-fx044gcd 288 8 in in IN cord-022594-fx044gcd 288 9 which which WDT cord-022594-fx044gcd 288 10 visual visual JJ cord-022594-fx044gcd 288 11 blurring blurring NN cord-022594-fx044gcd 288 12 occurs occur VBZ cord-022594-fx044gcd 288 13 during during IN cord-022594-fx044gcd 288 14 strenuous strenuous JJ cord-022594-fx044gcd 288 15 activity activity NN cord-022594-fx044gcd 288 16 or or CC cord-022594-fx044gcd 288 17 with with IN cord-022594-fx044gcd 288 18 passive passive JJ cord-022594-fx044gcd 288 19 exposure exposure NN cord-022594-fx044gcd 288 20 to to IN cord-022594-fx044gcd 288 21 heat heat NN cord-022594-fx044gcd 288 22 . . . cord-022594-fx044gcd 289 1 These these DT cord-022594-fx044gcd 289 2 episodes episode NNS cord-022594-fx044gcd 289 3 resolve resolve VBP cord-022594-fx044gcd 289 4 when when WRB cord-022594-fx044gcd 289 5 the the DT cord-022594-fx044gcd 289 6 body body NN cord-022594-fx044gcd 289 7 temperature temperature NN cord-022594-fx044gcd 289 8 cools cool VBZ cord-022594-fx044gcd 289 9 to to IN cord-022594-fx044gcd 289 10 normal normal JJ cord-022594-fx044gcd 289 11 or or CC cord-022594-fx044gcd 289 12 after after IN cord-022594-fx044gcd 289 13 a a DT cord-022594-fx044gcd 289 14 period period NN cord-022594-fx044gcd 289 15 of of IN cord-022594-fx044gcd 289 16 rest rest NN cord-022594-fx044gcd 289 17 . . . cord-022594-fx044gcd 290 1 An an DT cord-022594-fx044gcd 290 2 intercurrent intercurrent NN cord-022594-fx044gcd 290 3 infection infection NN cord-022594-fx044gcd 290 4 with with IN cord-022594-fx044gcd 290 5 fever fever NN cord-022594-fx044gcd 290 6 can can MD cord-022594-fx044gcd 290 7 induce induce VB cord-022594-fx044gcd 290 8 worsening worsen VBG cord-022594-fx044gcd 290 9 of of IN cord-022594-fx044gcd 290 10 symptoms symptom NNS cord-022594-fx044gcd 290 11 and and CC cord-022594-fx044gcd 290 12 may may MD cord-022594-fx044gcd 290 13 be be VB cord-022594-fx044gcd 290 14 confused confuse VBN cord-022594-fx044gcd 290 15 with with IN cord-022594-fx044gcd 290 16 a a DT cord-022594-fx044gcd 290 17 relapse relapse NN cord-022594-fx044gcd 290 18 . . . cord-022594-fx044gcd 291 1 Heat heat NN cord-022594-fx044gcd 291 2 sensitivity sensitivity NN cord-022594-fx044gcd 291 3 is be VBZ cord-022594-fx044gcd 291 4 presumably presumably RB cord-022594-fx044gcd 291 5 related relate VBN cord-022594-fx044gcd 291 6 to to IN cord-022594-fx044gcd 291 7 conduction conduction NN cord-022594-fx044gcd 291 8 block block NN cord-022594-fx044gcd 291 9 , , , cord-022594-fx044gcd 291 10 as as IN cord-022594-fx044gcd 291 11 demyelinated demyelinate VBN cord-022594-fx044gcd 291 12 axons axon NNS cord-022594-fx044gcd 291 13 are be VBP cord-022594-fx044gcd 291 14 more more RBR cord-022594-fx044gcd 291 15 prone prone JJ cord-022594-fx044gcd 291 16 to to IN cord-022594-fx044gcd 291 17 failed fail VBN cord-022594-fx044gcd 291 18 conduction conduction NN cord-022594-fx044gcd 291 19 than than IN cord-022594-fx044gcd 291 20 normal normal JJ cord-022594-fx044gcd 291 21 , , , cord-022594-fx044gcd 291 22 myelinated myelinated JJ cord-022594-fx044gcd 291 23 fibers fiber NNS cord-022594-fx044gcd 291 24 . . . cord-022594-fx044gcd 292 1 32 32 CD cord-022594-fx044gcd 292 2 Paroxysmal Paroxysmal NNP cord-022594-fx044gcd 292 3 symptoms symptom NNS cord-022594-fx044gcd 292 4 are be VBP cord-022594-fx044gcd 292 5 characteristic characteristic JJ cord-022594-fx044gcd 292 6 of of IN cord-022594-fx044gcd 292 7 MS MS NNP cord-022594-fx044gcd 292 8 and and CC cord-022594-fx044gcd 292 9 are be VBP cord-022594-fx044gcd 292 10 believed believe VBN cord-022594-fx044gcd 292 11 to to TO cord-022594-fx044gcd 292 12 be be VB cord-022594-fx044gcd 292 13 due due JJ cord-022594-fx044gcd 292 14 to to IN cord-022594-fx044gcd 292 15 the the DT cord-022594-fx044gcd 292 16 lateral lateral JJ cord-022594-fx044gcd 292 17 spread spread NN cord-022594-fx044gcd 292 18 of of IN cord-022594-fx044gcd 292 19 excitation excitation NN cord-022594-fx044gcd 292 20 ( ( -LRB- cord-022594-fx044gcd 292 21 ephaptic ephaptic JJ cord-022594-fx044gcd 292 22 transmission transmission NN cord-022594-fx044gcd 292 23 ) ) -RRB- cord-022594-fx044gcd 292 24 between between IN cord-022594-fx044gcd 292 25 denuded denuded JJ cord-022594-fx044gcd 292 26 axons axon NNS cord-022594-fx044gcd 292 27 in in IN cord-022594-fx044gcd 292 28 areas area NNS cord-022594-fx044gcd 292 29 of of IN cord-022594-fx044gcd 292 30 demyelination demyelination NN cord-022594-fx044gcd 292 31 . . . cord-022594-fx044gcd 293 1 Symptoms symptom NNS cord-022594-fx044gcd 293 2 are be VBP cord-022594-fx044gcd 293 3 typically typically RB cord-022594-fx044gcd 293 4 brief brief JJ cord-022594-fx044gcd 293 5 ( ( -LRB- cord-022594-fx044gcd 293 6 seconds second NNS cord-022594-fx044gcd 293 7 to to IN cord-022594-fx044gcd 293 8 2 2 CD cord-022594-fx044gcd 293 9 minutes minute NNS cord-022594-fx044gcd 293 10 ) ) -RRB- cord-022594-fx044gcd 293 11 and and CC cord-022594-fx044gcd 293 12 recur recur VBP cord-022594-fx044gcd 293 13 frequently frequently RB cord-022594-fx044gcd 293 14 , , , cord-022594-fx044gcd 293 15 occasionally occasionally RB cord-022594-fx044gcd 293 16 dozens dozen NNS cord-022594-fx044gcd 293 17 of of IN cord-022594-fx044gcd 293 18 times time NNS cord-022594-fx044gcd 293 19 per per IN cord-022594-fx044gcd 293 20 day day NN cord-022594-fx044gcd 293 21 . . . cord-022594-fx044gcd 294 1 They -PRON- PRP cord-022594-fx044gcd 294 2 may may MD cord-022594-fx044gcd 294 3 be be VB cord-022594-fx044gcd 294 4 precipitated precipitate VBN cord-022594-fx044gcd 294 5 by by IN cord-022594-fx044gcd 294 6 hyperventilation hyperventilation NN cord-022594-fx044gcd 294 7 , , , cord-022594-fx044gcd 294 8 certain certain JJ cord-022594-fx044gcd 294 9 sensory sensory JJ cord-022594-fx044gcd 294 10 input input NN cord-022594-fx044gcd 294 11 , , , cord-022594-fx044gcd 294 12 or or CC cord-022594-fx044gcd 294 13 particular particular JJ cord-022594-fx044gcd 294 14 postures posture NNS cord-022594-fx044gcd 294 15 . . . cord-022594-fx044gcd 295 1 Tonic tonic NN cord-022594-fx044gcd 295 2 spasms spasm NNS cord-022594-fx044gcd 295 3 ( ( -LRB- cord-022594-fx044gcd 295 4 paroxysmal paroxysmal JJ cord-022594-fx044gcd 295 5 dystonia dystonia NN cord-022594-fx044gcd 295 6 ) ) -RRB- cord-022594-fx044gcd 295 7 most most RBS cord-022594-fx044gcd 295 8 often often RB cord-022594-fx044gcd 295 9 affect affect VBP cord-022594-fx044gcd 295 10 the the DT cord-022594-fx044gcd 295 11 arm arm NN cord-022594-fx044gcd 295 12 and and CC cord-022594-fx044gcd 295 13 leg leg NN cord-022594-fx044gcd 295 14 on on IN cord-022594-fx044gcd 295 15 one one CD cord-022594-fx044gcd 295 16 side side NN cord-022594-fx044gcd 295 17 , , , cord-022594-fx044gcd 295 18 but but CC cord-022594-fx044gcd 295 19 the the DT cord-022594-fx044gcd 295 20 face face NN cord-022594-fx044gcd 295 21 , , , cord-022594-fx044gcd 295 22 one one CD cord-022594-fx044gcd 295 23 limb limb NN cord-022594-fx044gcd 295 24 , , , cord-022594-fx044gcd 295 25 or or CC cord-022594-fx044gcd 295 26 bilateral bilateral JJ cord-022594-fx044gcd 295 27 limbs limb NNS cord-022594-fx044gcd 295 28 are be VBP cord-022594-fx044gcd 295 29 sometimes sometimes RB cord-022594-fx044gcd 295 30 involved involve VBN cord-022594-fx044gcd 295 31 ( ( -LRB- cord-022594-fx044gcd 295 32 Video Video NNP cord-022594-fx044gcd 295 33 20 20 CD cord-022594-fx044gcd 295 34 , , , cord-022594-fx044gcd 295 35 Tonic Tonic NNP cord-022594-fx044gcd 295 36 Spasms Spasms NNP cord-022594-fx044gcd 295 37 ) ) -RRB- cord-022594-fx044gcd 295 38 . . . cord-022594-fx044gcd 296 1 These these DT cord-022594-fx044gcd 296 2 spasms spasm NNS cord-022594-fx044gcd 296 3 may may MD cord-022594-fx044gcd 296 4 result result VB cord-022594-fx044gcd 296 5 from from IN cord-022594-fx044gcd 296 6 lesions lesion NNS cord-022594-fx044gcd 296 7 anywhere anywhere RB cord-022594-fx044gcd 296 8 along along IN cord-022594-fx044gcd 296 9 the the DT cord-022594-fx044gcd 296 10 corticospinal corticospinal JJ cord-022594-fx044gcd 296 11 tract tract NN cord-022594-fx044gcd 296 12 . . . cord-022594-fx044gcd 297 1 They -PRON- PRP cord-022594-fx044gcd 297 2 often often RB cord-022594-fx044gcd 297 3 begin begin VBP cord-022594-fx044gcd 297 4 during during IN cord-022594-fx044gcd 297 5 the the DT cord-022594-fx044gcd 297 6 recovery recovery NN cord-022594-fx044gcd 297 7 phase phase NN cord-022594-fx044gcd 297 8 after after IN cord-022594-fx044gcd 297 9 an an DT cord-022594-fx044gcd 297 10 acute acute JJ cord-022594-fx044gcd 297 11 relapse relapse NN cord-022594-fx044gcd 297 12 and and CC cord-022594-fx044gcd 297 13 remit remit VB cord-022594-fx044gcd 297 14 after after IN cord-022594-fx044gcd 297 15 a a DT cord-022594-fx044gcd 297 16 few few JJ cord-022594-fx044gcd 297 17 months month NNS cord-022594-fx044gcd 297 18 . . . cord-022594-fx044gcd 298 1 Intense intense JJ cord-022594-fx044gcd 298 2 pain pain NN cord-022594-fx044gcd 298 3 and and CC cord-022594-fx044gcd 298 4 ipsilateral ipsilateral JJ cord-022594-fx044gcd 298 5 or or CC cord-022594-fx044gcd 298 6 crossed crossed JJ cord-022594-fx044gcd 298 7 sensory sensory JJ cord-022594-fx044gcd 298 8 symptoms symptom NNS cord-022594-fx044gcd 298 9 may may MD cord-022594-fx044gcd 298 10 accompany accompany VB cord-022594-fx044gcd 298 11 them -PRON- PRP cord-022594-fx044gcd 298 12 . . . cord-022594-fx044gcd 299 1 Paroxysmal paroxysmal JJ cord-022594-fx044gcd 299 2 weakness weakness NN cord-022594-fx044gcd 299 3 occurs occur VBZ cord-022594-fx044gcd 299 4 , , , cord-022594-fx044gcd 299 5 but but CC cord-022594-fx044gcd 299 6 it -PRON- PRP cord-022594-fx044gcd 299 7 is be VBZ cord-022594-fx044gcd 299 8 uncommon uncommon JJ cord-022594-fx044gcd 299 9 . . . cord-022594-fx044gcd 300 1 A a DT cord-022594-fx044gcd 300 2 wide wide JJ cord-022594-fx044gcd 300 3 variety variety NN cord-022594-fx044gcd 300 4 of of IN cord-022594-fx044gcd 300 5 paroxysmal paroxysmal JJ cord-022594-fx044gcd 300 6 sensory sensory JJ cord-022594-fx044gcd 300 7 symptoms symptom NNS cord-022594-fx044gcd 300 8 may may MD cord-022594-fx044gcd 300 9 occur occur VB cord-022594-fx044gcd 300 10 with with IN cord-022594-fx044gcd 300 11 MS MS NNP cord-022594-fx044gcd 300 12 , , , cord-022594-fx044gcd 300 13 including include VBG cord-022594-fx044gcd 300 14 tingling tingle VBG cord-022594-fx044gcd 300 15 , , , cord-022594-fx044gcd 300 16 prickling prickling NN cord-022594-fx044gcd 300 17 , , , cord-022594-fx044gcd 300 18 burning burning NN cord-022594-fx044gcd 300 19 , , , cord-022594-fx044gcd 300 20 or or CC cord-022594-fx044gcd 300 21 itching itching NN cord-022594-fx044gcd 300 22 , , , cord-022594-fx044gcd 300 23 and and CC cord-022594-fx044gcd 300 24 sharp sharp JJ cord-022594-fx044gcd 300 25 neuralgic neuralgic JJ cord-022594-fx044gcd 300 26 pain pain NN cord-022594-fx044gcd 300 27 is be VBZ cord-022594-fx044gcd 300 28 common common JJ cord-022594-fx044gcd 300 29 . . . cord-022594-fx044gcd 301 1 Trigeminal trigeminal JJ cord-022594-fx044gcd 301 2 neuralgia neuralgia NN cord-022594-fx044gcd 301 3 may may MD cord-022594-fx044gcd 301 4 appear appear VB cord-022594-fx044gcd 301 5 in in IN cord-022594-fx044gcd 301 6 patients patient NNS cord-022594-fx044gcd 301 7 with with IN cord-022594-fx044gcd 301 8 MS MS NNP cord-022594-fx044gcd 301 9 ( ( -LRB- cord-022594-fx044gcd 301 10 Video Video NNP cord-022594-fx044gcd 301 11 106 106 CD cord-022594-fx044gcd 301 12 , , , cord-022594-fx044gcd 301 13 Trigeminal Trigeminal NNP cord-022594-fx044gcd 301 14 Neuralgia Neuralgia NNP cord-022594-fx044gcd 301 15 ) ) -RRB- cord-022594-fx044gcd 301 16 . . . cord-022594-fx044gcd 302 1 The the DT cord-022594-fx044gcd 302 2 occurrence occurrence NN cord-022594-fx044gcd 302 3 of of IN cord-022594-fx044gcd 302 4 trigeminal trigeminal JJ cord-022594-fx044gcd 302 5 neuralgia neuralgia NN cord-022594-fx044gcd 302 6 in in IN cord-022594-fx044gcd 302 7 a a DT cord-022594-fx044gcd 302 8 person person NN cord-022594-fx044gcd 302 9 younger young JJR cord-022594-fx044gcd 302 10 than than IN cord-022594-fx044gcd 302 11 age age NN cord-022594-fx044gcd 302 12 40 40 CD cord-022594-fx044gcd 302 13 is be VBZ cord-022594-fx044gcd 302 14 suggestive suggestive JJ cord-022594-fx044gcd 302 15 of of IN cord-022594-fx044gcd 302 16 MS MS NNP cord-022594-fx044gcd 302 17 . . . cord-022594-fx044gcd 303 1 Lhermitte Lhermitte NNP cord-022594-fx044gcd 303 2 's 's POS cord-022594-fx044gcd 303 3 sign sign NN cord-022594-fx044gcd 303 4 ( ( -LRB- cord-022594-fx044gcd 303 5 transient transient JJ cord-022594-fx044gcd 303 6 sensory sensory JJ cord-022594-fx044gcd 303 7 symptoms symptom NNS cord-022594-fx044gcd 303 8 usually usually RB cord-022594-fx044gcd 303 9 precipitated precipitate VBN cord-022594-fx044gcd 303 10 by by IN cord-022594-fx044gcd 303 11 neck neck NN cord-022594-fx044gcd 303 12 flexion flexion NN cord-022594-fx044gcd 303 13 ) ) -RRB- cord-022594-fx044gcd 303 14 is be VBZ cord-022594-fx044gcd 303 15 usually usually RB cord-022594-fx044gcd 303 16 described describe VBN cord-022594-fx044gcd 303 17 as as IN cord-022594-fx044gcd 303 18 an an DT cord-022594-fx044gcd 303 19 electrical electrical JJ cord-022594-fx044gcd 303 20 or or CC cord-022594-fx044gcd 303 21 tingling tingling JJ cord-022594-fx044gcd 303 22 sensation sensation NN cord-022594-fx044gcd 303 23 that that WDT cord-022594-fx044gcd 303 24 travels travel VBZ cord-022594-fx044gcd 303 25 down down IN cord-022594-fx044gcd 303 26 the the DT cord-022594-fx044gcd 303 27 spine spine NN cord-022594-fx044gcd 303 28 or or CC cord-022594-fx044gcd 303 29 into into IN cord-022594-fx044gcd 303 30 the the DT cord-022594-fx044gcd 303 31 extremities extremity NNS cord-022594-fx044gcd 303 32 . . . cord-022594-fx044gcd 304 1 Although although IN cord-022594-fx044gcd 304 2 quite quite RB cord-022594-fx044gcd 304 3 common common JJ cord-022594-fx044gcd 304 4 in in IN cord-022594-fx044gcd 304 5 MS MS NNP cord-022594-fx044gcd 304 6 , , , cord-022594-fx044gcd 304 7 Lhermitte Lhermitte NNP cord-022594-fx044gcd 304 8 's 's POS cord-022594-fx044gcd 304 9 sign sign NN cord-022594-fx044gcd 304 10 can can MD cord-022594-fx044gcd 304 11 also also RB cord-022594-fx044gcd 304 12 occur occur VB cord-022594-fx044gcd 304 13 with with IN cord-022594-fx044gcd 304 14 a a DT cord-022594-fx044gcd 304 15 wide wide JJ cord-022594-fx044gcd 304 16 variety variety NN cord-022594-fx044gcd 304 17 of of IN cord-022594-fx044gcd 304 18 other other JJ cord-022594-fx044gcd 304 19 disorders disorder NNS cord-022594-fx044gcd 304 20 , , , cord-022594-fx044gcd 304 21 such such JJ cord-022594-fx044gcd 304 22 as as IN cord-022594-fx044gcd 304 23 vitamin vitamin NN cord-022594-fx044gcd 304 24 B b NN cord-022594-fx044gcd 304 25 12 12 CD cord-022594-fx044gcd 304 26 deficiency deficiency NN cord-022594-fx044gcd 304 27 , , , cord-022594-fx044gcd 304 28 spondylosis spondylosis NN cord-022594-fx044gcd 304 29 , , , cord-022594-fx044gcd 304 30 Chiari Chiari NNP cord-022594-fx044gcd 304 31 malformation malformation NN cord-022594-fx044gcd 304 32 , , , cord-022594-fx044gcd 304 33 and and CC cord-022594-fx044gcd 304 34 tumors tumor NNS cord-022594-fx044gcd 304 35 , , , cord-022594-fx044gcd 304 36 and and CC cord-022594-fx044gcd 304 37 after after IN cord-022594-fx044gcd 304 38 cisplatin cisplatin NN cord-022594-fx044gcd 304 39 chemotherapy chemotherapy NN cord-022594-fx044gcd 304 40 . . . cord-022594-fx044gcd 305 1 Several several JJ cord-022594-fx044gcd 305 2 other other JJ cord-022594-fx044gcd 305 3 paroxysmal paroxysmal JJ cord-022594-fx044gcd 305 4 symptoms symptom NNS cord-022594-fx044gcd 305 5 are be VBP cord-022594-fx044gcd 305 6 occasionally occasionally RB cord-022594-fx044gcd 305 7 encountered encounter VBN cord-022594-fx044gcd 305 8 , , , cord-022594-fx044gcd 305 9 including include VBG cord-022594-fx044gcd 305 10 paroxysmal paroxysmal JJ cord-022594-fx044gcd 305 11 dysarthria dysarthria NN cord-022594-fx044gcd 305 12 and and CC cord-022594-fx044gcd 305 13 ataxia ataxia NN cord-022594-fx044gcd 305 14 , , , cord-022594-fx044gcd 305 15 paroxysmal paroxysmal JJ cord-022594-fx044gcd 305 16 diplopia diplopia NN cord-022594-fx044gcd 305 17 , , , cord-022594-fx044gcd 305 18 and and CC cord-022594-fx044gcd 305 19 combinations combination NNS cord-022594-fx044gcd 305 20 of of IN cord-022594-fx044gcd 305 21 these these DT cord-022594-fx044gcd 305 22 symptoms symptom NNS cord-022594-fx044gcd 305 23 . . . cord-022594-fx044gcd 306 1 Facial facial JJ cord-022594-fx044gcd 306 2 myokymia myokymia NN cord-022594-fx044gcd 306 3 and and CC cord-022594-fx044gcd 306 4 hemifacial hemifacial JJ cord-022594-fx044gcd 306 5 spasm spasm NN cord-022594-fx044gcd 306 6 are be VBP cord-022594-fx044gcd 306 7 additional additional JJ cord-022594-fx044gcd 306 8 transient transient JJ cord-022594-fx044gcd 306 9 ( ( -LRB- cord-022594-fx044gcd 306 10 lasting lasting JJ cord-022594-fx044gcd 306 11 months month NNS cord-022594-fx044gcd 306 12 ) ) -RRB- cord-022594-fx044gcd 306 13 phenomena phenomena VBN cord-022594-fx044gcd 306 14 sometimes sometimes RB cord-022594-fx044gcd 306 15 due due JJ cord-022594-fx044gcd 306 16 to to IN cord-022594-fx044gcd 306 17 brain brain NN cord-022594-fx044gcd 306 18 stem stem NN cord-022594-fx044gcd 306 19 demyelination demyelination NN cord-022594-fx044gcd 306 20 ( ( -LRB- cord-022594-fx044gcd 306 21 Video Video NNP cord-022594-fx044gcd 306 22 110 110 CD cord-022594-fx044gcd 306 23 , , , cord-022594-fx044gcd 306 24 Facial Facial NNP cord-022594-fx044gcd 306 25 Myokymia Myokymia NNP cord-022594-fx044gcd 306 26 ; ; : cord-022594-fx044gcd 306 27 Video Video NNP cord-022594-fx044gcd 306 28 224 224 CD cord-022594-fx044gcd 306 29 , , , cord-022594-fx044gcd 306 30 Hemifacial Hemifacial NNP cord-022594-fx044gcd 306 31 Spasm Spasm NNP cord-022594-fx044gcd 306 32 ) ) -RRB- cord-022594-fx044gcd 306 33 . . . cord-022594-fx044gcd 307 1 Trismus Trismus NNP cord-022594-fx044gcd 307 2 , , , cord-022594-fx044gcd 307 3 kinesigenic kinesigenic NNP cord-022594-fx044gcd 307 4 dystonia dystonia NNP cord-022594-fx044gcd 307 5 , , , cord-022594-fx044gcd 307 6 paroxysmal paroxysmal JJ cord-022594-fx044gcd 307 7 kinesigenic kinesigenic NNP cord-022594-fx044gcd 307 8 choreoathetosis choreoathetosis NN cord-022594-fx044gcd 307 9 , , , cord-022594-fx044gcd 307 10 and and CC cord-022594-fx044gcd 307 11 segmental segmental JJ cord-022594-fx044gcd 307 12 myoclonus myoclonus NN cord-022594-fx044gcd 307 13 have have VBP cord-022594-fx044gcd 307 14 also also RB cord-022594-fx044gcd 307 15 been be VBN cord-022594-fx044gcd 307 16 described describe VBN cord-022594-fx044gcd 307 17 in in IN cord-022594-fx044gcd 307 18 case case NN cord-022594-fx044gcd 307 19 reports report NNS cord-022594-fx044gcd 307 20 of of IN cord-022594-fx044gcd 307 21 MS MS NNP cord-022594-fx044gcd 307 22 patients patient NNS cord-022594-fx044gcd 307 23 as as IN cord-022594-fx044gcd 307 24 rare rare JJ cord-022594-fx044gcd 307 25 and and CC cord-022594-fx044gcd 307 26 unusual unusual JJ cord-022594-fx044gcd 307 27 examination examination NN cord-022594-fx044gcd 307 28 findings finding NNS cord-022594-fx044gcd 307 29 . . . cord-022594-fx044gcd 308 1 Seizures seizure NNS cord-022594-fx044gcd 308 2 occur occur VBP cord-022594-fx044gcd 308 3 in in IN cord-022594-fx044gcd 308 4 a a DT cord-022594-fx044gcd 308 5 larger large JJR cord-022594-fx044gcd 308 6 proportion proportion NN cord-022594-fx044gcd 308 7 of of IN cord-022594-fx044gcd 308 8 MS MS NNP cord-022594-fx044gcd 308 9 cases case NNS cord-022594-fx044gcd 308 10 compared compare VBN cord-022594-fx044gcd 308 11 to to IN cord-022594-fx044gcd 308 12 normal normal JJ cord-022594-fx044gcd 308 13 control control NN cord-022594-fx044gcd 308 14 subjects subject NNS cord-022594-fx044gcd 308 15 . . . cord-022594-fx044gcd 309 1 A a DT cord-022594-fx044gcd 309 2 recently recently RB cord-022594-fx044gcd 309 3 published publish VBN cord-022594-fx044gcd 309 4 review review NN cord-022594-fx044gcd 309 5 of of IN cord-022594-fx044gcd 309 6 29 29 CD cord-022594-fx044gcd 309 7 case case NN cord-022594-fx044gcd 309 8 series series NN cord-022594-fx044gcd 309 9 of of IN cord-022594-fx044gcd 309 10 MS MS NNP cord-022594-fx044gcd 309 11 patients patient NNS cord-022594-fx044gcd 309 12 with with IN cord-022594-fx044gcd 309 13 epileptic epileptic JJ cord-022594-fx044gcd 309 14 seizures seizure NNS cord-022594-fx044gcd 309 15 yielded yield VBD cord-022594-fx044gcd 309 16 a a DT cord-022594-fx044gcd 309 17 prevalence prevalence NN cord-022594-fx044gcd 309 18 of of IN cord-022594-fx044gcd 309 19 2.3 2.3 CD cord-022594-fx044gcd 309 20 % % NN cord-022594-fx044gcd 309 21 . . . cord-022594-fx044gcd 310 1 33 33 CD cord-022594-fx044gcd 311 1 This this DT cord-022594-fx044gcd 311 2 represents represent VBZ cord-022594-fx044gcd 311 3 an an DT cord-022594-fx044gcd 311 4 approximately approximately RB cord-022594-fx044gcd 311 5 three three CD cord-022594-fx044gcd 311 6 - - HYPH cord-022594-fx044gcd 311 7 to to TO cord-022594-fx044gcd 311 8 sixfold sixfold JJ cord-022594-fx044gcd 311 9 increase increase NN cord-022594-fx044gcd 311 10 compared compare VBN cord-022594-fx044gcd 311 11 to to IN cord-022594-fx044gcd 311 12 the the DT cord-022594-fx044gcd 311 13 general general JJ cord-022594-fx044gcd 311 14 adult adult NN cord-022594-fx044gcd 311 15 population population NN cord-022594-fx044gcd 311 16 . . . cord-022594-fx044gcd 312 1 Cortical cortical JJ cord-022594-fx044gcd 312 2 and and CC cord-022594-fx044gcd 312 3 juxtacortical juxtacortical JJ cord-022594-fx044gcd 312 4 lesions lesion NNS cord-022594-fx044gcd 312 5 may may MD cord-022594-fx044gcd 312 6 be be VB cord-022594-fx044gcd 312 7 responsible responsible JJ cord-022594-fx044gcd 312 8 for for IN cord-022594-fx044gcd 312 9 the the DT cord-022594-fx044gcd 312 10 increased increase VBN cord-022594-fx044gcd 312 11 incidence incidence NN cord-022594-fx044gcd 312 12 of of IN cord-022594-fx044gcd 312 13 seizures seizure NNS cord-022594-fx044gcd 312 14 in in IN cord-022594-fx044gcd 312 15 MS MS NNP cord-022594-fx044gcd 312 16 patients patient NNS cord-022594-fx044gcd 312 17 . . . cord-022594-fx044gcd 313 1 However however RB cord-022594-fx044gcd 313 2 , , , cord-022594-fx044gcd 313 3 such such JJ cord-022594-fx044gcd 313 4 plaques plaque NNS cord-022594-fx044gcd 313 5 are be VBP cord-022594-fx044gcd 313 6 common common JJ cord-022594-fx044gcd 313 7 and and CC cord-022594-fx044gcd 313 8 seizures seizure NNS cord-022594-fx044gcd 313 9 in in IN cord-022594-fx044gcd 313 10 MS MS NNP cord-022594-fx044gcd 313 11 are be VBP cord-022594-fx044gcd 313 12 not not RB cord-022594-fx044gcd 313 13 , , , cord-022594-fx044gcd 313 14 which which WDT cord-022594-fx044gcd 313 15 suggests suggest VBZ cord-022594-fx044gcd 313 16 that that IN cord-022594-fx044gcd 313 17 other other JJ cord-022594-fx044gcd 313 18 factors factor NNS cord-022594-fx044gcd 313 19 may may MD cord-022594-fx044gcd 313 20 also also RB cord-022594-fx044gcd 313 21 contribute contribute VB cord-022594-fx044gcd 313 22 to to IN cord-022594-fx044gcd 313 23 the the DT cord-022594-fx044gcd 313 24 relationship relationship NN cord-022594-fx044gcd 313 25 between between IN cord-022594-fx044gcd 313 26 epilepsy epilepsy NN cord-022594-fx044gcd 313 27 and and CC cord-022594-fx044gcd 313 28 MS MS NNP cord-022594-fx044gcd 313 29 . . . cord-022594-fx044gcd 314 1 Focal focal JJ cord-022594-fx044gcd 314 2 motor motor NN cord-022594-fx044gcd 314 3 seizures seizure NNS cord-022594-fx044gcd 314 4 , , , cord-022594-fx044gcd 314 5 possibly possibly RB cord-022594-fx044gcd 314 6 with with IN cord-022594-fx044gcd 314 7 secondary secondary JJ cord-022594-fx044gcd 314 8 generalization generalization NN cord-022594-fx044gcd 314 9 , , , cord-022594-fx044gcd 314 10 are be VBP cord-022594-fx044gcd 314 11 the the DT cord-022594-fx044gcd 314 12 most most RBS cord-022594-fx044gcd 314 13 frequent frequent JJ cord-022594-fx044gcd 314 14 . . . cord-022594-fx044gcd 315 1 The the DT cord-022594-fx044gcd 315 2 occurrence occurrence NN cord-022594-fx044gcd 315 3 of of IN cord-022594-fx044gcd 315 4 seizures seizure NNS cord-022594-fx044gcd 315 5 usually usually RB cord-022594-fx044gcd 315 6 follows follow VBZ cord-022594-fx044gcd 315 7 one one CD cord-022594-fx044gcd 315 8 of of IN cord-022594-fx044gcd 315 9 two two CD cord-022594-fx044gcd 315 10 patterns pattern NNS cord-022594-fx044gcd 315 11 . . . cord-022594-fx044gcd 316 1 On on IN cord-022594-fx044gcd 316 2 occasion occasion NN cord-022594-fx044gcd 316 3 , , , cord-022594-fx044gcd 316 4 focal focal JJ cord-022594-fx044gcd 316 5 onset onset NN cord-022594-fx044gcd 316 6 seizures seizure NNS cord-022594-fx044gcd 316 7 begin begin VBP cord-022594-fx044gcd 316 8 early early RB cord-022594-fx044gcd 316 9 in in IN cord-022594-fx044gcd 316 10 the the DT cord-022594-fx044gcd 316 11 course course NN cord-022594-fx044gcd 316 12 of of IN cord-022594-fx044gcd 316 13 MS MS NNP cord-022594-fx044gcd 316 14 and and CC cord-022594-fx044gcd 316 15 later later RB cord-022594-fx044gcd 316 16 remit remit VB cord-022594-fx044gcd 316 17 . . . cord-022594-fx044gcd 317 1 The the DT cord-022594-fx044gcd 317 2 start start NN cord-022594-fx044gcd 317 3 of of IN cord-022594-fx044gcd 317 4 seizures seizure NNS cord-022594-fx044gcd 317 5 late late RB cord-022594-fx044gcd 317 6 in in IN cord-022594-fx044gcd 317 7 the the DT cord-022594-fx044gcd 317 8 course course NN cord-022594-fx044gcd 317 9 of of IN cord-022594-fx044gcd 317 10 MS MS NNP cord-022594-fx044gcd 317 11 more more RBR cord-022594-fx044gcd 317 12 often often RB cord-022594-fx044gcd 317 13 poses pose VBZ cord-022594-fx044gcd 317 14 a a DT cord-022594-fx044gcd 317 15 chronic chronic JJ cord-022594-fx044gcd 317 16 problem problem NN cord-022594-fx044gcd 317 17 and and CC cord-022594-fx044gcd 317 18 may may MD cord-022594-fx044gcd 317 19 be be VB cord-022594-fx044gcd 317 20 difficult difficult JJ cord-022594-fx044gcd 317 21 to to TO cord-022594-fx044gcd 317 22 control control VB cord-022594-fx044gcd 317 23 . . . cord-022594-fx044gcd 318 1 The the DT cord-022594-fx044gcd 318 2 eye eye NN cord-022594-fx044gcd 318 3 is be VBZ cord-022594-fx044gcd 318 4 the the DT cord-022594-fx044gcd 318 5 only only JJ cord-022594-fx044gcd 318 6 organ organ NN cord-022594-fx044gcd 318 7 outside outside IN cord-022594-fx044gcd 318 8 the the DT cord-022594-fx044gcd 318 9 nervous nervous JJ cord-022594-fx044gcd 318 10 system system NN cord-022594-fx044gcd 318 11 that that WDT cord-022594-fx044gcd 318 12 is be VBZ cord-022594-fx044gcd 318 13 sometimes sometimes RB cord-022594-fx044gcd 318 14 involved involve VBN cord-022594-fx044gcd 318 15 in in IN cord-022594-fx044gcd 318 16 MS MS NNP cord-022594-fx044gcd 318 17 . . . cord-022594-fx044gcd 319 1 Uveitis Uveitis NNP cord-022594-fx044gcd 319 2 and and CC cord-022594-fx044gcd 319 3 retinal retinal JJ cord-022594-fx044gcd 319 4 periphlebitis periphlebitis RB cord-022594-fx044gcd 319 5 each each DT cord-022594-fx044gcd 319 6 occur occur VBP cord-022594-fx044gcd 319 7 in in IN cord-022594-fx044gcd 319 8 at at RB cord-022594-fx044gcd 319 9 least least RBS cord-022594-fx044gcd 319 10 10 10 CD cord-022594-fx044gcd 319 11 % % NN cord-022594-fx044gcd 319 12 of of IN cord-022594-fx044gcd 319 13 MS MS NNP cord-022594-fx044gcd 319 14 patients patient NNS cord-022594-fx044gcd 319 15 . . . cord-022594-fx044gcd 320 1 In in IN cord-022594-fx044gcd 320 2 a a DT cord-022594-fx044gcd 320 3 recent recent JJ cord-022594-fx044gcd 320 4 study study NN cord-022594-fx044gcd 320 5 , , , cord-022594-fx044gcd 320 6 most most JJS cord-022594-fx044gcd 320 7 patients patient NNS cord-022594-fx044gcd 320 8 with with IN cord-022594-fx044gcd 320 9 MS MS NNP cord-022594-fx044gcd 320 10 - - HYPH cord-022594-fx044gcd 320 11 associated associate VBN cord-022594-fx044gcd 320 12 uveitis uveitis NN cord-022594-fx044gcd 320 13 were be VBD cord-022594-fx044gcd 320 14 white white JJ cord-022594-fx044gcd 320 15 females female NNS cord-022594-fx044gcd 320 16 between between IN cord-022594-fx044gcd 320 17 20 20 CD cord-022594-fx044gcd 320 18 and and CC cord-022594-fx044gcd 320 19 50 50 CD cord-022594-fx044gcd 320 20 years year NNS cord-022594-fx044gcd 320 21 of of IN cord-022594-fx044gcd 320 22 age age NN cord-022594-fx044gcd 320 23 . . . cord-022594-fx044gcd 321 1 34 34 CD cord-022594-fx044gcd 322 1 The the DT cord-022594-fx044gcd 322 2 diagnosis diagnosis NN cord-022594-fx044gcd 322 3 of of IN cord-022594-fx044gcd 322 4 MS MS NNP cord-022594-fx044gcd 322 5 preceded precede VBD cord-022594-fx044gcd 322 6 the the DT cord-022594-fx044gcd 322 7 onset onset NN cord-022594-fx044gcd 322 8 of of IN cord-022594-fx044gcd 322 9 uveitis uveitis NN cord-022594-fx044gcd 322 10 in in IN cord-022594-fx044gcd 322 11 56 56 CD cord-022594-fx044gcd 322 12 % % NN cord-022594-fx044gcd 322 13 , , , cord-022594-fx044gcd 322 14 followed follow VBD cord-022594-fx044gcd 322 15 it -PRON- PRP cord-022594-fx044gcd 322 16 in in IN cord-022594-fx044gcd 322 17 25 25 CD cord-022594-fx044gcd 322 18 % % NN cord-022594-fx044gcd 322 19 . . . cord-022594-fx044gcd 323 1 In in IN cord-022594-fx044gcd 323 2 over over IN cord-022594-fx044gcd 323 3 90 90 CD cord-022594-fx044gcd 323 4 % % NN cord-022594-fx044gcd 323 5 of of IN cord-022594-fx044gcd 323 6 the the DT cord-022594-fx044gcd 323 7 cases case NNS cord-022594-fx044gcd 323 8 , , , cord-022594-fx044gcd 323 9 the the DT cord-022594-fx044gcd 323 10 uveitis uveitis NN cord-022594-fx044gcd 323 11 was be VBD cord-022594-fx044gcd 323 12 bilateral bilateral JJ cord-022594-fx044gcd 323 13 . . . cord-022594-fx044gcd 324 1 Pars Pars NNP cord-022594-fx044gcd 324 2 planitis planitis NNP cord-022594-fx044gcd 324 3 was be VBD cord-022594-fx044gcd 324 4 found find VBN cord-022594-fx044gcd 324 5 to to TO cord-022594-fx044gcd 324 6 be be VB cord-022594-fx044gcd 324 7 the the DT cord-022594-fx044gcd 324 8 most most RBS cord-022594-fx044gcd 324 9 frequent frequent JJ cord-022594-fx044gcd 324 10 form form NN cord-022594-fx044gcd 324 11 of of IN cord-022594-fx044gcd 324 12 uveitis uveitis NN cord-022594-fx044gcd 324 13 ( ( -LRB- cord-022594-fx044gcd 324 14 over over IN cord-022594-fx044gcd 324 15 80 80 CD cord-022594-fx044gcd 324 16 % % NN cord-022594-fx044gcd 324 17 ) ) -RRB- cord-022594-fx044gcd 324 18 , , , cord-022594-fx044gcd 324 19 and and CC cord-022594-fx044gcd 324 20 concomitant concomitant JJ cord-022594-fx044gcd 324 21 anterior anterior JJ cord-022594-fx044gcd 324 22 chamber chamber NN cord-022594-fx044gcd 324 23 inflammation inflammation NN cord-022594-fx044gcd 324 24 was be VBD cord-022594-fx044gcd 324 25 also also RB cord-022594-fx044gcd 324 26 common common JJ cord-022594-fx044gcd 324 27 . . . cord-022594-fx044gcd 325 1 Usually usually RB cord-022594-fx044gcd 325 2 MS MS NNP cord-022594-fx044gcd 325 3 - - HYPH cord-022594-fx044gcd 325 4 associated associate VBN cord-022594-fx044gcd 325 5 uveitis uveitis NN cord-022594-fx044gcd 325 6 is be VBZ cord-022594-fx044gcd 325 7 benign benign JJ cord-022594-fx044gcd 325 8 from from IN cord-022594-fx044gcd 325 9 the the DT cord-022594-fx044gcd 325 10 standpoint standpoint NN cord-022594-fx044gcd 325 11 of of IN cord-022594-fx044gcd 325 12 visual visual JJ cord-022594-fx044gcd 325 13 acuity acuity NN cord-022594-fx044gcd 325 14 . . . cord-022594-fx044gcd 326 1 Uveitis Uveitis NNP cord-022594-fx044gcd 326 2 can can MD cord-022594-fx044gcd 326 3 involve involve VB cord-022594-fx044gcd 326 4 the the DT cord-022594-fx044gcd 326 5 posterior posterior JJ cord-022594-fx044gcd 326 6 , , , cord-022594-fx044gcd 326 7 intermediate intermediate JJ cord-022594-fx044gcd 326 8 ( ( -LRB- cord-022594-fx044gcd 326 9 pars pars NNP cord-022594-fx044gcd 326 10 planitis planitis NNP cord-022594-fx044gcd 326 11 ) ) -RRB- cord-022594-fx044gcd 326 12 , , , cord-022594-fx044gcd 326 13 or or CC cord-022594-fx044gcd 326 14 rarely rarely RB cord-022594-fx044gcd 326 15 anterior anterior JJ cord-022594-fx044gcd 326 16 portion portion NN cord-022594-fx044gcd 326 17 and and CC cord-022594-fx044gcd 326 18 resembles resemble VBZ cord-022594-fx044gcd 326 19 that that DT cord-022594-fx044gcd 326 20 seen see VBN cord-022594-fx044gcd 326 21 in in IN cord-022594-fx044gcd 326 22 other other JJ cord-022594-fx044gcd 326 23 inflammatory inflammatory NN cord-022594-fx044gcd 326 24 ( ( -LRB- cord-022594-fx044gcd 326 25 e.g. e.g. RB cord-022594-fx044gcd 326 26 , , , cord-022594-fx044gcd 326 27 sarcoid sarcoid NNP cord-022594-fx044gcd 326 28 , , , cord-022594-fx044gcd 326 29 Reiter Reiter NNP cord-022594-fx044gcd 326 30 's 's POS cord-022594-fx044gcd 326 31 syndrome syndrome NN cord-022594-fx044gcd 326 32 , , , cord-022594-fx044gcd 326 33 Behçet Behçet NNP cord-022594-fx044gcd 326 34 's 's POS cord-022594-fx044gcd 326 35 syndrome syndrome NN cord-022594-fx044gcd 326 36 , , , cord-022594-fx044gcd 326 37 inflammatory inflammatory JJ cord-022594-fx044gcd 326 38 bowel bowel NN cord-022594-fx044gcd 326 39 disease disease NN cord-022594-fx044gcd 326 40 , , , cord-022594-fx044gcd 326 41 systemic systemic JJ cord-022594-fx044gcd 326 42 lupus lupus NN cord-022594-fx044gcd 326 43 erythematosus erythematosus NN cord-022594-fx044gcd 326 44 ) ) -RRB- cord-022594-fx044gcd 326 45 and and CC cord-022594-fx044gcd 326 46 infectious infectious JJ cord-022594-fx044gcd 326 47 ( ( -LRB- cord-022594-fx044gcd 326 48 e.g. e.g. RB cord-022594-fx044gcd 326 49 , , , cord-022594-fx044gcd 326 50 syphilis syphili NNS cord-022594-fx044gcd 326 51 , , , cord-022594-fx044gcd 326 52 tuberculosis tuberculosis NN cord-022594-fx044gcd 326 53 , , , cord-022594-fx044gcd 326 54 Lyme Lyme NNP cord-022594-fx044gcd 326 55 disease disease NN cord-022594-fx044gcd 326 56 ) ) -RRB- cord-022594-fx044gcd 326 57 conditions condition NNS cord-022594-fx044gcd 326 58 . . . cord-022594-fx044gcd 327 1 Periphlebitis Periphlebitis NNP cord-022594-fx044gcd 327 2 is be VBZ cord-022594-fx044gcd 327 3 seen see VBN cord-022594-fx044gcd 327 4 as as IN cord-022594-fx044gcd 327 5 venous venous JJ cord-022594-fx044gcd 327 6 sheathing sheathing NN cord-022594-fx044gcd 327 7 on on IN cord-022594-fx044gcd 327 8 funduscopic funduscopic NNP cord-022594-fx044gcd 327 9 examination examination NN cord-022594-fx044gcd 327 10 and and CC cord-022594-fx044gcd 327 11 is be VBZ cord-022594-fx044gcd 327 12 histologically histologically RB cord-022594-fx044gcd 327 13 identical identical JJ cord-022594-fx044gcd 327 14 to to IN cord-022594-fx044gcd 327 15 the the DT cord-022594-fx044gcd 327 16 perivascular perivascular JJ cord-022594-fx044gcd 327 17 inflammation inflammation NN cord-022594-fx044gcd 327 18 present present JJ cord-022594-fx044gcd 327 19 in in IN cord-022594-fx044gcd 327 20 brain brain NN cord-022594-fx044gcd 327 21 white white JJ cord-022594-fx044gcd 327 22 matter matter NN cord-022594-fx044gcd 327 23 . . . cord-022594-fx044gcd 328 1 It -PRON- PRP cord-022594-fx044gcd 328 2 is be VBZ cord-022594-fx044gcd 328 3 interesting interesting JJ cord-022594-fx044gcd 328 4 that that IN cord-022594-fx044gcd 328 5 inflammation inflammation NN cord-022594-fx044gcd 328 6 commonly commonly RB cord-022594-fx044gcd 328 7 occurs occur VBZ cord-022594-fx044gcd 328 8 in in IN cord-022594-fx044gcd 328 9 the the DT cord-022594-fx044gcd 328 10 retina retina NN cord-022594-fx044gcd 328 11 , , , cord-022594-fx044gcd 328 12 which which WDT cord-022594-fx044gcd 328 13 has have VBZ cord-022594-fx044gcd 328 14 a a DT cord-022594-fx044gcd 328 15 peripheral peripheral JJ cord-022594-fx044gcd 328 16 type type NN cord-022594-fx044gcd 328 17 of of IN cord-022594-fx044gcd 328 18 myelin myelin NN cord-022594-fx044gcd 328 19 produced produce VBN cord-022594-fx044gcd 328 20 by by IN cord-022594-fx044gcd 328 21 Schwann Schwann NNP cord-022594-fx044gcd 328 22 cells cell NNS cord-022594-fx044gcd 328 23 . . . cord-022594-fx044gcd 329 1 There there EX cord-022594-fx044gcd 329 2 are be VBP cord-022594-fx044gcd 329 3 occasional occasional JJ cord-022594-fx044gcd 329 4 reports report NNS cord-022594-fx044gcd 329 5 of of IN cord-022594-fx044gcd 329 6 peripheral peripheral JJ cord-022594-fx044gcd 329 7 nerve nerve NN cord-022594-fx044gcd 329 8 or or CC cord-022594-fx044gcd 329 9 nerve nerve NN cord-022594-fx044gcd 329 10 root root NN cord-022594-fx044gcd 329 11 demyelination demyelination NN cord-022594-fx044gcd 329 12 in in IN cord-022594-fx044gcd 329 13 MS MS NNP cord-022594-fx044gcd 329 14 patients patient NNS cord-022594-fx044gcd 329 15 as as RB cord-022594-fx044gcd 329 16 well well RB cord-022594-fx044gcd 329 17 as as IN cord-022594-fx044gcd 329 18 central central JJ cord-022594-fx044gcd 329 19 demyelination demyelination NN cord-022594-fx044gcd 329 20 in in IN cord-022594-fx044gcd 329 21 acute acute JJ cord-022594-fx044gcd 329 22 inflammatory inflammatory JJ cord-022594-fx044gcd 329 23 demyelinating demyelinating NN cord-022594-fx044gcd 329 24 polyradiculoneuropathy polyradiculoneuropathy NN cord-022594-fx044gcd 329 25 and and CC cord-022594-fx044gcd 329 26 chronic chronic JJ cord-022594-fx044gcd 329 27 inflammatory inflammatory JJ cord-022594-fx044gcd 329 28 demyelinating demyelinating NN cord-022594-fx044gcd 329 29 polyradiculoneuropathy polyradiculoneuropathy NN cord-022594-fx044gcd 329 30 ( ( -LRB- cord-022594-fx044gcd 329 31 see see VB cord-022594-fx044gcd 329 32 Chapter chapter NN cord-022594-fx044gcd 329 33 49 49 CD cord-022594-fx044gcd 329 34 ) ) -RRB- cord-022594-fx044gcd 329 35 . . . cord-022594-fx044gcd 330 1 Some some DT cord-022594-fx044gcd 330 2 of of IN cord-022594-fx044gcd 330 3 these these DT cord-022594-fx044gcd 330 4 cases case NNS cord-022594-fx044gcd 330 5 may may MD cord-022594-fx044gcd 330 6 be be VB cord-022594-fx044gcd 330 7 due due JJ cord-022594-fx044gcd 330 8 to to IN cord-022594-fx044gcd 330 9 the the DT cord-022594-fx044gcd 330 10 incidental incidental JJ cord-022594-fx044gcd 330 11 occurrence occurrence NN cord-022594-fx044gcd 330 12 of of IN cord-022594-fx044gcd 330 13 two two CD cord-022594-fx044gcd 330 14 unrelated unrelated JJ cord-022594-fx044gcd 330 15 disease disease NN cord-022594-fx044gcd 330 16 processes process NNS cord-022594-fx044gcd 330 17 . . . cord-022594-fx044gcd 331 1 However however RB cord-022594-fx044gcd 331 2 , , , cord-022594-fx044gcd 331 3 because because IN cord-022594-fx044gcd 331 4 the the DT cord-022594-fx044gcd 331 5 PNS PNS NNP cord-022594-fx044gcd 331 6 and and CC cord-022594-fx044gcd 331 7 CNS CNS NNP cord-022594-fx044gcd 331 8 share share VBP cord-022594-fx044gcd 331 9 many many JJ cord-022594-fx044gcd 331 10 antigens antigen NNS cord-022594-fx044gcd 331 11 , , , cord-022594-fx044gcd 331 12 including include VBG cord-022594-fx044gcd 331 13 MBP MBP NNP cord-022594-fx044gcd 331 14 , , , cord-022594-fx044gcd 331 15 it -PRON- PRP cord-022594-fx044gcd 331 16 is be VBZ cord-022594-fx044gcd 331 17 possible possible JJ cord-022594-fx044gcd 331 18 that that IN cord-022594-fx044gcd 331 19 an an DT cord-022594-fx044gcd 331 20 autoimmune autoimmune JJ cord-022594-fx044gcd 331 21 reaction reaction NN cord-022594-fx044gcd 331 22 or or CC cord-022594-fx044gcd 331 23 a a DT cord-022594-fx044gcd 331 24 viral viral JJ cord-022594-fx044gcd 331 25 infection infection NN cord-022594-fx044gcd 331 26 could could MD cord-022594-fx044gcd 331 27 involve involve VB cord-022594-fx044gcd 331 28 both both CC cord-022594-fx044gcd 331 29 the the DT cord-022594-fx044gcd 331 30 CNS CNS NNP cord-022594-fx044gcd 331 31 and and CC cord-022594-fx044gcd 331 32 PNS PNS NNP cord-022594-fx044gcd 331 33 . . . cord-022594-fx044gcd 332 1 Persons person NNS cord-022594-fx044gcd 332 2 with with IN cord-022594-fx044gcd 332 3 one one CD cord-022594-fx044gcd 332 4 autoimmune autoimmune JJ cord-022594-fx044gcd 332 5 disorder disorder NN cord-022594-fx044gcd 332 6 generally generally RB cord-022594-fx044gcd 332 7 have have VBP cord-022594-fx044gcd 332 8 an an DT cord-022594-fx044gcd 332 9 increased increase VBN cord-022594-fx044gcd 332 10 risk risk NN cord-022594-fx044gcd 332 11 of of IN cord-022594-fx044gcd 332 12 others other NNS cord-022594-fx044gcd 332 13 . . . cord-022594-fx044gcd 333 1 Even even RB cord-022594-fx044gcd 333 2 though though IN cord-022594-fx044gcd 333 3 there there EX cord-022594-fx044gcd 333 4 are be VBP cord-022594-fx044gcd 333 5 several several JJ cord-022594-fx044gcd 333 6 reports report NNS cord-022594-fx044gcd 333 7 of of IN cord-022594-fx044gcd 333 8 systemic systemic JJ cord-022594-fx044gcd 333 9 and and CC cord-022594-fx044gcd 333 10 organ organ NN cord-022594-fx044gcd 333 11 - - HYPH cord-022594-fx044gcd 333 12 specific specific JJ cord-022594-fx044gcd 333 13 autoimmune autoimmune JJ cord-022594-fx044gcd 333 14 diseases disease NNS cord-022594-fx044gcd 333 15 in in IN cord-022594-fx044gcd 333 16 MS MS NNP cord-022594-fx044gcd 333 17 patients patient NNS cord-022594-fx044gcd 333 18 , , , cord-022594-fx044gcd 333 19 population population NN cord-022594-fx044gcd 333 20 - - HYPH cord-022594-fx044gcd 333 21 based base VBN cord-022594-fx044gcd 333 22 studies study NNS cord-022594-fx044gcd 333 23 have have VBP cord-022594-fx044gcd 333 24 not not RB cord-022594-fx044gcd 333 25 confirmed confirm VBN cord-022594-fx044gcd 333 26 any any DT cord-022594-fx044gcd 333 27 increase increase NN cord-022594-fx044gcd 333 28 in in IN cord-022594-fx044gcd 333 29 prevalence prevalence NN cord-022594-fx044gcd 333 30 of of IN cord-022594-fx044gcd 333 31 these these DT cord-022594-fx044gcd 333 32 disorders disorder NNS cord-022594-fx044gcd 333 33 among among IN cord-022594-fx044gcd 333 34 MS MS NNP cord-022594-fx044gcd 333 35 patients patient NNS cord-022594-fx044gcd 333 36 . . . cord-022594-fx044gcd 334 1 35 35 CD cord-022594-fx044gcd 335 1 In in IN cord-022594-fx044gcd 335 2 fact fact NN cord-022594-fx044gcd 335 3 , , , cord-022594-fx044gcd 335 4 there there EX cord-022594-fx044gcd 335 5 appears appear VBZ cord-022594-fx044gcd 335 6 to to TO cord-022594-fx044gcd 335 7 be be VB cord-022594-fx044gcd 335 8 a a DT cord-022594-fx044gcd 335 9 negative negative JJ cord-022594-fx044gcd 335 10 association association NN cord-022594-fx044gcd 335 11 between between IN cord-022594-fx044gcd 335 12 MS MS NNP cord-022594-fx044gcd 335 13 and and CC cord-022594-fx044gcd 335 14 rheumatoid rheumatoid NN cord-022594-fx044gcd 335 15 arthritis arthritis NN cord-022594-fx044gcd 335 16 . . . cord-022594-fx044gcd 336 1 Multifocal multifocal JJ cord-022594-fx044gcd 336 2 CNS CNS NNP cord-022594-fx044gcd 336 3 involvement involvement NN cord-022594-fx044gcd 336 4 and and CC cord-022594-fx044gcd 336 5 acute acute JJ cord-022594-fx044gcd 336 6 relapses relapse NNS cord-022594-fx044gcd 336 7 , , , cord-022594-fx044gcd 336 8 remissions remission NNS cord-022594-fx044gcd 336 9 , , , cord-022594-fx044gcd 336 10 and and CC cord-022594-fx044gcd 336 11 slow slow JJ cord-022594-fx044gcd 336 12 progression progression NN cord-022594-fx044gcd 336 13 of of IN cord-022594-fx044gcd 336 14 neurological neurological JJ cord-022594-fx044gcd 336 15 deficits deficit NNS cord-022594-fx044gcd 336 16 typify typify VBP cord-022594-fx044gcd 336 17 MS MS NNP cord-022594-fx044gcd 336 18 . . . cord-022594-fx044gcd 337 1 A a DT cord-022594-fx044gcd 337 2 single single JJ cord-022594-fx044gcd 337 3 episode episode NN cord-022594-fx044gcd 337 4 of of IN cord-022594-fx044gcd 337 5 neurological neurological JJ cord-022594-fx044gcd 337 6 dysfunction dysfunction NN cord-022594-fx044gcd 337 7 can can MD cord-022594-fx044gcd 337 8 be be VB cord-022594-fx044gcd 337 9 suggestive suggestive JJ cord-022594-fx044gcd 337 10 of of IN cord-022594-fx044gcd 337 11 MS MS NNP cord-022594-fx044gcd 337 12 if if IN cord-022594-fx044gcd 337 13 it -PRON- PRP cord-022594-fx044gcd 337 14 follows follow VBZ cord-022594-fx044gcd 337 15 the the DT cord-022594-fx044gcd 337 16 typical typical JJ cord-022594-fx044gcd 337 17 time time NN cord-022594-fx044gcd 337 18 course course NN cord-022594-fx044gcd 337 19 of of IN cord-022594-fx044gcd 337 20 a a DT cord-022594-fx044gcd 337 21 relapse relapse NN cord-022594-fx044gcd 337 22 : : : cord-022594-fx044gcd 337 23 progression progression NN cord-022594-fx044gcd 337 24 over over IN cord-022594-fx044gcd 337 25 less less JJR cord-022594-fx044gcd 337 26 than than IN cord-022594-fx044gcd 337 27 2 2 CD cord-022594-fx044gcd 337 28 weeks week NNS cord-022594-fx044gcd 337 29 ( ( -LRB- cord-022594-fx044gcd 337 30 usually usually RB cord-022594-fx044gcd 337 31 days day NNS cord-022594-fx044gcd 337 32 ) ) -RRB- cord-022594-fx044gcd 337 33 , , , cord-022594-fx044gcd 337 34 with with IN cord-022594-fx044gcd 337 35 or or CC cord-022594-fx044gcd 337 36 without without IN cord-022594-fx044gcd 337 37 a a DT cord-022594-fx044gcd 337 38 period period NN cord-022594-fx044gcd 337 39 of of IN cord-022594-fx044gcd 337 40 stabilization stabilization NN cord-022594-fx044gcd 337 41 , , , cord-022594-fx044gcd 337 42 and and CC cord-022594-fx044gcd 337 43 improvement improvement NN cord-022594-fx044gcd 337 44 or or CC cord-022594-fx044gcd 337 45 resolution resolution NN cord-022594-fx044gcd 337 46 ( ( -LRB- cord-022594-fx044gcd 337 47 often often RB cord-022594-fx044gcd 337 48 over over IN cord-022594-fx044gcd 337 49 months month NNS cord-022594-fx044gcd 337 50 ) ) -RRB- cord-022594-fx044gcd 337 51 . . . cord-022594-fx044gcd 338 1 Insidious insidious JJ cord-022594-fx044gcd 338 2 progression progression NN cord-022594-fx044gcd 338 3 of of IN cord-022594-fx044gcd 338 4 deficits deficit NNS cord-022594-fx044gcd 338 5 localized localize VBN cord-022594-fx044gcd 338 6 to to IN cord-022594-fx044gcd 338 7 a a DT cord-022594-fx044gcd 338 8 single single JJ cord-022594-fx044gcd 338 9 site site NN cord-022594-fx044gcd 338 10 in in IN cord-022594-fx044gcd 338 11 the the DT cord-022594-fx044gcd 338 12 CNS CNS NNP cord-022594-fx044gcd 338 13 can can MD cord-022594-fx044gcd 338 14 also also RB cord-022594-fx044gcd 338 15 be be VB cord-022594-fx044gcd 338 16 due due JJ cord-022594-fx044gcd 338 17 to to IN cord-022594-fx044gcd 338 18 MS MS NNP cord-022594-fx044gcd 338 19 , , , cord-022594-fx044gcd 338 20 but but CC cord-022594-fx044gcd 338 21 other other JJ cord-022594-fx044gcd 338 22 causes cause NNS cord-022594-fx044gcd 338 23 must must MD cord-022594-fx044gcd 338 24 be be VB cord-022594-fx044gcd 338 25 excluded exclude VBN cord-022594-fx044gcd 338 26 . . . cord-022594-fx044gcd 339 1 The the DT cord-022594-fx044gcd 339 2 temporal temporal JJ cord-022594-fx044gcd 339 3 course course NN cord-022594-fx044gcd 339 4 of of IN cord-022594-fx044gcd 339 5 MS MS NNP cord-022594-fx044gcd 339 6 can can MD cord-022594-fx044gcd 339 7 be be VB cord-022594-fx044gcd 339 8 described describe VBN cord-022594-fx044gcd 339 9 by by IN cord-022594-fx044gcd 339 10 one one CD cord-022594-fx044gcd 339 11 of of IN cord-022594-fx044gcd 339 12 four four CD cord-022594-fx044gcd 339 13 categories category NNS cord-022594-fx044gcd 339 14 : : : cord-022594-fx044gcd 339 15 relapsing relapse VBG cord-022594-fx044gcd 339 16 - - HYPH cord-022594-fx044gcd 339 17 remitting remit VBG cord-022594-fx044gcd 339 18 ( ( -LRB- cord-022594-fx044gcd 339 19 RR RR NNP cord-022594-fx044gcd 339 20 ) ) -RRB- cord-022594-fx044gcd 339 21 , , , cord-022594-fx044gcd 339 22 secondary secondary JJ cord-022594-fx044gcd 339 23 progressive progressive JJ cord-022594-fx044gcd 339 24 ( ( -LRB- cord-022594-fx044gcd 339 25 SP SP NNP cord-022594-fx044gcd 339 26 ) ) -RRB- cord-022594-fx044gcd 339 27 , , , cord-022594-fx044gcd 339 28 primary primary JJ cord-022594-fx044gcd 339 29 progressive progressive NN cord-022594-fx044gcd 339 30 ( ( -LRB- cord-022594-fx044gcd 339 31 PP PP NNP cord-022594-fx044gcd 339 32 ) ) -RRB- cord-022594-fx044gcd 339 33 , , , cord-022594-fx044gcd 339 34 and and CC cord-022594-fx044gcd 339 35 progressive progressive JJ cord-022594-fx044gcd 339 36 relapsing relapsing NN cord-022594-fx044gcd 339 37 ( ( -LRB- cord-022594-fx044gcd 339 38 PR PR NNP cord-022594-fx044gcd 339 39 ) ) -RRB- cord-022594-fx044gcd 339 40 . . . cord-022594-fx044gcd 340 1 32 32 CD cord-022594-fx044gcd 341 1 Many many JJ cord-022594-fx044gcd 341 2 physicians physician NNS cord-022594-fx044gcd 341 3 use use VBP cord-022594-fx044gcd 341 4 the the DT cord-022594-fx044gcd 341 5 term term NN cord-022594-fx044gcd 341 6 relapsing relapse VBG cord-022594-fx044gcd 341 7 progressive progressive JJ cord-022594-fx044gcd 341 8 , , , cord-022594-fx044gcd 341 9 which which WDT cord-022594-fx044gcd 341 10 encompassed encompass VBD cord-022594-fx044gcd 341 11 patients patient NNS cord-022594-fx044gcd 341 12 with with IN cord-022594-fx044gcd 341 13 SPMS SPMS NNP cord-022594-fx044gcd 341 14 , , , cord-022594-fx044gcd 341 15 PRMS PRMS NNP cord-022594-fx044gcd 341 16 , , , cord-022594-fx044gcd 341 17 and and CC cord-022594-fx044gcd 341 18 even even RB cord-022594-fx044gcd 341 19 those those DT cord-022594-fx044gcd 341 20 with with IN cord-022594-fx044gcd 341 21 RRMS rrm NNS cord-022594-fx044gcd 341 22 who who WP cord-022594-fx044gcd 341 23 have have VBP cord-022594-fx044gcd 341 24 stepwise stepwise JJ cord-022594-fx044gcd 341 25 relapse relapse NN cord-022594-fx044gcd 341 26 - - HYPH cord-022594-fx044gcd 341 27 related relate VBN cord-022594-fx044gcd 341 28 worsening worsen VBG cord-022594-fx044gcd 341 29 disability disability NN cord-022594-fx044gcd 341 30 . . . cord-022594-fx044gcd 342 1 This this DT cord-022594-fx044gcd 342 2 term term NN cord-022594-fx044gcd 342 3 has have VBZ cord-022594-fx044gcd 342 4 recently recently RB cord-022594-fx044gcd 342 5 been be VBN cord-022594-fx044gcd 342 6 abandoned abandon VBN cord-022594-fx044gcd 342 7 . . . cord-022594-fx044gcd 343 1 Other other JJ cord-022594-fx044gcd 343 2 terms term NNS cord-022594-fx044gcd 343 3 that that WDT cord-022594-fx044gcd 343 4 relate relate VBP cord-022594-fx044gcd 343 5 to to IN cord-022594-fx044gcd 343 6 the the DT cord-022594-fx044gcd 343 7 course course NN cord-022594-fx044gcd 343 8 of of IN cord-022594-fx044gcd 343 9 MS MS NNP cord-022594-fx044gcd 343 10 but but CC cord-022594-fx044gcd 343 11 have have VBP cord-022594-fx044gcd 343 12 no no DT cord-022594-fx044gcd 343 13 consensus consensus NN cord-022594-fx044gcd 343 14 regarding regard VBG cord-022594-fx044gcd 343 15 their -PRON- PRP$ cord-022594-fx044gcd 343 16 definition definition NN cord-022594-fx044gcd 343 17 are be VBP cord-022594-fx044gcd 343 18 sometimes sometimes RB cord-022594-fx044gcd 343 19 encountered encounter VBN cord-022594-fx044gcd 343 20 . . . cord-022594-fx044gcd 344 1 Benign benign JJ cord-022594-fx044gcd 344 2 MS MS NNP cord-022594-fx044gcd 344 3 generally generally RB cord-022594-fx044gcd 344 4 refers refer VBZ cord-022594-fx044gcd 344 5 to to IN cord-022594-fx044gcd 344 6 patients patient NNS cord-022594-fx044gcd 344 7 who who WP cord-022594-fx044gcd 344 8 have have VBP cord-022594-fx044gcd 344 9 had have VBN cord-022594-fx044gcd 344 10 MS MS NNP cord-022594-fx044gcd 344 11 for for IN cord-022594-fx044gcd 344 12 a a DT cord-022594-fx044gcd 344 13 long long JJ cord-022594-fx044gcd 344 14 time time NN cord-022594-fx044gcd 344 15 but but CC cord-022594-fx044gcd 344 16 have have VBP cord-022594-fx044gcd 344 17 little little JJ cord-022594-fx044gcd 344 18 or or CC cord-022594-fx044gcd 344 19 no no DT cord-022594-fx044gcd 344 20 disability disability NN cord-022594-fx044gcd 344 21 . . . cord-022594-fx044gcd 345 1 Malignant malignant JJ cord-022594-fx044gcd 345 2 MS MS NNP cord-022594-fx044gcd 345 3 is be VBZ cord-022594-fx044gcd 345 4 sometimes sometimes RB cord-022594-fx044gcd 345 5 used use VBN cord-022594-fx044gcd 345 6 to to TO cord-022594-fx044gcd 345 7 describe describe VB cord-022594-fx044gcd 345 8 patients patient NNS cord-022594-fx044gcd 345 9 with with IN cord-022594-fx044gcd 345 10 frequent frequent JJ cord-022594-fx044gcd 345 11 relapses relapse NNS cord-022594-fx044gcd 345 12 and and CC cord-022594-fx044gcd 345 13 incomplete incomplete JJ cord-022594-fx044gcd 345 14 recovery recovery NN cord-022594-fx044gcd 345 15 but but CC cord-022594-fx044gcd 345 16 is be VBZ cord-022594-fx044gcd 345 17 also also RB cord-022594-fx044gcd 345 18 used use VBN cord-022594-fx044gcd 345 19 in in IN cord-022594-fx044gcd 345 20 reference reference NN cord-022594-fx044gcd 345 21 to to IN cord-022594-fx044gcd 345 22 patients patient NNS cord-022594-fx044gcd 345 23 with with IN cord-022594-fx044gcd 345 24 acute acute JJ cord-022594-fx044gcd 345 25 fulminant fulminant JJ cord-022594-fx044gcd 345 26 demyelinating demyelinating NN cord-022594-fx044gcd 345 27 syndromes syndrome NNS cord-022594-fx044gcd 345 28 ( ( -LRB- cord-022594-fx044gcd 345 29 see see VB cord-022594-fx044gcd 345 30 later later RB cord-022594-fx044gcd 345 31 ) ) -RRB- cord-022594-fx044gcd 345 32 . . . cord-022594-fx044gcd 346 1 The the DT cord-022594-fx044gcd 346 2 term term NN cord-022594-fx044gcd 346 3 clinically clinically RB cord-022594-fx044gcd 346 4 isolated isolated JJ cord-022594-fx044gcd 346 5 syndrome syndrome NN cord-022594-fx044gcd 346 6 ( ( -LRB- cord-022594-fx044gcd 346 7 CIS CIS NNP cord-022594-fx044gcd 346 8 ) ) -RRB- cord-022594-fx044gcd 346 9 refers refer VBZ cord-022594-fx044gcd 346 10 to to IN cord-022594-fx044gcd 346 11 patients patient NNS cord-022594-fx044gcd 346 12 presenting present VBG cord-022594-fx044gcd 346 13 with with IN cord-022594-fx044gcd 346 14 their -PRON- PRP$ cord-022594-fx044gcd 346 15 first first JJ cord-022594-fx044gcd 346 16 episode episode NN cord-022594-fx044gcd 346 17 of of IN cord-022594-fx044gcd 346 18 region region NN cord-022594-fx044gcd 346 19 - - HYPH cord-022594-fx044gcd 346 20 restricted restrict VBN cord-022594-fx044gcd 346 21 episodes episode NNS cord-022594-fx044gcd 346 22 of of IN cord-022594-fx044gcd 346 23 CNS CNS NNP cord-022594-fx044gcd 346 24 inflammatory inflammatory JJ cord-022594-fx044gcd 346 25 demyelination demyelination NN cord-022594-fx044gcd 346 26 . . . cord-022594-fx044gcd 347 1 This this DT cord-022594-fx044gcd 347 2 may may MD cord-022594-fx044gcd 347 3 remain remain VB cord-022594-fx044gcd 347 4 an an DT cord-022594-fx044gcd 347 5 isolated isolated JJ cord-022594-fx044gcd 347 6 syndrome syndrome NN cord-022594-fx044gcd 347 7 ( ( -LRB- cord-022594-fx044gcd 347 8 no no DT cord-022594-fx044gcd 347 9 recurrence recurrence NN cord-022594-fx044gcd 347 10 ) ) -RRB- cord-022594-fx044gcd 347 11 , , , cord-022594-fx044gcd 347 12 it -PRON- PRP cord-022594-fx044gcd 347 13 may may MD cord-022594-fx044gcd 347 14 remain remain VB cord-022594-fx044gcd 347 15 a a DT cord-022594-fx044gcd 347 16 forme forme FW cord-022594-fx044gcd 347 17 fruste fruste NN cord-022594-fx044gcd 347 18 of of IN cord-022594-fx044gcd 347 19 acute acute JJ cord-022594-fx044gcd 347 20 disseminated disseminate VBN cord-022594-fx044gcd 347 21 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 347 22 ( ( -LRB- cord-022594-fx044gcd 347 23 ADEM ADEM NNP cord-022594-fx044gcd 347 24 ) ) -RRB- cord-022594-fx044gcd 347 25 , , , cord-022594-fx044gcd 347 26 or or CC cord-022594-fx044gcd 347 27 it -PRON- PRP cord-022594-fx044gcd 347 28 may may MD cord-022594-fx044gcd 347 29 be be VB cord-022594-fx044gcd 347 30 the the DT cord-022594-fx044gcd 347 31 harbinger harbinger NN cord-022594-fx044gcd 347 32 for for IN cord-022594-fx044gcd 347 33 one one CD cord-022594-fx044gcd 347 34 of of IN cord-022594-fx044gcd 347 35 the the DT cord-022594-fx044gcd 347 36 relapsing relapse VBG cord-022594-fx044gcd 347 37 forms form NNS cord-022594-fx044gcd 347 38 of of IN cord-022594-fx044gcd 347 39 MS MS NNP cord-022594-fx044gcd 347 40 . . . cord-022594-fx044gcd 348 1 The the DT cord-022594-fx044gcd 348 2 probability probability NN cord-022594-fx044gcd 348 3 of of IN cord-022594-fx044gcd 348 4 recurrent recurrent JJ cord-022594-fx044gcd 348 5 demyelinating demyelinating JJ cord-022594-fx044gcd 348 6 episodes episode NNS cord-022594-fx044gcd 348 7 ( ( -LRB- cord-022594-fx044gcd 348 8 e.g. e.g. RB cord-022594-fx044gcd 348 9 , , , cord-022594-fx044gcd 348 10 clinically clinically RB cord-022594-fx044gcd 348 11 definite definite JJ cord-022594-fx044gcd 348 12 MS MS NNP cord-022594-fx044gcd 348 13 ) ) -RRB- cord-022594-fx044gcd 348 14 has have VBZ cord-022594-fx044gcd 348 15 been be VBN cord-022594-fx044gcd 348 16 the the DT cord-022594-fx044gcd 348 17 subject subject NN cord-022594-fx044gcd 348 18 of of IN cord-022594-fx044gcd 348 19 several several JJ cord-022594-fx044gcd 348 20 important important JJ cord-022594-fx044gcd 348 21 investigations investigation NNS cord-022594-fx044gcd 348 22 , , , cord-022594-fx044gcd 348 23 and and CC cord-022594-fx044gcd 348 24 several several JJ cord-022594-fx044gcd 348 25 clinical clinical JJ cord-022594-fx044gcd 348 26 features feature NNS cord-022594-fx044gcd 348 27 and and CC cord-022594-fx044gcd 348 28 test test NN cord-022594-fx044gcd 348 29 results result NNS cord-022594-fx044gcd 348 30 are be VBP cord-022594-fx044gcd 348 31 of of IN cord-022594-fx044gcd 348 32 predictive predictive JJ cord-022594-fx044gcd 348 33 value value NN cord-022594-fx044gcd 348 34 . . . cord-022594-fx044gcd 349 1 Optic optic JJ cord-022594-fx044gcd 349 2 nerve nerve NN cord-022594-fx044gcd 349 3 , , , cord-022594-fx044gcd 349 4 spinal spinal JJ cord-022594-fx044gcd 349 5 cord cord NN cord-022594-fx044gcd 349 6 , , , cord-022594-fx044gcd 349 7 and and CC cord-022594-fx044gcd 349 8 brain brain NN cord-022594-fx044gcd 349 9 stem stem NN cord-022594-fx044gcd 349 10 are be VBP cord-022594-fx044gcd 349 11 the the DT cord-022594-fx044gcd 349 12 most most RBS cord-022594-fx044gcd 349 13 common common JJ cord-022594-fx044gcd 349 14 sites site NNS cord-022594-fx044gcd 349 15 of of IN cord-022594-fx044gcd 349 16 these these DT cord-022594-fx044gcd 349 17 recurrent recurrent JJ cord-022594-fx044gcd 349 18 monosymptomatic monosymptomatic JJ cord-022594-fx044gcd 349 19 events event NNS cord-022594-fx044gcd 349 20 , , , cord-022594-fx044gcd 349 21 and and CC cord-022594-fx044gcd 349 22 the the DT cord-022594-fx044gcd 349 23 time time NN cord-022594-fx044gcd 349 24 profile profile NN cord-022594-fx044gcd 349 25 follows follow VBZ cord-022594-fx044gcd 349 26 that that DT cord-022594-fx044gcd 349 27 of of IN cord-022594-fx044gcd 349 28 MS MS NNP cord-022594-fx044gcd 349 29 relapses relapse NNS cord-022594-fx044gcd 349 30 . . . cord-022594-fx044gcd 350 1 The the DT cord-022594-fx044gcd 350 2 pathogenesis pathogenesis NN cord-022594-fx044gcd 350 3 , , , cord-022594-fx044gcd 350 4 pathophysiology pathophysiology NN cord-022594-fx044gcd 350 5 , , , cord-022594-fx044gcd 350 6 epidemiology epidemiology NN cord-022594-fx044gcd 350 7 , , , cord-022594-fx044gcd 350 8 clinical clinical JJ cord-022594-fx044gcd 350 9 features feature NNS cord-022594-fx044gcd 350 10 , , , cord-022594-fx044gcd 350 11 associated associated JJ cord-022594-fx044gcd 350 12 disorders disorder NNS cord-022594-fx044gcd 350 13 , , , cord-022594-fx044gcd 350 14 differential differential JJ cord-022594-fx044gcd 350 15 diagnosis diagnosis NN cord-022594-fx044gcd 350 16 , , , cord-022594-fx044gcd 350 17 evaluation evaluation NN cord-022594-fx044gcd 350 18 , , , cord-022594-fx044gcd 350 19 and and CC cord-022594-fx044gcd 350 20 management management NN cord-022594-fx044gcd 350 21 are be VBP cord-022594-fx044gcd 350 22 the the DT cord-022594-fx044gcd 350 23 same same JJ cord-022594-fx044gcd 350 24 as as IN cord-022594-fx044gcd 350 25 in in IN cord-022594-fx044gcd 350 26 MS MS NNP cord-022594-fx044gcd 350 27 . . . cord-022594-fx044gcd 351 1 The the DT cord-022594-fx044gcd 351 2 prognosis prognosis NN cord-022594-fx044gcd 351 3 for for IN cord-022594-fx044gcd 351 4 visual visual JJ cord-022594-fx044gcd 351 5 recovery recovery NN cord-022594-fx044gcd 351 6 after after IN cord-022594-fx044gcd 351 7 each each DT cord-022594-fx044gcd 351 8 episode episode NN cord-022594-fx044gcd 351 9 of of IN cord-022594-fx044gcd 351 10 ON ON NNP cord-022594-fx044gcd 351 11 is be VBZ cord-022594-fx044gcd 351 12 good good JJ cord-022594-fx044gcd 351 13 , , , cord-022594-fx044gcd 351 14 and and CC cord-022594-fx044gcd 351 15 most most JJS cord-022594-fx044gcd 351 16 patients patient NNS cord-022594-fx044gcd 351 17 regain regain VBP cord-022594-fx044gcd 351 18 normal normal JJ cord-022594-fx044gcd 351 19 visual visual JJ cord-022594-fx044gcd 351 20 acuity acuity NN cord-022594-fx044gcd 351 21 . . . cord-022594-fx044gcd 352 1 Profound profound JJ cord-022594-fx044gcd 352 2 visual visual JJ cord-022594-fx044gcd 352 3 loss loss NN cord-022594-fx044gcd 352 4 , , , cord-022594-fx044gcd 352 5 recurrent recurrent JJ cord-022594-fx044gcd 352 6 ON ON NNP cord-022594-fx044gcd 352 7 , , , cord-022594-fx044gcd 352 8 and and CC cord-022594-fx044gcd 352 9 age age NN cord-022594-fx044gcd 352 10 older old JJR cord-022594-fx044gcd 352 11 than than IN cord-022594-fx044gcd 352 12 35 35 CD cord-022594-fx044gcd 352 13 are be VBP cord-022594-fx044gcd 352 14 associated associate VBN cord-022594-fx044gcd 352 15 with with IN cord-022594-fx044gcd 352 16 a a DT cord-022594-fx044gcd 352 17 higher high JJR cord-022594-fx044gcd 352 18 risk risk NN cord-022594-fx044gcd 352 19 for for IN cord-022594-fx044gcd 352 20 poor poor JJ cord-022594-fx044gcd 352 21 recovery recovery NN cord-022594-fx044gcd 352 22 . . . cord-022594-fx044gcd 353 1 Investigators investigator NNS cord-022594-fx044gcd 353 2 have have VBP cord-022594-fx044gcd 353 3 concluded conclude VBN cord-022594-fx044gcd 353 4 that that IN cord-022594-fx044gcd 353 5 recurrent recurrent JJ cord-022594-fx044gcd 353 6 multifocal multifocal JJ cord-022594-fx044gcd 353 7 demyelinating demyelinating JJ cord-022594-fx044gcd 353 8 episodes episode NNS cord-022594-fx044gcd 353 9 , , , cord-022594-fx044gcd 353 10 fulfilling fulfil VBG cord-022594-fx044gcd 353 11 the the DT cord-022594-fx044gcd 353 12 diagnostic diagnostic JJ cord-022594-fx044gcd 353 13 requirements requirement NNS cord-022594-fx044gcd 353 14 of of IN cord-022594-fx044gcd 353 15 clinically clinically RB cord-022594-fx044gcd 353 16 definite definite JJ cord-022594-fx044gcd 353 17 MS MS NNP cord-022594-fx044gcd 353 18 , , , cord-022594-fx044gcd 353 19 develop develop VB cord-022594-fx044gcd 353 20 in in IN cord-022594-fx044gcd 353 21 50 50 CD cord-022594-fx044gcd 353 22 % % NN cord-022594-fx044gcd 353 23 or or CC cord-022594-fx044gcd 353 24 more more JJR cord-022594-fx044gcd 353 25 of of IN cord-022594-fx044gcd 353 26 patients patient NNS cord-022594-fx044gcd 353 27 after after IN cord-022594-fx044gcd 353 28 isolated isolate VBN cord-022594-fx044gcd 353 29 ON on IN cord-022594-fx044gcd 353 30 when when WRB cord-022594-fx044gcd 353 31 follow follow NN cord-022594-fx044gcd 353 32 - - HYPH cord-022594-fx044gcd 353 33 up up NN cord-022594-fx044gcd 353 34 is be VBZ cord-022594-fx044gcd 353 35 extended extend VBN cord-022594-fx044gcd 353 36 beyond beyond IN cord-022594-fx044gcd 353 37 20 20 CD cord-022594-fx044gcd 353 38 years year NNS cord-022594-fx044gcd 353 39 . . . cord-022594-fx044gcd 354 1 36 36 CD cord-022594-fx044gcd 354 2 Most Most JJS cord-022594-fx044gcd 354 3 of of IN cord-022594-fx044gcd 354 4 this this DT cord-022594-fx044gcd 354 5 risk risk NN cord-022594-fx044gcd 354 6 is be VBZ cord-022594-fx044gcd 354 7 incurred incur VBN cord-022594-fx044gcd 354 8 within within IN cord-022594-fx044gcd 354 9 the the DT cord-022594-fx044gcd 354 10 first first JJ cord-022594-fx044gcd 354 11 few few JJ cord-022594-fx044gcd 354 12 years year NNS cord-022594-fx044gcd 354 13 , , , cord-022594-fx044gcd 354 14 although although IN cord-022594-fx044gcd 354 15 significant significant JJ cord-022594-fx044gcd 354 16 risk risk NN cord-022594-fx044gcd 354 17 may may MD cord-022594-fx044gcd 354 18 continue continue VB cord-022594-fx044gcd 354 19 into into IN cord-022594-fx044gcd 354 20 the the DT cord-022594-fx044gcd 354 21 fourth fourth JJ cord-022594-fx044gcd 354 22 decade decade NN cord-022594-fx044gcd 354 23 after after IN cord-022594-fx044gcd 354 24 the the DT cord-022594-fx044gcd 354 25 event event NN cord-022594-fx044gcd 354 26 . . . cord-022594-fx044gcd 355 1 Children child NNS cord-022594-fx044gcd 355 2 much much RB cord-022594-fx044gcd 355 3 more more RBR cord-022594-fx044gcd 355 4 often often RB cord-022594-fx044gcd 355 5 develop develop VBP cord-022594-fx044gcd 355 6 simultaneous simultaneous JJ cord-022594-fx044gcd 355 7 bilateral bilateral JJ cord-022594-fx044gcd 355 8 ON on NN cord-022594-fx044gcd 355 9 and and CC cord-022594-fx044gcd 355 10 have have VB cord-022594-fx044gcd 355 11 a a DT cord-022594-fx044gcd 355 12 lower low JJR cord-022594-fx044gcd 355 13 risk risk NN cord-022594-fx044gcd 355 14 for for IN cord-022594-fx044gcd 355 15 subsequent subsequent JJ cord-022594-fx044gcd 355 16 MS MS NNP cord-022594-fx044gcd 355 17 than than IN cord-022594-fx044gcd 355 18 adults adult NNS cord-022594-fx044gcd 355 19 . . . cord-022594-fx044gcd 356 1 Factors factor NNS cord-022594-fx044gcd 356 2 that that WDT cord-022594-fx044gcd 356 3 are be VBP cord-022594-fx044gcd 356 4 associated associate VBN cord-022594-fx044gcd 356 5 with with IN cord-022594-fx044gcd 356 6 an an DT cord-022594-fx044gcd 356 7 increased increase VBN cord-022594-fx044gcd 356 8 risk risk NN cord-022594-fx044gcd 356 9 of of IN cord-022594-fx044gcd 356 10 developing develop VBG cord-022594-fx044gcd 356 11 MS MS NNP cord-022594-fx044gcd 356 12 as as IN cord-022594-fx044gcd 356 13 a a DT cord-022594-fx044gcd 356 14 disseminated disseminate VBN cord-022594-fx044gcd 356 15 illness illness NN cord-022594-fx044gcd 356 16 are be VBP cord-022594-fx044gcd 356 17 the the DT cord-022594-fx044gcd 356 18 presence presence NN cord-022594-fx044gcd 356 19 of of IN cord-022594-fx044gcd 356 20 venous venous JJ cord-022594-fx044gcd 356 21 sheathing sheathing NN cord-022594-fx044gcd 356 22 , , , cord-022594-fx044gcd 356 23 recurrent recurrent JJ cord-022594-fx044gcd 356 24 ON on IN cord-022594-fx044gcd 356 25 , , , cord-022594-fx044gcd 356 26 family family NN cord-022594-fx044gcd 356 27 history history NN cord-022594-fx044gcd 356 28 of of IN cord-022594-fx044gcd 356 29 MS MS NNP cord-022594-fx044gcd 356 30 , , , cord-022594-fx044gcd 356 31 white white JJ cord-022594-fx044gcd 356 32 race race NN cord-022594-fx044gcd 356 33 , , , cord-022594-fx044gcd 356 34 previous previous JJ cord-022594-fx044gcd 356 35 vague vague JJ cord-022594-fx044gcd 356 36 or or CC cord-022594-fx044gcd 356 37 nonspecific nonspecific JJ cord-022594-fx044gcd 356 38 neurological neurological JJ cord-022594-fx044gcd 356 39 symptoms symptom NNS cord-022594-fx044gcd 356 40 , , , cord-022594-fx044gcd 356 41 and and CC cord-022594-fx044gcd 356 42 the the DT cord-022594-fx044gcd 356 43 presence presence NN cord-022594-fx044gcd 356 44 of of IN cord-022594-fx044gcd 356 45 oligoclonal oligoclonal JJ cord-022594-fx044gcd 356 46 bands band NNS cord-022594-fx044gcd 356 47 ( ( -LRB- cord-022594-fx044gcd 356 48 OCBs OCBs NNP cord-022594-fx044gcd 356 49 ) ) -RRB- cord-022594-fx044gcd 356 50 , , , cord-022594-fx044gcd 356 51 elevated elevated JJ cord-022594-fx044gcd 356 52 IgG IgG NNP cord-022594-fx044gcd 356 53 index index NN cord-022594-fx044gcd 356 54 , , , cord-022594-fx044gcd 356 55 or or CC cord-022594-fx044gcd 356 56 IgG IgG NNP cord-022594-fx044gcd 356 57 synthesis synthesis NN cord-022594-fx044gcd 356 58 rate rate NN cord-022594-fx044gcd 356 59 in in IN cord-022594-fx044gcd 356 60 CSF CSF NNP cord-022594-fx044gcd 356 61 . . . cord-022594-fx044gcd 357 1 The the DT cord-022594-fx044gcd 357 2 severity severity NN cord-022594-fx044gcd 357 3 of of IN cord-022594-fx044gcd 357 4 acute acute JJ cord-022594-fx044gcd 357 5 transverse transverse JJ cord-022594-fx044gcd 357 6 myelitis myelitis NN cord-022594-fx044gcd 357 7 is be VBZ cord-022594-fx044gcd 357 8 inversely inversely RB cord-022594-fx044gcd 357 9 related relate VBN cord-022594-fx044gcd 357 10 to to IN cord-022594-fx044gcd 357 11 the the DT cord-022594-fx044gcd 357 12 risk risk NN cord-022594-fx044gcd 357 13 of of IN cord-022594-fx044gcd 357 14 acquiring acquire VBG cord-022594-fx044gcd 357 15 further further JJ cord-022594-fx044gcd 357 16 symptomatic symptomatic JJ cord-022594-fx044gcd 357 17 demyelinating demyelinating JJ cord-022594-fx044gcd 357 18 lesions lesion NNS cord-022594-fx044gcd 357 19 . . . cord-022594-fx044gcd 358 1 Complete complete VB cord-022594-fx044gcd 358 2 transverse transverse JJ cord-022594-fx044gcd 358 3 myelitis myelitis NN cord-022594-fx044gcd 358 4 with with IN cord-022594-fx044gcd 358 5 profound profound JJ cord-022594-fx044gcd 358 6 loss loss NN cord-022594-fx044gcd 358 7 of of IN cord-022594-fx044gcd 358 8 motor motor NN cord-022594-fx044gcd 358 9 , , , cord-022594-fx044gcd 358 10 sensory sensory JJ cord-022594-fx044gcd 358 11 , , , cord-022594-fx044gcd 358 12 and and CC cord-022594-fx044gcd 358 13 sphincter sphincter NN cord-022594-fx044gcd 358 14 function function NN cord-022594-fx044gcd 358 15 imparts impart VBZ cord-022594-fx044gcd 358 16 a a DT cord-022594-fx044gcd 358 17 relatively relatively RB cord-022594-fx044gcd 358 18 low low JJ cord-022594-fx044gcd 358 19 risk risk NN cord-022594-fx044gcd 358 20 of of IN cord-022594-fx044gcd 358 21 3 3 CD cord-022594-fx044gcd 358 22 to to TO cord-022594-fx044gcd 358 23 14 14 CD cord-022594-fx044gcd 358 24 for for IN cord-022594-fx044gcd 358 25 the the DT cord-022594-fx044gcd 358 26 later later JJ cord-022594-fx044gcd 358 27 diagnosis diagnosis NN cord-022594-fx044gcd 358 28 of of IN cord-022594-fx044gcd 358 29 MS MS NNP cord-022594-fx044gcd 358 30 . . . cord-022594-fx044gcd 359 1 Partial partial JJ cord-022594-fx044gcd 359 2 transverse transverse JJ cord-022594-fx044gcd 359 3 myelitis myelitis NN cord-022594-fx044gcd 359 4 with with IN cord-022594-fx044gcd 359 5 preservation preservation NN cord-022594-fx044gcd 359 6 of of IN cord-022594-fx044gcd 359 7 significant significant JJ cord-022594-fx044gcd 359 8 motor motor NN cord-022594-fx044gcd 359 9 function function NN cord-022594-fx044gcd 359 10 at at IN cord-022594-fx044gcd 359 11 peak peak NN cord-022594-fx044gcd 359 12 is be VBZ cord-022594-fx044gcd 359 13 associated associate VBN cord-022594-fx044gcd 359 14 with with IN cord-022594-fx044gcd 359 15 a a DT cord-022594-fx044gcd 359 16 much much RB cord-022594-fx044gcd 359 17 higher high JJR cord-022594-fx044gcd 359 18 incidence incidence NN cord-022594-fx044gcd 359 19 of of IN cord-022594-fx044gcd 359 20 MS MS NNP cord-022594-fx044gcd 359 21 . . . cord-022594-fx044gcd 360 1 Although although IN cord-022594-fx044gcd 360 2 monosymptomatic monosymptomatic JJ cord-022594-fx044gcd 360 3 brain brain NN cord-022594-fx044gcd 360 4 stem stem NN cord-022594-fx044gcd 360 5 demyelination demyelination NN cord-022594-fx044gcd 360 6 is be VBZ cord-022594-fx044gcd 360 7 not not RB cord-022594-fx044gcd 360 8 as as RB cord-022594-fx044gcd 360 9 common common JJ cord-022594-fx044gcd 360 10 as as IN cord-022594-fx044gcd 360 11 either either CC cord-022594-fx044gcd 360 12 ON on JJ cord-022594-fx044gcd 360 13 or or CC cord-022594-fx044gcd 360 14 acute acute JJ cord-022594-fx044gcd 360 15 transverse transverse JJ cord-022594-fx044gcd 360 16 myelitis myelitis NN cord-022594-fx044gcd 360 17 , , , cord-022594-fx044gcd 360 18 similar similar JJ cord-022594-fx044gcd 360 19 conclusions conclusion NNS cord-022594-fx044gcd 360 20 have have VBP cord-022594-fx044gcd 360 21 been be VBN cord-022594-fx044gcd 360 22 reached reach VBN cord-022594-fx044gcd 360 23 . . . cord-022594-fx044gcd 361 1 In in IN cord-022594-fx044gcd 361 2 the the DT cord-022594-fx044gcd 361 3 only only JJ cord-022594-fx044gcd 361 4 study study NN cord-022594-fx044gcd 361 5 available available JJ cord-022594-fx044gcd 361 6 , , , cord-022594-fx044gcd 361 7 two two CD cord-022594-fx044gcd 361 8 thirds third NNS cord-022594-fx044gcd 361 9 of of IN cord-022594-fx044gcd 361 10 these these DT cord-022594-fx044gcd 361 11 patients patient NNS cord-022594-fx044gcd 361 12 with with IN cord-022594-fx044gcd 361 13 cerebral cerebral JJ cord-022594-fx044gcd 361 14 white white JJ cord-022594-fx044gcd 361 15 matter matter NN cord-022594-fx044gcd 361 16 lesions lesion NNS cord-022594-fx044gcd 361 17 detected detect VBN cord-022594-fx044gcd 361 18 on on IN cord-022594-fx044gcd 361 19 MRI MRI NNP cord-022594-fx044gcd 361 20 developed develop VBD cord-022594-fx044gcd 361 21 MS MS NNP cord-022594-fx044gcd 361 22 within within IN cord-022594-fx044gcd 361 23 5 5 CD cord-022594-fx044gcd 361 24 years year NNS cord-022594-fx044gcd 361 25 , , , cord-022594-fx044gcd 361 26 compared compare VBN cord-022594-fx044gcd 361 27 with with IN cord-022594-fx044gcd 361 28 none none NN cord-022594-fx044gcd 361 29 of of IN cord-022594-fx044gcd 361 30 5 5 CD cord-022594-fx044gcd 361 31 patients patient NNS cord-022594-fx044gcd 361 32 with with IN cord-022594-fx044gcd 361 33 normal normal JJ cord-022594-fx044gcd 361 34 head head NN cord-022594-fx044gcd 361 35 MRI MRI NNP cord-022594-fx044gcd 361 36 . . . cord-022594-fx044gcd 362 1 37 37 CD cord-022594-fx044gcd 362 2 , , , cord-022594-fx044gcd 362 3 38 38 CD cord-022594-fx044gcd 362 4 A a DT cord-022594-fx044gcd 362 5 recently recently RB cord-022594-fx044gcd 362 6 published publish VBN cord-022594-fx044gcd 362 7 10-year 10-year CD cord-022594-fx044gcd 362 8 follow follow NN cord-022594-fx044gcd 362 9 - - HYPH cord-022594-fx044gcd 362 10 up up NN cord-022594-fx044gcd 362 11 of of IN cord-022594-fx044gcd 362 12 the the DT cord-022594-fx044gcd 362 13 original original JJ cord-022594-fx044gcd 362 14 Queen Queen NNP cord-022594-fx044gcd 362 15 Square Square NNP cord-022594-fx044gcd 362 16 series series NN cord-022594-fx044gcd 362 17 continues continue VBZ cord-022594-fx044gcd 362 18 to to TO cord-022594-fx044gcd 362 19 demonstrate demonstrate VB cord-022594-fx044gcd 362 20 the the DT cord-022594-fx044gcd 362 21 value value NN cord-022594-fx044gcd 362 22 of of IN cord-022594-fx044gcd 362 23 the the DT cord-022594-fx044gcd 362 24 baseline baseline JJ cord-022594-fx044gcd 362 25 cranial cranial JJ cord-022594-fx044gcd 362 26 MRI MRI NNP cord-022594-fx044gcd 362 27 study study NN cord-022594-fx044gcd 362 28 in in IN cord-022594-fx044gcd 362 29 determining determine VBG cord-022594-fx044gcd 362 30 risk risk NN cord-022594-fx044gcd 362 31 of of IN cord-022594-fx044gcd 362 32 recurrence recurrence NN cord-022594-fx044gcd 362 33 ( ( -LRB- cord-022594-fx044gcd 362 34 MS MS NNP cord-022594-fx044gcd 362 35 risk risk NN cord-022594-fx044gcd 362 36 ) ) -RRB- cord-022594-fx044gcd 362 37 . . . cord-022594-fx044gcd 363 1 In in IN cord-022594-fx044gcd 363 2 this this DT cord-022594-fx044gcd 363 3 cohort cohort NN cord-022594-fx044gcd 363 4 study study NN cord-022594-fx044gcd 363 5 of of IN cord-022594-fx044gcd 363 6 81 81 CD cord-022594-fx044gcd 363 7 CIS CIS NNP cord-022594-fx044gcd 363 8 patients patient NNS cord-022594-fx044gcd 363 9 , , , cord-022594-fx044gcd 363 10 approximately approximately RB cord-022594-fx044gcd 363 11 two two CD cord-022594-fx044gcd 363 12 thirds third NNS cord-022594-fx044gcd 363 13 had have VBD cord-022594-fx044gcd 363 14 at at RB cord-022594-fx044gcd 363 15 least least RBS cord-022594-fx044gcd 363 16 one one CD cord-022594-fx044gcd 363 17 asymptomatic asymptomatic JJ cord-022594-fx044gcd 363 18 lesion lesion NN cord-022594-fx044gcd 363 19 ( ( -LRB- cord-022594-fx044gcd 363 20 54 54 CD cord-022594-fx044gcd 363 21 of of IN cord-022594-fx044gcd 363 22 81 81 CD cord-022594-fx044gcd 363 23 , , , cord-022594-fx044gcd 363 24 67 67 CD cord-022594-fx044gcd 363 25 % % NN cord-022594-fx044gcd 363 26 ) ) -RRB- cord-022594-fx044gcd 363 27 at at IN cord-022594-fx044gcd 363 28 baseline baseline NN cord-022594-fx044gcd 363 29 . . . cord-022594-fx044gcd 364 1 After after IN cord-022594-fx044gcd 364 2 5 5 CD cord-022594-fx044gcd 364 3 years year NNS cord-022594-fx044gcd 364 4 of of IN cord-022594-fx044gcd 364 5 follow follow NN cord-022594-fx044gcd 364 6 - - HYPH cord-022594-fx044gcd 364 7 up up NN cord-022594-fx044gcd 364 8 , , , cord-022594-fx044gcd 364 9 slightly slightly RB cord-022594-fx044gcd 364 10 more more JJR cord-022594-fx044gcd 364 11 than than IN cord-022594-fx044gcd 364 12 half half NN cord-022594-fx044gcd 364 13 with with IN cord-022594-fx044gcd 364 14 one one CD cord-022594-fx044gcd 364 15 to to TO cord-022594-fx044gcd 364 16 three three CD cord-022594-fx044gcd 364 17 asymptomatic asymptomatic JJ cord-022594-fx044gcd 364 18 baseline baseline JJ cord-022594-fx044gcd 364 19 cerebral cerebral JJ cord-022594-fx044gcd 364 20 lesions lesion NNS cord-022594-fx044gcd 364 21 had have VBD cord-022594-fx044gcd 364 22 developed develop VBN cord-022594-fx044gcd 364 23 MS MS NNP cord-022594-fx044gcd 364 24 ( ( -LRB- cord-022594-fx044gcd 364 25 13 13 CD cord-022594-fx044gcd 364 26 of of IN cord-022594-fx044gcd 364 27 24 24 CD cord-022594-fx044gcd 364 28 ) ) -RRB- cord-022594-fx044gcd 364 29 compared compare VBN cord-022594-fx044gcd 364 30 with with IN cord-022594-fx044gcd 364 31 the the DT cord-022594-fx044gcd 364 32 majority majority NN cord-022594-fx044gcd 364 33 of of IN cord-022594-fx044gcd 364 34 cases case NNS cord-022594-fx044gcd 364 35 presenting present VBG cord-022594-fx044gcd 364 36 with with IN cord-022594-fx044gcd 364 37 at at RB cord-022594-fx044gcd 364 38 least least RBS cord-022594-fx044gcd 364 39 four four CD cord-022594-fx044gcd 364 40 baseline baseline JJ cord-022594-fx044gcd 364 41 lesions lesion NNS cord-022594-fx044gcd 364 42 ( ( -LRB- cord-022594-fx044gcd 364 43 28 28 CD cord-022594-fx044gcd 364 44 of of IN cord-022594-fx044gcd 364 45 33 33 CD cord-022594-fx044gcd 364 46 , , , cord-022594-fx044gcd 364 47 85 85 CD cord-022594-fx044gcd 364 48 % % NN cord-022594-fx044gcd 364 49 ) ) -RRB- cord-022594-fx044gcd 364 50 . . . cord-022594-fx044gcd 365 1 After after IN cord-022594-fx044gcd 365 2 10 10 CD cord-022594-fx044gcd 365 3 years year NNS cord-022594-fx044gcd 365 4 of of IN cord-022594-fx044gcd 365 5 follow follow NN cord-022594-fx044gcd 365 6 - - HYPH cord-022594-fx044gcd 365 7 up up NN cord-022594-fx044gcd 365 8 , , , cord-022594-fx044gcd 365 9 the the DT cord-022594-fx044gcd 365 10 majority majority NN cord-022594-fx044gcd 365 11 of of IN cord-022594-fx044gcd 365 12 patients patient NNS cord-022594-fx044gcd 365 13 with with IN cord-022594-fx044gcd 365 14 any any DT cord-022594-fx044gcd 365 15 asymptomatic asymptomatic JJ cord-022594-fx044gcd 365 16 cerebral cerebral JJ cord-022594-fx044gcd 365 17 lesions lesion NNS cord-022594-fx044gcd 365 18 had have VBD cord-022594-fx044gcd 365 19 developed develop VBN cord-022594-fx044gcd 365 20 definite definite JJ cord-022594-fx044gcd 365 21 MS MS NNP cord-022594-fx044gcd 365 22 ( ( -LRB- cord-022594-fx044gcd 365 23 45 45 CD cord-022594-fx044gcd 365 24 of of IN cord-022594-fx044gcd 365 25 54 54 CD cord-022594-fx044gcd 365 26 , , , cord-022594-fx044gcd 365 27 83 83 CD cord-022594-fx044gcd 365 28 % % NN cord-022594-fx044gcd 365 29 ) ) -RRB- cord-022594-fx044gcd 365 30 . . . cord-022594-fx044gcd 366 1 39 39 CD cord-022594-fx044gcd 367 1 The the DT cord-022594-fx044gcd 367 2 recently recently RB cord-022594-fx044gcd 367 3 published publish VBN cord-022594-fx044gcd 367 4 14-year 14-year JJ cord-022594-fx044gcd 367 5 follow follow NN cord-022594-fx044gcd 367 6 - - HYPH cord-022594-fx044gcd 367 7 up up NN cord-022594-fx044gcd 367 8 data datum NNS cord-022594-fx044gcd 367 9 on on IN cord-022594-fx044gcd 367 10 this this DT cord-022594-fx044gcd 367 11 group group NN cord-022594-fx044gcd 367 12 of of IN cord-022594-fx044gcd 367 13 patients patient NNS cord-022594-fx044gcd 367 14 reveals reveal VBZ cord-022594-fx044gcd 367 15 that that IN cord-022594-fx044gcd 367 16 88 88 CD cord-022594-fx044gcd 367 17 % % NN cord-022594-fx044gcd 367 18 of of IN cord-022594-fx044gcd 367 19 the the DT cord-022594-fx044gcd 367 20 initially initially RB cord-022594-fx044gcd 367 21 MRI MRI NNP cord-022594-fx044gcd 367 22 positive positive JJ cord-022594-fx044gcd 367 23 patients patient NNS cord-022594-fx044gcd 367 24 developed develop VBD cord-022594-fx044gcd 367 25 MS MS NNP cord-022594-fx044gcd 367 26 versus versus IN cord-022594-fx044gcd 367 27 19 19 CD cord-022594-fx044gcd 367 28 % % NN cord-022594-fx044gcd 367 29 of of IN cord-022594-fx044gcd 367 30 the the DT cord-022594-fx044gcd 367 31 MRI MRI NNP cord-022594-fx044gcd 367 32 negative negative JJ cord-022594-fx044gcd 367 33 subgroup subgroup NN cord-022594-fx044gcd 367 34 . . . cord-022594-fx044gcd 368 1 40 40 CD cord-022594-fx044gcd 369 1 This this DT cord-022594-fx044gcd 369 2 information information NN cord-022594-fx044gcd 369 3 is be VBZ cord-022594-fx044gcd 369 4 helpful helpful JJ cord-022594-fx044gcd 369 5 for for IN cord-022594-fx044gcd 369 6 treating treat VBG cord-022594-fx044gcd 369 7 patients patient NNS cord-022594-fx044gcd 369 8 in in IN cord-022594-fx044gcd 369 9 the the DT cord-022594-fx044gcd 369 10 setting setting NN cord-022594-fx044gcd 369 11 of of IN cord-022594-fx044gcd 369 12 CIS CIS NNP cord-022594-fx044gcd 369 13 . . . cord-022594-fx044gcd 370 1 DIFFERENTIAL differential JJ cord-022594-fx044gcd 370 2 DIAGNOSIS diagnosis NN cord-022594-fx044gcd 370 3 . . . cord-022594-fx044gcd 371 1 Only only RB cord-022594-fx044gcd 371 2 a a DT cord-022594-fx044gcd 371 3 few few JJ cord-022594-fx044gcd 371 4 diseases disease NNS cord-022594-fx044gcd 371 5 cause cause VBP cord-022594-fx044gcd 371 6 neurological neurological JJ cord-022594-fx044gcd 371 7 deficits deficit NNS cord-022594-fx044gcd 371 8 that that WDT cord-022594-fx044gcd 371 9 regress regress VBP cord-022594-fx044gcd 371 10 spontaneously spontaneously RB cord-022594-fx044gcd 371 11 and and CC cord-022594-fx044gcd 371 12 relapse relapse VB cord-022594-fx044gcd 371 13 in in IN cord-022594-fx044gcd 371 14 different different JJ cord-022594-fx044gcd 371 15 areas area NNS cord-022594-fx044gcd 371 16 of of IN cord-022594-fx044gcd 371 17 the the DT cord-022594-fx044gcd 371 18 CNS CNS NNP cord-022594-fx044gcd 371 19 over over IN cord-022594-fx044gcd 371 20 the the DT cord-022594-fx044gcd 371 21 course course NN cord-022594-fx044gcd 371 22 of of IN cord-022594-fx044gcd 371 23 many many JJ cord-022594-fx044gcd 371 24 years year NNS cord-022594-fx044gcd 371 25 . . . cord-022594-fx044gcd 372 1 However however RB cord-022594-fx044gcd 372 2 , , , cord-022594-fx044gcd 372 3 because because IN cord-022594-fx044gcd 372 4 of of IN cord-022594-fx044gcd 372 5 the the DT cord-022594-fx044gcd 372 6 remarkable remarkable JJ cord-022594-fx044gcd 372 7 heterogeneity heterogeneity NN cord-022594-fx044gcd 372 8 of of IN cord-022594-fx044gcd 372 9 MS MS NNP cord-022594-fx044gcd 372 10 , , , cord-022594-fx044gcd 372 11 many many JJ cord-022594-fx044gcd 372 12 disorders disorder NNS cord-022594-fx044gcd 372 13 may may MD cord-022594-fx044gcd 372 14 resemble resemble VB cord-022594-fx044gcd 372 15 MS MS NNP cord-022594-fx044gcd 372 16 ( ( -LRB- cord-022594-fx044gcd 372 17 Table Table NNP cord-022594-fx044gcd 372 18 48 48 CD cord-022594-fx044gcd 372 19 - - SYM cord-022594-fx044gcd 372 20 3 3 CD cord-022594-fx044gcd 372 21 ) ) -RRB- cord-022594-fx044gcd 372 22 , , , cord-022594-fx044gcd 372 23 especially especially RB cord-022594-fx044gcd 372 24 in in IN cord-022594-fx044gcd 372 25 the the DT cord-022594-fx044gcd 372 26 first first JJ cord-022594-fx044gcd 372 27 years year NNS cord-022594-fx044gcd 372 28 of of IN cord-022594-fx044gcd 372 29 active active JJ cord-022594-fx044gcd 372 30 disease disease NN cord-022594-fx044gcd 372 31 . . . cord-022594-fx044gcd 373 1 Other other JJ cord-022594-fx044gcd 373 2 primary primary JJ cord-022594-fx044gcd 373 3 idiopathic idiopathic JJ cord-022594-fx044gcd 373 4 inflammatory inflammatory JJ cord-022594-fx044gcd 373 5 demyelinating demyelinate VBG cord-022594-fx044gcd 373 6 CNS CNS NNP cord-022594-fx044gcd 373 7 disorders disorder NNS cord-022594-fx044gcd 373 8 may may MD cord-022594-fx044gcd 373 9 be be VB cord-022594-fx044gcd 373 10 mistaken mistake VBN cord-022594-fx044gcd 373 11 for for IN cord-022594-fx044gcd 373 12 MS MS NNP cord-022594-fx044gcd 373 13 . . . cord-022594-fx044gcd 374 1 ADEM ADEM NNP cord-022594-fx044gcd 374 2 usually usually RB cord-022594-fx044gcd 374 3 causes cause VBZ cord-022594-fx044gcd 374 4 monophasic monophasic JJ cord-022594-fx044gcd 374 5 CNS CNS NNP cord-022594-fx044gcd 374 6 demyelination demyelination NN cord-022594-fx044gcd 374 7 . . . cord-022594-fx044gcd 375 1 Although although IN cord-022594-fx044gcd 375 2 it -PRON- PRP cord-022594-fx044gcd 375 3 frequently frequently RB cord-022594-fx044gcd 375 4 involves involve VBZ cord-022594-fx044gcd 375 5 multifocal multifocal JJ cord-022594-fx044gcd 375 6 areas area NNS cord-022594-fx044gcd 375 7 of of IN cord-022594-fx044gcd 375 8 white white JJ cord-022594-fx044gcd 375 9 matter matter NN cord-022594-fx044gcd 375 10 simultaneously simultaneously RB cord-022594-fx044gcd 375 11 , , , cord-022594-fx044gcd 375 12 ADEM ADEM NNP cord-022594-fx044gcd 375 13 can can MD cord-022594-fx044gcd 375 14 not not RB cord-022594-fx044gcd 375 15 be be VB cord-022594-fx044gcd 375 16 reliably reliably RB cord-022594-fx044gcd 375 17 differentiated differentiate VBN cord-022594-fx044gcd 375 18 from from IN cord-022594-fx044gcd 375 19 the the DT cord-022594-fx044gcd 375 20 initial initial JJ cord-022594-fx044gcd 375 21 clinical clinical JJ cord-022594-fx044gcd 375 22 episode episode NN cord-022594-fx044gcd 375 23 of of IN cord-022594-fx044gcd 375 24 MS MS NNP cord-022594-fx044gcd 375 25 . . . cord-022594-fx044gcd 376 1 Fulminant Fulminant NNP cord-022594-fx044gcd 376 2 brain brain NN cord-022594-fx044gcd 376 3 demyelination demyelination NN cord-022594-fx044gcd 376 4 in in IN cord-022594-fx044gcd 376 5 persons person NNS cord-022594-fx044gcd 376 6 without without IN cord-022594-fx044gcd 376 7 previous previous JJ cord-022594-fx044gcd 376 8 symptoms symptom NNS cord-022594-fx044gcd 376 9 of of IN cord-022594-fx044gcd 376 10 MS MS NNP cord-022594-fx044gcd 376 11 is be VBZ cord-022594-fx044gcd 376 12 more more RBR cord-022594-fx044gcd 376 13 likely likely JJ cord-022594-fx044gcd 376 14 due due IN cord-022594-fx044gcd 376 15 to to IN cord-022594-fx044gcd 376 16 ADEM ADEM NNP cord-022594-fx044gcd 376 17 or or CC cord-022594-fx044gcd 376 18 other other JJ cord-022594-fx044gcd 376 19 conditions condition NNS cord-022594-fx044gcd 376 20 ( ( -LRB- cord-022594-fx044gcd 376 21 Schilder Schilder NNP cord-022594-fx044gcd 376 22 's 's POS cord-022594-fx044gcd 376 23 myelinoclastic myelinoclastic JJ cord-022594-fx044gcd 376 24 diffuse diffuse JJ cord-022594-fx044gcd 376 25 sclerosis sclerosis NN cord-022594-fx044gcd 376 26 , , , cord-022594-fx044gcd 376 27 Balo Balo NNP cord-022594-fx044gcd 376 28 's 's POS cord-022594-fx044gcd 376 29 concentric concentric JJ cord-022594-fx044gcd 376 30 sclerosis sclerosis NN cord-022594-fx044gcd 376 31 , , , cord-022594-fx044gcd 376 32 Marburg Marburg NNP cord-022594-fx044gcd 376 33 's 's POS cord-022594-fx044gcd 376 34 variant variant NN cord-022594-fx044gcd 376 35 of of IN cord-022594-fx044gcd 376 36 MS MS NNP cord-022594-fx044gcd 376 37 ) ) -RRB- cord-022594-fx044gcd 376 38 . . . cord-022594-fx044gcd 377 1 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 377 2 optica optica NN cord-022594-fx044gcd 377 3 differs differ VBZ cord-022594-fx044gcd 377 4 from from IN cord-022594-fx044gcd 377 5 MS MS NNP cord-022594-fx044gcd 377 6 primarily primarily RB cord-022594-fx044gcd 377 7 in in IN cord-022594-fx044gcd 377 8 the the DT cord-022594-fx044gcd 377 9 topography topography NN cord-022594-fx044gcd 377 10 and and CC cord-022594-fx044gcd 377 11 intensity intensity NN cord-022594-fx044gcd 377 12 of of IN cord-022594-fx044gcd 377 13 the the DT cord-022594-fx044gcd 377 14 lesions lesion NNS cord-022594-fx044gcd 377 15 . . . cord-022594-fx044gcd 378 1 Several several JJ cord-022594-fx044gcd 378 2 systemic systemic JJ cord-022594-fx044gcd 378 3 or or CC cord-022594-fx044gcd 378 4 organ organ NN cord-022594-fx044gcd 378 5 - - HYPH cord-022594-fx044gcd 378 6 specific specific JJ cord-022594-fx044gcd 378 7 inflammatory inflammatory JJ cord-022594-fx044gcd 378 8 conditions condition NNS cord-022594-fx044gcd 378 9 can can MD cord-022594-fx044gcd 378 10 involve involve VB cord-022594-fx044gcd 378 11 the the DT cord-022594-fx044gcd 378 12 CNS CNS NNP cord-022594-fx044gcd 378 13 white white JJ cord-022594-fx044gcd 378 14 matter matter NN cord-022594-fx044gcd 378 15 . . . cord-022594-fx044gcd 379 1 ON ON NNP cord-022594-fx044gcd 379 2 , , , cord-022594-fx044gcd 379 3 myelitis myelitis NNP cord-022594-fx044gcd 379 4 , , , cord-022594-fx044gcd 379 5 and and CC cord-022594-fx044gcd 379 6 other other JJ cord-022594-fx044gcd 379 7 syndromes syndrome NNS cord-022594-fx044gcd 379 8 sometimes sometimes RB cord-022594-fx044gcd 379 9 occur occur VBP cord-022594-fx044gcd 379 10 with with IN cord-022594-fx044gcd 379 11 systemic systemic JJ cord-022594-fx044gcd 379 12 lupus lupus NN cord-022594-fx044gcd 379 13 erythematosus erythematosus NN cord-022594-fx044gcd 379 14 . . . cord-022594-fx044gcd 380 1 Whether whether IN cord-022594-fx044gcd 380 2 this this DT cord-022594-fx044gcd 380 3 autoimmune autoimmune JJ cord-022594-fx044gcd 380 4 disease disease NN cord-022594-fx044gcd 380 5 increases increase VBZ cord-022594-fx044gcd 380 6 the the DT cord-022594-fx044gcd 380 7 risk risk NN cord-022594-fx044gcd 380 8 of of IN cord-022594-fx044gcd 380 9 developing develop VBG cord-022594-fx044gcd 380 10 MS MS NNP cord-022594-fx044gcd 380 11 or or CC cord-022594-fx044gcd 380 12 causes cause VBZ cord-022594-fx044gcd 380 13 similar similar JJ cord-022594-fx044gcd 380 14 syndromes syndrome NNS cord-022594-fx044gcd 380 15 by by IN cord-022594-fx044gcd 380 16 a a DT cord-022594-fx044gcd 380 17 different different JJ cord-022594-fx044gcd 380 18 pathological pathological JJ cord-022594-fx044gcd 380 19 process process NN cord-022594-fx044gcd 380 20 is be VBZ cord-022594-fx044gcd 380 21 unknown unknown JJ cord-022594-fx044gcd 380 22 . . . cord-022594-fx044gcd 381 1 Sarcoidosis sarcoidosi NNS cord-022594-fx044gcd 381 2 can can MD cord-022594-fx044gcd 381 3 affect affect VB cord-022594-fx044gcd 381 4 the the DT cord-022594-fx044gcd 381 5 nervous nervous JJ cord-022594-fx044gcd 381 6 system system NN cord-022594-fx044gcd 381 7 in in IN cord-022594-fx044gcd 381 8 several several JJ cord-022594-fx044gcd 381 9 ways way NNS cord-022594-fx044gcd 381 10 , , , cord-022594-fx044gcd 381 11 including include VBG cord-022594-fx044gcd 381 12 multifocal multifocal JJ cord-022594-fx044gcd 381 13 , , , cord-022594-fx044gcd 381 14 corticosteroid corticosteroid NN cord-022594-fx044gcd 381 15 - - HYPH cord-022594-fx044gcd 381 16 responsive responsive JJ cord-022594-fx044gcd 381 17 white white JJ cord-022594-fx044gcd 381 18 matter matter NN cord-022594-fx044gcd 381 19 lesions lesion NNS cord-022594-fx044gcd 381 20 . . . cord-022594-fx044gcd 382 1 Sjögren Sjögren NNP cord-022594-fx044gcd 382 2 's 's POS cord-022594-fx044gcd 382 3 syndrome syndrome NN cord-022594-fx044gcd 382 4 sometimes sometimes RB cord-022594-fx044gcd 382 5 occurs occur VBZ cord-022594-fx044gcd 382 6 with with IN cord-022594-fx044gcd 382 7 MS MS NNP cord-022594-fx044gcd 382 8 , , , cord-022594-fx044gcd 382 9 but but CC cord-022594-fx044gcd 382 10 this this DT cord-022594-fx044gcd 382 11 may may MD cord-022594-fx044gcd 382 12 only only RB cord-022594-fx044gcd 382 13 represent represent VB cord-022594-fx044gcd 382 14 a a DT cord-022594-fx044gcd 382 15 chance chance NN cord-022594-fx044gcd 382 16 association association NN cord-022594-fx044gcd 382 17 . . . cord-022594-fx044gcd 383 1 Neuro Neuro NNP cord-022594-fx044gcd 383 2 - - HYPH cord-022594-fx044gcd 383 3 Behçet Behçet NNP cord-022594-fx044gcd 383 4 's 's POS cord-022594-fx044gcd 383 5 disease disease NN cord-022594-fx044gcd 383 6 has have VBZ cord-022594-fx044gcd 383 7 a a DT cord-022594-fx044gcd 383 8 predilection predilection NN cord-022594-fx044gcd 383 9 for for IN cord-022594-fx044gcd 383 10 the the DT cord-022594-fx044gcd 383 11 brain brain NN cord-022594-fx044gcd 383 12 stem stem NN cord-022594-fx044gcd 383 13 . . . cord-022594-fx044gcd 384 1 Occasionally occasionally RB cord-022594-fx044gcd 384 2 , , , cord-022594-fx044gcd 384 3 isolated isolate VBN cord-022594-fx044gcd 384 4 demyelinating demyelinating JJ cord-022594-fx044gcd 384 5 syndromes syndrome NNS cord-022594-fx044gcd 384 6 are be VBP cord-022594-fx044gcd 384 7 associated associate VBN cord-022594-fx044gcd 384 8 with with IN cord-022594-fx044gcd 384 9 inflammatory inflammatory JJ cord-022594-fx044gcd 384 10 bowel bowel NN cord-022594-fx044gcd 384 11 disease disease NN cord-022594-fx044gcd 384 12 . . . cord-022594-fx044gcd 385 1 A a DT cord-022594-fx044gcd 385 2 wide wide JJ cord-022594-fx044gcd 385 3 variety variety NN cord-022594-fx044gcd 385 4 of of IN cord-022594-fx044gcd 385 5 vasculitic vasculitic JJ cord-022594-fx044gcd 385 6 syndromes syndrome NNS cord-022594-fx044gcd 385 7 ( ( -LRB- cord-022594-fx044gcd 385 8 e.g. e.g. RB cord-022594-fx044gcd 385 9 , , , cord-022594-fx044gcd 385 10 primary primary JJ cord-022594-fx044gcd 385 11 angiitis angiitis NN cord-022594-fx044gcd 385 12 of of IN cord-022594-fx044gcd 385 13 the the DT cord-022594-fx044gcd 385 14 CNS CNS NNP cord-022594-fx044gcd 385 15 , , , cord-022594-fx044gcd 385 16 periarteritis periarteritis NNP cord-022594-fx044gcd 385 17 nodosa nodosa NNP cord-022594-fx044gcd 385 18 , , , cord-022594-fx044gcd 385 19 Wegener Wegener NNP cord-022594-fx044gcd 385 20 's 's POS cord-022594-fx044gcd 385 21 granulomatous granulomatous JJ cord-022594-fx044gcd 385 22 angiitis angiitis RB cord-022594-fx044gcd 385 23 , , , cord-022594-fx044gcd 385 24 vasculitis vasculitis NN cord-022594-fx044gcd 385 25 associated associate VBN cord-022594-fx044gcd 385 26 with with IN cord-022594-fx044gcd 385 27 rheumatoid rheumatoid NN cord-022594-fx044gcd 385 28 arthritis arthritis NN cord-022594-fx044gcd 385 29 , , , cord-022594-fx044gcd 385 30 Susac Susac NNP cord-022594-fx044gcd 385 31 's 's POS cord-022594-fx044gcd 385 32 syndrome syndrome NN cord-022594-fx044gcd 385 33 , , , cord-022594-fx044gcd 385 34 Eales'disease Eales'disease NNP cord-022594-fx044gcd 385 35 ) ) -RRB- cord-022594-fx044gcd 385 36 may may MD cord-022594-fx044gcd 385 37 mimic mimic VB cord-022594-fx044gcd 385 38 MS MS NNP cord-022594-fx044gcd 385 39 . . . cord-022594-fx044gcd 386 1 However however RB cord-022594-fx044gcd 386 2 , , , cord-022594-fx044gcd 386 3 these these DT cord-022594-fx044gcd 386 4 syndromes syndrome NNS cord-022594-fx044gcd 386 5 can can MD cord-022594-fx044gcd 386 6 usually usually RB cord-022594-fx044gcd 386 7 be be VB cord-022594-fx044gcd 386 8 distinguished distinguish VBN cord-022594-fx044gcd 386 9 by by IN cord-022594-fx044gcd 386 10 involvement involvement NN cord-022594-fx044gcd 386 11 of of IN cord-022594-fx044gcd 386 12 the the DT cord-022594-fx044gcd 386 13 cortex cortex NN cord-022594-fx044gcd 386 14 , , , cord-022594-fx044gcd 386 15 seizures seizure NNS cord-022594-fx044gcd 386 16 , , , cord-022594-fx044gcd 386 17 early early JJ cord-022594-fx044gcd 386 18 dementia dementia NN cord-022594-fx044gcd 386 19 , , , cord-022594-fx044gcd 386 20 personality personality NN cord-022594-fx044gcd 386 21 changes change NNS cord-022594-fx044gcd 386 22 , , , cord-022594-fx044gcd 386 23 psychosis psychosis NN cord-022594-fx044gcd 386 24 , , , cord-022594-fx044gcd 386 25 infarcts infarct NNS cord-022594-fx044gcd 386 26 involving involve VBG cord-022594-fx044gcd 386 27 large large JJ cord-022594-fx044gcd 386 28 vessel vessel NN cord-022594-fx044gcd 386 29 territories territory NNS cord-022594-fx044gcd 386 30 on on IN cord-022594-fx044gcd 386 31 MRI MRI NNP cord-022594-fx044gcd 386 32 , , , cord-022594-fx044gcd 386 33 and and CC cord-022594-fx044gcd 386 34 lack lack NN cord-022594-fx044gcd 386 35 of of IN cord-022594-fx044gcd 386 36 improvement improvement NN cord-022594-fx044gcd 386 37 . . . cord-022594-fx044gcd 387 1 Findings finding NNS cord-022594-fx044gcd 387 2 characteristic characteristic JJ cord-022594-fx044gcd 387 3 to to IN cord-022594-fx044gcd 387 4 the the DT cord-022594-fx044gcd 387 5 particular particular JJ cord-022594-fx044gcd 387 6 vasculitis vasculitis NN cord-022594-fx044gcd 387 7 ( ( -LRB- cord-022594-fx044gcd 387 8 uveitis uveitis NN cord-022594-fx044gcd 387 9 and and CC cord-022594-fx044gcd 387 10 vitreal vitreal NN cord-022594-fx044gcd 387 11 hemorrhage hemorrhage NN cord-022594-fx044gcd 387 12 in in IN cord-022594-fx044gcd 387 13 Eales Eales NNP cord-022594-fx044gcd 387 14 ' ' POS cord-022594-fx044gcd 387 15 disease disease NN cord-022594-fx044gcd 387 16 , , , cord-022594-fx044gcd 387 17 retinal retinal JJ cord-022594-fx044gcd 387 18 and and CC cord-022594-fx044gcd 387 19 cochlear cochlear JJ cord-022594-fx044gcd 387 20 involvement involvement NN cord-022594-fx044gcd 387 21 in in IN cord-022594-fx044gcd 387 22 Susac Susac NNP cord-022594-fx044gcd 387 23 's 's POS cord-022594-fx044gcd 387 24 syndrome syndrome NN cord-022594-fx044gcd 387 25 , , , cord-022594-fx044gcd 387 26 upper upper JJ cord-022594-fx044gcd 387 27 and and CC cord-022594-fx044gcd 387 28 lower low JJR cord-022594-fx044gcd 387 29 respiratory respiratory JJ cord-022594-fx044gcd 387 30 tract tract NN cord-022594-fx044gcd 387 31 involvement involvement NN cord-022594-fx044gcd 387 32 in in IN cord-022594-fx044gcd 387 33 Wegener Wegener NNP cord-022594-fx044gcd 387 34 's 's POS cord-022594-fx044gcd 387 35 granulomatosis granulomatosis NN cord-022594-fx044gcd 387 36 ) ) -RRB- cord-022594-fx044gcd 387 37 also also RB cord-022594-fx044gcd 387 38 aid aid VB cord-022594-fx044gcd 387 39 in in IN cord-022594-fx044gcd 387 40 the the DT cord-022594-fx044gcd 387 41 correct correct JJ cord-022594-fx044gcd 387 42 diagnosis diagnosis NN cord-022594-fx044gcd 387 43 . . . cord-022594-fx044gcd 388 1 A a DT cord-022594-fx044gcd 388 2 few few JJ cord-022594-fx044gcd 388 3 infections infection NNS cord-022594-fx044gcd 388 4 must must MD cord-022594-fx044gcd 388 5 also also RB cord-022594-fx044gcd 388 6 be be VB cord-022594-fx044gcd 388 7 considered consider VBN cord-022594-fx044gcd 388 8 in in IN cord-022594-fx044gcd 388 9 the the DT cord-022594-fx044gcd 388 10 differential differential JJ cord-022594-fx044gcd 388 11 diagnosis diagnosis NN cord-022594-fx044gcd 388 12 of of IN cord-022594-fx044gcd 388 13 MS MS NNP cord-022594-fx044gcd 388 14 . . . cord-022594-fx044gcd 389 1 Both both DT cord-022594-fx044gcd 389 2 Lyme Lyme NNP cord-022594-fx044gcd 389 3 disease disease NN cord-022594-fx044gcd 389 4 and and CC cord-022594-fx044gcd 389 5 syphilis syphili NNS cord-022594-fx044gcd 389 6 may may MD cord-022594-fx044gcd 389 7 cause cause VB cord-022594-fx044gcd 389 8 multifocal multifocal JJ cord-022594-fx044gcd 389 9 white white JJ cord-022594-fx044gcd 389 10 matter matter NN cord-022594-fx044gcd 389 11 lesions lesion NNS cord-022594-fx044gcd 389 12 . . . cord-022594-fx044gcd 390 1 HTLV-1 HTLV-1 NNP cord-022594-fx044gcd 390 2 causes cause VBZ cord-022594-fx044gcd 390 3 a a DT cord-022594-fx044gcd 390 4 chronic chronic JJ cord-022594-fx044gcd 390 5 progressive progressive JJ cord-022594-fx044gcd 390 6 myelopathy myelopathy NN cord-022594-fx044gcd 390 7 ( ( -LRB- cord-022594-fx044gcd 390 8 HTLV-1-associated htlv-1-associate VBN cord-022594-fx044gcd 390 9 myelopathy myelopathy NN cord-022594-fx044gcd 390 10 / / SYM cord-022594-fx044gcd 390 11 tropical tropical JJ cord-022594-fx044gcd 390 12 spastic spastic JJ cord-022594-fx044gcd 390 13 paraparesis paraparesis NN cord-022594-fx044gcd 390 14 ) ) -RRB- cord-022594-fx044gcd 390 15 . . . cord-022594-fx044gcd 391 1 Acute acute JJ cord-022594-fx044gcd 391 2 or or CC cord-022594-fx044gcd 391 3 recurrent recurrent JJ cord-022594-fx044gcd 391 4 myelitis myelitis NN cord-022594-fx044gcd 391 5 can can MD cord-022594-fx044gcd 391 6 be be VB cord-022594-fx044gcd 391 7 caused cause VBN cord-022594-fx044gcd 391 8 by by IN cord-022594-fx044gcd 391 9 VZV VZV NNP cord-022594-fx044gcd 391 10 . . . cord-022594-fx044gcd 392 1 Progressive progressive JJ cord-022594-fx044gcd 392 2 multifocal multifocal JJ cord-022594-fx044gcd 392 3 leukoencephalopathy leukoencephalopathy NNS cord-022594-fx044gcd 392 4 and and CC cord-022594-fx044gcd 392 5 Toxoplasma toxoplasma NN cord-022594-fx044gcd 392 6 abscesses abscess NNS cord-022594-fx044gcd 392 7 should should MD cord-022594-fx044gcd 392 8 be be VB cord-022594-fx044gcd 392 9 considered consider VBN cord-022594-fx044gcd 392 10 in in IN cord-022594-fx044gcd 392 11 immunocompromised immunocompromised JJ cord-022594-fx044gcd 392 12 patients patient NNS cord-022594-fx044gcd 392 13 with with IN cord-022594-fx044gcd 392 14 progressive progressive JJ cord-022594-fx044gcd 392 15 neurological neurological JJ cord-022594-fx044gcd 392 16 decline decline NN cord-022594-fx044gcd 392 17 . . . cord-022594-fx044gcd 393 1 Bacterial bacterial JJ cord-022594-fx044gcd 393 2 endocarditis endocarditis NN cord-022594-fx044gcd 393 3 with with IN cord-022594-fx044gcd 393 4 brain brain NN cord-022594-fx044gcd 393 5 abscess abscess NN cord-022594-fx044gcd 393 6 formation formation NN cord-022594-fx044gcd 393 7 , , , cord-022594-fx044gcd 393 8 subacute subacute JJ cord-022594-fx044gcd 393 9 sclerosing sclerosing NN cord-022594-fx044gcd 393 10 panencephalitis panencephalitis NN cord-022594-fx044gcd 393 11 , , , cord-022594-fx044gcd 393 12 or or CC cord-022594-fx044gcd 393 13 chronic chronic JJ cord-022594-fx044gcd 393 14 rubella rubella NN cord-022594-fx044gcd 393 15 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 393 16 may may MD cord-022594-fx044gcd 393 17 need need VB cord-022594-fx044gcd 393 18 to to TO cord-022594-fx044gcd 393 19 be be VB cord-022594-fx044gcd 393 20 considered consider VBN cord-022594-fx044gcd 393 21 in in IN cord-022594-fx044gcd 393 22 the the DT cord-022594-fx044gcd 393 23 appropriate appropriate JJ cord-022594-fx044gcd 393 24 circumstances circumstance NNS cord-022594-fx044gcd 393 25 . . . cord-022594-fx044gcd 394 1 Cerebrovascular cerebrovascular JJ cord-022594-fx044gcd 394 2 disease disease NN cord-022594-fx044gcd 394 3 is be VBZ cord-022594-fx044gcd 394 4 only only RB cord-022594-fx044gcd 394 5 rarely rarely RB cord-022594-fx044gcd 394 6 mistaken mistake VBN cord-022594-fx044gcd 394 7 for for IN cord-022594-fx044gcd 394 8 MS MS NNP cord-022594-fx044gcd 394 9 . . . cord-022594-fx044gcd 395 1 Occasionally occasionally RB cord-022594-fx044gcd 395 2 , , , cord-022594-fx044gcd 395 3 an an DT cord-022594-fx044gcd 395 4 MS MS NNP cord-022594-fx044gcd 395 5 relapse relapse NN cord-022594-fx044gcd 395 6 has have VBZ cord-022594-fx044gcd 395 7 an an DT cord-022594-fx044gcd 395 8 abrupt abrupt JJ cord-022594-fx044gcd 395 9 onset onset NN cord-022594-fx044gcd 395 10 that that WDT cord-022594-fx044gcd 395 11 may may MD cord-022594-fx044gcd 395 12 mimic mimic VB cord-022594-fx044gcd 395 13 an an DT cord-022594-fx044gcd 395 14 infarct infarct NN cord-022594-fx044gcd 395 15 , , , cord-022594-fx044gcd 395 16 especially especially RB cord-022594-fx044gcd 395 17 in in IN cord-022594-fx044gcd 395 18 those those DT cord-022594-fx044gcd 395 19 not not RB cord-022594-fx044gcd 395 20 previously previously RB cord-022594-fx044gcd 395 21 diagnosed diagnose VBN cord-022594-fx044gcd 395 22 with with IN cord-022594-fx044gcd 395 23 MS MS NNP cord-022594-fx044gcd 395 24 . . . cord-022594-fx044gcd 396 1 The the DT cord-022594-fx044gcd 396 2 usual usual JJ cord-022594-fx044gcd 396 3 circumstance circumstance NN cord-022594-fx044gcd 396 4 is be VBZ cord-022594-fx044gcd 396 5 that that DT cord-022594-fx044gcd 396 6 of of IN cord-022594-fx044gcd 396 7 a a DT cord-022594-fx044gcd 396 8 hemisensory hemisensory NN cord-022594-fx044gcd 396 9 or or CC cord-022594-fx044gcd 396 10 hemimotor hemimotor NN cord-022594-fx044gcd 396 11 deficit deficit NN cord-022594-fx044gcd 396 12 imitating imitate VBG cord-022594-fx044gcd 396 13 a a DT cord-022594-fx044gcd 396 14 lacunar lacunar NNP cord-022594-fx044gcd 396 15 infarct infarct NN cord-022594-fx044gcd 396 16 . . . cord-022594-fx044gcd 397 1 Disorders disorder NNS cord-022594-fx044gcd 397 2 with with IN cord-022594-fx044gcd 397 3 multiple multiple JJ cord-022594-fx044gcd 397 4 cerebral cerebral JJ cord-022594-fx044gcd 397 5 infarcts infarct NNS cord-022594-fx044gcd 397 6 ( ( -LRB- cord-022594-fx044gcd 397 7 emboli emboli JJR cord-022594-fx044gcd 397 8 , , , cord-022594-fx044gcd 397 9 hypercoagulable hypercoagulable JJ cord-022594-fx044gcd 397 10 states state NNS cord-022594-fx044gcd 397 11 , , , cord-022594-fx044gcd 397 12 Sneddon Sneddon NNP cord-022594-fx044gcd 397 13 's 's POS cord-022594-fx044gcd 397 14 syndrome syndrome NN cord-022594-fx044gcd 397 15 , , , cord-022594-fx044gcd 397 16 CADASIL CADASIL NNP cord-022594-fx044gcd 397 17 , , , cord-022594-fx044gcd 397 18 vasculitis vasculitis NN cord-022594-fx044gcd 397 19 ) ) -RRB- cord-022594-fx044gcd 397 20 may may MD cord-022594-fx044gcd 397 21 produce produce VB cord-022594-fx044gcd 397 22 an an DT cord-022594-fx044gcd 397 23 MRI MRI NNP cord-022594-fx044gcd 397 24 appearance appearance NN cord-022594-fx044gcd 397 25 and and CC cord-022594-fx044gcd 397 26 course course NN cord-022594-fx044gcd 397 27 resembling resemble VBG cord-022594-fx044gcd 397 28 MS MS NNP cord-022594-fx044gcd 397 29 . . . cord-022594-fx044gcd 398 1 Vascular vascular JJ cord-022594-fx044gcd 398 2 malformations malformation NNS cord-022594-fx044gcd 398 3 may may MD cord-022594-fx044gcd 398 4 also also RB cord-022594-fx044gcd 398 5 produce produce VB cord-022594-fx044gcd 398 6 symptoms symptom NNS cord-022594-fx044gcd 398 7 similar similar JJ cord-022594-fx044gcd 398 8 to to IN cord-022594-fx044gcd 398 9 MS MS NNP cord-022594-fx044gcd 398 10 . . . cord-022594-fx044gcd 399 1 Additional additional JJ cord-022594-fx044gcd 399 2 neurological neurological JJ cord-022594-fx044gcd 399 3 illnesses illness NNS cord-022594-fx044gcd 399 4 capable capable JJ cord-022594-fx044gcd 399 5 of of IN cord-022594-fx044gcd 399 6 producing produce VBG cord-022594-fx044gcd 399 7 multifocal multifocal JJ cord-022594-fx044gcd 399 8 lesions lesion NNS cord-022594-fx044gcd 399 9 rarely rarely RB cord-022594-fx044gcd 399 10 mimic mimic VBP cord-022594-fx044gcd 399 11 MS MS NNP cord-022594-fx044gcd 399 12 . . . cord-022594-fx044gcd 400 1 Metastatic metastatic JJ cord-022594-fx044gcd 400 2 tumors tumor NNS cord-022594-fx044gcd 400 3 and and CC cord-022594-fx044gcd 400 4 multifocal multifocal JJ cord-022594-fx044gcd 400 5 gliomas glioma NNS cord-022594-fx044gcd 400 6 are be VBP cord-022594-fx044gcd 400 7 often often RB cord-022594-fx044gcd 400 8 cited cite VBN cord-022594-fx044gcd 400 9 examples example NNS cord-022594-fx044gcd 400 10 , , , cord-022594-fx044gcd 400 11 but but CC cord-022594-fx044gcd 400 12 rarely rarely RB cord-022594-fx044gcd 400 13 is be VBZ cord-022594-fx044gcd 400 14 this this DT cord-022594-fx044gcd 400 15 distinction distinction NN cord-022594-fx044gcd 400 16 difficult difficult JJ cord-022594-fx044gcd 400 17 for for IN cord-022594-fx044gcd 400 18 an an DT cord-022594-fx044gcd 400 19 experienced experienced JJ cord-022594-fx044gcd 400 20 clinician clinician NN cord-022594-fx044gcd 400 21 . . . cord-022594-fx044gcd 401 1 Lymphoma Lymphoma NNP cord-022594-fx044gcd 401 2 more more RBR cord-022594-fx044gcd 401 3 commonly commonly RB cord-022594-fx044gcd 401 4 masquerades masquerade VBZ cord-022594-fx044gcd 401 5 as as IN cord-022594-fx044gcd 401 6 MS MS NNP cord-022594-fx044gcd 402 1 because because IN cord-022594-fx044gcd 402 2 the the DT cord-022594-fx044gcd 402 3 lesions lesion NNS cord-022594-fx044gcd 402 4 may may MD cord-022594-fx044gcd 402 5 involve involve VB cord-022594-fx044gcd 402 6 the the DT cord-022594-fx044gcd 402 7 white white JJ cord-022594-fx044gcd 402 8 matter matter NN cord-022594-fx044gcd 402 9 , , , cord-022594-fx044gcd 402 10 may may MD cord-022594-fx044gcd 402 11 be be VB cord-022594-fx044gcd 402 12 multifocal multifocal JJ cord-022594-fx044gcd 402 13 , , , cord-022594-fx044gcd 402 14 and and CC cord-022594-fx044gcd 402 15 are be VBP cord-022594-fx044gcd 402 16 corticosteroid corticosteroid NN cord-022594-fx044gcd 402 17 responsive responsive JJ cord-022594-fx044gcd 402 18 . . . cord-022594-fx044gcd 403 1 In in IN cord-022594-fx044gcd 403 2 addition addition NN cord-022594-fx044gcd 403 3 , , , cord-022594-fx044gcd 403 4 demyelination demyelination NN cord-022594-fx044gcd 403 5 sometimes sometimes RB cord-022594-fx044gcd 403 6 presents present VBZ cord-022594-fx044gcd 403 7 as as IN cord-022594-fx044gcd 403 8 one one CD cord-022594-fx044gcd 403 9 ( ( -LRB- cord-022594-fx044gcd 403 10 or or CC cord-022594-fx044gcd 403 11 a a DT cord-022594-fx044gcd 403 12 few few JJ cord-022594-fx044gcd 403 13 ) ) -RRB- cord-022594-fx044gcd 403 14 mass mass NN cord-022594-fx044gcd 403 15 lesion(s lesion(s NNP cord-022594-fx044gcd 403 16 ) ) -RRB- cord-022594-fx044gcd 403 17 . . . cord-022594-fx044gcd 404 1 In in IN cord-022594-fx044gcd 404 2 this this DT cord-022594-fx044gcd 404 3 situation situation NN cord-022594-fx044gcd 404 4 , , , cord-022594-fx044gcd 404 5 biopsy biopsy NN cord-022594-fx044gcd 404 6 may may MD cord-022594-fx044gcd 404 7 be be VB cord-022594-fx044gcd 404 8 needed need VBN cord-022594-fx044gcd 404 9 for for IN cord-022594-fx044gcd 404 10 diagnosis diagnosis NN cord-022594-fx044gcd 404 11 . . . cord-022594-fx044gcd 405 1 Neoplasms neoplasm NNS cord-022594-fx044gcd 405 2 can can MD cord-022594-fx044gcd 405 3 cause cause VB cord-022594-fx044gcd 405 4 paraneoplastic paraneoplastic JJ cord-022594-fx044gcd 405 5 syndromes syndrome NNS cord-022594-fx044gcd 405 6 that that WDT cord-022594-fx044gcd 405 7 may may MD cord-022594-fx044gcd 405 8 be be VB cord-022594-fx044gcd 405 9 confused confuse VBN cord-022594-fx044gcd 405 10 with with IN cord-022594-fx044gcd 405 11 MS MS NNP cord-022594-fx044gcd 405 12 . . . cord-022594-fx044gcd 406 1 A a DT cord-022594-fx044gcd 406 2 high high JJ cord-022594-fx044gcd 406 3 index index NN cord-022594-fx044gcd 406 4 of of IN cord-022594-fx044gcd 406 5 suspicion suspicion NN cord-022594-fx044gcd 406 6 must must MD cord-022594-fx044gcd 406 7 be be VB cord-022594-fx044gcd 406 8 kept keep VBN cord-022594-fx044gcd 406 9 for for IN cord-022594-fx044gcd 406 10 older old JJR cord-022594-fx044gcd 406 11 age age NN cord-022594-fx044gcd 406 12 at at IN cord-022594-fx044gcd 406 13 presentation presentation NN cord-022594-fx044gcd 406 14 , , , cord-022594-fx044gcd 406 15 subacute subacute JJ cord-022594-fx044gcd 406 16 ataxia ataxia NN cord-022594-fx044gcd 406 17 , , , cord-022594-fx044gcd 406 18 early early JJ cord-022594-fx044gcd 406 19 dementia dementia NN cord-022594-fx044gcd 406 20 , , , cord-022594-fx044gcd 406 21 and and CC cord-022594-fx044gcd 406 22 personality personality NN cord-022594-fx044gcd 406 23 changes change NNS cord-022594-fx044gcd 406 24 . . . cord-022594-fx044gcd 407 1 A a DT cord-022594-fx044gcd 407 2 few few JJ cord-022594-fx044gcd 407 3 metabolic metabolic JJ cord-022594-fx044gcd 407 4 disorders disorder NNS cord-022594-fx044gcd 407 5 may may MD cord-022594-fx044gcd 407 6 resemble resemble VB cord-022594-fx044gcd 407 7 MS MS NNP cord-022594-fx044gcd 407 8 , , , cord-022594-fx044gcd 407 9 such such JJ cord-022594-fx044gcd 407 10 as as IN cord-022594-fx044gcd 407 11 vitamin vitamin NN cord-022594-fx044gcd 407 12 B b NN cord-022594-fx044gcd 407 13 12 12 CD cord-022594-fx044gcd 407 14 deficiency deficiency NN cord-022594-fx044gcd 407 15 , , , cord-022594-fx044gcd 407 16 vitamin vitamin NN cord-022594-fx044gcd 407 17 E e NN cord-022594-fx044gcd 407 18 deficiency deficiency NN cord-022594-fx044gcd 407 19 ( ( -LRB- cord-022594-fx044gcd 407 20 seen see VBN cord-022594-fx044gcd 407 21 in in IN cord-022594-fx044gcd 407 22 Bassen Bassen NNP cord-022594-fx044gcd 407 23 - - HYPH cord-022594-fx044gcd 407 24 Kornzweig Kornzweig NNP cord-022594-fx044gcd 407 25 syndrome syndrome NN cord-022594-fx044gcd 407 26 , , , cord-022594-fx044gcd 407 27 hypobetalipoproteinemia hypobetalipoproteinemia NN cord-022594-fx044gcd 407 28 , , , cord-022594-fx044gcd 407 29 and and CC cord-022594-fx044gcd 407 30 Refsum Refsum NNP cord-022594-fx044gcd 407 31 's 's POS cord-022594-fx044gcd 407 32 disease disease NN cord-022594-fx044gcd 407 33 ) ) -RRB- cord-022594-fx044gcd 407 34 , , , cord-022594-fx044gcd 407 35 and and CC cord-022594-fx044gcd 407 36 central central JJ cord-022594-fx044gcd 407 37 pontine pontine NNP cord-022594-fx044gcd 407 38 or or CC cord-022594-fx044gcd 407 39 extrapontine extrapontine NNP cord-022594-fx044gcd 407 40 myelinolysis myelinolysis NNP cord-022594-fx044gcd 407 41 ( ( -LRB- cord-022594-fx044gcd 407 42 Video video NN cord-022594-fx044gcd 407 43 113 113 CD cord-022594-fx044gcd 407 44 , , , cord-022594-fx044gcd 407 45 Pontine Pontine NNP cord-022594-fx044gcd 407 46 Myelinolysis Myelinolysis NNP cord-022594-fx044gcd 407 47 ) ) -RRB- cord-022594-fx044gcd 407 48 . . . cord-022594-fx044gcd 408 1 Leukodystrophies Leukodystrophies NNP cord-022594-fx044gcd 408 2 are be VBP cord-022594-fx044gcd 408 3 usually usually RB cord-022594-fx044gcd 408 4 not not RB cord-022594-fx044gcd 408 5 difficult difficult JJ cord-022594-fx044gcd 408 6 to to TO cord-022594-fx044gcd 408 7 distinguish distinguish VB cord-022594-fx044gcd 408 8 from from IN cord-022594-fx044gcd 408 9 MS MS NNP cord-022594-fx044gcd 408 10 . . . cord-022594-fx044gcd 409 1 Krabbe Krabbe NNP cord-022594-fx044gcd 409 2 's 's POS cord-022594-fx044gcd 409 3 disease disease NN cord-022594-fx044gcd 409 4 ( ( -LRB- cord-022594-fx044gcd 409 5 galactocerebroside galactocerebroside NN cord-022594-fx044gcd 409 6 - - HYPH cord-022594-fx044gcd 409 7 b b NN cord-022594-fx044gcd 409 8 - - HYPH cord-022594-fx044gcd 409 9 galactosidase galactosidase NN cord-022594-fx044gcd 409 10 deficiency deficiency NN cord-022594-fx044gcd 409 11 ) ) -RRB- cord-022594-fx044gcd 409 12 , , , cord-022594-fx044gcd 409 13 metachromatic metachromatic JJ cord-022594-fx044gcd 409 14 leukodystrophy leukodystrophy NN cord-022594-fx044gcd 409 15 ( ( -LRB- cord-022594-fx044gcd 409 16 MLD MLD NNP cord-022594-fx044gcd 409 17 ; ; : cord-022594-fx044gcd 409 18 arylsulfatase arylsulfatase NNP cord-022594-fx044gcd 409 19 A a DT cord-022594-fx044gcd 409 20 deficiency deficiency NN cord-022594-fx044gcd 409 21 ) ) -RRB- cord-022594-fx044gcd 409 22 , , , cord-022594-fx044gcd 409 23 and and CC cord-022594-fx044gcd 409 24 the the DT cord-022594-fx044gcd 409 25 usual usual JJ cord-022594-fx044gcd 409 26 adult adult NN cord-022594-fx044gcd 409 27 form form NN cord-022594-fx044gcd 409 28 of of IN cord-022594-fx044gcd 409 29 adrenoleukodystrophy adrenoleukodystrophy NN cord-022594-fx044gcd 409 30 ( ( -LRB- cord-022594-fx044gcd 409 31 ALD ALD NNP cord-022594-fx044gcd 409 32 ) ) -RRB- cord-022594-fx044gcd 409 33 and and CC cord-022594-fx044gcd 409 34 adrenomyeloneuropathy adrenomyeloneuropathy NNP cord-022594-fx044gcd 409 35 ( ( -LRB- cord-022594-fx044gcd 409 36 AMN AMN NNP cord-022594-fx044gcd 409 37 ) ) -RRB- cord-022594-fx044gcd 409 38 exhibit exhibit NN cord-022594-fx044gcd 409 39 both both DT cord-022594-fx044gcd 409 40 central central JJ cord-022594-fx044gcd 409 41 and and CC cord-022594-fx044gcd 409 42 peripheral peripheral JJ cord-022594-fx044gcd 409 43 dysmyelination dysmyelination NN cord-022594-fx044gcd 409 44 . . . cord-022594-fx044gcd 410 1 Blood blood NN cord-022594-fx044gcd 410 2 leukocyte leukocyte NN cord-022594-fx044gcd 410 3 or or CC cord-022594-fx044gcd 410 4 fibroblast fibroblast NN cord-022594-fx044gcd 410 5 culture culture NN cord-022594-fx044gcd 410 6 enzyme enzyme NN cord-022594-fx044gcd 410 7 activity activity NN cord-022594-fx044gcd 410 8 levels level NNS cord-022594-fx044gcd 410 9 will will MD cord-022594-fx044gcd 410 10 confirm confirm VB cord-022594-fx044gcd 410 11 the the DT cord-022594-fx044gcd 410 12 diagnosis diagnosis NN cord-022594-fx044gcd 410 13 of of IN cord-022594-fx044gcd 410 14 Krabbe Krabbe NNP cord-022594-fx044gcd 410 15 's 's POS cord-022594-fx044gcd 410 16 disease disease NN cord-022594-fx044gcd 410 17 and and CC cord-022594-fx044gcd 410 18 MLD MLD NNP cord-022594-fx044gcd 410 19 , , , cord-022594-fx044gcd 410 20 and and CC cord-022594-fx044gcd 410 21 elevated elevated JJ cord-022594-fx044gcd 410 22 levels level NNS cord-022594-fx044gcd 410 23 of of IN cord-022594-fx044gcd 410 24 very very RB cord-022594-fx044gcd 410 25 long long JJ cord-022594-fx044gcd 410 26 chain chain NN cord-022594-fx044gcd 410 27 fatty fatty JJ cord-022594-fx044gcd 410 28 acids acid NNS cord-022594-fx044gcd 410 29 occur occur VBP cord-022594-fx044gcd 410 30 in in IN cord-022594-fx044gcd 410 31 ALD ALD NNP cord-022594-fx044gcd 410 32 / / SYM cord-022594-fx044gcd 410 33 AMN AMN NNP cord-022594-fx044gcd 410 34 . . . cord-022594-fx044gcd 411 1 Mitochondrial mitochondrial JJ cord-022594-fx044gcd 411 2 disorders disorder NNS cord-022594-fx044gcd 411 3 should should MD cord-022594-fx044gcd 411 4 also also RB cord-022594-fx044gcd 411 5 be be VB cord-022594-fx044gcd 411 6 given give VBN cord-022594-fx044gcd 411 7 consideration consideration NN cord-022594-fx044gcd 411 8 because because IN cord-022594-fx044gcd 411 9 symptoms symptom NNS cord-022594-fx044gcd 411 10 and and CC cord-022594-fx044gcd 411 11 MRI MRI NNP cord-022594-fx044gcd 411 12 appearance appearance NN cord-022594-fx044gcd 411 13 may may MD cord-022594-fx044gcd 411 14 be be VB cord-022594-fx044gcd 411 15 similar similar JJ cord-022594-fx044gcd 411 16 to to IN cord-022594-fx044gcd 411 17 MS MS NNP cord-022594-fx044gcd 411 18 . . . cord-022594-fx044gcd 412 1 A a DT cord-022594-fx044gcd 412 2 relapsing relapse VBG cord-022594-fx044gcd 412 3 remitting remit VBG cord-022594-fx044gcd 412 4 disorder disorder NN cord-022594-fx044gcd 412 5 identical identical JJ cord-022594-fx044gcd 412 6 to to IN cord-022594-fx044gcd 412 7 MS MS NNP cord-022594-fx044gcd 412 8 is be VBZ cord-022594-fx044gcd 412 9 sometimes sometimes RB cord-022594-fx044gcd 412 10 seen see VBN cord-022594-fx044gcd 412 11 in in IN cord-022594-fx044gcd 412 12 patients patient NNS cord-022594-fx044gcd 412 13 with with IN cord-022594-fx044gcd 412 14 the the DT cord-022594-fx044gcd 412 15 mutations mutation NNS cord-022594-fx044gcd 412 16 responsible responsible JJ cord-022594-fx044gcd 412 17 for for IN cord-022594-fx044gcd 412 18 Leber Leber NNP cord-022594-fx044gcd 412 19 's 's POS cord-022594-fx044gcd 412 20 hereditary hereditary JJ cord-022594-fx044gcd 412 21 optic optic JJ cord-022594-fx044gcd 412 22 neuritis neuritis NN cord-022594-fx044gcd 412 23 ( ( -LRB- cord-022594-fx044gcd 412 24 LHON LHON NNP cord-022594-fx044gcd 412 25 ) ) -RRB- cord-022594-fx044gcd 412 26 . . . cord-022594-fx044gcd 413 1 41 41 CD cord-022594-fx044gcd 414 1 This this DT cord-022594-fx044gcd 414 2 usually usually RB cord-022594-fx044gcd 414 3 occurs occur VBZ cord-022594-fx044gcd 414 4 in in IN cord-022594-fx044gcd 414 5 female female JJ cord-022594-fx044gcd 414 6 patients patient NNS cord-022594-fx044gcd 414 7 , , , cord-022594-fx044gcd 414 8 and and CC cord-022594-fx044gcd 414 9 there there EX cord-022594-fx044gcd 414 10 may may MD cord-022594-fx044gcd 414 11 not not RB cord-022594-fx044gcd 414 12 be be VB cord-022594-fx044gcd 414 13 a a DT cord-022594-fx044gcd 414 14 family family NN cord-022594-fx044gcd 414 15 history history NN cord-022594-fx044gcd 414 16 of of IN cord-022594-fx044gcd 414 17 visual visual JJ cord-022594-fx044gcd 414 18 loss loss NN cord-022594-fx044gcd 414 19 . . . cord-022594-fx044gcd 415 1 A a DT cord-022594-fx044gcd 415 2 number number NN cord-022594-fx044gcd 415 3 of of IN cord-022594-fx044gcd 415 4 rare rare JJ cord-022594-fx044gcd 415 5 biochemically biochemically RB cord-022594-fx044gcd 415 6 defined define VBN cord-022594-fx044gcd 415 7 illnesses illness NNS cord-022594-fx044gcd 415 8 and and CC cord-022594-fx044gcd 415 9 other other JJ cord-022594-fx044gcd 415 10 genetic genetic JJ cord-022594-fx044gcd 415 11 disorders disorder NNS cord-022594-fx044gcd 415 12 may may MD cord-022594-fx044gcd 415 13 occasionally occasionally RB cord-022594-fx044gcd 415 14 merit merit VB cord-022594-fx044gcd 415 15 consideration consideration NN cord-022594-fx044gcd 415 16 ( ( -LRB- cord-022594-fx044gcd 415 17 including include VBG cord-022594-fx044gcd 415 18 cobalamin cobalamin NN cord-022594-fx044gcd 415 19 and and CC cord-022594-fx044gcd 415 20 folate folate NN cord-022594-fx044gcd 415 21 dysmetabolism dysmetabolism NN cord-022594-fx044gcd 415 22 , , , cord-022594-fx044gcd 415 23 adult adult NN cord-022594-fx044gcd 415 24 polyglucosan polyglucosan JJ cord-022594-fx044gcd 415 25 body body NN cord-022594-fx044gcd 415 26 disease disease NN cord-022594-fx044gcd 415 27 , , , cord-022594-fx044gcd 415 28 hereditary hereditary JJ cord-022594-fx044gcd 415 29 spastic spastic JJ cord-022594-fx044gcd 415 30 paraparesis paraparesis NN cord-022594-fx044gcd 415 31 , , , cord-022594-fx044gcd 415 32 spinocerebellar spinocerebellar NNP cord-022594-fx044gcd 415 33 degeneration degeneration NN cord-022594-fx044gcd 415 34 , , , cord-022594-fx044gcd 415 35 and and CC cord-022594-fx044gcd 415 36 hereditary hereditary JJ cord-022594-fx044gcd 415 37 cerebroretinal cerebroretinal JJ cord-022594-fx044gcd 415 38 vasculopathy vasculopathy NNP cord-022594-fx044gcd 415 39 ) ) -RRB- cord-022594-fx044gcd 415 40 . . . cord-022594-fx044gcd 416 1 42 42 CD cord-022594-fx044gcd 416 2 Several several JJ cord-022594-fx044gcd 416 3 additional additional JJ cord-022594-fx044gcd 416 4 disorders disorder NNS cord-022594-fx044gcd 416 5 must must MD cord-022594-fx044gcd 416 6 be be VB cord-022594-fx044gcd 416 7 excluded exclude VBN cord-022594-fx044gcd 416 8 before before IN cord-022594-fx044gcd 416 9 diagnosing diagnose VBG cord-022594-fx044gcd 416 10 primary primary JJ cord-022594-fx044gcd 416 11 progressive progressive JJ cord-022594-fx044gcd 416 12 MS MS NNP cord-022594-fx044gcd 416 13 ( ( -LRB- cord-022594-fx044gcd 416 14 PPMS PPMS NNP cord-022594-fx044gcd 416 15 ) ) -RRB- cord-022594-fx044gcd 416 16 . . . cord-022594-fx044gcd 417 1 Spinal spinal JJ cord-022594-fx044gcd 417 2 cord cord NN cord-022594-fx044gcd 417 3 compression compression NN cord-022594-fx044gcd 417 4 from from IN cord-022594-fx044gcd 417 5 spondylosis spondylosis NN cord-022594-fx044gcd 417 6 or or CC cord-022594-fx044gcd 417 7 tumor tumor NN cord-022594-fx044gcd 417 8 may may MD cord-022594-fx044gcd 417 9 produce produce VB cord-022594-fx044gcd 417 10 chronic chronic JJ cord-022594-fx044gcd 417 11 progressive progressive JJ cord-022594-fx044gcd 417 12 myelopathy myelopathy NN cord-022594-fx044gcd 417 13 . . . cord-022594-fx044gcd 418 1 Chiari Chiari NNP cord-022594-fx044gcd 418 2 malformations malformation NNS cord-022594-fx044gcd 418 3 , , , cord-022594-fx044gcd 418 4 syringomyelia syringomyelia NN cord-022594-fx044gcd 418 5 , , , cord-022594-fx044gcd 418 6 syringobulbia syringobulbia NNP cord-022594-fx044gcd 418 7 , , , cord-022594-fx044gcd 418 8 other other JJ cord-022594-fx044gcd 418 9 foramen foramen NNP cord-022594-fx044gcd 418 10 magnum magnum NNP cord-022594-fx044gcd 418 11 lesions lesion NNS cord-022594-fx044gcd 418 12 , , , cord-022594-fx044gcd 418 13 spinal spinal JJ cord-022594-fx044gcd 418 14 arteriovenous arteriovenous JJ cord-022594-fx044gcd 418 15 malformations malformation NNS cord-022594-fx044gcd 418 16 , , , cord-022594-fx044gcd 418 17 and and CC cord-022594-fx044gcd 418 18 dural dural NN cord-022594-fx044gcd 418 19 fistulas fistula NNS cord-022594-fx044gcd 418 20 may may MD cord-022594-fx044gcd 418 21 also also RB cord-022594-fx044gcd 418 22 need need VB cord-022594-fx044gcd 418 23 consideration consideration NN cord-022594-fx044gcd 418 24 . . . cord-022594-fx044gcd 419 1 Careful careful JJ cord-022594-fx044gcd 419 2 imaging imaging NN cord-022594-fx044gcd 419 3 readily readily RB cord-022594-fx044gcd 419 4 identifies identify VBZ cord-022594-fx044gcd 419 5 these these DT cord-022594-fx044gcd 419 6 structural structural JJ cord-022594-fx044gcd 419 7 abnormalities abnormality NNS cord-022594-fx044gcd 419 8 . . . cord-022594-fx044gcd 420 1 Degenerative degenerative JJ cord-022594-fx044gcd 420 2 diseases disease NNS cord-022594-fx044gcd 420 3 such such JJ cord-022594-fx044gcd 420 4 as as IN cord-022594-fx044gcd 420 5 olivopontocerebellar olivopontocerebellar JJ cord-022594-fx044gcd 420 6 atrophy atrophy NN cord-022594-fx044gcd 420 7 may may MD cord-022594-fx044gcd 420 8 mimic mimic VB cord-022594-fx044gcd 420 9 PPMS PPMS NNP cord-022594-fx044gcd 420 10 . . . cord-022594-fx044gcd 421 1 MRI MRI NNP cord-022594-fx044gcd 421 2 and and CC cord-022594-fx044gcd 421 3 CSF CSF NNP cord-022594-fx044gcd 421 4 examination examination NN cord-022594-fx044gcd 421 5 will will MD cord-022594-fx044gcd 421 6 help help VB cord-022594-fx044gcd 421 7 distinguish distinguish VB cord-022594-fx044gcd 421 8 between between IN cord-022594-fx044gcd 421 9 the the DT cord-022594-fx044gcd 421 10 two two CD cord-022594-fx044gcd 421 11 . . . cord-022594-fx044gcd 422 1 Conversion conversion NN cord-022594-fx044gcd 422 2 reactions reaction NNS cord-022594-fx044gcd 422 3 and and CC cord-022594-fx044gcd 422 4 somatization somatization NN cord-022594-fx044gcd 422 5 disorders disorder NNS cord-022594-fx044gcd 422 6 are be VBP cord-022594-fx044gcd 422 7 commonly commonly RB cord-022594-fx044gcd 422 8 encountered encounter VBN cord-022594-fx044gcd 422 9 in in IN cord-022594-fx044gcd 422 10 a a DT cord-022594-fx044gcd 422 11 busy busy JJ cord-022594-fx044gcd 422 12 referral referral JJ cord-022594-fx044gcd 422 13 practice practice NN cord-022594-fx044gcd 422 14 and and CC cord-022594-fx044gcd 422 15 must must MD cord-022594-fx044gcd 422 16 be be VB cord-022594-fx044gcd 422 17 accurately accurately RB cord-022594-fx044gcd 422 18 diagnosed diagnose VBN cord-022594-fx044gcd 422 19 to to TO cord-022594-fx044gcd 422 20 afford afford VB cord-022594-fx044gcd 422 21 optimal optimal JJ cord-022594-fx044gcd 422 22 patient patient NN cord-022594-fx044gcd 422 23 management management NN cord-022594-fx044gcd 422 24 . . . cord-022594-fx044gcd 423 1 EVALUATION EVALUATION NNP cord-022594-fx044gcd 423 2 . . . cord-022594-fx044gcd 424 1 The the DT cord-022594-fx044gcd 424 2 diagnosis diagnosis NN cord-022594-fx044gcd 424 3 of of IN cord-022594-fx044gcd 424 4 MS MS NNP cord-022594-fx044gcd 424 5 is be VBZ cord-022594-fx044gcd 424 6 based base VBN cord-022594-fx044gcd 424 7 on on IN cord-022594-fx044gcd 424 8 the the DT cord-022594-fx044gcd 424 9 demonstration demonstration NN cord-022594-fx044gcd 424 10 of of IN cord-022594-fx044gcd 424 11 white white JJ cord-022594-fx044gcd 424 12 matter matter NN cord-022594-fx044gcd 424 13 lesions lesion NNS cord-022594-fx044gcd 424 14 disseminated disseminate VBN cord-022594-fx044gcd 424 15 in in IN cord-022594-fx044gcd 424 16 time time NN cord-022594-fx044gcd 424 17 and and CC cord-022594-fx044gcd 424 18 space space NN cord-022594-fx044gcd 424 19 in in IN cord-022594-fx044gcd 424 20 the the DT cord-022594-fx044gcd 424 21 absence absence NN cord-022594-fx044gcd 424 22 of of IN cord-022594-fx044gcd 424 23 another another DT cord-022594-fx044gcd 424 24 identifiable identifiable JJ cord-022594-fx044gcd 424 25 explanation explanation NN cord-022594-fx044gcd 424 26 . . . cord-022594-fx044gcd 425 1 MS MS NNP cord-022594-fx044gcd 425 2 remains remain VBZ cord-022594-fx044gcd 425 3 a a DT cord-022594-fx044gcd 425 4 clinical clinical JJ cord-022594-fx044gcd 425 5 diagnosis diagnosis NN cord-022594-fx044gcd 425 6 , , , cord-022594-fx044gcd 425 7 although although IN cord-022594-fx044gcd 425 8 MRI MRI NNP cord-022594-fx044gcd 425 9 , , , cord-022594-fx044gcd 425 10 evoked evoke VBD cord-022594-fx044gcd 425 11 potentials potential NNS cord-022594-fx044gcd 425 12 , , , cord-022594-fx044gcd 425 13 and and CC cord-022594-fx044gcd 425 14 CSF csf NN cord-022594-fx044gcd 425 15 examination examination NN cord-022594-fx044gcd 425 16 can can MD cord-022594-fx044gcd 425 17 help help VB cord-022594-fx044gcd 425 18 clarify clarify VB cord-022594-fx044gcd 425 19 less less RBR cord-022594-fx044gcd 425 20 certain certain JJ cord-022594-fx044gcd 425 21 cases case NNS cord-022594-fx044gcd 425 22 . . . cord-022594-fx044gcd 426 1 For for IN cord-022594-fx044gcd 426 2 research research NN cord-022594-fx044gcd 426 3 purposes purpose NNS cord-022594-fx044gcd 426 4 , , , cord-022594-fx044gcd 426 5 various various JJ cord-022594-fx044gcd 426 6 categories category NNS cord-022594-fx044gcd 426 7 of of IN cord-022594-fx044gcd 426 8 MS MS NNP cord-022594-fx044gcd 426 9 have have VBP cord-022594-fx044gcd 426 10 been be VBN cord-022594-fx044gcd 426 11 defined define VBN cord-022594-fx044gcd 426 12 based base VBN cord-022594-fx044gcd 426 13 on on IN cord-022594-fx044gcd 426 14 the the DT cord-022594-fx044gcd 426 15 certainty certainty NN cord-022594-fx044gcd 426 16 of of IN cord-022594-fx044gcd 426 17 the the DT cord-022594-fx044gcd 426 18 diagnosis diagnosis NN cord-022594-fx044gcd 426 19 . . . cord-022594-fx044gcd 427 1 43 43 CD cord-022594-fx044gcd 428 1 At at RB cord-022594-fx044gcd 428 2 least least RBS cord-022594-fx044gcd 428 3 two two CD cord-022594-fx044gcd 428 4 attacks attack NNS cord-022594-fx044gcd 428 5 and and CC cord-022594-fx044gcd 428 6 evidence evidence NN cord-022594-fx044gcd 428 7 of of IN cord-022594-fx044gcd 428 8 two two CD cord-022594-fx044gcd 428 9 separate separate JJ cord-022594-fx044gcd 428 10 CNS CNS NNP cord-022594-fx044gcd 428 11 lesions lesion NNS cord-022594-fx044gcd 428 12 ( ( -LRB- cord-022594-fx044gcd 428 13 clinical clinical JJ cord-022594-fx044gcd 428 14 or or CC cord-022594-fx044gcd 428 15 paraclinical paraclinical JJ cord-022594-fx044gcd 428 16 ) ) -RRB- cord-022594-fx044gcd 428 17 are be VBP cord-022594-fx044gcd 428 18 required require VBN cord-022594-fx044gcd 428 19 for for IN cord-022594-fx044gcd 428 20 the the DT cord-022594-fx044gcd 428 21 designation designation NN cord-022594-fx044gcd 428 22 of of IN cord-022594-fx044gcd 428 23 clinically clinically RB cord-022594-fx044gcd 428 24 definite definite JJ cord-022594-fx044gcd 428 25 MS MS NNP cord-022594-fx044gcd 428 26 ( ( -LRB- cord-022594-fx044gcd 428 27 CDMS CDMS NNP cord-022594-fx044gcd 428 28 ) ) -RRB- cord-022594-fx044gcd 428 29 . . . cord-022594-fx044gcd 429 1 Two two CD cord-022594-fx044gcd 429 2 attacks attack NNS cord-022594-fx044gcd 429 3 and and CC cord-022594-fx044gcd 429 4 evidence evidence NN cord-022594-fx044gcd 429 5 of of IN cord-022594-fx044gcd 429 6 one one CD cord-022594-fx044gcd 429 7 CNS CNS NNP cord-022594-fx044gcd 429 8 lesion lesion NN cord-022594-fx044gcd 429 9 or or CC cord-022594-fx044gcd 429 10 one one CD cord-022594-fx044gcd 429 11 attack attack NN cord-022594-fx044gcd 429 12 and and CC cord-022594-fx044gcd 429 13 evidence evidence NN cord-022594-fx044gcd 429 14 of of IN cord-022594-fx044gcd 429 15 two two CD cord-022594-fx044gcd 429 16 CNS CNS NNP cord-022594-fx044gcd 429 17 lesions lesion NNS cord-022594-fx044gcd 429 18 ( ( -LRB- cord-022594-fx044gcd 429 19 clinical clinical JJ cord-022594-fx044gcd 429 20 or or CC cord-022594-fx044gcd 429 21 paraclinical paraclinical JJ cord-022594-fx044gcd 429 22 ) ) -RRB- cord-022594-fx044gcd 429 23 is be VBZ cord-022594-fx044gcd 429 24 considered consider VBN cord-022594-fx044gcd 429 25 clinically clinically RB cord-022594-fx044gcd 429 26 probable probable JJ cord-022594-fx044gcd 429 27 MS m NNS cord-022594-fx044gcd 429 28 . . . cord-022594-fx044gcd 430 1 Cases case NNS cord-022594-fx044gcd 430 2 that that WDT cord-022594-fx044gcd 430 3 fulfill fulfill VBP cord-022594-fx044gcd 430 4 the the DT cord-022594-fx044gcd 430 5 criteria criterion NNS cord-022594-fx044gcd 430 6 for for IN cord-022594-fx044gcd 430 7 clinically clinically RB cord-022594-fx044gcd 430 8 probable probable JJ cord-022594-fx044gcd 430 9 MS m NNS cord-022594-fx044gcd 430 10 and and CC cord-022594-fx044gcd 430 11 have have VBP cord-022594-fx044gcd 430 12 supportive supportive JJ cord-022594-fx044gcd 430 13 CSF CSF NNP cord-022594-fx044gcd 430 14 findings finding NNS cord-022594-fx044gcd 430 15 are be VBP cord-022594-fx044gcd 430 16 labeled label VBN cord-022594-fx044gcd 430 17 as as IN cord-022594-fx044gcd 430 18 laboratory laboratory NN cord-022594-fx044gcd 430 19 - - HYPH cord-022594-fx044gcd 430 20 supported support VBN cord-022594-fx044gcd 430 21 definite definite JJ cord-022594-fx044gcd 430 22 MS MS NNP cord-022594-fx044gcd 430 23 . . . cord-022594-fx044gcd 431 1 Patients patient NNS cord-022594-fx044gcd 431 2 with with IN cord-022594-fx044gcd 431 3 a a DT cord-022594-fx044gcd 431 4 clear clear JJ cord-022594-fx044gcd 431 5 history history NN cord-022594-fx044gcd 431 6 of of IN cord-022594-fx044gcd 431 7 at at RB cord-022594-fx044gcd 431 8 least least RBS cord-022594-fx044gcd 431 9 two two CD cord-022594-fx044gcd 431 10 attacks attack NNS cord-022594-fx044gcd 431 11 and and CC cord-022594-fx044gcd 431 12 supportive supportive JJ cord-022594-fx044gcd 431 13 CSF csf NN cord-022594-fx044gcd 431 14 but but CC cord-022594-fx044gcd 431 15 a a DT cord-022594-fx044gcd 431 16 normal normal JJ cord-022594-fx044gcd 431 17 neurological neurological JJ cord-022594-fx044gcd 431 18 examination examination NN cord-022594-fx044gcd 431 19 and and CC cord-022594-fx044gcd 431 20 no no DT cord-022594-fx044gcd 431 21 paraclinical paraclinical JJ cord-022594-fx044gcd 431 22 evidence evidence NN cord-022594-fx044gcd 431 23 of of IN cord-022594-fx044gcd 431 24 CNS CNS NNP cord-022594-fx044gcd 431 25 lesions lesion NNS cord-022594-fx044gcd 431 26 are be VBP cord-022594-fx044gcd 431 27 categorized categorize VBN cord-022594-fx044gcd 431 28 as as IN cord-022594-fx044gcd 431 29 having have VBG cord-022594-fx044gcd 431 30 laboratory laboratory NN cord-022594-fx044gcd 431 31 - - HYPH cord-022594-fx044gcd 431 32 supported support VBN cord-022594-fx044gcd 431 33 probable probable JJ cord-022594-fx044gcd 431 34 MS MS NNP cord-022594-fx044gcd 431 35 . . . cord-022594-fx044gcd 432 1 Suspected suspect VBN cord-022594-fx044gcd 432 2 cases case NNS cord-022594-fx044gcd 432 3 that that WDT cord-022594-fx044gcd 432 4 do do VBP cord-022594-fx044gcd 432 5 not not RB cord-022594-fx044gcd 432 6 fit fit VB cord-022594-fx044gcd 432 7 any any DT cord-022594-fx044gcd 432 8 of of IN cord-022594-fx044gcd 432 9 these these DT cord-022594-fx044gcd 432 10 criteria criterion NNS cord-022594-fx044gcd 432 11 may may MD cord-022594-fx044gcd 432 12 be be VB cord-022594-fx044gcd 432 13 regarded regard VBN cord-022594-fx044gcd 432 14 as as IN cord-022594-fx044gcd 432 15 possible possible JJ cord-022594-fx044gcd 432 16 MS MS NNP cord-022594-fx044gcd 432 17 . . . cord-022594-fx044gcd 433 1 Paraclinical paraclinical JJ cord-022594-fx044gcd 433 2 evidence evidence NN cord-022594-fx044gcd 433 3 generally generally RB cord-022594-fx044gcd 433 4 refers refer VBZ cord-022594-fx044gcd 433 5 to to IN cord-022594-fx044gcd 433 6 abnormalities abnormality NNS cord-022594-fx044gcd 433 7 on on IN cord-022594-fx044gcd 433 8 evoked evoke VBN cord-022594-fx044gcd 433 9 potential potential JJ cord-022594-fx044gcd 433 10 studies study NNS cord-022594-fx044gcd 433 11 or or CC cord-022594-fx044gcd 433 12 imaging imaging NN cord-022594-fx044gcd 433 13 procedures procedure NNS cord-022594-fx044gcd 433 14 . . . cord-022594-fx044gcd 434 1 As as IN cord-022594-fx044gcd 434 2 a a DT cord-022594-fx044gcd 434 3 result result NN cord-022594-fx044gcd 434 4 of of IN cord-022594-fx044gcd 434 5 increasing increase VBG cord-022594-fx044gcd 434 6 availability availability NN cord-022594-fx044gcd 434 7 of of IN cord-022594-fx044gcd 434 8 refined refined JJ cord-022594-fx044gcd 434 9 paraclinical paraclinical JJ cord-022594-fx044gcd 434 10 diagnostic diagnostic JJ cord-022594-fx044gcd 434 11 modalities modality NNS cord-022594-fx044gcd 434 12 ( ( -LRB- cord-022594-fx044gcd 434 13 especially especially RB cord-022594-fx044gcd 434 14 MRI MRI NNP cord-022594-fx044gcd 434 15 ) ) -RRB- cord-022594-fx044gcd 434 16 and and CC cord-022594-fx044gcd 434 17 an an DT cord-022594-fx044gcd 434 18 overall overall JJ cord-022594-fx044gcd 434 19 better well JJR cord-022594-fx044gcd 434 20 understanding understanding NN cord-022594-fx044gcd 434 21 of of IN cord-022594-fx044gcd 434 22 the the DT cord-022594-fx044gcd 434 23 disease disease NN cord-022594-fx044gcd 434 24 process process NN cord-022594-fx044gcd 434 25 , , , cord-022594-fx044gcd 434 26 new new JJ cord-022594-fx044gcd 434 27 diagnostic diagnostic JJ cord-022594-fx044gcd 434 28 criteria criterion NNS cord-022594-fx044gcd 434 29 for for IN cord-022594-fx044gcd 434 30 MS MS NNP cord-022594-fx044gcd 434 31 were be VBD cord-022594-fx044gcd 434 32 proposed propose VBN cord-022594-fx044gcd 434 33 by by IN cord-022594-fx044gcd 434 34 an an DT cord-022594-fx044gcd 434 35 international international JJ cord-022594-fx044gcd 434 36 expert expert JJ cord-022594-fx044gcd 434 37 panel panel NN cord-022594-fx044gcd 434 38 in in IN cord-022594-fx044gcd 434 39 2001 2001 CD cord-022594-fx044gcd 434 40 . . . cord-022594-fx044gcd 435 1 44 44 CD cord-022594-fx044gcd 435 2 Three three CD cord-022594-fx044gcd 435 3 out out IN cord-022594-fx044gcd 435 4 of of IN cord-022594-fx044gcd 435 5 four four CD cord-022594-fx044gcd 435 6 of of IN cord-022594-fx044gcd 435 7 the the DT cord-022594-fx044gcd 435 8 following follow VBG cord-022594-fx044gcd 435 9 findings finding NNS cord-022594-fx044gcd 435 10 should should MD cord-022594-fx044gcd 435 11 be be VB cord-022594-fx044gcd 435 12 present present JJ cord-022594-fx044gcd 435 13 on on IN cord-022594-fx044gcd 435 14 MRI MRI NNP cord-022594-fx044gcd 435 15 : : : cord-022594-fx044gcd 436 1 ( ( -LRB- cord-022594-fx044gcd 436 2 1 1 LS cord-022594-fx044gcd 436 3 ) ) -RRB- cord-022594-fx044gcd 436 4 one one CD cord-022594-fx044gcd 436 5 gadolinium gadolinium NN cord-022594-fx044gcd 436 6 enhancing enhance VBG cord-022594-fx044gcd 436 7 lesion lesion NN cord-022594-fx044gcd 436 8 , , , cord-022594-fx044gcd 436 9 or or CC cord-022594-fx044gcd 436 10 nine nine CD cord-022594-fx044gcd 436 11 T2 T2 NNP cord-022594-fx044gcd 436 12 hyperintense hyperintense NN cord-022594-fx044gcd 436 13 lesions lesion NNS cord-022594-fx044gcd 436 14 ; ; , cord-022594-fx044gcd 436 15 ( ( -LRB- cord-022594-fx044gcd 436 16 2 2 LS cord-022594-fx044gcd 436 17 ) ) -RRB- cord-022594-fx044gcd 436 18 at at IN cord-022594-fx044gcd 436 19 least least RBS cord-022594-fx044gcd 436 20 one one CD cord-022594-fx044gcd 436 21 infratentorial infratentorial JJ cord-022594-fx044gcd 436 22 lesion lesion NN cord-022594-fx044gcd 436 23 ; ; , cord-022594-fx044gcd 436 24 ( ( -LRB- cord-022594-fx044gcd 436 25 3 3 LS cord-022594-fx044gcd 436 26 ) ) -RRB- cord-022594-fx044gcd 436 27 at at IN cord-022594-fx044gcd 436 28 least least JJS cord-022594-fx044gcd 436 29 one one CD cord-022594-fx044gcd 436 30 juxtacortical juxtacortical JJ cord-022594-fx044gcd 436 31 lesion lesion NN cord-022594-fx044gcd 436 32 ; ; , cord-022594-fx044gcd 436 33 and and CC cord-022594-fx044gcd 436 34 ( ( -LRB- cord-022594-fx044gcd 436 35 4 4 LS cord-022594-fx044gcd 436 36 ) ) -RRB- cord-022594-fx044gcd 436 37 at at RB cord-022594-fx044gcd 436 38 least least RBS cord-022594-fx044gcd 436 39 three three CD cord-022594-fx044gcd 436 40 periventricular periventricular NNP cord-022594-fx044gcd 436 41 lesions lesion NNS cord-022594-fx044gcd 436 42 . . . cord-022594-fx044gcd 437 1 According accord VBG cord-022594-fx044gcd 437 2 to to IN cord-022594-fx044gcd 437 3 the the DT cord-022594-fx044gcd 437 4 clinical clinical JJ cord-022594-fx044gcd 437 5 diagnostic diagnostic JJ cord-022594-fx044gcd 437 6 criteria criterion NNS cord-022594-fx044gcd 437 7 , , , cord-022594-fx044gcd 437 8 if if IN cord-022594-fx044gcd 437 9 a a DT cord-022594-fx044gcd 437 10 patient patient NN cord-022594-fx044gcd 437 11 had have VBD cord-022594-fx044gcd 437 12 two two CD cord-022594-fx044gcd 437 13 or or CC cord-022594-fx044gcd 437 14 more more JJR cord-022594-fx044gcd 437 15 attacks attack NNS cord-022594-fx044gcd 437 16 with with IN cord-022594-fx044gcd 437 17 objective objective JJ cord-022594-fx044gcd 437 18 evidence evidence NN cord-022594-fx044gcd 437 19 on on IN cord-022594-fx044gcd 437 20 examination examination NN cord-022594-fx044gcd 437 21 of of IN cord-022594-fx044gcd 437 22 two two CD cord-022594-fx044gcd 437 23 or or CC cord-022594-fx044gcd 437 24 more more RBR cord-022594-fx044gcd 437 25 anatomical anatomical JJ cord-022594-fx044gcd 437 26 areas area NNS cord-022594-fx044gcd 437 27 involved involve VBN cord-022594-fx044gcd 437 28 , , , cord-022594-fx044gcd 437 29 no no DT cord-022594-fx044gcd 437 30 additional additional JJ cord-022594-fx044gcd 437 31 data data NN cord-022594-fx044gcd 437 32 is be VBZ cord-022594-fx044gcd 437 33 required require VBN cord-022594-fx044gcd 437 34 to to TO cord-022594-fx044gcd 437 35 make make VB cord-022594-fx044gcd 437 36 the the DT cord-022594-fx044gcd 437 37 definite definite JJ cord-022594-fx044gcd 437 38 diagnosis diagnosis NN cord-022594-fx044gcd 437 39 . . . cord-022594-fx044gcd 438 1 However however RB cord-022594-fx044gcd 438 2 , , , cord-022594-fx044gcd 438 3 if if IN cord-022594-fx044gcd 438 4 such such JJ cord-022594-fx044gcd 438 5 diagnostic diagnostic JJ cord-022594-fx044gcd 438 6 studies study NNS cord-022594-fx044gcd 438 7 were be VBD cord-022594-fx044gcd 438 8 done do VBN cord-022594-fx044gcd 438 9 and and CC cord-022594-fx044gcd 438 10 are be VBP cord-022594-fx044gcd 438 11 not not RB cord-022594-fx044gcd 438 12 supportive supportive JJ cord-022594-fx044gcd 438 13 of of IN cord-022594-fx044gcd 438 14 a a DT cord-022594-fx044gcd 438 15 diagnosis diagnosis NN cord-022594-fx044gcd 438 16 of of IN cord-022594-fx044gcd 438 17 MS MS NNP cord-022594-fx044gcd 438 18 , , , cord-022594-fx044gcd 438 19 then then RB cord-022594-fx044gcd 438 20 the the DT cord-022594-fx044gcd 438 21 diagnosis diagnosis NN cord-022594-fx044gcd 438 22 should should MD cord-022594-fx044gcd 438 23 be be VB cord-022594-fx044gcd 438 24 reconsidered reconsider VBN cord-022594-fx044gcd 438 25 . . . cord-022594-fx044gcd 439 1 If if IN cord-022594-fx044gcd 439 2 a a DT cord-022594-fx044gcd 439 3 patient patient NN cord-022594-fx044gcd 439 4 presents present VBZ cord-022594-fx044gcd 439 5 with with IN cord-022594-fx044gcd 439 6 a a DT cord-022594-fx044gcd 439 7 history history NN cord-022594-fx044gcd 439 8 of of IN cord-022594-fx044gcd 439 9 two two CD cord-022594-fx044gcd 439 10 or or CC cord-022594-fx044gcd 439 11 more more JJR cord-022594-fx044gcd 439 12 attacks attack NNS cord-022594-fx044gcd 439 13 , , , cord-022594-fx044gcd 439 14 but but CC cord-022594-fx044gcd 439 15 objective objective JJ cord-022594-fx044gcd 439 16 clinical clinical JJ cord-022594-fx044gcd 439 17 evidence evidence NN cord-022594-fx044gcd 439 18 only only RB cord-022594-fx044gcd 439 19 suggests suggest VBZ cord-022594-fx044gcd 439 20 one one CD cord-022594-fx044gcd 439 21 lesion lesion NN cord-022594-fx044gcd 439 22 , , , cord-022594-fx044gcd 439 23 the the DT cord-022594-fx044gcd 439 24 following follow VBG cord-022594-fx044gcd 439 25 additional additional JJ cord-022594-fx044gcd 439 26 data datum NNS cord-022594-fx044gcd 439 27 is be VBZ cord-022594-fx044gcd 439 28 needed need VBN cord-022594-fx044gcd 439 29 to to TO cord-022594-fx044gcd 439 30 confirm confirm VB cord-022594-fx044gcd 439 31 the the DT cord-022594-fx044gcd 439 32 diagnosis diagnosis NN cord-022594-fx044gcd 439 33 : : : cord-022594-fx044gcd 439 34 the the DT cord-022594-fx044gcd 439 35 disease disease NN cord-022594-fx044gcd 439 36 process process NN cord-022594-fx044gcd 439 37 has have VBZ cord-022594-fx044gcd 439 38 to to TO cord-022594-fx044gcd 439 39 be be VB cord-022594-fx044gcd 439 40 disseminated disseminate VBN cord-022594-fx044gcd 439 41 in in IN cord-022594-fx044gcd 439 42 space space NN cord-022594-fx044gcd 439 43 as as IN cord-022594-fx044gcd 439 44 demonstrated demonstrate VBN cord-022594-fx044gcd 439 45 by by IN cord-022594-fx044gcd 439 46 MRI MRI NNP cord-022594-fx044gcd 439 47 ; ; : cord-022594-fx044gcd 439 48 alternatively alternatively RB cord-022594-fx044gcd 439 49 , , , cord-022594-fx044gcd 439 50 two two CD cord-022594-fx044gcd 439 51 or or CC cord-022594-fx044gcd 439 52 more more JJR cord-022594-fx044gcd 439 53 MRI MRI NNP cord-022594-fx044gcd 439 54 - - HYPH cord-022594-fx044gcd 439 55 detected detect VBN cord-022594-fx044gcd 439 56 lesions lesion NNS cord-022594-fx044gcd 439 57 consistent consistent JJ cord-022594-fx044gcd 439 58 with with IN cord-022594-fx044gcd 439 59 MS MS NNP cord-022594-fx044gcd 439 60 plus plus CC cord-022594-fx044gcd 439 61 positive positive JJ cord-022594-fx044gcd 439 62 CSF CSF NNP cord-022594-fx044gcd 439 63 would would MD cord-022594-fx044gcd 439 64 suffice suffice VB cord-022594-fx044gcd 439 65 to to TO cord-022594-fx044gcd 439 66 meet meet VB cord-022594-fx044gcd 439 67 the the DT cord-022594-fx044gcd 439 68 newly newly RB cord-022594-fx044gcd 439 69 defined define VBN cord-022594-fx044gcd 439 70 criteria criterion NNS cord-022594-fx044gcd 439 71 . . . cord-022594-fx044gcd 440 1 The the DT cord-022594-fx044gcd 440 2 clinician clinician NN cord-022594-fx044gcd 440 3 also also RB cord-022594-fx044gcd 440 4 may may MD cord-022594-fx044gcd 440 5 elect elect VB cord-022594-fx044gcd 440 6 to to TO cord-022594-fx044gcd 440 7 await await VB cord-022594-fx044gcd 440 8 a a DT cord-022594-fx044gcd 440 9 further further JJ cord-022594-fx044gcd 440 10 attack attack NN cord-022594-fx044gcd 440 11 implicating implicate VBG cord-022594-fx044gcd 440 12 a a DT cord-022594-fx044gcd 440 13 different different JJ cord-022594-fx044gcd 440 14 anatomical anatomical JJ cord-022594-fx044gcd 440 15 site site NN cord-022594-fx044gcd 440 16 . . . cord-022594-fx044gcd 441 1 In in IN cord-022594-fx044gcd 441 2 case case NN cord-022594-fx044gcd 441 3 a a DT cord-022594-fx044gcd 441 4 patient patient NN cord-022594-fx044gcd 441 5 had have VBD cord-022594-fx044gcd 441 6 one one CD cord-022594-fx044gcd 441 7 attack attack NN cord-022594-fx044gcd 441 8 , , , cord-022594-fx044gcd 441 9 with with IN cord-022594-fx044gcd 441 10 objective objective JJ cord-022594-fx044gcd 441 11 clinical clinical JJ cord-022594-fx044gcd 441 12 evidence evidence NN cord-022594-fx044gcd 441 13 of of IN cord-022594-fx044gcd 441 14 two two CD cord-022594-fx044gcd 441 15 or or CC cord-022594-fx044gcd 441 16 more more JJR cord-022594-fx044gcd 441 17 lesions lesion NNS cord-022594-fx044gcd 441 18 , , , cord-022594-fx044gcd 441 19 dissemination dissemination NN cord-022594-fx044gcd 441 20 in in IN cord-022594-fx044gcd 441 21 time time NN cord-022594-fx044gcd 441 22 as as IN cord-022594-fx044gcd 441 23 demonstrated demonstrate VBN cord-022594-fx044gcd 441 24 by by IN cord-022594-fx044gcd 441 25 serial serial JJ cord-022594-fx044gcd 441 26 MRIs mri NNS cord-022594-fx044gcd 441 27 separated separate VBN cord-022594-fx044gcd 441 28 by by IN cord-022594-fx044gcd 441 29 at at RB cord-022594-fx044gcd 441 30 least least RBS cord-022594-fx044gcd 441 31 3 3 CD cord-022594-fx044gcd 441 32 months month NNS cord-022594-fx044gcd 441 33 or or CC cord-022594-fx044gcd 441 34 a a DT cord-022594-fx044gcd 441 35 second second JJ cord-022594-fx044gcd 441 36 clinical clinical JJ cord-022594-fx044gcd 441 37 attack attack NN cord-022594-fx044gcd 441 38 would would MD cord-022594-fx044gcd 441 39 clarify clarify VB cord-022594-fx044gcd 441 40 the the DT cord-022594-fx044gcd 441 41 diagnosis diagnosis NN cord-022594-fx044gcd 441 42 . . . cord-022594-fx044gcd 442 1 If if IN cord-022594-fx044gcd 442 2 a a DT cord-022594-fx044gcd 442 3 patient patient NN cord-022594-fx044gcd 442 4 has have VBZ cord-022594-fx044gcd 442 5 a a DT cord-022594-fx044gcd 442 6 clinically clinically RB cord-022594-fx044gcd 442 7 isolated isolate VBN cord-022594-fx044gcd 442 8 syndrome syndrome NN cord-022594-fx044gcd 442 9 , , , cord-022594-fx044gcd 442 10 or or CC cord-022594-fx044gcd 442 11 " " `` cord-022594-fx044gcd 442 12 monosymptomatic monosymptomatic JJ cord-022594-fx044gcd 442 13 " " '' cord-022594-fx044gcd 442 14 presentation presentation NN cord-022594-fx044gcd 442 15 , , , cord-022594-fx044gcd 442 16 the the DT cord-022594-fx044gcd 442 17 following follow VBG cord-022594-fx044gcd 442 18 criteria criterion NNS cord-022594-fx044gcd 442 19 should should MD cord-022594-fx044gcd 442 20 be be VB cord-022594-fx044gcd 442 21 met meet VBN cord-022594-fx044gcd 442 22 : : : cord-022594-fx044gcd 442 23 dissemination dissemination NN cord-022594-fx044gcd 442 24 in in IN cord-022594-fx044gcd 442 25 space space NN cord-022594-fx044gcd 442 26 as as IN cord-022594-fx044gcd 442 27 demonstrated demonstrate VBN cord-022594-fx044gcd 442 28 by by IN cord-022594-fx044gcd 442 29 MRI MRI NNP cord-022594-fx044gcd 442 30 ( ( -LRB- cord-022594-fx044gcd 442 31 again again RB cord-022594-fx044gcd 442 32 separated separate VBN cord-022594-fx044gcd 442 33 by by IN cord-022594-fx044gcd 442 34 at at RB cord-022594-fx044gcd 442 35 least least JJS cord-022594-fx044gcd 442 36 3 3 CD cord-022594-fx044gcd 442 37 months month NNS cord-022594-fx044gcd 442 38 ) ) -RRB- cord-022594-fx044gcd 442 39 , , , cord-022594-fx044gcd 442 40 or or CC cord-022594-fx044gcd 442 41 two two CD cord-022594-fx044gcd 442 42 or or CC cord-022594-fx044gcd 442 43 more more JJR cord-022594-fx044gcd 442 44 MRIdetected mridetected JJ cord-022594-fx044gcd 442 45 lesions lesion NNS cord-022594-fx044gcd 442 46 consistent consistent JJ cord-022594-fx044gcd 442 47 with with IN cord-022594-fx044gcd 442 48 MS MS NNP cord-022594-fx044gcd 442 49 plus plus CC cord-022594-fx044gcd 442 50 positive positive JJ cord-022594-fx044gcd 442 51 CSF csf NN cord-022594-fx044gcd 442 52 and and CC cord-022594-fx044gcd 442 53 dissemination dissemination NN cord-022594-fx044gcd 442 54 in in IN cord-022594-fx044gcd 442 55 time time NN cord-022594-fx044gcd 442 56 on on IN cord-022594-fx044gcd 442 57 serial serial JJ cord-022594-fx044gcd 442 58 MRI MRI NNP cord-022594-fx044gcd 442 59 scans scan NNS cord-022594-fx044gcd 442 60 , , , cord-022594-fx044gcd 442 61 or or CC cord-022594-fx044gcd 442 62 a a DT cord-022594-fx044gcd 442 63 second second JJ cord-022594-fx044gcd 442 64 clinical clinical JJ cord-022594-fx044gcd 442 65 attack attack NN cord-022594-fx044gcd 442 66 . . . cord-022594-fx044gcd 443 1 In in IN cord-022594-fx044gcd 443 2 case case NN cord-022594-fx044gcd 443 3 the the DT cord-022594-fx044gcd 443 4 patient patient NN cord-022594-fx044gcd 443 5 presents present VBZ cord-022594-fx044gcd 443 6 with with IN cord-022594-fx044gcd 443 7 a a DT cord-022594-fx044gcd 443 8 progressive progressive JJ cord-022594-fx044gcd 443 9 course course NN cord-022594-fx044gcd 443 10 , , , cord-022594-fx044gcd 443 11 the the DT cord-022594-fx044gcd 443 12 presence presence NN cord-022594-fx044gcd 443 13 of of IN cord-022594-fx044gcd 443 14 positive positive JJ cord-022594-fx044gcd 443 15 CSF CSF NNP cord-022594-fx044gcd 443 16 is be VBZ cord-022594-fx044gcd 443 17 required require VBN cord-022594-fx044gcd 443 18 , , , cord-022594-fx044gcd 443 19 and and CC cord-022594-fx044gcd 443 20 dissemination dissemination NN cord-022594-fx044gcd 443 21 in in IN cord-022594-fx044gcd 443 22 space space NN cord-022594-fx044gcd 443 23 should should MD cord-022594-fx044gcd 443 24 be be VB cord-022594-fx044gcd 443 25 present present JJ cord-022594-fx044gcd 443 26 , , , cord-022594-fx044gcd 443 27 as as IN cord-022594-fx044gcd 443 28 suggested suggest VBN cord-022594-fx044gcd 443 29 by by IN cord-022594-fx044gcd 443 30 nine nine CD cord-022594-fx044gcd 443 31 or or CC cord-022594-fx044gcd 443 32 more more JJR cord-022594-fx044gcd 443 33 T2-weighted t2-weighted JJ cord-022594-fx044gcd 443 34 brain brain NN cord-022594-fx044gcd 443 35 lesions lesion NNS cord-022594-fx044gcd 443 36 , , , cord-022594-fx044gcd 443 37 or or CC cord-022594-fx044gcd 443 38 two two CD cord-022594-fx044gcd 443 39 or or CC cord-022594-fx044gcd 443 40 more more JJR cord-022594-fx044gcd 443 41 cord cord NN cord-022594-fx044gcd 443 42 lesions lesion NNS cord-022594-fx044gcd 443 43 , , , cord-022594-fx044gcd 443 44 or or CC cord-022594-fx044gcd 443 45 four four CD cord-022594-fx044gcd 443 46 to to TO cord-022594-fx044gcd 443 47 eight eight CD cord-022594-fx044gcd 443 48 brain brain NN cord-022594-fx044gcd 443 49 lesions lesion NNS cord-022594-fx044gcd 443 50 plus plus CC cord-022594-fx044gcd 443 51 one one CD cord-022594-fx044gcd 443 52 cord cord NN cord-022594-fx044gcd 443 53 lesion lesion NN cord-022594-fx044gcd 443 54 on on IN cord-022594-fx044gcd 443 55 MRI MRI NNP cord-022594-fx044gcd 443 56 . . . cord-022594-fx044gcd 444 1 Alternatively alternatively RB cord-022594-fx044gcd 444 2 , , , cord-022594-fx044gcd 444 3 abnormal abnormal JJ cord-022594-fx044gcd 444 4 visual visual JJ cord-022594-fx044gcd 444 5 evoked evoke VBN cord-022594-fx044gcd 444 6 potentials potential NNS cord-022594-fx044gcd 444 7 ( ( -LRB- cord-022594-fx044gcd 444 8 VEPs vep NNS cord-022594-fx044gcd 444 9 ) ) -RRB- cord-022594-fx044gcd 444 10 with with IN cord-022594-fx044gcd 444 11 four four CD cord-022594-fx044gcd 444 12 to to TO cord-022594-fx044gcd 444 13 eight eight CD cord-022594-fx044gcd 444 14 brain brain NN cord-022594-fx044gcd 444 15 lesions lesion NNS cord-022594-fx044gcd 444 16 , , , cord-022594-fx044gcd 444 17 or or CC cord-022594-fx044gcd 444 18 fewer few JJR cord-022594-fx044gcd 444 19 than than IN cord-022594-fx044gcd 444 20 four four CD cord-022594-fx044gcd 444 21 brain brain NN cord-022594-fx044gcd 444 22 lesions lesion NNS cord-022594-fx044gcd 444 23 plus plus CC cord-022594-fx044gcd 444 24 one one CD cord-022594-fx044gcd 444 25 cord cord NN cord-022594-fx044gcd 444 26 lesion lesion NN cord-022594-fx044gcd 444 27 , , , cord-022594-fx044gcd 444 28 and and CC cord-022594-fx044gcd 444 29 dissemination dissemination NN cord-022594-fx044gcd 444 30 in in IN cord-022594-fx044gcd 444 31 time time NN cord-022594-fx044gcd 444 32 on on IN cord-022594-fx044gcd 444 33 serial serial JJ cord-022594-fx044gcd 444 34 MRI MRI NNP cord-022594-fx044gcd 444 35 scans scan NNS cord-022594-fx044gcd 444 36 , , , cord-022594-fx044gcd 444 37 or or CC cord-022594-fx044gcd 444 38 continued continue VBN cord-022594-fx044gcd 444 39 progression progression NN cord-022594-fx044gcd 444 40 for for IN cord-022594-fx044gcd 444 41 a a DT cord-022594-fx044gcd 444 42 year year NN cord-022594-fx044gcd 444 43 would would MD cord-022594-fx044gcd 444 44 meet meet VB cord-022594-fx044gcd 444 45 the the DT cord-022594-fx044gcd 444 46 diagnostic diagnostic JJ cord-022594-fx044gcd 444 47 criteria criterion NNS cord-022594-fx044gcd 444 48 . . . cord-022594-fx044gcd 445 1 " " '' cord-022594-fx044gcd 446 1 Positive positive JJ cord-022594-fx044gcd 446 2 CSF csf NN cord-022594-fx044gcd 446 3 " " '' cord-022594-fx044gcd 447 1 according accord VBG cord-022594-fx044gcd 447 2 to to IN cord-022594-fx044gcd 447 3 this this DT cord-022594-fx044gcd 447 4 set set NN cord-022594-fx044gcd 447 5 of of IN cord-022594-fx044gcd 447 6 criteria criterion NNS cord-022594-fx044gcd 447 7 is be VBZ cord-022594-fx044gcd 447 8 defined define VBN cord-022594-fx044gcd 447 9 by by IN cord-022594-fx044gcd 447 10 either either CC cord-022594-fx044gcd 447 11 the the DT cord-022594-fx044gcd 447 12 presence presence NN cord-022594-fx044gcd 447 13 of of IN cord-022594-fx044gcd 447 14 oligoclonal oligoclonal JJ cord-022594-fx044gcd 447 15 bands band NNS cord-022594-fx044gcd 447 16 detected detect VBN cord-022594-fx044gcd 447 17 by by IN cord-022594-fx044gcd 447 18 established establish VBN cord-022594-fx044gcd 447 19 methods method NNS cord-022594-fx044gcd 447 20 ( ( -LRB- cord-022594-fx044gcd 447 21 preferably preferably RB cord-022594-fx044gcd 447 22 isoelectric isoelectric JJ cord-022594-fx044gcd 447 23 focusing focus VBG cord-022594-fx044gcd 447 24 on on IN cord-022594-fx044gcd 447 25 agarose agarose JJ cord-022594-fx044gcd 447 26 gel gel NN cord-022594-fx044gcd 447 27 followed follow VBN cord-022594-fx044gcd 447 28 by by IN cord-022594-fx044gcd 447 29 immunoblotting immunoblotte VBG cord-022594-fx044gcd 447 30 ) ) -RRB- cord-022594-fx044gcd 447 31 different different JJ cord-022594-fx044gcd 447 32 from from IN cord-022594-fx044gcd 447 33 any any DT cord-022594-fx044gcd 447 34 such such JJ cord-022594-fx044gcd 447 35 bands band NNS cord-022594-fx044gcd 447 36 in in IN cord-022594-fx044gcd 447 37 serum serum NN cord-022594-fx044gcd 447 38 , , , cord-022594-fx044gcd 447 39 or or CC cord-022594-fx044gcd 447 40 by by IN cord-022594-fx044gcd 447 41 a a DT cord-022594-fx044gcd 447 42 raised raise VBN cord-022594-fx044gcd 447 43 IgG igg NN cord-022594-fx044gcd 447 44 index index NN cord-022594-fx044gcd 447 45 . . . cord-022594-fx044gcd 448 1 The the DT cord-022594-fx044gcd 448 2 presence presence NN cord-022594-fx044gcd 448 3 of of IN cord-022594-fx044gcd 448 4 both both DT cord-022594-fx044gcd 448 5 enhancing enhance VBG cord-022594-fx044gcd 448 6 and and CC cord-022594-fx044gcd 448 7 nonenhancing nonenhance VBG cord-022594-fx044gcd 448 8 white white JJ cord-022594-fx044gcd 448 9 matter matter NN cord-022594-fx044gcd 448 10 lesions lesion NNS cord-022594-fx044gcd 448 11 on on IN cord-022594-fx044gcd 448 12 a a DT cord-022594-fx044gcd 448 13 single single JJ cord-022594-fx044gcd 448 14 MR MR NNP cord-022594-fx044gcd 448 15 image image NN cord-022594-fx044gcd 448 16 must must MD cord-022594-fx044gcd 448 17 not not RB cord-022594-fx044gcd 448 18 be be VB cord-022594-fx044gcd 448 19 used use VBN cord-022594-fx044gcd 448 20 as as IN cord-022594-fx044gcd 448 21 evidence evidence NN cord-022594-fx044gcd 448 22 of of IN cord-022594-fx044gcd 448 23 dissemination dissemination NN cord-022594-fx044gcd 448 24 in in IN cord-022594-fx044gcd 448 25 time time NN cord-022594-fx044gcd 448 26 as as RB cord-022594-fx044gcd 448 27 well well RB cord-022594-fx044gcd 448 28 as as IN cord-022594-fx044gcd 448 29 space space NN cord-022594-fx044gcd 448 30 , , , cord-022594-fx044gcd 448 31 because because IN cord-022594-fx044gcd 448 32 these these DT cord-022594-fx044gcd 448 33 can can MD cord-022594-fx044gcd 448 34 also also RB cord-022594-fx044gcd 448 35 be be VB cord-022594-fx044gcd 448 36 seen see VBN cord-022594-fx044gcd 448 37 in in IN cord-022594-fx044gcd 448 38 ADEM ADEM NNP cord-022594-fx044gcd 448 39 . . . cord-022594-fx044gcd 449 1 Oligoclonal oligoclonal JJ cord-022594-fx044gcd 449 2 bands band NNS cord-022594-fx044gcd 449 3 ( ( -LRB- cord-022594-fx044gcd 449 4 OCBs OCBs NNP cord-022594-fx044gcd 449 5 ) ) -RRB- cord-022594-fx044gcd 449 6 and and CC cord-022594-fx044gcd 449 7 an an DT cord-022594-fx044gcd 449 8 elevated elevated JJ cord-022594-fx044gcd 449 9 IgG igg NN cord-022594-fx044gcd 449 10 index index NN cord-022594-fx044gcd 449 11 provide provide VBP cord-022594-fx044gcd 449 12 supportive supportive JJ cord-022594-fx044gcd 449 13 CSF CSF NNP cord-022594-fx044gcd 449 14 findings finding NNS cord-022594-fx044gcd 449 15 . . . cord-022594-fx044gcd 450 1 Ancillary ancillary JJ cord-022594-fx044gcd 450 2 tests test NNS cord-022594-fx044gcd 450 3 are be VBP cord-022594-fx044gcd 450 4 frequently frequently RB cord-022594-fx044gcd 450 5 required require VBN cord-022594-fx044gcd 450 6 to to TO cord-022594-fx044gcd 450 7 confirm confirm VB cord-022594-fx044gcd 450 8 the the DT cord-022594-fx044gcd 450 9 diagnosis diagnosis NN cord-022594-fx044gcd 450 10 of of IN cord-022594-fx044gcd 450 11 MS MS NNP cord-022594-fx044gcd 450 12 and and CC cord-022594-fx044gcd 450 13 to to TO cord-022594-fx044gcd 450 14 exclude exclude VB cord-022594-fx044gcd 450 15 other other JJ cord-022594-fx044gcd 450 16 possibilities possibility NNS cord-022594-fx044gcd 450 17 in in IN cord-022594-fx044gcd 450 18 uncertain uncertain JJ cord-022594-fx044gcd 450 19 cases case NNS cord-022594-fx044gcd 450 20 . . . cord-022594-fx044gcd 451 1 Laboratory laboratory NN cord-022594-fx044gcd 451 2 tests test NNS cord-022594-fx044gcd 451 3 on on IN cord-022594-fx044gcd 451 4 peripheral peripheral JJ cord-022594-fx044gcd 451 5 blood blood NN cord-022594-fx044gcd 451 6 can can MD cord-022594-fx044gcd 451 7 help help VB cord-022594-fx044gcd 451 8 to to TO cord-022594-fx044gcd 451 9 exclude exclude VB cord-022594-fx044gcd 451 10 many many JJ cord-022594-fx044gcd 451 11 of of IN cord-022594-fx044gcd 451 12 the the DT cord-022594-fx044gcd 451 13 infectious infectious JJ cord-022594-fx044gcd 451 14 and and CC cord-022594-fx044gcd 451 15 other other JJ cord-022594-fx044gcd 451 16 inflammatory inflammatory JJ cord-022594-fx044gcd 451 17 disorders disorder NNS cord-022594-fx044gcd 451 18 . . . cord-022594-fx044gcd 452 1 A a DT cord-022594-fx044gcd 452 2 chest chest NN cord-022594-fx044gcd 452 3 x x NN cord-022594-fx044gcd 452 4 - - NN cord-022594-fx044gcd 452 5 ray ray NN cord-022594-fx044gcd 452 6 is be VBZ cord-022594-fx044gcd 452 7 generally generally RB cord-022594-fx044gcd 452 8 needed need VBN cord-022594-fx044gcd 452 9 to to TO cord-022594-fx044gcd 452 10 assess assess VB cord-022594-fx044gcd 452 11 for for IN cord-022594-fx044gcd 452 12 sarcoid sarcoid NN cord-022594-fx044gcd 452 13 or or CC cord-022594-fx044gcd 452 14 paraneoplastic paraneoplastic JJ cord-022594-fx044gcd 452 15 disorders disorder NNS cord-022594-fx044gcd 452 16 if if IN cord-022594-fx044gcd 452 17 these these DT cord-022594-fx044gcd 452 18 are be VBP cord-022594-fx044gcd 452 19 under under IN cord-022594-fx044gcd 452 20 consideration consideration NN cord-022594-fx044gcd 452 21 . . . cord-022594-fx044gcd 453 1 An an DT cord-022594-fx044gcd 453 2 ophthalmological ophthalmological JJ cord-022594-fx044gcd 453 3 examination examination NN cord-022594-fx044gcd 453 4 may may MD cord-022594-fx044gcd 453 5 be be VB cord-022594-fx044gcd 453 6 needed need VBN cord-022594-fx044gcd 453 7 to to TO cord-022594-fx044gcd 453 8 search search VB cord-022594-fx044gcd 453 9 for for IN cord-022594-fx044gcd 453 10 alternative alternative JJ cord-022594-fx044gcd 453 11 causes cause NNS cord-022594-fx044gcd 453 12 of of IN cord-022594-fx044gcd 453 13 visual visual JJ cord-022594-fx044gcd 453 14 loss loss NN cord-022594-fx044gcd 453 15 . . . cord-022594-fx044gcd 454 1 Imaging imaging NN cord-022594-fx044gcd 454 2 studies study NNS cord-022594-fx044gcd 454 3 , , , cord-022594-fx044gcd 454 4 CSF CSF NNP cord-022594-fx044gcd 454 5 examination examination NN cord-022594-fx044gcd 454 6 , , , cord-022594-fx044gcd 454 7 and and CC cord-022594-fx044gcd 454 8 evoked evoke VBN cord-022594-fx044gcd 454 9 potentials potential NNS cord-022594-fx044gcd 454 10 are be VBP cord-022594-fx044gcd 454 11 often often RB cord-022594-fx044gcd 454 12 helpful helpful JJ cord-022594-fx044gcd 454 13 because because IN cord-022594-fx044gcd 454 14 characteristic characteristic JJ cord-022594-fx044gcd 454 15 abnormalities abnormality NNS cord-022594-fx044gcd 454 16 are be VBP cord-022594-fx044gcd 454 17 frequently frequently RB cord-022594-fx044gcd 454 18 present present JJ cord-022594-fx044gcd 454 19 . . . cord-022594-fx044gcd 455 1 MRI MRI NNP cord-022594-fx044gcd 455 2 of of IN cord-022594-fx044gcd 455 3 the the DT cord-022594-fx044gcd 455 4 head head NN cord-022594-fx044gcd 455 5 is be VBZ cord-022594-fx044gcd 455 6 the the DT cord-022594-fx044gcd 455 7 most most RBS cord-022594-fx044gcd 455 8 sensitive sensitive JJ cord-022594-fx044gcd 455 9 imaging imaging NN cord-022594-fx044gcd 455 10 study study NN cord-022594-fx044gcd 455 11 for for IN cord-022594-fx044gcd 455 12 MS MS NNP cord-022594-fx044gcd 455 13 ( ( -LRB- cord-022594-fx044gcd 455 14 Fig Fig NNP cord-022594-fx044gcd 455 15 . . . cord-022594-fx044gcd 456 1 48 48 CD cord-022594-fx044gcd 456 2 - - SYM cord-022594-fx044gcd 456 3 3 3 CD cord-022594-fx044gcd 456 4 ) ) -RRB- cord-022594-fx044gcd 456 5 . . . cord-022594-fx044gcd 457 1 Focal focal JJ cord-022594-fx044gcd 457 2 areas area NNS cord-022594-fx044gcd 457 3 of of IN cord-022594-fx044gcd 457 4 increased increase VBN cord-022594-fx044gcd 457 5 T2-weighted t2-weighte VBN cord-022594-fx044gcd 457 6 and and CC cord-022594-fx044gcd 457 7 decreased decrease VBD cord-022594-fx044gcd 457 8 T1-weighted t1-weighted CD cord-022594-fx044gcd 457 9 signal signal NN cord-022594-fx044gcd 457 10 reflect reflect VBP cord-022594-fx044gcd 457 11 the the DT cord-022594-fx044gcd 457 12 increased increased JJ cord-022594-fx044gcd 457 13 water water NN cord-022594-fx044gcd 457 14 content content NN cord-022594-fx044gcd 457 15 associated associate VBN cord-022594-fx044gcd 457 16 with with IN cord-022594-fx044gcd 457 17 demyelinated demyelinate VBN cord-022594-fx044gcd 457 18 plaques plaque NNS cord-022594-fx044gcd 457 19 . . . cord-022594-fx044gcd 458 1 The the DT cord-022594-fx044gcd 458 2 MRI MRI NNP cord-022594-fx044gcd 458 3 appearance appearance NN cord-022594-fx044gcd 458 4 of of IN cord-022594-fx044gcd 458 5 MS MS NNP cord-022594-fx044gcd 458 6 lesions lesion NNS cord-022594-fx044gcd 458 7 , , , cord-022594-fx044gcd 458 8 however however RB cord-022594-fx044gcd 458 9 , , , cord-022594-fx044gcd 458 10 is be VBZ cord-022594-fx044gcd 458 11 not not RB cord-022594-fx044gcd 458 12 specific specific JJ cord-022594-fx044gcd 458 13 and and CC cord-022594-fx044gcd 458 14 similar similar JJ cord-022594-fx044gcd 458 15 abnormalities abnormality NNS cord-022594-fx044gcd 458 16 may may MD cord-022594-fx044gcd 458 17 be be VB cord-022594-fx044gcd 458 18 seen see VBN cord-022594-fx044gcd 458 19 in in IN cord-022594-fx044gcd 458 20 normal normal JJ cord-022594-fx044gcd 458 21 aging age VBG cord-022594-fx044gcd 458 22 , , , cord-022594-fx044gcd 458 23 small small JJ cord-022594-fx044gcd 458 24 penetrating penetrating JJ cord-022594-fx044gcd 458 25 vessel vessel NN cord-022594-fx044gcd 458 26 infarcts infarct NNS cord-022594-fx044gcd 458 27 , , , cord-022594-fx044gcd 458 28 Lyme Lyme NNP cord-022594-fx044gcd 458 29 disease disease NN cord-022594-fx044gcd 458 30 , , , cord-022594-fx044gcd 458 31 tropical tropical JJ cord-022594-fx044gcd 458 32 spastic spastic JJ cord-022594-fx044gcd 458 33 paraparesis paraparesis NN cord-022594-fx044gcd 458 34 / / SYM cord-022594-fx044gcd 458 35 HTLV-1-associated htlv-1-associate VBN cord-022594-fx044gcd 459 1 myelopathy myelopathy NNP cord-022594-fx044gcd 459 2 , , , cord-022594-fx044gcd 459 3 sarcoid sarcoid NNP cord-022594-fx044gcd 459 4 , , , cord-022594-fx044gcd 459 5 systemic systemic JJ cord-022594-fx044gcd 459 6 lupus lupus NN cord-022594-fx044gcd 459 7 erythematosus erythematosus NN cord-022594-fx044gcd 459 8 , , , cord-022594-fx044gcd 459 9 Sjögren Sjögren NNP cord-022594-fx044gcd 459 10 's 's POS cord-022594-fx044gcd 459 11 syndrome syndrome NN cord-022594-fx044gcd 459 12 , , , cord-022594-fx044gcd 459 13 mitochondrial mitochondrial JJ cord-022594-fx044gcd 459 14 cytopathies cytopathie NNS cord-022594-fx044gcd 459 15 , , , cord-022594-fx044gcd 459 16 vasculitis vasculitis NN cord-022594-fx044gcd 459 17 , , , cord-022594-fx044gcd 459 18 and and CC cord-022594-fx044gcd 459 19 ADEM ADEM NNP cord-022594-fx044gcd 459 20 . . . cord-022594-fx044gcd 460 1 The the DT cord-022594-fx044gcd 460 2 specificity specificity NN cord-022594-fx044gcd 460 3 for for IN cord-022594-fx044gcd 460 4 MS MS NNP cord-022594-fx044gcd 460 5 can can MD cord-022594-fx044gcd 460 6 be be VB cord-022594-fx044gcd 460 7 increased increase VBN cord-022594-fx044gcd 460 8 by by IN cord-022594-fx044gcd 460 9 consideration consideration NN cord-022594-fx044gcd 460 10 of of IN cord-022594-fx044gcd 460 11 lesion lesion NN cord-022594-fx044gcd 460 12 number number NN cord-022594-fx044gcd 460 13 , , , cord-022594-fx044gcd 460 14 size size NN cord-022594-fx044gcd 460 15 , , , cord-022594-fx044gcd 460 16 location location NN cord-022594-fx044gcd 460 17 , , , cord-022594-fx044gcd 460 18 and and CC cord-022594-fx044gcd 460 19 shape shape NN cord-022594-fx044gcd 460 20 . . . cord-022594-fx044gcd 461 1 45 45 CD cord-022594-fx044gcd 462 1 This this DT cord-022594-fx044gcd 462 2 is be VBZ cord-022594-fx044gcd 462 3 especially especially RB cord-022594-fx044gcd 462 4 important important JJ cord-022594-fx044gcd 462 5 in in IN cord-022594-fx044gcd 462 6 persons person NNS cord-022594-fx044gcd 462 7 older old JJR cord-022594-fx044gcd 462 8 than than IN cord-022594-fx044gcd 462 9 age age NN cord-022594-fx044gcd 462 10 50 50 CD cord-022594-fx044gcd 462 11 . . . cord-022594-fx044gcd 463 1 MRI MRI NNP cord-022594-fx044gcd 463 2 characteristics characteristic NNS cord-022594-fx044gcd 463 3 , , , cord-022594-fx044gcd 463 4 other other JJ cord-022594-fx044gcd 463 5 than than IN cord-022594-fx044gcd 463 6 the the DT cord-022594-fx044gcd 463 7 ones one NNS cord-022594-fx044gcd 463 8 suggested suggest VBN cord-022594-fx044gcd 463 9 by by IN cord-022594-fx044gcd 463 10 the the DT cord-022594-fx044gcd 463 11 international international JJ cord-022594-fx044gcd 463 12 criteria criterion NNS cord-022594-fx044gcd 463 13 outlined outline VBN cord-022594-fx044gcd 463 14 previously previously RB cord-022594-fx044gcd 463 15 , , , cord-022594-fx044gcd 463 16 are be VBP cord-022594-fx044gcd 463 17 size size NN cord-022594-fx044gcd 463 18 larger large JJR cord-022594-fx044gcd 463 19 than than IN cord-022594-fx044gcd 463 20 6 6 CD cord-022594-fx044gcd 463 21 mm mm NNS cord-022594-fx044gcd 463 22 , , , cord-022594-fx044gcd 463 23 oval oval JJ cord-022594-fx044gcd 463 24 shape shape NN cord-022594-fx044gcd 463 25 ( ( -LRB- cord-022594-fx044gcd 463 26 often often RB cord-022594-fx044gcd 463 27 with with IN cord-022594-fx044gcd 463 28 the the DT cord-022594-fx044gcd 463 29 long long JJ cord-022594-fx044gcd 463 30 axis axis NN cord-022594-fx044gcd 463 31 directed direct VBN cord-022594-fx044gcd 463 32 perpendicular perpendicular JJ cord-022594-fx044gcd 463 33 to to IN cord-022594-fx044gcd 463 34 lateral lateral JJ cord-022594-fx044gcd 463 35 ventricles ventricle NNS cord-022594-fx044gcd 463 36 ) ) -RRB- cord-022594-fx044gcd 463 37 , , , cord-022594-fx044gcd 463 38 and and CC cord-022594-fx044gcd 463 39 locations location NNS cord-022594-fx044gcd 463 40 in in IN cord-022594-fx044gcd 463 41 the the DT cord-022594-fx044gcd 463 42 periventricular periventricular NNP cord-022594-fx044gcd 463 43 area area NN cord-022594-fx044gcd 463 44 , , , cord-022594-fx044gcd 463 45 corpus corpus NNP cord-022594-fx044gcd 463 46 callosum callosum NNP cord-022594-fx044gcd 463 47 , , , cord-022594-fx044gcd 463 48 and and CC cord-022594-fx044gcd 463 49 posterior posterior JJ cord-022594-fx044gcd 463 50 fossa fossa NN cord-022594-fx044gcd 463 51 . . . cord-022594-fx044gcd 464 1 Longitudinal longitudinal JJ cord-022594-fx044gcd 464 2 MRI MRI NNP cord-022594-fx044gcd 464 3 studies study NNS cord-022594-fx044gcd 464 4 have have VBP cord-022594-fx044gcd 464 5 shown show VBN cord-022594-fx044gcd 464 6 the the DT cord-022594-fx044gcd 464 7 evolution evolution NN cord-022594-fx044gcd 464 8 of of IN cord-022594-fx044gcd 464 9 MS MS NNP cord-022594-fx044gcd 464 10 lesions lesion NNS cord-022594-fx044gcd 464 11 . . . cord-022594-fx044gcd 465 1 46 46 CD cord-022594-fx044gcd 465 2 Gadolinium Gadolinium NNP cord-022594-fx044gcd 465 3 enhancement enhancement NN cord-022594-fx044gcd 465 4 , , , cord-022594-fx044gcd 465 5 indicating indicate VBG cord-022594-fx044gcd 465 6 blood blood NN cord-022594-fx044gcd 465 7 - - HYPH cord-022594-fx044gcd 465 8 brain brain NN cord-022594-fx044gcd 465 9 barrier barrier NN cord-022594-fx044gcd 465 10 disruption disruption NN cord-022594-fx044gcd 465 11 , , , cord-022594-fx044gcd 465 12 sometimes sometimes RB cord-022594-fx044gcd 465 13 precedes precede VBZ cord-022594-fx044gcd 465 14 the the DT cord-022594-fx044gcd 465 15 development development NN cord-022594-fx044gcd 465 16 of of IN cord-022594-fx044gcd 465 17 T2-weighted t2-weighted JJ cord-022594-fx044gcd 465 18 lesions lesion NNS cord-022594-fx044gcd 465 19 and and CC cord-022594-fx044gcd 465 20 typically typically RB cord-022594-fx044gcd 465 21 lasts last VBZ cord-022594-fx044gcd 465 22 for for IN cord-022594-fx044gcd 465 23 4 4 CD cord-022594-fx044gcd 465 24 weeks week NNS cord-022594-fx044gcd 465 25 in in IN cord-022594-fx044gcd 465 26 the the DT cord-022594-fx044gcd 465 27 brain brain NN cord-022594-fx044gcd 465 28 ( ( -LRB- cord-022594-fx044gcd 465 29 occasionally occasionally RB cord-022594-fx044gcd 465 30 longer long RBR cord-022594-fx044gcd 465 31 , , , cord-022594-fx044gcd 465 32 especially especially RB cord-022594-fx044gcd 465 33 in in IN cord-022594-fx044gcd 465 34 larger large JJR cord-022594-fx044gcd 465 35 hemispheric hemispheric JJ cord-022594-fx044gcd 465 36 lesions lesion NNS cord-022594-fx044gcd 465 37 ) ) -RRB- cord-022594-fx044gcd 465 38 , , , cord-022594-fx044gcd 465 39 and and CC cord-022594-fx044gcd 465 40 perhaps perhaps RB cord-022594-fx044gcd 465 41 somewhat somewhat RB cord-022594-fx044gcd 465 42 longer long RBR cord-022594-fx044gcd 465 43 in in IN cord-022594-fx044gcd 465 44 the the DT cord-022594-fx044gcd 465 45 spinal spinal JJ cord-022594-fx044gcd 465 46 cord cord NN cord-022594-fx044gcd 465 47 . . . cord-022594-fx044gcd 466 1 FLAIR flair NN cord-022594-fx044gcd 466 2 imaging imaging NN cord-022594-fx044gcd 466 3 is be VBZ cord-022594-fx044gcd 466 4 especially especially RB cord-022594-fx044gcd 466 5 helpful helpful JJ cord-022594-fx044gcd 466 6 for for IN cord-022594-fx044gcd 466 7 evaluating evaluate VBG cord-022594-fx044gcd 466 8 periventricular periventricular NNP cord-022594-fx044gcd 466 9 lesions lesion NNS cord-022594-fx044gcd 466 10 that that WDT cord-022594-fx044gcd 466 11 may may MD cord-022594-fx044gcd 466 12 go go VB cord-022594-fx044gcd 466 13 unnoticed unnoticed JJ cord-022594-fx044gcd 466 14 on on IN cord-022594-fx044gcd 466 15 regular regular JJ cord-022594-fx044gcd 466 16 T2-weighted t2-weighted JJ cord-022594-fx044gcd 466 17 scans scan NNS cord-022594-fx044gcd 466 18 . . . cord-022594-fx044gcd 467 1 The the DT cord-022594-fx044gcd 467 2 disadvantage disadvantage NN cord-022594-fx044gcd 467 3 of of IN cord-022594-fx044gcd 467 4 the the DT cord-022594-fx044gcd 467 5 technique technique NN cord-022594-fx044gcd 467 6 is be VBZ cord-022594-fx044gcd 467 7 its -PRON- PRP$ cord-022594-fx044gcd 467 8 relative relative JJ cord-022594-fx044gcd 467 9 insensitivity insensitivity NN cord-022594-fx044gcd 467 10 to to IN cord-022594-fx044gcd 467 11 posterior posterior JJ cord-022594-fx044gcd 467 12 fossa fossa NN cord-022594-fx044gcd 467 13 lesions lesion NNS cord-022594-fx044gcd 467 14 . . . cord-022594-fx044gcd 468 1 Proton proton NN cord-022594-fx044gcd 468 2 density density NN cord-022594-fx044gcd 468 3 weighted weight VBN cord-022594-fx044gcd 468 4 images image NNS cord-022594-fx044gcd 468 5 are be VBP cord-022594-fx044gcd 468 6 also also RB cord-022594-fx044gcd 468 7 part part NN cord-022594-fx044gcd 468 8 of of IN cord-022594-fx044gcd 468 9 the the DT cord-022594-fx044gcd 468 10 usual usual JJ cord-022594-fx044gcd 468 11 sets set NNS cord-022594-fx044gcd 468 12 of of IN cord-022594-fx044gcd 468 13 images image NNS cord-022594-fx044gcd 468 14 used use VBN cord-022594-fx044gcd 468 15 in in IN cord-022594-fx044gcd 468 16 the the DT cord-022594-fx044gcd 468 17 MR MR NNP cord-022594-fx044gcd 468 18 diagnostics diagnostic NNS cord-022594-fx044gcd 468 19 of of IN cord-022594-fx044gcd 468 20 MS MS NNP cord-022594-fx044gcd 468 21 . . . cord-022594-fx044gcd 469 1 These these DT cord-022594-fx044gcd 469 2 images image NNS cord-022594-fx044gcd 469 3 can can MD cord-022594-fx044gcd 469 4 be be VB cord-022594-fx044gcd 469 5 evaluated evaluate VBN cord-022594-fx044gcd 469 6 similarly similarly RB cord-022594-fx044gcd 469 7 to to IN cord-022594-fx044gcd 469 8 T2-weighted t2-weighte VBN cord-022594-fx044gcd 469 9 images image NNS cord-022594-fx044gcd 469 10 . . . cord-022594-fx044gcd 470 1 Technically technically RB cord-022594-fx044gcd 470 2 , , , cord-022594-fx044gcd 470 3 they -PRON- PRP cord-022594-fx044gcd 470 4 are be VBP cord-022594-fx044gcd 470 5 usually usually RB cord-022594-fx044gcd 470 6 acquired acquire VBN cord-022594-fx044gcd 470 7 together together RB cord-022594-fx044gcd 470 8 with with IN cord-022594-fx044gcd 470 9 the the DT cord-022594-fx044gcd 470 10 T2-weighted t2-weighte VBN cord-022594-fx044gcd 470 11 datasets dataset NNS cord-022594-fx044gcd 470 12 , , , cord-022594-fx044gcd 470 13 as as IN cord-022594-fx044gcd 470 14 a a DT cord-022594-fx044gcd 470 15 first first JJ cord-022594-fx044gcd 470 16 echo echo NN cord-022594-fx044gcd 470 17 in in IN cord-022594-fx044gcd 470 18 conventional conventional JJ cord-022594-fx044gcd 470 19 fast fast JJ cord-022594-fx044gcd 470 20 spin spin NN cord-022594-fx044gcd 470 21 echo echo NN cord-022594-fx044gcd 470 22 sequences sequence NNS cord-022594-fx044gcd 470 23 , , , cord-022594-fx044gcd 470 24 where where WRB cord-022594-fx044gcd 470 25 the the DT cord-022594-fx044gcd 470 26 subsequent subsequent JJ cord-022594-fx044gcd 470 27 echoes echo NNS cord-022594-fx044gcd 470 28 can can MD cord-022594-fx044gcd 470 29 be be VB cord-022594-fx044gcd 470 30 used use VBN cord-022594-fx044gcd 470 31 for for IN cord-022594-fx044gcd 470 32 generating generate VBG cord-022594-fx044gcd 470 33 the the DT cord-022594-fx044gcd 470 34 T2-weighted t2-weighte VBN cord-022594-fx044gcd 470 35 images image NNS cord-022594-fx044gcd 470 36 . . . cord-022594-fx044gcd 471 1 New new JJ cord-022594-fx044gcd 471 2 T2weighted t2weighted JJ cord-022594-fx044gcd 471 3 lesions lesion NNS cord-022594-fx044gcd 471 4 have have VBP cord-022594-fx044gcd 471 5 a a DT cord-022594-fx044gcd 471 6 fuzzy fuzzy JJ cord-022594-fx044gcd 471 7 border border NN cord-022594-fx044gcd 471 8 and and CC cord-022594-fx044gcd 471 9 enlarge enlarge VB cord-022594-fx044gcd 471 10 over over IN cord-022594-fx044gcd 471 11 a a DT cord-022594-fx044gcd 471 12 few few JJ cord-022594-fx044gcd 471 13 weeks week NNS cord-022594-fx044gcd 471 14 . . . cord-022594-fx044gcd 472 1 After after IN cord-022594-fx044gcd 472 2 a a DT cord-022594-fx044gcd 472 3 period period NN cord-022594-fx044gcd 472 4 of of IN cord-022594-fx044gcd 472 5 stabilization stabilization NN cord-022594-fx044gcd 472 6 , , , cord-022594-fx044gcd 472 7 the the DT cord-022594-fx044gcd 472 8 T2-weighted t2-weighted JJ cord-022594-fx044gcd 472 9 lesion lesion NN cord-022594-fx044gcd 472 10 regresses regress VBZ cord-022594-fx044gcd 472 11 and and CC cord-022594-fx044gcd 472 12 becomes become VBZ cord-022594-fx044gcd 472 13 more more RBR cord-022594-fx044gcd 472 14 sharply sharply RB cord-022594-fx044gcd 472 15 delineated delineate VBN cord-022594-fx044gcd 472 16 from from IN cord-022594-fx044gcd 472 17 the the DT cord-022594-fx044gcd 472 18 surrounding surround VBG cord-022594-fx044gcd 472 19 white white JJ cord-022594-fx044gcd 472 20 matter matter NN cord-022594-fx044gcd 472 21 as as IN cord-022594-fx044gcd 472 22 edema edema NN cord-022594-fx044gcd 472 23 resolves resolve VBZ cord-022594-fx044gcd 472 24 . . . cord-022594-fx044gcd 473 1 Most Most JJS cord-022594-fx044gcd 473 2 of of IN cord-022594-fx044gcd 473 3 the the DT cord-022594-fx044gcd 473 4 time time NN cord-022594-fx044gcd 473 5 , , , cord-022594-fx044gcd 473 6 a a DT cord-022594-fx044gcd 473 7 residual residual JJ cord-022594-fx044gcd 473 8 abnormality abnormality NN cord-022594-fx044gcd 473 9 with with IN cord-022594-fx044gcd 473 10 increased increase VBN cord-022594-fx044gcd 473 11 T2 T2 NNP cord-022594-fx044gcd 473 12 weighting weighting NN cord-022594-fx044gcd 473 13 and and CC cord-022594-fx044gcd 473 14 decreased decrease VBD cord-022594-fx044gcd 473 15 T1-weighted t1-weighte VBN cord-022594-fx044gcd 473 16 signal signal NN cord-022594-fx044gcd 473 17 remains remain VBZ cord-022594-fx044gcd 473 18 , , , cord-022594-fx044gcd 473 19 reflecting reflect VBG cord-022594-fx044gcd 473 20 demyelination demyelination NN cord-022594-fx044gcd 473 21 and and CC cord-022594-fx044gcd 473 22 gliosis gliosis NN cord-022594-fx044gcd 473 23 . . . cord-022594-fx044gcd 474 1 The the DT cord-022594-fx044gcd 474 2 low low JJ cord-022594-fx044gcd 474 3 attenuation attenuation NN cord-022594-fx044gcd 474 4 T1 t1 NN cord-022594-fx044gcd 474 5 signal signal NN cord-022594-fx044gcd 474 6 , , , cord-022594-fx044gcd 474 7 or or CC cord-022594-fx044gcd 474 8 " " `` cord-022594-fx044gcd 474 9 T1 T1 NNP cord-022594-fx044gcd 474 10 black black JJ cord-022594-fx044gcd 474 11 hole hole NN cord-022594-fx044gcd 474 12 , , , cord-022594-fx044gcd 474 13 " " '' cord-022594-fx044gcd 474 14 is be VBZ cord-022594-fx044gcd 474 15 more more RBR cord-022594-fx044gcd 474 16 often often RB cord-022594-fx044gcd 474 17 seen see VBN cord-022594-fx044gcd 474 18 in in IN cord-022594-fx044gcd 474 19 secondary secondary JJ cord-022594-fx044gcd 474 20 progressive progressive JJ cord-022594-fx044gcd 474 21 MS MS NNP cord-022594-fx044gcd 474 22 and and CC cord-022594-fx044gcd 474 23 is be VBZ cord-022594-fx044gcd 474 24 thought think VBN cord-022594-fx044gcd 474 25 to to TO cord-022594-fx044gcd 474 26 represent represent VB cord-022594-fx044gcd 474 27 actual actual JJ cord-022594-fx044gcd 474 28 tissue tissue NN cord-022594-fx044gcd 474 29 loss loss NN cord-022594-fx044gcd 474 30 . . . cord-022594-fx044gcd 475 1 In in IN cord-022594-fx044gcd 475 2 several several JJ cord-022594-fx044gcd 475 3 well well RB cord-022594-fx044gcd 475 4 - - HYPH cord-022594-fx044gcd 475 5 documented document VBN cord-022594-fx044gcd 475 6 cases case NNS cord-022594-fx044gcd 475 7 , , , cord-022594-fx044gcd 475 8 hypointense hypointense NN cord-022594-fx044gcd 475 9 lesions lesion NNS cord-022594-fx044gcd 475 10 on on IN cord-022594-fx044gcd 475 11 T2-weighted t2-weighte VBN cord-022594-fx044gcd 475 12 scans scan NNS cord-022594-fx044gcd 475 13 were be VBD cord-022594-fx044gcd 475 14 described describe VBN cord-022594-fx044gcd 475 15 in in IN cord-022594-fx044gcd 475 16 subcortical subcortical JJ cord-022594-fx044gcd 475 17 gray gray JJ cord-022594-fx044gcd 475 18 matter matter NN cord-022594-fx044gcd 475 19 structures structure NNS cord-022594-fx044gcd 475 20 in in IN cord-022594-fx044gcd 475 21 MS MS NNP cord-022594-fx044gcd 475 22 patients patient NNS cord-022594-fx044gcd 475 23 . . . cord-022594-fx044gcd 476 1 On on IN cord-022594-fx044gcd 476 2 a a DT cord-022594-fx044gcd 476 3 molecular molecular JJ cord-022594-fx044gcd 476 4 level level NN cord-022594-fx044gcd 476 5 these these DT cord-022594-fx044gcd 476 6 areas area NNS cord-022594-fx044gcd 476 7 are be VBP cord-022594-fx044gcd 476 8 thought think VBN cord-022594-fx044gcd 476 9 to to TO cord-022594-fx044gcd 476 10 represent represent VB cord-022594-fx044gcd 476 11 iron iron NN cord-022594-fx044gcd 476 12 deposition deposition NN cord-022594-fx044gcd 476 13 ; ; : cord-022594-fx044gcd 476 14 their -PRON- PRP$ cord-022594-fx044gcd 476 15 significance significance NN cord-022594-fx044gcd 476 16 in in IN cord-022594-fx044gcd 476 17 MS MS NNP cord-022594-fx044gcd 476 18 is be VBZ cord-022594-fx044gcd 476 19 not not RB cord-022594-fx044gcd 476 20 fully fully RB cord-022594-fx044gcd 476 21 understood understand VBN cord-022594-fx044gcd 476 22 . . . cord-022594-fx044gcd 477 1 The the DT cord-022594-fx044gcd 477 2 MRI MRI NNP cord-022594-fx044gcd 477 3 activity activity NN cord-022594-fx044gcd 477 4 of of IN cord-022594-fx044gcd 477 5 disease disease NN cord-022594-fx044gcd 477 6 , , , cord-022594-fx044gcd 477 7 defined define VBN cord-022594-fx044gcd 477 8 as as IN cord-022594-fx044gcd 477 9 either either CC cord-022594-fx044gcd 477 10 the the DT cord-022594-fx044gcd 477 11 number number NN cord-022594-fx044gcd 477 12 of of IN cord-022594-fx044gcd 477 13 new new JJ cord-022594-fx044gcd 477 14 , , , cord-022594-fx044gcd 477 15 recurrent recurrent JJ cord-022594-fx044gcd 477 16 , , , cord-022594-fx044gcd 477 17 and and CC cord-022594-fx044gcd 477 18 enlarging enlarge VBG cord-022594-fx044gcd 477 19 lesions lesion NNS cord-022594-fx044gcd 477 20 or or CC cord-022594-fx044gcd 477 21 the the DT cord-022594-fx044gcd 477 22 number number NN cord-022594-fx044gcd 477 23 of of IN cord-022594-fx044gcd 477 24 gadolinium gadolinium NN cord-022594-fx044gcd 477 25 - - HYPH cord-022594-fx044gcd 477 26 enhancing enhance VBG cord-022594-fx044gcd 477 27 lesions lesion NNS cord-022594-fx044gcd 477 28 , , , cord-022594-fx044gcd 477 29 is be VBZ cord-022594-fx044gcd 477 30 usually usually RB cord-022594-fx044gcd 477 31 higher high JJR cord-022594-fx044gcd 477 32 than than IN cord-022594-fx044gcd 477 33 the the DT cord-022594-fx044gcd 477 34 clinical clinical JJ cord-022594-fx044gcd 477 35 activity activity NN cord-022594-fx044gcd 477 36 . . . cord-022594-fx044gcd 478 1 This this DT cord-022594-fx044gcd 478 2 may may MD cord-022594-fx044gcd 478 3 be be VB cord-022594-fx044gcd 478 4 either either CC cord-022594-fx044gcd 478 5 because because IN cord-022594-fx044gcd 478 6 of of IN cord-022594-fx044gcd 478 7 the the DT cord-022594-fx044gcd 478 8 involvement involvement NN cord-022594-fx044gcd 478 9 of of IN cord-022594-fx044gcd 478 10 asymptomatic asymptomatic JJ cord-022594-fx044gcd 478 11 areas area NNS cord-022594-fx044gcd 478 12 of of IN cord-022594-fx044gcd 478 13 the the DT cord-022594-fx044gcd 478 14 CNS CNS NNP cord-022594-fx044gcd 478 15 or or CC cord-022594-fx044gcd 478 16 because because IN cord-022594-fx044gcd 478 17 of of IN cord-022594-fx044gcd 478 18 a a DT cord-022594-fx044gcd 478 19 pathophysiological pathophysiological JJ cord-022594-fx044gcd 478 20 difference difference NN cord-022594-fx044gcd 478 21 between between IN cord-022594-fx044gcd 478 22 symptomatic symptomatic JJ cord-022594-fx044gcd 478 23 and and CC cord-022594-fx044gcd 478 24 nonsymptomatic nonsymptomatic JJ cord-022594-fx044gcd 478 25 lesions lesion NNS cord-022594-fx044gcd 478 26 based base VBN cord-022594-fx044gcd 478 27 on on IN cord-022594-fx044gcd 478 28 the the DT cord-022594-fx044gcd 478 29 presence presence NN cord-022594-fx044gcd 478 30 or or CC cord-022594-fx044gcd 478 31 absence absence NN cord-022594-fx044gcd 478 32 of of IN cord-022594-fx044gcd 478 33 axonal axonal JJ cord-022594-fx044gcd 478 34 dysfunction dysfunction NN cord-022594-fx044gcd 478 35 . . . cord-022594-fx044gcd 479 1 There there EX cord-022594-fx044gcd 479 2 is be VBZ cord-022594-fx044gcd 479 3 only only RB cord-022594-fx044gcd 479 4 poor poor JJ cord-022594-fx044gcd 479 5 correlation correlation NN cord-022594-fx044gcd 479 6 between between IN cord-022594-fx044gcd 479 7 disability disability NN cord-022594-fx044gcd 479 8 and and CC cord-022594-fx044gcd 479 9 lesion lesion NN cord-022594-fx044gcd 479 10 load load NN cord-022594-fx044gcd 479 11 ( ( -LRB- cord-022594-fx044gcd 479 12 volume volume NN cord-022594-fx044gcd 479 13 of of IN cord-022594-fx044gcd 479 14 white white JJ cord-022594-fx044gcd 479 15 matter matter NN cord-022594-fx044gcd 479 16 abnormalities abnormality NNS cord-022594-fx044gcd 479 17 ) ) -RRB- cord-022594-fx044gcd 479 18 determined determine VBN cord-022594-fx044gcd 479 19 by by IN cord-022594-fx044gcd 479 20 head head NN cord-022594-fx044gcd 479 21 MRI MRI NNP cord-022594-fx044gcd 479 22 . . . cord-022594-fx044gcd 480 1 Sometimes sometimes RB cord-022594-fx044gcd 480 2 individuals individual NNS cord-022594-fx044gcd 480 3 have have VBP cord-022594-fx044gcd 480 4 severe severe JJ cord-022594-fx044gcd 480 5 impairment impairment NN cord-022594-fx044gcd 480 6 and and CC cord-022594-fx044gcd 480 7 few few JJ cord-022594-fx044gcd 480 8 MRI MRI NNP cord-022594-fx044gcd 480 9 abnormalities abnormality NNS cord-022594-fx044gcd 480 10 , , , cord-022594-fx044gcd 480 11 and and CC cord-022594-fx044gcd 480 12 the the DT cord-022594-fx044gcd 480 13 converse converse NN cord-022594-fx044gcd 480 14 may may MD cord-022594-fx044gcd 480 15 occur occur VB cord-022594-fx044gcd 480 16 . . . cord-022594-fx044gcd 481 1 This this DT cord-022594-fx044gcd 481 2 disparity disparity NN cord-022594-fx044gcd 481 3 is be VBZ cord-022594-fx044gcd 481 4 partially partially RB cord-022594-fx044gcd 481 5 explained explain VBN cord-022594-fx044gcd 481 6 by by IN cord-022594-fx044gcd 481 7 variable variable JJ cord-022594-fx044gcd 481 8 spinal spinal JJ cord-022594-fx044gcd 481 9 cord cord NN cord-022594-fx044gcd 481 10 involvement involvement NN cord-022594-fx044gcd 481 11 , , , cord-022594-fx044gcd 481 12 but but CC cord-022594-fx044gcd 481 13 a a DT cord-022594-fx044gcd 481 14 pathophysiological pathophysiological JJ cord-022594-fx044gcd 481 15 difference difference NN cord-022594-fx044gcd 481 16 may may MD cord-022594-fx044gcd 481 17 account account VB cord-022594-fx044gcd 481 18 for for IN cord-022594-fx044gcd 481 19 some some DT cord-022594-fx044gcd 481 20 of of IN cord-022594-fx044gcd 481 21 the the DT cord-022594-fx044gcd 481 22 discrepancy discrepancy NN cord-022594-fx044gcd 481 23 . . . cord-022594-fx044gcd 482 1 Several several JJ cord-022594-fx044gcd 482 2 MRI MRI NNP cord-022594-fx044gcd 482 3 markers marker NNS cord-022594-fx044gcd 482 4 of of IN cord-022594-fx044gcd 482 5 gray gray JJ cord-022594-fx044gcd 482 6 matter matter NN cord-022594-fx044gcd 482 7 involvement involvement NN cord-022594-fx044gcd 482 8 correlate correlate VBP cord-022594-fx044gcd 482 9 better well RBR cord-022594-fx044gcd 482 10 than than IN cord-022594-fx044gcd 482 11 measures measure NNS cord-022594-fx044gcd 482 12 of of IN cord-022594-fx044gcd 482 13 white white JJ cord-022594-fx044gcd 482 14 matter matter NN cord-022594-fx044gcd 482 15 pathology pathology NN cord-022594-fx044gcd 482 16 with with IN cord-022594-fx044gcd 482 17 clinical clinical JJ cord-022594-fx044gcd 482 18 functional functional JJ cord-022594-fx044gcd 482 19 outcome outcome NN cord-022594-fx044gcd 482 20 measures measure NNS cord-022594-fx044gcd 482 21 in in IN cord-022594-fx044gcd 482 22 MS MS NNP cord-022594-fx044gcd 482 23 . . . cord-022594-fx044gcd 483 1 In in IN cord-022594-fx044gcd 483 2 a a DT cord-022594-fx044gcd 483 3 recent recent JJ cord-022594-fx044gcd 483 4 study study NN cord-022594-fx044gcd 483 5 47 47 CD cord-022594-fx044gcd 483 6 EDSS EDSS NNP cord-022594-fx044gcd 483 7 showed show VBD cord-022594-fx044gcd 483 8 the the DT cord-022594-fx044gcd 483 9 strongest strong JJS cord-022594-fx044gcd 483 10 correlation correlation NN cord-022594-fx044gcd 483 11 with with IN cord-022594-fx044gcd 483 12 gray gray JJ cord-022594-fx044gcd 483 13 matter matter NN cord-022594-fx044gcd 483 14 volume volume NN cord-022594-fx044gcd 483 15 loss loss NN cord-022594-fx044gcd 483 16 and and CC cord-022594-fx044gcd 483 17 with with IN cord-022594-fx044gcd 483 18 T1 T1 NNP cord-022594-fx044gcd 483 19 black black JJ cord-022594-fx044gcd 483 20 hole hole NN cord-022594-fx044gcd 483 21 volume volume NN cord-022594-fx044gcd 483 22 increase increase NN cord-022594-fx044gcd 484 1 ( ( -LRB- cord-022594-fx044gcd 484 2 p p NN cord-022594-fx044gcd 484 3 < < XX cord-022594-fx044gcd 484 4 0.01 0.01 CD cord-022594-fx044gcd 484 5 ) ) -RRB- cord-022594-fx044gcd 484 6 ; ; : cord-022594-fx044gcd 484 7 both both DT cord-022594-fx044gcd 484 8 are be VBP cord-022594-fx044gcd 484 9 considered consider VBN cord-022594-fx044gcd 484 10 to to TO cord-022594-fx044gcd 484 11 reflect reflect VB cord-022594-fx044gcd 484 12 neuronal neuronal JJ cord-022594-fx044gcd 484 13 and and CC cord-022594-fx044gcd 484 14 axonal axonal JJ cord-022594-fx044gcd 484 15 pathology pathology NN cord-022594-fx044gcd 484 16 . . . cord-022594-fx044gcd 485 1 Ambulatory ambulatory JJ cord-022594-fx044gcd 485 2 function function NN cord-022594-fx044gcd 485 3 , , , cord-022594-fx044gcd 485 4 assessed assess VBN cord-022594-fx044gcd 485 5 as as IN cord-022594-fx044gcd 485 6 the the DT cord-022594-fx044gcd 485 7 25-feet 25-feet CD cord-022594-fx044gcd 485 8 timed time VBN cord-022594-fx044gcd 485 9 walk walk NN cord-022594-fx044gcd 485 10 , , , cord-022594-fx044gcd 485 11 also also RB cord-022594-fx044gcd 485 12 correlated correlate VBD cord-022594-fx044gcd 485 13 well well RB cord-022594-fx044gcd 485 14 with with IN cord-022594-fx044gcd 485 15 gray gray JJ cord-022594-fx044gcd 485 16 matter matter NNP cord-022594-fx044gcd 485 17 volume volume NN cord-022594-fx044gcd 485 18 loss loss NN cord-022594-fx044gcd 485 19 and and CC cord-022594-fx044gcd 485 20 T1 T1 NNP cord-022594-fx044gcd 485 21 black black JJ cord-022594-fx044gcd 485 22 hole hole NN cord-022594-fx044gcd 485 23 volume volume NN cord-022594-fx044gcd 485 24 . . . cord-022594-fx044gcd 486 1 On on IN cord-022594-fx044gcd 486 2 normal normal JJ cord-022594-fx044gcd 486 3 appearing appear VBG cord-022594-fx044gcd 486 4 gray gray JJ cord-022594-fx044gcd 486 5 matter matter NN cord-022594-fx044gcd 486 6 magnetization magnetization NN cord-022594-fx044gcd 486 7 transfer transfer NN cord-022594-fx044gcd 486 8 ratio ratio NN cord-022594-fx044gcd 486 9 ( ( -LRB- cord-022594-fx044gcd 486 10 MTR MTR NNP cord-022594-fx044gcd 486 11 ) ) -RRB- cord-022594-fx044gcd 486 12 histograms histogram NNS cord-022594-fx044gcd 486 13 , , , cord-022594-fx044gcd 486 14 normalized normalize VBN cord-022594-fx044gcd 486 15 peak peak NN cord-022594-fx044gcd 486 16 heights height NNS cord-022594-fx044gcd 486 17 inversely inversely RB cord-022594-fx044gcd 486 18 correlated correlate VBD cord-022594-fx044gcd 486 19 with with IN cord-022594-fx044gcd 486 20 EDSS EDSS NNP cord-022594-fx044gcd 486 21 in in IN cord-022594-fx044gcd 486 22 18 18 CD cord-022594-fx044gcd 486 23 RRMS RRMS NNP cord-022594-fx044gcd 486 24 patients patient NNS cord-022594-fx044gcd 486 25 ( ( -LRB- cord-022594-fx044gcd 486 26 r r NNP cord-022594-fx044gcd 486 27 ¼ ¼ NNP cord-022594-fx044gcd 486 28 À0.65 À0.65 NNP cord-022594-fx044gcd 486 29 , , , cord-022594-fx044gcd 486 30 p p NNP cord-022594-fx044gcd 486 31 ¼.01 ¼.01 NNP cord-022594-fx044gcd 486 32 ) ) -RRB- cord-022594-fx044gcd 486 33 . . . cord-022594-fx044gcd 487 1 48 48 CD cord-022594-fx044gcd 488 1 In in IN cord-022594-fx044gcd 488 2 a a DT cord-022594-fx044gcd 488 3 study study NN cord-022594-fx044gcd 488 4 evaluating evaluate VBG cord-022594-fx044gcd 488 5 a a DT cord-022594-fx044gcd 488 6 number number NN cord-022594-fx044gcd 488 7 of of IN cord-022594-fx044gcd 488 8 MRI MRI NNP cord-022594-fx044gcd 488 9 parameters parameter NNS cord-022594-fx044gcd 488 10 ( ( -LRB- cord-022594-fx044gcd 488 11 including include VBG cord-022594-fx044gcd 488 12 brain brain NN cord-022594-fx044gcd 488 13 T1-hypointense t1-hypointense NN cord-022594-fx044gcd 488 14 and and CC cord-022594-fx044gcd 488 15 FLAIR flair NN cord-022594-fx044gcd 488 16 - - HYPH cord-022594-fx044gcd 488 17 hyperintense hyperintense NN cord-022594-fx044gcd 488 18 lesion lesion NN cord-022594-fx044gcd 488 19 volume volume NN cord-022594-fx044gcd 488 20 , , , cord-022594-fx044gcd 488 21 third third JJ cord-022594-fx044gcd 488 22 ventricle ventricle NN cord-022594-fx044gcd 488 23 width width NN cord-022594-fx044gcd 488 24 , , , cord-022594-fx044gcd 488 25 brain brain NN cord-022594-fx044gcd 488 26 parenchymal parenchymal NN cord-022594-fx044gcd 488 27 fraction fraction NN cord-022594-fx044gcd 488 28 and and CC cord-022594-fx044gcd 488 29 T2 T2 NNP cord-022594-fx044gcd 488 30 hypointensities hypointensitie NNS cord-022594-fx044gcd 488 31 in in IN cord-022594-fx044gcd 488 32 the the DT cord-022594-fx044gcd 488 33 dentate dentate JJ cord-022594-fx044gcd 488 34 nucleus nucleus NN cord-022594-fx044gcd 488 35 ) ) -RRB- cord-022594-fx044gcd 488 36 , , , cord-022594-fx044gcd 488 37 the the DT cord-022594-fx044gcd 488 38 best good JJS cord-022594-fx044gcd 488 39 correlation correlation NN cord-022594-fx044gcd 488 40 with with IN cord-022594-fx044gcd 488 41 EDSS EDSS NNP cord-022594-fx044gcd 488 42 ( ( -LRB- cord-022594-fx044gcd 488 43 and and CC cord-022594-fx044gcd 488 44 the the DT cord-022594-fx044gcd 488 45 only only JJ cord-022594-fx044gcd 488 46 correlating correlate VBG cord-022594-fx044gcd 488 47 parameter parameter NN cord-022594-fx044gcd 488 48 with with IN cord-022594-fx044gcd 488 49 25-feet 25-feet CD cord-022594-fx044gcd 488 50 timed time VBN cord-022594-fx044gcd 488 51 walk walk NN cord-022594-fx044gcd 488 52 ) ) -RRB- cord-022594-fx044gcd 488 53 was be VBD cord-022594-fx044gcd 488 54 T2 T2 NNP cord-022594-fx044gcd 488 55 hypointensity hypointensity NN cord-022594-fx044gcd 488 56 in in IN cord-022594-fx044gcd 488 57 the the DT cord-022594-fx044gcd 488 58 dentate dentate JJ cord-022594-fx044gcd 488 59 nucleus nucleus NN cord-022594-fx044gcd 488 60 . . . cord-022594-fx044gcd 489 1 49 49 CD cord-022594-fx044gcd 490 1 In in IN cord-022594-fx044gcd 490 2 41 41 CD cord-022594-fx044gcd 490 3 MS MS NNP cord-022594-fx044gcd 490 4 patients patient NNS cord-022594-fx044gcd 490 5 , , , cord-022594-fx044gcd 490 6 an an DT cord-022594-fx044gcd 490 7 MRI MRI NNP cord-022594-fx044gcd 490 8 study study NN cord-022594-fx044gcd 490 9 concluded conclude VBD cord-022594-fx044gcd 490 10 that that IN cord-022594-fx044gcd 490 11 gray gray JJ cord-022594-fx044gcd 490 12 matter matter NN cord-022594-fx044gcd 490 13 atrophy atrophy NN cord-022594-fx044gcd 490 14 correlated correlate VBN cord-022594-fx044gcd 490 15 with with IN cord-022594-fx044gcd 490 16 clinical clinical JJ cord-022594-fx044gcd 490 17 status status NN cord-022594-fx044gcd 490 18 ( ( -LRB- cord-022594-fx044gcd 490 19 EDSS EDSS NNP cord-022594-fx044gcd 490 20 , , , cord-022594-fx044gcd 490 21 25-feet 25-feet CD cord-022594-fx044gcd 490 22 timed time VBD cord-022594-fx044gcd 490 23 walking walking NN cord-022594-fx044gcd 490 24 and and CC cord-022594-fx044gcd 490 25 disease disease NN cord-022594-fx044gcd 490 26 duration duration NN cord-022594-fx044gcd 490 27 ) ) -RRB- cord-022594-fx044gcd 490 28 . . . cord-022594-fx044gcd 491 1 47 47 CD cord-022594-fx044gcd 492 1 A a DT cord-022594-fx044gcd 492 2 study study NN cord-022594-fx044gcd 492 3 of of IN cord-022594-fx044gcd 492 4 patients patient NNS cord-022594-fx044gcd 492 5 with with IN cord-022594-fx044gcd 492 6 PPMS PPMS NNP cord-022594-fx044gcd 492 7 and and CC cord-022594-fx044gcd 492 8 RRMS RRMS NNP cord-022594-fx044gcd 492 9 showed show VBD cord-022594-fx044gcd 492 10 that that IN cord-022594-fx044gcd 492 11 neocortical neocortical JJ cord-022594-fx044gcd 492 12 volume volume NN cord-022594-fx044gcd 492 13 as as IN cord-022594-fx044gcd 492 14 determined determine VBN cord-022594-fx044gcd 492 15 by by IN cord-022594-fx044gcd 492 16 MRI MRI NNP cord-022594-fx044gcd 492 17 correlated correlate VBN cord-022594-fx044gcd 492 18 with with IN cord-022594-fx044gcd 492 19 EDSS EDSS NNP cord-022594-fx044gcd 492 20 scores score NNS cord-022594-fx044gcd 492 21 across across IN cord-022594-fx044gcd 492 22 all all PDT cord-022594-fx044gcd 492 23 the the DT cord-022594-fx044gcd 492 24 patients patient NNS cord-022594-fx044gcd 492 25 , , , cord-022594-fx044gcd 492 26 but but CC cord-022594-fx044gcd 492 27 the the DT cord-022594-fx044gcd 492 28 strength strength NN cord-022594-fx044gcd 492 29 of of IN cord-022594-fx044gcd 492 30 the the DT cord-022594-fx044gcd 492 31 correlation correlation NN cord-022594-fx044gcd 492 32 was be VBD cord-022594-fx044gcd 492 33 stronger strong JJR cord-022594-fx044gcd 492 34 ( ( -LRB- cord-022594-fx044gcd 492 35 p p NN cord-022594-fx044gcd 492 36 < < XX cord-022594-fx044gcd 492 37 0.05 0.05 CD cord-022594-fx044gcd 492 38 ) ) -RRB- cord-022594-fx044gcd 492 39 in in IN cord-022594-fx044gcd 492 40 the the DT cord-022594-fx044gcd 492 41 PPMS PPMS NNP cord-022594-fx044gcd 493 1 ( ( -LRB- cord-022594-fx044gcd 494 1 r r LS cord-022594-fx044gcd 494 2 ¼ ¼ NNP cord-022594-fx044gcd 494 3 À0.64 À0.64 NNP cord-022594-fx044gcd 494 4 , , , cord-022594-fx044gcd 494 5 p p NN cord-022594-fx044gcd 494 6 < < XX cord-022594-fx044gcd 494 7 0.0001 0.0001 CD cord-022594-fx044gcd 494 8 ) ) -RRB- cord-022594-fx044gcd 494 9 than than IN cord-022594-fx044gcd 494 10 in in IN cord-022594-fx044gcd 494 11 the the DT cord-022594-fx044gcd 494 12 RRMS RRMS NNP cord-022594-fx044gcd 494 13 group group NN cord-022594-fx044gcd 494 14 ( ( -LRB- cord-022594-fx044gcd 494 15 r r NNP cord-022594-fx044gcd 494 16 ¼ ¼ NNP cord-022594-fx044gcd 494 17 À0.27 À0.27 NNP cord-022594-fx044gcd 494 18 , , , cord-022594-fx044gcd 494 19 p p NN cord-022594-fx044gcd 494 20 ¼ ¼ CD cord-022594-fx044gcd 494 21 0.04 0.04 CD cord-022594-fx044gcd 494 22 ) ) -RRB- cord-022594-fx044gcd 494 23 . . . cord-022594-fx044gcd 495 1 50 50 CD cord-022594-fx044gcd 495 2 MR MR NNP cord-022594-fx044gcd 495 3 spectroscopy spectroscopy NN cord-022594-fx044gcd 495 4 is be VBZ cord-022594-fx044gcd 495 5 increasingly increasingly RB cord-022594-fx044gcd 495 6 becoming become VBG cord-022594-fx044gcd 495 7 an an DT cord-022594-fx044gcd 495 8 accepted accept VBN cord-022594-fx044gcd 495 9 diagnostic diagnostic JJ cord-022594-fx044gcd 495 10 modality modality NN cord-022594-fx044gcd 495 11 , , , cord-022594-fx044gcd 495 12 where where WRB cord-022594-fx044gcd 495 13 information information NN cord-022594-fx044gcd 495 14 can can MD cord-022594-fx044gcd 495 15 be be VB cord-022594-fx044gcd 495 16 obtained obtain VBN cord-022594-fx044gcd 495 17 about about IN cord-022594-fx044gcd 495 18 the the DT cord-022594-fx044gcd 495 19 biochemical biochemical JJ cord-022594-fx044gcd 495 20 constituents constituent NNS cord-022594-fx044gcd 495 21 of of IN cord-022594-fx044gcd 495 22 selected select VBN cord-022594-fx044gcd 495 23 voxels voxel NNS cord-022594-fx044gcd 495 24 of of IN cord-022594-fx044gcd 495 25 interest interest NN cord-022594-fx044gcd 495 26 . . . cord-022594-fx044gcd 496 1 With with IN cord-022594-fx044gcd 496 2 this this DT cord-022594-fx044gcd 496 3 technique technique NN cord-022594-fx044gcd 496 4 , , , cord-022594-fx044gcd 496 5 a a DT cord-022594-fx044gcd 496 6 cubic cubic JJ cord-022594-fx044gcd 496 7 volume volume NN cord-022594-fx044gcd 496 8 of of IN cord-022594-fx044gcd 496 9 interest interest NN cord-022594-fx044gcd 496 10 is be VBZ cord-022594-fx044gcd 496 11 defined define VBN cord-022594-fx044gcd 496 12 based base VBN cord-022594-fx044gcd 496 13 on on IN cord-022594-fx044gcd 496 14 a a DT cord-022594-fx044gcd 496 15 regular regular JJ cord-022594-fx044gcd 496 16 MR MR NNP cord-022594-fx044gcd 496 17 image image NN cord-022594-fx044gcd 496 18 set set NN cord-022594-fx044gcd 496 19 . . . cord-022594-fx044gcd 497 1 Simultaneous simultaneous JJ cord-022594-fx044gcd 497 2 acquisition acquisition NN cord-022594-fx044gcd 497 3 of of IN cord-022594-fx044gcd 497 4 multiple multiple JJ cord-022594-fx044gcd 497 5 volume volume NN cord-022594-fx044gcd 497 6 units unit NNS cord-022594-fx044gcd 497 7 is be VBZ cord-022594-fx044gcd 497 8 possible possible JJ cord-022594-fx044gcd 497 9 . . . cord-022594-fx044gcd 498 1 With with IN cord-022594-fx044gcd 498 2 long long JJ cord-022594-fx044gcd 498 3 echo echo NN cord-022594-fx044gcd 498 4 time time NN cord-022594-fx044gcd 498 5 ( ( -LRB- cord-022594-fx044gcd 498 6 TE TE NNP cord-022594-fx044gcd 498 7 ) ) -RRB- cord-022594-fx044gcd 498 8 studies study NNS cord-022594-fx044gcd 498 9 , , , cord-022594-fx044gcd 498 10 NAA NAA NNP cord-022594-fx044gcd 498 11 ( ( -LRB- cord-022594-fx044gcd 498 12 N N NNP cord-022594-fx044gcd 498 13 - - HYPH cord-022594-fx044gcd 498 14 acetylaspartate acetylaspartate NNP cord-022594-fx044gcd 498 15 ) ) -RRB- cord-022594-fx044gcd 498 16 , , , cord-022594-fx044gcd 498 17 choline choline NN cord-022594-fx044gcd 498 18 , , , cord-022594-fx044gcd 498 19 creatinine creatinine NN cord-022594-fx044gcd 498 20 , , , cord-022594-fx044gcd 498 21 and and CC cord-022594-fx044gcd 498 22 lactate lactate NN cord-022594-fx044gcd 498 23 peaks peak NNS cord-022594-fx044gcd 498 24 can can MD cord-022594-fx044gcd 498 25 be be VB cord-022594-fx044gcd 498 26 identified identify VBN cord-022594-fx044gcd 498 27 on on IN cord-022594-fx044gcd 498 28 the the DT cord-022594-fx044gcd 498 29 MR MR NNP cord-022594-fx044gcd 498 30 spectrum spectrum NN cord-022594-fx044gcd 498 31 . . . cord-022594-fx044gcd 499 1 With with IN cord-022594-fx044gcd 499 2 short short JJ cord-022594-fx044gcd 499 3 TE TE NNP cord-022594-fx044gcd 499 4 studies study NNS cord-022594-fx044gcd 499 5 , , , cord-022594-fx044gcd 499 6 myoinositol myoinositol NNP cord-022594-fx044gcd 499 7 , , , cord-022594-fx044gcd 499 8 lipids lipid NNS cord-022594-fx044gcd 499 9 , , , cord-022594-fx044gcd 499 10 and and CC cord-022594-fx044gcd 499 11 some some DT cord-022594-fx044gcd 499 12 neurotransmitters neurotransmitter NNS cord-022594-fx044gcd 499 13 may may MD cord-022594-fx044gcd 499 14 be be VB cord-022594-fx044gcd 499 15 identified identify VBN cord-022594-fx044gcd 499 16 . . . cord-022594-fx044gcd 500 1 The the DT cord-022594-fx044gcd 500 2 resolution resolution NN cord-022594-fx044gcd 500 3 of of IN cord-022594-fx044gcd 500 4 the the DT cord-022594-fx044gcd 500 5 MR MR NNP cord-022594-fx044gcd 500 6 spectrum spectrum NNP cord-022594-fx044gcd 500 7 ( ( -LRB- cord-022594-fx044gcd 500 8 the the DT cord-022594-fx044gcd 500 9 " " `` cord-022594-fx044gcd 500 10 number number NN cord-022594-fx044gcd 500 11 of of IN cord-022594-fx044gcd 500 12 lines line NNS cord-022594-fx044gcd 500 13 " " '' cord-022594-fx044gcd 500 14 in in IN cord-022594-fx044gcd 500 15 the the DT cord-022594-fx044gcd 500 16 spectrum spectrum NN cord-022594-fx044gcd 500 17 ) ) -RRB- cord-022594-fx044gcd 500 18 is be VBZ cord-022594-fx044gcd 500 19 proportionate proportionate JJ cord-022594-fx044gcd 500 20 to to IN cord-022594-fx044gcd 500 21 the the DT cord-022594-fx044gcd 500 22 magnetic magnetic JJ cord-022594-fx044gcd 500 23 field field NN cord-022594-fx044gcd 500 24 strength strength NN cord-022594-fx044gcd 500 25 used use VBN cord-022594-fx044gcd 500 26 . . . cord-022594-fx044gcd 501 1 NAA NAA NNP cord-022594-fx044gcd 501 2 is be VBZ cord-022594-fx044gcd 501 3 the the DT cord-022594-fx044gcd 501 4 second second JJ cord-022594-fx044gcd 501 5 most most RBS cord-022594-fx044gcd 501 6 abundant abundant JJ cord-022594-fx044gcd 501 7 amino amino NN cord-022594-fx044gcd 501 8 acid acid NN cord-022594-fx044gcd 501 9 constituent constituent NN cord-022594-fx044gcd 501 10 in in IN cord-022594-fx044gcd 501 11 the the DT cord-022594-fx044gcd 501 12 brain brain NN cord-022594-fx044gcd 501 13 after after IN cord-022594-fx044gcd 501 14 glutamate glutamate NN cord-022594-fx044gcd 501 15 . . . cord-022594-fx044gcd 502 1 It -PRON- PRP cord-022594-fx044gcd 502 2 is be VBZ cord-022594-fx044gcd 502 3 localized localize VBN cord-022594-fx044gcd 502 4 almost almost RB cord-022594-fx044gcd 502 5 exclusively exclusively RB cord-022594-fx044gcd 502 6 in in IN cord-022594-fx044gcd 502 7 neurons neuron NNS cord-022594-fx044gcd 502 8 and and CC cord-022594-fx044gcd 502 9 axons axon NNS cord-022594-fx044gcd 502 10 . . . cord-022594-fx044gcd 503 1 Creatinine creatinine NN cord-022594-fx044gcd 503 2 is be VBZ cord-022594-fx044gcd 503 3 used use VBN cord-022594-fx044gcd 503 4 as as IN cord-022594-fx044gcd 503 5 the the DT cord-022594-fx044gcd 503 6 " " `` cord-022594-fx044gcd 503 7 constant constant JJ cord-022594-fx044gcd 503 8 " " '' cord-022594-fx044gcd 503 9 peak peak NN cord-022594-fx044gcd 503 10 in in IN cord-022594-fx044gcd 503 11 a a DT cord-022594-fx044gcd 503 12 MR MR NNP cord-022594-fx044gcd 503 13 spectrum spectrum NN cord-022594-fx044gcd 503 14 , , , cord-022594-fx044gcd 503 15 since since IN cord-022594-fx044gcd 503 16 it -PRON- PRP cord-022594-fx044gcd 503 17 is be VBZ cord-022594-fx044gcd 503 18 the the DT cord-022594-fx044gcd 503 19 least least RBS cord-022594-fx044gcd 503 20 likely likely JJ cord-022594-fx044gcd 503 21 to to TO cord-022594-fx044gcd 503 22 be be VB cord-022594-fx044gcd 503 23 altered alter VBN cord-022594-fx044gcd 503 24 by by IN cord-022594-fx044gcd 503 25 CNS CNS NNP cord-022594-fx044gcd 503 26 - - HYPH cord-022594-fx044gcd 503 27 specific specific JJ cord-022594-fx044gcd 503 28 processes process NNS cord-022594-fx044gcd 503 29 . . . cord-022594-fx044gcd 504 1 Therefore therefore RB cord-022594-fx044gcd 504 2 , , , cord-022594-fx044gcd 504 3 numeric numeric JJ cord-022594-fx044gcd 504 4 MRS MRS NNP cord-022594-fx044gcd 504 5 data datum NNS cord-022594-fx044gcd 504 6 are be VBP cord-022594-fx044gcd 504 7 usually usually RB cord-022594-fx044gcd 504 8 presented present VBN cord-022594-fx044gcd 504 9 as as IN cord-022594-fx044gcd 504 10 ratios ratio NNS cord-022594-fx044gcd 504 11 related relate VBN cord-022594-fx044gcd 504 12 to to IN cord-022594-fx044gcd 504 13 creatinine creatinine NN cord-022594-fx044gcd 504 14 . . . cord-022594-fx044gcd 505 1 The the DT cord-022594-fx044gcd 505 2 NAA NAA NNP cord-022594-fx044gcd 505 3 / / SYM cord-022594-fx044gcd 505 4 creatinine creatinine NN cord-022594-fx044gcd 505 5 ratio ratio NN cord-022594-fx044gcd 505 6 is be VBZ cord-022594-fx044gcd 505 7 decreased decrease VBN cord-022594-fx044gcd 505 8 in in IN cord-022594-fx044gcd 505 9 areas area NNS cord-022594-fx044gcd 505 10 of of IN cord-022594-fx044gcd 505 11 axonal axonal JJ cord-022594-fx044gcd 505 12 or or CC cord-022594-fx044gcd 505 13 neuronal neuronal JJ cord-022594-fx044gcd 505 14 loss loss NN cord-022594-fx044gcd 505 15 . . . cord-022594-fx044gcd 506 1 It -PRON- PRP cord-022594-fx044gcd 506 2 correlates correlate VBZ cord-022594-fx044gcd 506 3 well well RB cord-022594-fx044gcd 506 4 with with IN cord-022594-fx044gcd 506 5 disability disability NN cord-022594-fx044gcd 506 6 . . . cord-022594-fx044gcd 507 1 It -PRON- PRP cord-022594-fx044gcd 507 2 can can MD cord-022594-fx044gcd 507 3 be be VB cord-022594-fx044gcd 507 4 decreased decrease VBN cord-022594-fx044gcd 507 5 in in IN cord-022594-fx044gcd 507 6 normal normal JJ cord-022594-fx044gcd 507 7 appearing appear VBG cord-022594-fx044gcd 507 8 white white JJ cord-022594-fx044gcd 507 9 matter matter NN cord-022594-fx044gcd 507 10 , , , cord-022594-fx044gcd 507 11 also also RB cord-022594-fx044gcd 507 12 in in IN cord-022594-fx044gcd 507 13 early early JJ cord-022594-fx044gcd 507 14 stages stage NNS cord-022594-fx044gcd 507 15 of of IN cord-022594-fx044gcd 507 16 lesion lesion NN cord-022594-fx044gcd 507 17 formation formation NN cord-022594-fx044gcd 507 18 , , , cord-022594-fx044gcd 507 19 thus thus RB cord-022594-fx044gcd 507 20 representing represent VBG cord-022594-fx044gcd 507 21 a a DT cord-022594-fx044gcd 507 22 challenge challenge NN cord-022594-fx044gcd 507 23 to to IN cord-022594-fx044gcd 507 24 the the DT cord-022594-fx044gcd 507 25 usual usual JJ cord-022594-fx044gcd 507 26 dogma dogma NN cord-022594-fx044gcd 507 27 of of IN cord-022594-fx044gcd 507 28 axonal axonal JJ cord-022594-fx044gcd 507 29 loss loss NN cord-022594-fx044gcd 507 30 being be VBG cord-022594-fx044gcd 507 31 secondary secondary JJ cord-022594-fx044gcd 507 32 to to IN cord-022594-fx044gcd 507 33 myelin myelin JJ cord-022594-fx044gcd 507 34 damage damage NN cord-022594-fx044gcd 507 35 . . . cord-022594-fx044gcd 508 1 The the DT cord-022594-fx044gcd 508 2 decrease decrease NN cord-022594-fx044gcd 508 3 of of IN cord-022594-fx044gcd 508 4 the the DT cord-022594-fx044gcd 508 5 NAA NAA NNP cord-022594-fx044gcd 508 6 / / SYM cord-022594-fx044gcd 508 7 creatinine creatinine NN cord-022594-fx044gcd 508 8 ratio ratio NN cord-022594-fx044gcd 508 9 may may MD cord-022594-fx044gcd 508 10 return return VB cord-022594-fx044gcd 508 11 to to IN cord-022594-fx044gcd 508 12 normal normal JJ cord-022594-fx044gcd 508 13 following follow VBG cord-022594-fx044gcd 508 14 the the DT cord-022594-fx044gcd 508 15 resolution resolution NN cord-022594-fx044gcd 508 16 of of IN cord-022594-fx044gcd 508 17 the the DT cord-022594-fx044gcd 508 18 acute acute JJ cord-022594-fx044gcd 508 19 phase phase NN cord-022594-fx044gcd 508 20 . . . cord-022594-fx044gcd 509 1 This this DT cord-022594-fx044gcd 509 2 process process NN cord-022594-fx044gcd 509 3 may may MD cord-022594-fx044gcd 509 4 be be VB cord-022594-fx044gcd 509 5 related relate VBN cord-022594-fx044gcd 509 6 either either CC cord-022594-fx044gcd 509 7 to to IN cord-022594-fx044gcd 509 8 reversibility reversibility NN cord-022594-fx044gcd 509 9 of of IN cord-022594-fx044gcd 509 10 neuronal neuronal JJ cord-022594-fx044gcd 509 11 injury injury NN cord-022594-fx044gcd 509 12 or or CC cord-022594-fx044gcd 509 13 to to IN cord-022594-fx044gcd 509 14 disappearance disappearance NN cord-022594-fx044gcd 509 15 of of IN cord-022594-fx044gcd 509 16 edema edema NN cord-022594-fx044gcd 509 17 in in IN cord-022594-fx044gcd 509 18 the the DT cord-022594-fx044gcd 509 19 involved involved JJ cord-022594-fx044gcd 509 20 areas area NNS cord-022594-fx044gcd 509 21 . . . cord-022594-fx044gcd 510 1 In in IN cord-022594-fx044gcd 510 2 general general JJ cord-022594-fx044gcd 510 3 , , , cord-022594-fx044gcd 510 4 more more RBR cord-022594-fx044gcd 510 5 reduced reduce VBN cord-022594-fx044gcd 510 6 NAA NAA NNP cord-022594-fx044gcd 510 7 peaks peak NNS cord-022594-fx044gcd 510 8 are be VBP cord-022594-fx044gcd 510 9 seen see VBN cord-022594-fx044gcd 510 10 in in IN cord-022594-fx044gcd 510 11 progressive progressive JJ cord-022594-fx044gcd 510 12 forms form NNS cord-022594-fx044gcd 510 13 of of IN cord-022594-fx044gcd 510 14 MS MS NNP cord-022594-fx044gcd 510 15 with with IN cord-022594-fx044gcd 510 16 more more RBR cord-022594-fx044gcd 510 17 profound profound JJ cord-022594-fx044gcd 510 18 tissue tissue NN cord-022594-fx044gcd 510 19 loss loss NN cord-022594-fx044gcd 510 20 . . . cord-022594-fx044gcd 511 1 If if IN cord-022594-fx044gcd 511 2 a a DT cord-022594-fx044gcd 511 3 relatively relatively RB cord-022594-fx044gcd 511 4 large large JJ cord-022594-fx044gcd 511 5 hemispheric hemispheric JJ cord-022594-fx044gcd 511 6 lesion lesion NN cord-022594-fx044gcd 511 7 shows show NNS cord-022594-fx044gcd 511 8 decreased decrease VBD cord-022594-fx044gcd 511 9 NAA NAA NNP cord-022594-fx044gcd 511 10 content content NN cord-022594-fx044gcd 511 11 , , , cord-022594-fx044gcd 511 12 similar similar JJ cord-022594-fx044gcd 511 13 findings finding NNS cord-022594-fx044gcd 511 14 may may MD cord-022594-fx044gcd 511 15 be be VB cord-022594-fx044gcd 511 16 seen see VBN cord-022594-fx044gcd 511 17 in in IN cord-022594-fx044gcd 511 18 the the DT cord-022594-fx044gcd 511 19 other other JJ cord-022594-fx044gcd 511 20 hemisphere hemisphere NN cord-022594-fx044gcd 511 21 in in IN cord-022594-fx044gcd 511 22 a a DT cord-022594-fx044gcd 511 23 " " `` cord-022594-fx044gcd 511 24 mirror mirror NN cord-022594-fx044gcd 511 25 " " '' cord-022594-fx044gcd 511 26 location location NN cord-022594-fx044gcd 511 27 . . . cord-022594-fx044gcd 512 1 The the DT cord-022594-fx044gcd 512 2 lactate lactate NN cord-022594-fx044gcd 512 3 peak peak NN cord-022594-fx044gcd 512 4 can can MD cord-022594-fx044gcd 512 5 be be VB cord-022594-fx044gcd 512 6 elevated elevate VBN cord-022594-fx044gcd 512 7 in in IN cord-022594-fx044gcd 512 8 a a DT cord-022594-fx044gcd 512 9 variety variety NN cord-022594-fx044gcd 512 10 of of IN cord-022594-fx044gcd 512 11 acute acute JJ cord-022594-fx044gcd 512 12 processes process NNS cord-022594-fx044gcd 512 13 , , , cord-022594-fx044gcd 512 14 and and CC cord-022594-fx044gcd 512 15 as as RB cord-022594-fx044gcd 512 16 such such JJ cord-022594-fx044gcd 512 17 , , , cord-022594-fx044gcd 512 18 carries carry VBZ cord-022594-fx044gcd 512 19 relatively relatively RB cord-022594-fx044gcd 512 20 low low JJ cord-022594-fx044gcd 512 21 specificity specificity NN cord-022594-fx044gcd 512 22 . . . cord-022594-fx044gcd 513 1 The the DT cord-022594-fx044gcd 513 2 short short JJ cord-022594-fx044gcd 513 3 TE TE NNP cord-022594-fx044gcd 513 4 spectrum spectrum NN cord-022594-fx044gcd 513 5 is be VBZ cord-022594-fx044gcd 513 6 used use VBN cord-022594-fx044gcd 513 7 less less RBR cord-022594-fx044gcd 513 8 frequently frequently RB cord-022594-fx044gcd 513 9 ; ; : cord-022594-fx044gcd 513 10 the the DT cord-022594-fx044gcd 513 11 " " `` cord-022594-fx044gcd 513 12 mobile mobile JJ cord-022594-fx044gcd 513 13 lipid lipid NN cord-022594-fx044gcd 513 14 " " '' cord-022594-fx044gcd 513 15 peak peak NN cord-022594-fx044gcd 513 16 ( ( -LRB- cord-022594-fx044gcd 513 17 which which WDT cord-022594-fx044gcd 513 18 is be VBZ cord-022594-fx044gcd 513 19 thought think VBN cord-022594-fx044gcd 513 20 to to TO cord-022594-fx044gcd 513 21 represent represent VB cord-022594-fx044gcd 513 22 macromolecular macromolecular JJ cord-022594-fx044gcd 513 23 protein protein NN cord-022594-fx044gcd 513 24 fragments fragment NNS cord-022594-fx044gcd 513 25 ) ) -RRB- cord-022594-fx044gcd 513 26 is be VBZ cord-022594-fx044gcd 513 27 increased increase VBN cord-022594-fx044gcd 513 28 in in IN cord-022594-fx044gcd 513 29 areas area NNS cord-022594-fx044gcd 513 30 of of IN cord-022594-fx044gcd 513 31 acute acute JJ cord-022594-fx044gcd 513 32 demyelination demyelination NN cord-022594-fx044gcd 513 33 . . . cord-022594-fx044gcd 514 1 Another another DT cord-022594-fx044gcd 514 2 newer new JJR cord-022594-fx044gcd 514 3 MRI MRI NNP cord-022594-fx044gcd 514 4 technique technique NN cord-022594-fx044gcd 514 5 used use VBN cord-022594-fx044gcd 514 6 in in IN cord-022594-fx044gcd 514 7 MS MS NNP cord-022594-fx044gcd 514 8 research research NN cord-022594-fx044gcd 514 9 is be VBZ cord-022594-fx044gcd 514 10 magnetization magnetization NN cord-022594-fx044gcd 514 11 transfer transfer NN cord-022594-fx044gcd 514 12 imaging imaging NN cord-022594-fx044gcd 514 13 . . . cord-022594-fx044gcd 515 1 The the DT cord-022594-fx044gcd 515 2 principle principle NN cord-022594-fx044gcd 515 3 behind behind IN cord-022594-fx044gcd 515 4 this this DT cord-022594-fx044gcd 515 5 imaging imaging NN cord-022594-fx044gcd 515 6 modality modality NN cord-022594-fx044gcd 515 7 is be VBZ cord-022594-fx044gcd 515 8 relatively relatively RB cord-022594-fx044gcd 515 9 simple simple JJ cord-022594-fx044gcd 515 10 . . . cord-022594-fx044gcd 516 1 In in IN cord-022594-fx044gcd 516 2 complex complex JJ cord-022594-fx044gcd 516 3 macromolecular macromolecular JJ cord-022594-fx044gcd 516 4 systems system NNS cord-022594-fx044gcd 516 5 , , , cord-022594-fx044gcd 516 6 there there EX cord-022594-fx044gcd 516 7 is be VBZ cord-022594-fx044gcd 516 8 a a DT cord-022594-fx044gcd 516 9 baseline baseline JJ cord-022594-fx044gcd 516 10 magnetization magnetization NN cord-022594-fx044gcd 516 11 exchange exchange NN cord-022594-fx044gcd 516 12 in in IN cord-022594-fx044gcd 516 13 equilibrium equilibrium NN cord-022594-fx044gcd 516 14 between between IN cord-022594-fx044gcd 516 15 macromolecular macromolecular JJ cord-022594-fx044gcd 516 16 protons proton NNS cord-022594-fx044gcd 516 17 and and CC cord-022594-fx044gcd 516 18 mobile mobile NN cord-022594-fx044gcd 516 19 protons proton NNS cord-022594-fx044gcd 516 20 . . . cord-022594-fx044gcd 517 1 If if IN cord-022594-fx044gcd 517 2 the the DT cord-022594-fx044gcd 517 3 macromolecular macromolecular JJ cord-022594-fx044gcd 517 4 protons proton NNS cord-022594-fx044gcd 517 5 are be VBP cord-022594-fx044gcd 517 6 saturated saturate VBN cord-022594-fx044gcd 517 7 before before IN cord-022594-fx044gcd 517 8 each each DT cord-022594-fx044gcd 517 9 excitation excitation NN cord-022594-fx044gcd 517 10 ( ( -LRB- cord-022594-fx044gcd 517 11 and and CC cord-022594-fx044gcd 517 12 subsequent subsequent JJ cord-022594-fx044gcd 517 13 data data NN cord-022594-fx044gcd 517 14 acquisition acquisition NN cord-022594-fx044gcd 517 15 ) ) -RRB- cord-022594-fx044gcd 517 16 with with IN cord-022594-fx044gcd 517 17 a a DT cord-022594-fx044gcd 517 18 prolonged prolong VBN cord-022594-fx044gcd 517 19 off off IN cord-022594-fx044gcd 517 20 - - HYPH cord-022594-fx044gcd 517 21 resonance resonance NN cord-022594-fx044gcd 517 22 broadband broadband NN cord-022594-fx044gcd 517 23 pulse pulse NN cord-022594-fx044gcd 517 24 , , , cord-022594-fx044gcd 517 25 then then RB cord-022594-fx044gcd 517 26 the the DT cord-022594-fx044gcd 517 27 signal signal JJ cord-022594-fx044gcd 517 28 intensity intensity NN cord-022594-fx044gcd 517 29 of of IN cord-022594-fx044gcd 517 30 the the DT cord-022594-fx044gcd 517 31 image image NN cord-022594-fx044gcd 517 32 will will MD cord-022594-fx044gcd 517 33 be be VB cord-022594-fx044gcd 517 34 reduced reduce VBN cord-022594-fx044gcd 517 35 owing owe VBG cord-022594-fx044gcd 517 36 to to IN cord-022594-fx044gcd 517 37 magnetization magnetization NN cord-022594-fx044gcd 517 38 transfer transfer NN cord-022594-fx044gcd 517 39 exchange exchange NN cord-022594-fx044gcd 517 40 between between IN cord-022594-fx044gcd 517 41 the the DT cord-022594-fx044gcd 517 42 saturated saturated JJ cord-022594-fx044gcd 517 43 ( ( -LRB- cord-022594-fx044gcd 517 44 " " `` cord-022594-fx044gcd 517 45 bound bind VBN cord-022594-fx044gcd 517 46 " " '' cord-022594-fx044gcd 517 47 ) ) -RRB- cord-022594-fx044gcd 517 48 and and CC cord-022594-fx044gcd 517 49 free free JJ cord-022594-fx044gcd 517 50 ( ( -LRB- cord-022594-fx044gcd 517 51 " " `` cord-022594-fx044gcd 517 52 mobile mobile JJ cord-022594-fx044gcd 517 53 " " '' cord-022594-fx044gcd 517 54 ) ) -RRB- cord-022594-fx044gcd 517 55 protons proton NNS cord-022594-fx044gcd 517 56 . . . cord-022594-fx044gcd 518 1 By by IN cord-022594-fx044gcd 518 2 obtaining obtain VBG cord-022594-fx044gcd 518 3 duplicate duplicate JJ cord-022594-fx044gcd 518 4 sets set NNS cord-022594-fx044gcd 518 5 of of IN cord-022594-fx044gcd 518 6 images image NNS cord-022594-fx044gcd 518 7 ( ( -LRB- cord-022594-fx044gcd 518 8 with with IN cord-022594-fx044gcd 518 9 and and CC cord-022594-fx044gcd 518 10 without without IN cord-022594-fx044gcd 518 11 magnetization magnetization NN cord-022594-fx044gcd 518 12 transfer transfer NN cord-022594-fx044gcd 518 13 pulse pulse NN cord-022594-fx044gcd 518 14 ) ) -RRB- cord-022594-fx044gcd 518 15 , , , cord-022594-fx044gcd 518 16 a a DT cord-022594-fx044gcd 518 17 magnetization magnetization NN cord-022594-fx044gcd 518 18 transfer transfer NN cord-022594-fx044gcd 518 19 ratio ratio NN cord-022594-fx044gcd 518 20 can can MD cord-022594-fx044gcd 518 21 be be VB cord-022594-fx044gcd 518 22 calculated calculate VBN cord-022594-fx044gcd 518 23 . . . cord-022594-fx044gcd 519 1 The the DT cord-022594-fx044gcd 519 2 ratio ratio NN cord-022594-fx044gcd 519 3 reflects reflect VBZ cord-022594-fx044gcd 519 4 the the DT cord-022594-fx044gcd 519 5 integrity integrity NN cord-022594-fx044gcd 519 6 of of IN cord-022594-fx044gcd 519 7 the the DT cord-022594-fx044gcd 519 8 macromolecular macromolecular JJ cord-022594-fx044gcd 519 9 environment environment NN cord-022594-fx044gcd 519 10 . . . cord-022594-fx044gcd 520 1 It -PRON- PRP cord-022594-fx044gcd 520 2 is be VBZ cord-022594-fx044gcd 520 3 reduced reduce VBN cord-022594-fx044gcd 520 4 by by IN cord-022594-fx044gcd 520 5 approximately approximately RB cord-022594-fx044gcd 520 6 3 3 CD cord-022594-fx044gcd 520 7 % % NN cord-022594-fx044gcd 520 8 to to TO cord-022594-fx044gcd 520 9 5 5 CD cord-022594-fx044gcd 520 10 % % NN cord-022594-fx044gcd 520 11 in in IN cord-022594-fx044gcd 520 12 areas area NNS cord-022594-fx044gcd 520 13 of of IN cord-022594-fx044gcd 520 14 edema edema NN cord-022594-fx044gcd 520 15 , , , cord-022594-fx044gcd 520 16 but but CC cord-022594-fx044gcd 520 17 it -PRON- PRP cord-022594-fx044gcd 520 18 is be VBZ cord-022594-fx044gcd 520 19 more more RBR cord-022594-fx044gcd 520 20 significantly significantly RB cord-022594-fx044gcd 520 21 reduced reduce VBN cord-022594-fx044gcd 520 22 in in IN cord-022594-fx044gcd 520 23 areas area NNS cord-022594-fx044gcd 520 24 of of IN cord-022594-fx044gcd 520 25 demyelination demyelination NN cord-022594-fx044gcd 520 26 or or CC cord-022594-fx044gcd 520 27 axonal axonal JJ cord-022594-fx044gcd 520 28 loss loss NN cord-022594-fx044gcd 520 29 . . . cord-022594-fx044gcd 521 1 If if IN cord-022594-fx044gcd 521 2 the the DT cord-022594-fx044gcd 521 3 ratio ratio NN cord-022594-fx044gcd 521 4 " " `` cord-022594-fx044gcd 521 5 normalizes normalize VBZ cord-022594-fx044gcd 521 6 " " '' cord-022594-fx044gcd 521 7 in in IN cord-022594-fx044gcd 521 8 a a DT cord-022594-fx044gcd 521 9 lesion lesion NN cord-022594-fx044gcd 521 10 , , , cord-022594-fx044gcd 521 11 no no DT cord-022594-fx044gcd 521 12 subsequent subsequent JJ cord-022594-fx044gcd 521 13 tissue tissue NN cord-022594-fx044gcd 521 14 loss loss NN cord-022594-fx044gcd 521 15 is be VBZ cord-022594-fx044gcd 521 16 usually usually RB cord-022594-fx044gcd 521 17 seen see VBN cord-022594-fx044gcd 521 18 on on IN cord-022594-fx044gcd 521 19 other other JJ cord-022594-fx044gcd 521 20 imaging imaging NN cord-022594-fx044gcd 521 21 modalities modality NNS cord-022594-fx044gcd 521 22 . . . cord-022594-fx044gcd 522 1 Despite despite IN cord-022594-fx044gcd 522 2 these these DT cord-022594-fx044gcd 522 3 advantages advantage NNS cord-022594-fx044gcd 522 4 , , , cord-022594-fx044gcd 522 5 the the DT cord-022594-fx044gcd 522 6 magnetization magnetization NN cord-022594-fx044gcd 522 7 transfer transfer NN cord-022594-fx044gcd 522 8 imaging imaging NN cord-022594-fx044gcd 522 9 is be VBZ cord-022594-fx044gcd 522 10 technically technically RB cord-022594-fx044gcd 522 11 difficult difficult JJ cord-022594-fx044gcd 522 12 because because IN cord-022594-fx044gcd 522 13 it -PRON- PRP cord-022594-fx044gcd 522 14 produces produce VBZ cord-022594-fx044gcd 522 15 variable variable JJ cord-022594-fx044gcd 522 16 findings finding NNS cord-022594-fx044gcd 522 17 depending depend VBG cord-022594-fx044gcd 522 18 on on IN cord-022594-fx044gcd 522 19 the the DT cord-022594-fx044gcd 522 20 technical technical JJ cord-022594-fx044gcd 522 21 environment environment NN cord-022594-fx044gcd 522 22 and and CC cord-022594-fx044gcd 522 23 is be VBZ cord-022594-fx044gcd 522 24 not not RB cord-022594-fx044gcd 522 25 universally universally RB cord-022594-fx044gcd 522 26 available available JJ cord-022594-fx044gcd 522 27 . . . cord-022594-fx044gcd 523 1 It -PRON- PRP cord-022594-fx044gcd 523 2 has have VBZ cord-022594-fx044gcd 523 3 not not RB cord-022594-fx044gcd 523 4 become become VBN cord-022594-fx044gcd 523 5 an an DT cord-022594-fx044gcd 523 6 accepted accepted JJ cord-022594-fx044gcd 523 7 and and CC cord-022594-fx044gcd 523 8 standard standard JJ cord-022594-fx044gcd 523 9 technique technique NN cord-022594-fx044gcd 523 10 for for IN cord-022594-fx044gcd 523 11 evaluation evaluation NN cord-022594-fx044gcd 523 12 of of IN cord-022594-fx044gcd 523 13 MS MS NNP cord-022594-fx044gcd 523 14 patients patient NNS cord-022594-fx044gcd 523 15 . . . cord-022594-fx044gcd 524 1 It -PRON- PRP cord-022594-fx044gcd 524 2 may may MD cord-022594-fx044gcd 524 3 be be VB cord-022594-fx044gcd 524 4 very very RB cord-022594-fx044gcd 524 5 useful useful JJ cord-022594-fx044gcd 524 6 as as IN cord-022594-fx044gcd 524 7 a a DT cord-022594-fx044gcd 524 8 marker marker NN cord-022594-fx044gcd 524 9 for for IN cord-022594-fx044gcd 524 10 remyelination remyelination NN cord-022594-fx044gcd 524 11 and and CC cord-022594-fx044gcd 524 12 tissue tissue NN cord-022594-fx044gcd 524 13 repair repair NN cord-022594-fx044gcd 524 14 in in IN cord-022594-fx044gcd 524 15 future future JJ cord-022594-fx044gcd 524 16 neuroprotective neuroprotective JJ cord-022594-fx044gcd 524 17 or or CC cord-022594-fx044gcd 524 18 tissue tissue VB cord-022594-fx044gcd 524 19 restorative restorative JJ cord-022594-fx044gcd 524 20 trials trial NNS cord-022594-fx044gcd 524 21 . . . cord-022594-fx044gcd 525 1 Diffusion diffusion NN cord-022594-fx044gcd 525 2 - - HYPH cord-022594-fx044gcd 525 3 weighted weight VBN cord-022594-fx044gcd 525 4 imaging imaging NN cord-022594-fx044gcd 525 5 is be VBZ cord-022594-fx044gcd 525 6 well well RB cord-022594-fx044gcd 525 7 known know VBN cord-022594-fx044gcd 525 8 from from IN cord-022594-fx044gcd 525 9 its -PRON- PRP$ cord-022594-fx044gcd 525 10 widespread widespread JJ cord-022594-fx044gcd 525 11 use use NN cord-022594-fx044gcd 525 12 in in IN cord-022594-fx044gcd 525 13 the the DT cord-022594-fx044gcd 525 14 diagnosis diagnosis NN cord-022594-fx044gcd 525 15 of of IN cord-022594-fx044gcd 525 16 ischemic ischemic JJ cord-022594-fx044gcd 525 17 stroke stroke NN cord-022594-fx044gcd 525 18 . . . cord-022594-fx044gcd 526 1 This this DT cord-022594-fx044gcd 526 2 technique technique NN cord-022594-fx044gcd 526 3 can can MD cord-022594-fx044gcd 526 4 show show VB cord-022594-fx044gcd 526 5 early early JJ cord-022594-fx044gcd 526 6 stages stage NNS cord-022594-fx044gcd 526 7 of of IN cord-022594-fx044gcd 526 8 MS MS NNP cord-022594-fx044gcd 526 9 plaque plaque NN cord-022594-fx044gcd 526 10 formation formation NN cord-022594-fx044gcd 526 11 . . . cord-022594-fx044gcd 527 1 The the DT cord-022594-fx044gcd 527 2 increase increase NN cord-022594-fx044gcd 527 3 in in IN cord-022594-fx044gcd 527 4 apparent apparent JJ cord-022594-fx044gcd 527 5 diffusion diffusion NN cord-022594-fx044gcd 527 6 coefficient coefficient NN cord-022594-fx044gcd 527 7 correlates correlate VBZ cord-022594-fx044gcd 527 8 with with IN cord-022594-fx044gcd 527 9 acute acute JJ cord-022594-fx044gcd 527 10 plaques plaque NNS cord-022594-fx044gcd 527 11 , , , cord-022594-fx044gcd 527 12 and and CC cord-022594-fx044gcd 527 13 seems seem VBZ cord-022594-fx044gcd 527 14 to to TO cord-022594-fx044gcd 527 15 best good JJS cord-022594-fx044gcd 527 16 correspond correspond VB cord-022594-fx044gcd 527 17 with with IN cord-022594-fx044gcd 527 18 T1-enhancing t1-enhance VBG cord-022594-fx044gcd 527 19 lesions lesion NNS cord-022594-fx044gcd 527 20 ; ; : cord-022594-fx044gcd 527 21 this this DT cord-022594-fx044gcd 527 22 technique technique NN cord-022594-fx044gcd 527 23 may may MD cord-022594-fx044gcd 527 24 show show VB cord-022594-fx044gcd 527 25 the the DT cord-022594-fx044gcd 527 26 lesions lesion NNS cord-022594-fx044gcd 527 27 at at IN cord-022594-fx044gcd 527 28 an an DT cord-022594-fx044gcd 527 29 even even RB cord-022594-fx044gcd 527 30 earlier early JJR cord-022594-fx044gcd 527 31 stage stage NN cord-022594-fx044gcd 527 32 . . . cord-022594-fx044gcd 528 1 MRI MRI NNP cord-022594-fx044gcd 528 2 has have VBZ cord-022594-fx044gcd 528 3 become become VBN cord-022594-fx044gcd 528 4 an an DT cord-022594-fx044gcd 528 5 important important JJ cord-022594-fx044gcd 528 6 component component NN cord-022594-fx044gcd 528 7 of of IN cord-022594-fx044gcd 528 8 clinical clinical JJ cord-022594-fx044gcd 528 9 trials trial NNS cord-022594-fx044gcd 528 10 in in IN cord-022594-fx044gcd 528 11 MS MS NNP cord-022594-fx044gcd 528 12 . . . cord-022594-fx044gcd 529 1 Because because IN cord-022594-fx044gcd 529 2 of of IN cord-022594-fx044gcd 529 3 the the DT cord-022594-fx044gcd 529 4 high high JJ cord-022594-fx044gcd 529 5 sensitivity sensitivity NN cord-022594-fx044gcd 529 6 of of IN cord-022594-fx044gcd 529 7 MRI MRI NNP cord-022594-fx044gcd 529 8 for for IN cord-022594-fx044gcd 529 9 disease disease NN cord-022594-fx044gcd 529 10 activity activity NN cord-022594-fx044gcd 529 11 , , , cord-022594-fx044gcd 529 12 it -PRON- PRP cord-022594-fx044gcd 529 13 is be VBZ cord-022594-fx044gcd 529 14 reasoned reason VBN cord-022594-fx044gcd 529 15 that that IN cord-022594-fx044gcd 529 16 periodic periodic JJ cord-022594-fx044gcd 529 17 MRI MRI NNP cord-022594-fx044gcd 529 18 may may MD cord-022594-fx044gcd 529 19 determine determine VB cord-022594-fx044gcd 529 20 treatment treatment NN cord-022594-fx044gcd 529 21 efficacy efficacy NN cord-022594-fx044gcd 529 22 more more RBR cord-022594-fx044gcd 529 23 quickly quickly RB cord-022594-fx044gcd 529 24 than than IN cord-022594-fx044gcd 529 25 monitoring monitor VBG cord-022594-fx044gcd 529 26 relapse relapse NN cord-022594-fx044gcd 529 27 rate rate NN cord-022594-fx044gcd 529 28 or or CC cord-022594-fx044gcd 529 29 disability disability NN cord-022594-fx044gcd 529 30 level level NN cord-022594-fx044gcd 529 31 . . . cord-022594-fx044gcd 530 1 Many many JJ cord-022594-fx044gcd 530 2 studies study NNS cord-022594-fx044gcd 530 3 have have VBP cord-022594-fx044gcd 530 4 used use VBN cord-022594-fx044gcd 530 5 MRI MRI NNP cord-022594-fx044gcd 530 6 as as IN cord-022594-fx044gcd 530 7 a a DT cord-022594-fx044gcd 530 8 secondary secondary JJ cord-022594-fx044gcd 530 9 outcome outcome NN cord-022594-fx044gcd 530 10 , , , cord-022594-fx044gcd 530 11 but but CC cord-022594-fx044gcd 530 12 clinical clinical JJ cord-022594-fx044gcd 530 13 outcomes outcome NNS cord-022594-fx044gcd 530 14 are be VBP cord-022594-fx044gcd 530 15 still still RB cord-022594-fx044gcd 530 16 used use VBN cord-022594-fx044gcd 530 17 as as IN cord-022594-fx044gcd 530 18 the the DT cord-022594-fx044gcd 530 19 primary primary JJ cord-022594-fx044gcd 530 20 outcome outcome NN cord-022594-fx044gcd 530 21 for for IN cord-022594-fx044gcd 530 22 definitive definitive JJ cord-022594-fx044gcd 530 23 trials trial NNS cord-022594-fx044gcd 530 24 . . . cord-022594-fx044gcd 531 1 Additional additional JJ cord-022594-fx044gcd 531 2 MRI MRI NNP cord-022594-fx044gcd 531 3 techniques technique NNS cord-022594-fx044gcd 531 4 have have VBP cord-022594-fx044gcd 531 5 also also RB cord-022594-fx044gcd 531 6 proved prove VBN cord-022594-fx044gcd 531 7 useful useful JJ cord-022594-fx044gcd 531 8 in in IN cord-022594-fx044gcd 531 9 the the DT cord-022594-fx044gcd 531 10 diagnosis diagnosis NN cord-022594-fx044gcd 531 11 of of IN cord-022594-fx044gcd 531 12 MS MS NNP cord-022594-fx044gcd 531 13 . . . cord-022594-fx044gcd 532 1 MRI MRI NNP cord-022594-fx044gcd 532 2 of of IN cord-022594-fx044gcd 532 3 the the DT cord-022594-fx044gcd 532 4 spinal spinal JJ cord-022594-fx044gcd 532 5 cord cord NN cord-022594-fx044gcd 532 6 shows show VBZ cord-022594-fx044gcd 532 7 discrete discrete JJ cord-022594-fx044gcd 532 8 lesions lesion NNS cord-022594-fx044gcd 532 9 in in IN cord-022594-fx044gcd 532 10 about about RB cord-022594-fx044gcd 532 11 80 80 CD cord-022594-fx044gcd 532 12 % % NN cord-022594-fx044gcd 532 13 of of IN cord-022594-fx044gcd 532 14 CDMS CDMS NNP cord-022594-fx044gcd 532 15 patients patient NNS cord-022594-fx044gcd 532 16 . . . cord-022594-fx044gcd 533 1 Several several JJ cord-022594-fx044gcd 533 2 semiautomatic semiautomatic JJ cord-022594-fx044gcd 533 3 methods method NNS cord-022594-fx044gcd 533 4 exist exist VBP cord-022594-fx044gcd 533 5 to to TO cord-022594-fx044gcd 533 6 determine determine VB cord-022594-fx044gcd 533 7 lesion lesion NN cord-022594-fx044gcd 533 8 volume volume NN cord-022594-fx044gcd 533 9 , , , cord-022594-fx044gcd 533 10 ventricle ventricle NN cord-022594-fx044gcd 533 11 volume volume NN cord-022594-fx044gcd 533 12 , , , cord-022594-fx044gcd 533 13 or or CC cord-022594-fx044gcd 533 14 hemispheric hemispheric JJ cord-022594-fx044gcd 533 15 volume volume NN cord-022594-fx044gcd 533 16 . . . cord-022594-fx044gcd 534 1 These these DT cord-022594-fx044gcd 534 2 are be VBP cord-022594-fx044gcd 534 3 generally generally RB cord-022594-fx044gcd 534 4 applied apply VBN cord-022594-fx044gcd 534 5 for for IN cord-022594-fx044gcd 534 6 research research NN cord-022594-fx044gcd 534 7 purposes purpose NNS cord-022594-fx044gcd 534 8 only only RB cord-022594-fx044gcd 534 9 , , , cord-022594-fx044gcd 534 10 and and CC cord-022594-fx044gcd 534 11 are be VBP cord-022594-fx044gcd 534 12 not not RB cord-022594-fx044gcd 534 13 part part NN cord-022594-fx044gcd 534 14 of of IN cord-022594-fx044gcd 534 15 the the DT cord-022594-fx044gcd 534 16 usual usual JJ cord-022594-fx044gcd 534 17 workup workup NN cord-022594-fx044gcd 534 18 or or CC cord-022594-fx044gcd 534 19 diagnostic diagnostic JJ cord-022594-fx044gcd 534 20 follow follow NN cord-022594-fx044gcd 534 21 - - HYPH cord-022594-fx044gcd 534 22 up up NN cord-022594-fx044gcd 534 23 of of IN cord-022594-fx044gcd 534 24 MS MS NNP cord-022594-fx044gcd 534 25 . . . cord-022594-fx044gcd 535 1 CSF csf NN cord-022594-fx044gcd 535 2 evaluation evaluation NN cord-022594-fx044gcd 535 3 remains remain VBZ cord-022594-fx044gcd 535 4 a a DT cord-022594-fx044gcd 535 5 valuable valuable JJ cord-022594-fx044gcd 535 6 diagnostic diagnostic JJ cord-022594-fx044gcd 535 7 tool tool NN cord-022594-fx044gcd 535 8 for for IN cord-022594-fx044gcd 535 9 MS MS NNP cord-022594-fx044gcd 535 10 . . . cord-022594-fx044gcd 536 1 A a DT cord-022594-fx044gcd 536 2 lymphocytic lymphocytic JJ cord-022594-fx044gcd 536 3 pleocytosis pleocytosis NN cord-022594-fx044gcd 536 4 occurs occur VBZ cord-022594-fx044gcd 536 5 during during IN cord-022594-fx044gcd 536 6 acute acute JJ cord-022594-fx044gcd 536 7 exacerbations exacerbation NNS cord-022594-fx044gcd 536 8 in in IN cord-022594-fx044gcd 536 9 about about RB cord-022594-fx044gcd 536 10 one one CD cord-022594-fx044gcd 536 11 third third NN cord-022594-fx044gcd 536 12 of of IN cord-022594-fx044gcd 536 13 patients patient NNS cord-022594-fx044gcd 536 14 , , , cord-022594-fx044gcd 536 15 but but CC cord-022594-fx044gcd 536 16 this this DT cord-022594-fx044gcd 536 17 seldom seldom RB cord-022594-fx044gcd 536 18 exceeds exceed VBZ cord-022594-fx044gcd 536 19 50 50 CD cord-022594-fx044gcd 536 20 cells cell NNS cord-022594-fx044gcd 536 21 . . . cord-022594-fx044gcd 537 1 Eighty eighty CD cord-022594-fx044gcd 537 2 percent percent NN cord-022594-fx044gcd 537 3 of of IN cord-022594-fx044gcd 537 4 the the DT cord-022594-fx044gcd 537 5 lymphocytes lymphocyte NNS cord-022594-fx044gcd 537 6 are be VBP cord-022594-fx044gcd 537 7 CD3 CD3 NNP cord-022594-fx044gcd 537 8 positive positive JJ cord-022594-fx044gcd 537 9 . . . cord-022594-fx044gcd 538 1 The the DT cord-022594-fx044gcd 538 2 ratio ratio NN cord-022594-fx044gcd 538 3 of of IN cord-022594-fx044gcd 538 4 CD4 CD4 NNP cord-022594-fx044gcd 538 5 to to IN cord-022594-fx044gcd 538 6 CD8 CD8 NNP cord-022594-fx044gcd 538 7 cells cell NNS cord-022594-fx044gcd 538 8 is be VBZ cord-022594-fx044gcd 538 9 2:1 2:1 CD cord-022594-fx044gcd 538 10 . . . cord-022594-fx044gcd 539 1 Less Less JJR cord-022594-fx044gcd 539 2 than than IN cord-022594-fx044gcd 539 3 20 20 CD cord-022594-fx044gcd 539 4 % % NN cord-022594-fx044gcd 539 5 of of IN cord-022594-fx044gcd 539 6 the the DT cord-022594-fx044gcd 539 7 cells cell NNS cord-022594-fx044gcd 539 8 are be VBP cord-022594-fx044gcd 539 9 B b NN cord-022594-fx044gcd 539 10 cells cell NNS cord-022594-fx044gcd 539 11 . . . cord-022594-fx044gcd 540 1 CSF CSF NNP cord-022594-fx044gcd 540 2 protein protein NN cord-022594-fx044gcd 540 3 is be VBZ cord-022594-fx044gcd 540 4 normal normal JJ cord-022594-fx044gcd 540 5 in in IN cord-022594-fx044gcd 540 6 up up IN cord-022594-fx044gcd 540 7 to to TO cord-022594-fx044gcd 540 8 60 60 CD cord-022594-fx044gcd 540 9 % % NN cord-022594-fx044gcd 540 10 ; ; , cord-022594-fx044gcd 540 11 levels level NNS cord-022594-fx044gcd 540 12 above above IN cord-022594-fx044gcd 540 13 100 100 CD cord-022594-fx044gcd 540 14 mg mg NNP cord-022594-fx044gcd 540 15 / / SYM cord-022594-fx044gcd 540 16 dL dL NNP cord-022594-fx044gcd 540 17 are be VBP cord-022594-fx044gcd 540 18 unusual unusual JJ cord-022594-fx044gcd 540 19 and and CC cord-022594-fx044gcd 540 20 may may MD cord-022594-fx044gcd 540 21 suggest suggest VB cord-022594-fx044gcd 540 22 a a DT cord-022594-fx044gcd 540 23 different different JJ cord-022594-fx044gcd 540 24 disorder disorder NN cord-022594-fx044gcd 540 25 . . . cord-022594-fx044gcd 541 1 The the DT cord-022594-fx044gcd 541 2 proportion proportion NN cord-022594-fx044gcd 541 3 of of IN cord-022594-fx044gcd 541 4 g g NN cord-022594-fx044gcd 541 5 globulin globulin NN cord-022594-fx044gcd 541 6 is be VBZ cord-022594-fx044gcd 541 7 high high JJ cord-022594-fx044gcd 541 8 owing owe VBG cord-022594-fx044gcd 541 9 to to IN cord-022594-fx044gcd 541 10 the the DT cord-022594-fx044gcd 541 11 synthesis synthesis NN cord-022594-fx044gcd 541 12 of of IN cord-022594-fx044gcd 541 13 immunoglobulins immunoglobulin NNS cord-022594-fx044gcd 541 14 within within IN cord-022594-fx044gcd 541 15 the the DT cord-022594-fx044gcd 541 16 blood blood NN cord-022594-fx044gcd 541 17 - - HYPH cord-022594-fx044gcd 541 18 brain brain NN cord-022594-fx044gcd 541 19 barrier barrier NN cord-022594-fx044gcd 541 20 . . . cord-022594-fx044gcd 542 1 The the DT cord-022594-fx044gcd 542 2 majority majority NN cord-022594-fx044gcd 542 3 of of IN cord-022594-fx044gcd 542 4 CSF CSF NNP cord-022594-fx044gcd 542 5 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 542 6 is be VBZ cord-022594-fx044gcd 542 7 IgG igg NN cord-022594-fx044gcd 542 8 , , , cord-022594-fx044gcd 542 9 although although IN cord-022594-fx044gcd 542 10 IgM IgM NNP cord-022594-fx044gcd 542 11 and and CC cord-022594-fx044gcd 542 12 IgA IgA NNP cord-022594-fx044gcd 542 13 may may MD cord-022594-fx044gcd 542 14 also also RB cord-022594-fx044gcd 542 15 be be VB cord-022594-fx044gcd 542 16 elevated elevate VBN cord-022594-fx044gcd 542 17 . . . cord-022594-fx044gcd 543 1 Measures measure NNS cord-022594-fx044gcd 543 2 of of IN cord-022594-fx044gcd 543 3 intrathecal intrathecal JJ cord-022594-fx044gcd 543 4 IgG igg NN cord-022594-fx044gcd 543 5 production production NN cord-022594-fx044gcd 543 6 have have VBP cord-022594-fx044gcd 543 7 been be VBN cord-022594-fx044gcd 543 8 devised devise VBN cord-022594-fx044gcd 543 9 that that WDT cord-022594-fx044gcd 543 10 are be VBP cord-022594-fx044gcd 543 11 more more RBR cord-022594-fx044gcd 543 12 useful useful JJ cord-022594-fx044gcd 543 13 than than IN cord-022594-fx044gcd 543 14 simple simple JJ cord-022594-fx044gcd 543 15 g g NN cord-022594-fx044gcd 543 16 - - HYPH cord-022594-fx044gcd 543 17 globulin globulin NN cord-022594-fx044gcd 543 18 levels level NNS cord-022594-fx044gcd 543 19 . . . cord-022594-fx044gcd 544 1 The the DT cord-022594-fx044gcd 544 2 IgG igg NN cord-022594-fx044gcd 544 3 index index NN cord-022594-fx044gcd 544 4 and and CC cord-022594-fx044gcd 544 5 synthesis synthesis NN cord-022594-fx044gcd 544 6 rate rate NN cord-022594-fx044gcd 544 7 are be VBP cord-022594-fx044gcd 544 8 elevated elevate VBN cord-022594-fx044gcd 544 9 in in IN cord-022594-fx044gcd 544 10 70 70 CD cord-022594-fx044gcd 544 11 % % NN cord-022594-fx044gcd 544 12 to to TO cord-022594-fx044gcd 544 13 90 90 CD cord-022594-fx044gcd 544 14 % % NN cord-022594-fx044gcd 544 15 of of IN cord-022594-fx044gcd 544 16 CDMS CDMS NNP cord-022594-fx044gcd 544 17 patients patient NNS cord-022594-fx044gcd 544 18 and and CC cord-022594-fx044gcd 544 19 occasionally occasionally RB cord-022594-fx044gcd 544 20 in in IN cord-022594-fx044gcd 544 21 other other JJ cord-022594-fx044gcd 544 22 disorders disorder NNS cord-022594-fx044gcd 544 23 . . . cord-022594-fx044gcd 545 1 Agarose Agarose NNP cord-022594-fx044gcd 545 2 gel gel NN cord-022594-fx044gcd 545 3 electrophoresis electrophoresis NN cord-022594-fx044gcd 545 4 , , , cord-022594-fx044gcd 545 5 or or CC cord-022594-fx044gcd 545 6 the the DT cord-022594-fx044gcd 545 7 more more RBR cord-022594-fx044gcd 545 8 sensitive sensitive JJ cord-022594-fx044gcd 545 9 isoelectric isoelectric JJ cord-022594-fx044gcd 545 10 focusing focus VBG cord-022594-fx044gcd 545 11 of of IN cord-022594-fx044gcd 545 12 CSF csf NN cord-022594-fx044gcd 545 13 proteins protein NNS cord-022594-fx044gcd 545 14 , , , cord-022594-fx044gcd 545 15 often often RB cord-022594-fx044gcd 545 16 reveals reveal VBZ cord-022594-fx044gcd 545 17 discrete discrete JJ cord-022594-fx044gcd 545 18 bands band NNS cord-022594-fx044gcd 545 19 of of IN cord-022594-fx044gcd 545 20 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 545 21 , , , cord-022594-fx044gcd 545 22 each each DT cord-022594-fx044gcd 545 23 a a DT cord-022594-fx044gcd 545 24 monoclonal monoclonal JJ cord-022594-fx044gcd 545 25 antibody antibody NN cord-022594-fx044gcd 545 26 . . . cord-022594-fx044gcd 546 1 It -PRON- PRP cord-022594-fx044gcd 546 2 is be VBZ cord-022594-fx044gcd 546 3 pertinent pertinent JJ cord-022594-fx044gcd 546 4 to to TO cord-022594-fx044gcd 546 5 compare compare VB cord-022594-fx044gcd 546 6 serum serum NN cord-022594-fx044gcd 546 7 and and CC cord-022594-fx044gcd 546 8 CSF csf NN cord-022594-fx044gcd 546 9 banding banding NN cord-022594-fx044gcd 546 10 patterns pattern NNS cord-022594-fx044gcd 546 11 because because IN cord-022594-fx044gcd 546 12 peripheral peripheral JJ cord-022594-fx044gcd 546 13 monoclonal monoclonal JJ cord-022594-fx044gcd 546 14 gammopathies gammopathy NNS cord-022594-fx044gcd 546 15 may may MD cord-022594-fx044gcd 546 16 produce produce VB cord-022594-fx044gcd 546 17 CSF CSF NNP cord-022594-fx044gcd 546 18 bands band NNS cord-022594-fx044gcd 546 19 . . . cord-022594-fx044gcd 547 1 To to TO cord-022594-fx044gcd 547 2 reduce reduce VB cord-022594-fx044gcd 547 3 false false JJ cord-022594-fx044gcd 547 4 - - HYPH cord-022594-fx044gcd 547 5 positive positive JJ cord-022594-fx044gcd 547 6 results result NNS cord-022594-fx044gcd 547 7 , , , cord-022594-fx044gcd 547 8 only only RB cord-022594-fx044gcd 547 9 unique unique JJ cord-022594-fx044gcd 547 10 CSF CSF NNP cord-022594-fx044gcd 547 11 OCBs ocb NNS cord-022594-fx044gcd 547 12 should should MD cord-022594-fx044gcd 547 13 be be VB cord-022594-fx044gcd 547 14 reported report VBN cord-022594-fx044gcd 547 15 . . . cord-022594-fx044gcd 548 1 Between between IN cord-022594-fx044gcd 548 2 85 85 CD cord-022594-fx044gcd 548 3 % % NN cord-022594-fx044gcd 548 4 and and CC cord-022594-fx044gcd 548 5 95 95 CD cord-022594-fx044gcd 548 6 % % NN cord-022594-fx044gcd 548 7 of of IN cord-022594-fx044gcd 548 8 clinically clinically RB cord-022594-fx044gcd 548 9 definite definite JJ cord-022594-fx044gcd 548 10 MS MS NNP cord-022594-fx044gcd 548 11 patients patient NNS cord-022594-fx044gcd 548 12 have have VBP cord-022594-fx044gcd 548 13 OCBs ocb NNS cord-022594-fx044gcd 548 14 ; ; : cord-022594-fx044gcd 548 15 however however RB cord-022594-fx044gcd 548 16 , , , cord-022594-fx044gcd 548 17 early early RB cord-022594-fx044gcd 548 18 in in IN cord-022594-fx044gcd 548 19 the the DT cord-022594-fx044gcd 548 20 course course NN cord-022594-fx044gcd 548 21 they -PRON- PRP cord-022594-fx044gcd 548 22 are be VBP cord-022594-fx044gcd 548 23 not not RB cord-022594-fx044gcd 548 24 as as RB cord-022594-fx044gcd 548 25 prevalent prevalent JJ cord-022594-fx044gcd 548 26 . . . cord-022594-fx044gcd 549 1 Once once IN cord-022594-fx044gcd 549 2 present present JJ cord-022594-fx044gcd 549 3 , , , cord-022594-fx044gcd 549 4 OCBs ocb NNS cord-022594-fx044gcd 549 5 persist persist VBP cord-022594-fx044gcd 549 6 and and CC cord-022594-fx044gcd 549 7 the the DT cord-022594-fx044gcd 549 8 pattern pattern NN cord-022594-fx044gcd 549 9 does do VBZ cord-022594-fx044gcd 549 10 not not RB cord-022594-fx044gcd 549 11 vary vary VB cord-022594-fx044gcd 549 12 , , , cord-022594-fx044gcd 549 13 although although IN cord-022594-fx044gcd 549 14 new new JJ cord-022594-fx044gcd 549 15 bands band NNS cord-022594-fx044gcd 549 16 occasionally occasionally RB cord-022594-fx044gcd 549 17 appear appear VBP cord-022594-fx044gcd 549 18 . . . cord-022594-fx044gcd 550 1 Unlike unlike IN cord-022594-fx044gcd 550 2 subacute subacute JJ cord-022594-fx044gcd 550 3 sclerosing sclerosing NN cord-022594-fx044gcd 550 4 panencephalitis panencephalitis NN cord-022594-fx044gcd 550 5 , , , cord-022594-fx044gcd 550 6 in in IN cord-022594-fx044gcd 550 7 which which WDT cord-022594-fx044gcd 550 8 the the DT cord-022594-fx044gcd 550 9 majority majority NN cord-022594-fx044gcd 550 10 of of IN cord-022594-fx044gcd 550 11 OCBs OCBs NNP cord-022594-fx044gcd 550 12 are be VBP cord-022594-fx044gcd 550 13 antibodies antibody NNS cord-022594-fx044gcd 550 14 specific specific JJ cord-022594-fx044gcd 550 15 for for IN cord-022594-fx044gcd 550 16 measles measle NNS cord-022594-fx044gcd 550 17 virus virus NN cord-022594-fx044gcd 550 18 , , , cord-022594-fx044gcd 550 19 the the DT cord-022594-fx044gcd 550 20 antigenic antigenic JJ cord-022594-fx044gcd 550 21 specificity specificity NN cord-022594-fx044gcd 550 22 of of IN cord-022594-fx044gcd 550 23 OCBs OCBs NNP cord-022594-fx044gcd 550 24 in in IN cord-022594-fx044gcd 550 25 MS MS NNP cord-022594-fx044gcd 550 26 is be VBZ cord-022594-fx044gcd 550 27 unknown unknown JJ cord-022594-fx044gcd 550 28 ; ; : cord-022594-fx044gcd 550 29 they -PRON- PRP cord-022594-fx044gcd 550 30 are be VBP cord-022594-fx044gcd 550 31 unlikely unlikely JJ cord-022594-fx044gcd 550 32 to to TO cord-022594-fx044gcd 550 33 be be VB cord-022594-fx044gcd 550 34 pathogen pathogen NN cord-022594-fx044gcd 550 35 specific specific JJ cord-022594-fx044gcd 550 36 or or CC cord-022594-fx044gcd 550 37 autoantigen autoantigen NN cord-022594-fx044gcd 550 38 directed direct VBN cord-022594-fx044gcd 550 39 ; ; : cord-022594-fx044gcd 550 40 there there EX cord-022594-fx044gcd 550 41 is be VBZ cord-022594-fx044gcd 550 42 some some DT cord-022594-fx044gcd 550 43 evidence evidence NN cord-022594-fx044gcd 550 44 that that IN cord-022594-fx044gcd 550 45 they -PRON- PRP cord-022594-fx044gcd 550 46 may may MD cord-022594-fx044gcd 550 47 be be VB cord-022594-fx044gcd 550 48 genetically genetically RB cord-022594-fx044gcd 550 49 determined determine VBN cord-022594-fx044gcd 550 50 germline germline JJ cord-022594-fx044gcd 550 51 antibodies antibody NNS cord-022594-fx044gcd 550 52 . . . cord-022594-fx044gcd 551 1 Five five CD cord-022594-fx044gcd 551 2 percent percent NN cord-022594-fx044gcd 551 3 to to IN cord-022594-fx044gcd 551 4 10 10 CD cord-022594-fx044gcd 551 5 % % NN cord-022594-fx044gcd 551 6 of of IN cord-022594-fx044gcd 551 7 noninflammatory noninflammatory JJ cord-022594-fx044gcd 551 8 CNS CNS NNP cord-022594-fx044gcd 551 9 samples sample NNS cord-022594-fx044gcd 551 10 and and CC cord-022594-fx044gcd 551 11 30 30 CD cord-022594-fx044gcd 551 12 % % NN cord-022594-fx044gcd 551 13 of of IN cord-022594-fx044gcd 551 14 inflammatory inflammatory JJ cord-022594-fx044gcd 551 15 samples sample NNS cord-022594-fx044gcd 551 16 are be VBP cord-022594-fx044gcd 551 17 also also RB cord-022594-fx044gcd 551 18 positive positive JJ cord-022594-fx044gcd 551 19 for for IN cord-022594-fx044gcd 551 20 OCBs ocb NNS cord-022594-fx044gcd 551 21 . . . cord-022594-fx044gcd 552 1 51 51 CD cord-022594-fx044gcd 552 2 More more RBR cord-022594-fx044gcd 552 3 detailed detailed JJ cord-022594-fx044gcd 552 4 recommendations recommendation NNS cord-022594-fx044gcd 552 5 about about IN cord-022594-fx044gcd 552 6 the the DT cord-022594-fx044gcd 552 7 inclusion inclusion NN cord-022594-fx044gcd 552 8 of of IN cord-022594-fx044gcd 552 9 CSF csf NN cord-022594-fx044gcd 552 10 parameters parameter NNS cord-022594-fx044gcd 552 11 to to IN cord-022594-fx044gcd 552 12 the the DT cord-022594-fx044gcd 552 13 diagnosis diagnosis NN cord-022594-fx044gcd 552 14 of of IN cord-022594-fx044gcd 552 15 MS MS NNP cord-022594-fx044gcd 552 16 were be VBD cord-022594-fx044gcd 552 17 recently recently RB cord-022594-fx044gcd 552 18 published publish VBN cord-022594-fx044gcd 552 19 52 52 CD cord-022594-fx044gcd 552 20 suggesting suggest VBG cord-022594-fx044gcd 552 21 that that IN cord-022594-fx044gcd 552 22 the the DT cord-022594-fx044gcd 552 23 cell cell NN cord-022594-fx044gcd 552 24 count count NN cord-022594-fx044gcd 552 25 and and CC cord-022594-fx044gcd 552 26 differential differential NN cord-022594-fx044gcd 552 27 should should MD cord-022594-fx044gcd 552 28 be be VB cord-022594-fx044gcd 552 29 completed complete VBN cord-022594-fx044gcd 552 30 within within IN cord-022594-fx044gcd 552 31 2 2 CD cord-022594-fx044gcd 552 32 hours hour NNS cord-022594-fx044gcd 552 33 . . . cord-022594-fx044gcd 553 1 The the DT cord-022594-fx044gcd 553 2 new new JJ cord-022594-fx044gcd 553 3 and and CC cord-022594-fx044gcd 553 4 recommended recommended JJ cord-022594-fx044gcd 553 5 method method NN cord-022594-fx044gcd 553 6 for for IN cord-022594-fx044gcd 553 7 the the DT cord-022594-fx044gcd 553 8 detection detection NN cord-022594-fx044gcd 553 9 of of IN cord-022594-fx044gcd 553 10 OCBs OCBs NNP cord-022594-fx044gcd 553 11 includes include VBZ cord-022594-fx044gcd 553 12 immunoelectophorsesis immunoelectophorsesis NNP cord-022594-fx044gcd 553 13 on on IN cord-022594-fx044gcd 553 14 agarose agarose JJ cord-022594-fx044gcd 553 15 gel gel NN cord-022594-fx044gcd 553 16 followed follow VBN cord-022594-fx044gcd 553 17 by by IN cord-022594-fx044gcd 553 18 immunoblotting immunoblotte VBG cord-022594-fx044gcd 553 19 . . . cord-022594-fx044gcd 554 1 The the DT cord-022594-fx044gcd 554 2 reported reported JJ cord-022594-fx044gcd 554 3 sensitivity sensitivity NN cord-022594-fx044gcd 554 4 of of IN cord-022594-fx044gcd 554 5 this this DT cord-022594-fx044gcd 554 6 technique technique NN cord-022594-fx044gcd 554 7 is be VBZ cord-022594-fx044gcd 554 8 above above IN cord-022594-fx044gcd 554 9 95 95 CD cord-022594-fx044gcd 554 10 % % NN cord-022594-fx044gcd 554 11 , , , cord-022594-fx044gcd 554 12 with with IN cord-022594-fx044gcd 554 13 a a DT cord-022594-fx044gcd 554 14 specificity specificity NN cord-022594-fx044gcd 554 15 of of IN cord-022594-fx044gcd 554 16 86 86 CD cord-022594-fx044gcd 554 17 % % NN cord-022594-fx044gcd 554 18 to to IN cord-022594-fx044gcd 554 19 87 87 CD cord-022594-fx044gcd 554 20 % % NN cord-022594-fx044gcd 554 21 . . . cord-022594-fx044gcd 555 1 In in IN cord-022594-fx044gcd 555 2 other other JJ cord-022594-fx044gcd 555 3 inflammatory inflammatory JJ cord-022594-fx044gcd 555 4 or or CC cord-022594-fx044gcd 555 5 infectious infectious JJ cord-022594-fx044gcd 555 6 illnesses illness NNS cord-022594-fx044gcd 555 7 , , , cord-022594-fx044gcd 555 8 OCBs ocb NNS cord-022594-fx044gcd 555 9 are be VBP cord-022594-fx044gcd 555 10 often often RB cord-022594-fx044gcd 555 11 transient transient JJ cord-022594-fx044gcd 555 12 features feature NNS cord-022594-fx044gcd 555 13 . . . cord-022594-fx044gcd 556 1 Their -PRON- PRP$ cord-022594-fx044gcd 556 2 persistence persistence NN cord-022594-fx044gcd 556 3 is be VBZ cord-022594-fx044gcd 556 4 more more RBR cord-022594-fx044gcd 556 5 suggestive suggestive JJ cord-022594-fx044gcd 556 6 of of IN cord-022594-fx044gcd 556 7 MS MS NNP cord-022594-fx044gcd 556 8 . . . cord-022594-fx044gcd 557 1 The the DT cord-022594-fx044gcd 557 2 presence presence NN cord-022594-fx044gcd 557 3 of of IN cord-022594-fx044gcd 557 4 myelin myelin NN cord-022594-fx044gcd 557 5 components component NNS cord-022594-fx044gcd 557 6 , , , cord-022594-fx044gcd 557 7 antimyelin antimyelin NN cord-022594-fx044gcd 557 8 antibodies antibody NNS cord-022594-fx044gcd 557 9 , , , cord-022594-fx044gcd 557 10 and and CC cord-022594-fx044gcd 557 11 kappa kappa NN cord-022594-fx044gcd 557 12 light light NN cord-022594-fx044gcd 557 13 chains chain NNS cord-022594-fx044gcd 557 14 in in IN cord-022594-fx044gcd 557 15 CSF CSF NNP cord-022594-fx044gcd 557 16 has have VBZ cord-022594-fx044gcd 557 17 also also RB cord-022594-fx044gcd 557 18 been be VBN cord-022594-fx044gcd 557 19 used use VBN cord-022594-fx044gcd 557 20 in in IN cord-022594-fx044gcd 557 21 the the DT cord-022594-fx044gcd 557 22 diagnosis diagnosis NN cord-022594-fx044gcd 557 23 of of IN cord-022594-fx044gcd 557 24 MS MS NNP cord-022594-fx044gcd 557 25 . . . cord-022594-fx044gcd 558 1 However however RB cord-022594-fx044gcd 558 2 , , , cord-022594-fx044gcd 558 3 the the DT cord-022594-fx044gcd 558 4 sensitivity sensitivity NN cord-022594-fx044gcd 558 5 and and CC cord-022594-fx044gcd 558 6 specificity specificity NN cord-022594-fx044gcd 558 7 of of IN cord-022594-fx044gcd 558 8 these these DT cord-022594-fx044gcd 558 9 products product NNS cord-022594-fx044gcd 558 10 is be VBZ cord-022594-fx044gcd 558 11 less less JJR cord-022594-fx044gcd 558 12 than than IN cord-022594-fx044gcd 558 13 that that DT cord-022594-fx044gcd 558 14 of of IN cord-022594-fx044gcd 558 15 OCBs ocb NNS cord-022594-fx044gcd 558 16 . . . cord-022594-fx044gcd 559 1 In in IN cord-022594-fx044gcd 559 2 late late JJ cord-022594-fx044gcd 559 3 2005 2005 CD cord-022594-fx044gcd 559 4 , , , cord-022594-fx044gcd 559 5 a a DT cord-022594-fx044gcd 559 6 new new JJ cord-022594-fx044gcd 559 7 set set NN cord-022594-fx044gcd 559 8 of of IN cord-022594-fx044gcd 559 9 recommendations recommendation NNS cord-022594-fx044gcd 559 10 were be VBD cord-022594-fx044gcd 559 11 published publish VBN cord-022594-fx044gcd 559 12 based base VBN cord-022594-fx044gcd 559 13 on on IN cord-022594-fx044gcd 559 14 the the DT cord-022594-fx044gcd 559 15 first first JJ cord-022594-fx044gcd 559 16 5 5 CD cord-022594-fx044gcd 559 17 years year NNS cord-022594-fx044gcd 559 18 of of IN cord-022594-fx044gcd 559 19 using use VBG cord-022594-fx044gcd 559 20 McDonald McDonald NNP cord-022594-fx044gcd 559 21 's 's POS cord-022594-fx044gcd 559 22 criteria criterion NNS cord-022594-fx044gcd 559 23 in in IN cord-022594-fx044gcd 559 24 diagnosing diagnose VBG cord-022594-fx044gcd 559 25 MS MS NNP cord-022594-fx044gcd 559 26 . . . cord-022594-fx044gcd 560 1 53 53 CD cord-022594-fx044gcd 561 1 The the DT cord-022594-fx044gcd 561 2 original original JJ cord-022594-fx044gcd 561 3 McDonald McDonald NNP cord-022594-fx044gcd 561 4 Criteria Criteria NNP cord-022594-fx044gcd 561 5 have have VBP cord-022594-fx044gcd 561 6 been be VBN cord-022594-fx044gcd 561 7 incorrectly incorrectly RB cord-022594-fx044gcd 561 8 interpreted interpret VBN cord-022594-fx044gcd 561 9 by by IN cord-022594-fx044gcd 561 10 some some DT cord-022594-fx044gcd 561 11 as as IN cord-022594-fx044gcd 561 12 mainly mainly RB cord-022594-fx044gcd 561 13 relying rely VBG cord-022594-fx044gcd 561 14 on on IN cord-022594-fx044gcd 561 15 MRI MRI NNP cord-022594-fx044gcd 561 16 for for IN cord-022594-fx044gcd 561 17 making make VBG cord-022594-fx044gcd 561 18 a a DT cord-022594-fx044gcd 561 19 diagnosis diagnosis NN cord-022594-fx044gcd 561 20 of of IN cord-022594-fx044gcd 561 21 MS MS NNP cord-022594-fx044gcd 561 22 . . . cord-022594-fx044gcd 562 1 In in IN cord-022594-fx044gcd 562 2 reality reality NN cord-022594-fx044gcd 562 3 , , , cord-022594-fx044gcd 562 4 the the DT cord-022594-fx044gcd 562 5 McDonald McDonald NNP cord-022594-fx044gcd 562 6 Criteria Criteria NNP cord-022594-fx044gcd 562 7 can can MD cord-022594-fx044gcd 562 8 not not RB cord-022594-fx044gcd 562 9 even even RB cord-022594-fx044gcd 562 10 be be VB cord-022594-fx044gcd 562 11 applied apply VBN cord-022594-fx044gcd 562 12 without without IN cord-022594-fx044gcd 562 13 careful careful JJ cord-022594-fx044gcd 562 14 clinical clinical JJ cord-022594-fx044gcd 562 15 evaluation evaluation NN cord-022594-fx044gcd 562 16 of of IN cord-022594-fx044gcd 562 17 the the DT cord-022594-fx044gcd 562 18 patient patient NN cord-022594-fx044gcd 562 19 . . . cord-022594-fx044gcd 563 1 Neurological neurological JJ cord-022594-fx044gcd 563 2 deficits deficit NNS cord-022594-fx044gcd 563 3 must must MD cord-022594-fx044gcd 563 4 be be VB cord-022594-fx044gcd 563 5 evident evident JJ cord-022594-fx044gcd 563 6 to to IN cord-022594-fx044gcd 563 7 the the DT cord-022594-fx044gcd 563 8 examiner examiner NN cord-022594-fx044gcd 563 9 , , , cord-022594-fx044gcd 563 10 and and CC cord-022594-fx044gcd 563 11 must must MD cord-022594-fx044gcd 563 12 be be VB cord-022594-fx044gcd 563 13 suggestive suggestive JJ cord-022594-fx044gcd 563 14 of of IN cord-022594-fx044gcd 563 15 MS MS NNP cord-022594-fx044gcd 563 16 . . . cord-022594-fx044gcd 564 1 Scans scan NNS cord-022594-fx044gcd 564 2 that that IN cord-022594-fx044gcd 564 3 " " `` cord-022594-fx044gcd 564 4 look look VB cord-022594-fx044gcd 564 5 like like IN cord-022594-fx044gcd 564 6 " " `` cord-022594-fx044gcd 564 7 MS MS NNP cord-022594-fx044gcd 564 8 ( ( -LRB- cord-022594-fx044gcd 564 9 and and CC cord-022594-fx044gcd 564 10 meet meet VB cord-022594-fx044gcd 564 11 the the DT cord-022594-fx044gcd 564 12 criteria criterion NNS cord-022594-fx044gcd 564 13 of of IN cord-022594-fx044gcd 564 14 Barkhof Barkhof NNP cord-022594-fx044gcd 564 15 and and CC cord-022594-fx044gcd 564 16 Tintore Tintore NNP cord-022594-fx044gcd 564 17 ) ) -RRB- cord-022594-fx044gcd 564 18 but but CC cord-022594-fx044gcd 564 19 have have VBP cord-022594-fx044gcd 564 20 never never RB cord-022594-fx044gcd 564 21 been be VBN cord-022594-fx044gcd 564 22 accompanied accompany VBN cord-022594-fx044gcd 564 23 by by IN cord-022594-fx044gcd 564 24 an an DT cord-022594-fx044gcd 564 25 obvious obvious JJ cord-022594-fx044gcd 564 26 and and CC cord-022594-fx044gcd 564 27 documented document VBN cord-022594-fx044gcd 564 28 neurological neurological JJ cord-022594-fx044gcd 564 29 examination examination NN cord-022594-fx044gcd 564 30 finding finding NN cord-022594-fx044gcd 564 31 do do VBP cord-022594-fx044gcd 564 32 not not RB cord-022594-fx044gcd 564 33 fulfill fulfill VB cord-022594-fx044gcd 564 34 the the DT cord-022594-fx044gcd 564 35 McDonald McDonald NNP cord-022594-fx044gcd 564 36 Criteria Criteria NNP cord-022594-fx044gcd 564 37 . . . cord-022594-fx044gcd 565 1 There there EX cord-022594-fx044gcd 565 2 was be VBD cord-022594-fx044gcd 565 3 some some DT cord-022594-fx044gcd 565 4 sympathy sympathy NN cord-022594-fx044gcd 565 5 among among IN cord-022594-fx044gcd 565 6 the the DT cord-022594-fx044gcd 565 7 International International NNP cord-022594-fx044gcd 565 8 Panel Panel NNP cord-022594-fx044gcd 565 9 members member NNS cord-022594-fx044gcd 565 10 revising revise VBG cord-022594-fx044gcd 565 11 the the DT cord-022594-fx044gcd 565 12 McDonald McDonald NNP cord-022594-fx044gcd 565 13 Criteria Criteria NNP cord-022594-fx044gcd 565 14 to to TO cord-022594-fx044gcd 565 15 allow allow VB cord-022594-fx044gcd 565 16 selected select VBN cord-022594-fx044gcd 565 17 symptoms symptom NNS cord-022594-fx044gcd 565 18 that that WDT cord-022594-fx044gcd 565 19 are be VBP cord-022594-fx044gcd 565 20 clearly clearly RB cord-022594-fx044gcd 565 21 and and CC cord-022594-fx044gcd 565 22 specifically specifically RB cord-022594-fx044gcd 565 23 enunciated enunciate VBN cord-022594-fx044gcd 565 24 by by IN cord-022594-fx044gcd 565 25 the the DT cord-022594-fx044gcd 565 26 patient patient NN cord-022594-fx044gcd 565 27 ( ( -LRB- cord-022594-fx044gcd 565 28 e.g. e.g. RB cord-022594-fx044gcd 565 29 , , , cord-022594-fx044gcd 565 30 Lhermitte Lhermitte NNP cord-022594-fx044gcd 565 31 's 's POS cord-022594-fx044gcd 565 32 symptom symptom NN cord-022594-fx044gcd 565 33 , , , cord-022594-fx044gcd 565 34 trigeminal trigeminal JJ cord-022594-fx044gcd 565 35 neuralgia neuralgia NN cord-022594-fx044gcd 565 36 , , , cord-022594-fx044gcd 565 37 numbness numbness NN cord-022594-fx044gcd 565 38 ascending ascend VBG cord-022594-fx044gcd 565 39 to to IN cord-022594-fx044gcd 565 40 the the DT cord-022594-fx044gcd 565 41 waist waist NN cord-022594-fx044gcd 565 42 or or CC cord-022594-fx044gcd 565 43 higher high JJR cord-022594-fx044gcd 565 44 ) ) -RRB- cord-022594-fx044gcd 565 45 coupled couple VBN cord-022594-fx044gcd 565 46 with with IN cord-022594-fx044gcd 565 47 objective objective JJ cord-022594-fx044gcd 565 48 paraclinical paraclinical NN cord-022594-fx044gcd 565 49 ( ( -LRB- cord-022594-fx044gcd 565 50 such such JJ cord-022594-fx044gcd 565 51 as as IN cord-022594-fx044gcd 565 52 imaging imaging NN cord-022594-fx044gcd 565 53 and and CC cord-022594-fx044gcd 565 54 CSF CSF NNP cord-022594-fx044gcd 565 55 ) ) -RRB- cord-022594-fx044gcd 565 56 findings finding NNS cord-022594-fx044gcd 565 57 to to TO cord-022594-fx044gcd 565 58 be be VB cord-022594-fx044gcd 565 59 sufficient sufficient JJ cord-022594-fx044gcd 565 60 as as IN cord-022594-fx044gcd 565 61 an an DT cord-022594-fx044gcd 565 62 indicator indicator NN cord-022594-fx044gcd 565 63 of of IN cord-022594-fx044gcd 565 64 a a DT cord-022594-fx044gcd 565 65 prior prior JJ cord-022594-fx044gcd 565 66 or or CC cord-022594-fx044gcd 565 67 current current JJ cord-022594-fx044gcd 565 68 attack attack NN cord-022594-fx044gcd 565 69 needed need VBN cord-022594-fx044gcd 565 70 for for IN cord-022594-fx044gcd 565 71 an an DT cord-022594-fx044gcd 565 72 MS MS NNP cord-022594-fx044gcd 565 73 diagnosis diagnosis NN cord-022594-fx044gcd 565 74 . . . cord-022594-fx044gcd 566 1 However however RB cord-022594-fx044gcd 566 2 , , , cord-022594-fx044gcd 566 3 the the DT cord-022594-fx044gcd 566 4 panel panel NN cord-022594-fx044gcd 566 5 was be VBD cord-022594-fx044gcd 566 6 reluctant reluctant JJ cord-022594-fx044gcd 566 7 to to TO cord-022594-fx044gcd 566 8 endorse endorse VB cord-022594-fx044gcd 566 9 the the DT cord-022594-fx044gcd 566 10 diagnosis diagnosis NN cord-022594-fx044gcd 566 11 of of IN cord-022594-fx044gcd 566 12 MS MS NNP cord-022594-fx044gcd 566 13 in in IN cord-022594-fx044gcd 566 14 the the DT cord-022594-fx044gcd 566 15 absence absence NN cord-022594-fx044gcd 566 16 of of IN cord-022594-fx044gcd 566 17 any any DT cord-022594-fx044gcd 566 18 objective objective JJ cord-022594-fx044gcd 566 19 clinical clinical JJ cord-022594-fx044gcd 566 20 findings finding NNS cord-022594-fx044gcd 566 21 , , , cord-022594-fx044gcd 566 22 even even RB cord-022594-fx044gcd 566 23 if if IN cord-022594-fx044gcd 566 24 objective objective JJ cord-022594-fx044gcd 566 25 paraclinical paraclinical JJ cord-022594-fx044gcd 566 26 findings finding NNS cord-022594-fx044gcd 566 27 are be VBP cord-022594-fx044gcd 566 28 in in IN cord-022594-fx044gcd 566 29 place place NN cord-022594-fx044gcd 566 30 , , , cord-022594-fx044gcd 566 31 at at IN cord-022594-fx044gcd 566 32 least least JJS cord-022594-fx044gcd 566 33 until until IN cord-022594-fx044gcd 566 34 such such PDT cord-022594-fx044gcd 566 35 a a DT cord-022594-fx044gcd 566 36 scheme scheme NN cord-022594-fx044gcd 566 37 is be VBZ cord-022594-fx044gcd 566 38 tested test VBN cord-022594-fx044gcd 566 39 in in IN cord-022594-fx044gcd 566 40 prospective prospective JJ cord-022594-fx044gcd 566 41 settings setting NNS cord-022594-fx044gcd 566 42 . . . cord-022594-fx044gcd 567 1 Patients patient NNS cord-022594-fx044gcd 567 2 with with IN cord-022594-fx044gcd 567 3 imaging imaging NN cord-022594-fx044gcd 567 4 and and CC cord-022594-fx044gcd 567 5 CSF CSF NNP cord-022594-fx044gcd 567 6 findings finding NNS cord-022594-fx044gcd 567 7 suggestive suggestive JJ cord-022594-fx044gcd 567 8 of of IN cord-022594-fx044gcd 567 9 MS MS NNP cord-022594-fx044gcd 567 10 but but CC cord-022594-fx044gcd 567 11 not not RB cord-022594-fx044gcd 567 12 showing show VBG cord-022594-fx044gcd 567 13 any any DT cord-022594-fx044gcd 567 14 objective objective JJ cord-022594-fx044gcd 567 15 evidence evidence NN cord-022594-fx044gcd 567 16 for for IN cord-022594-fx044gcd 567 17 neurological neurological JJ cord-022594-fx044gcd 567 18 deficits deficit NNS cord-022594-fx044gcd 567 19 commonly commonly RB cord-022594-fx044gcd 567 20 seen see VBN cord-022594-fx044gcd 567 21 in in IN cord-022594-fx044gcd 567 22 MS MS NNP cord-022594-fx044gcd 567 23 require require VBP cord-022594-fx044gcd 567 24 careful careful JJ cord-022594-fx044gcd 567 25 clinical clinical JJ cord-022594-fx044gcd 567 26 and and CC cord-022594-fx044gcd 567 27 radiological radiological JJ cord-022594-fx044gcd 567 28 monitoring monitoring NN cord-022594-fx044gcd 567 29 . . . cord-022594-fx044gcd 568 1 Until until IN cord-022594-fx044gcd 568 2 objective objective JJ cord-022594-fx044gcd 568 3 evidence evidence NN cord-022594-fx044gcd 568 4 for for IN cord-022594-fx044gcd 568 5 neurological neurological JJ cord-022594-fx044gcd 568 6 deficits deficit NNS cord-022594-fx044gcd 568 7 are be VBP cord-022594-fx044gcd 568 8 found find VBN cord-022594-fx044gcd 568 9 , , , cord-022594-fx044gcd 568 10 MS MS NNP cord-022594-fx044gcd 568 11 can can MD cord-022594-fx044gcd 568 12 not not RB cord-022594-fx044gcd 568 13 be be VB cord-022594-fx044gcd 568 14 diagnosed diagnose VBN cord-022594-fx044gcd 568 15 . . . cord-022594-fx044gcd 569 1 MS MS NNP cord-022594-fx044gcd 569 2 may may MD cord-022594-fx044gcd 569 3 be be VB cord-022594-fx044gcd 569 4 the the DT cord-022594-fx044gcd 569 5 correct correct JJ cord-022594-fx044gcd 569 6 diagnosis diagnosis NN cord-022594-fx044gcd 569 7 with with IN cord-022594-fx044gcd 569 8 less less RBR cord-022594-fx044gcd 569 9 stringent stringent JJ cord-022594-fx044gcd 569 10 imaging imaging NN cord-022594-fx044gcd 569 11 criteria criterion NNS cord-022594-fx044gcd 569 12 than than IN cord-022594-fx044gcd 569 13 originally originally RB cord-022594-fx044gcd 569 14 proposed propose VBN cord-022594-fx044gcd 569 15 ; ; : cord-022594-fx044gcd 569 16 however however RB cord-022594-fx044gcd 569 17 , , , cord-022594-fx044gcd 569 18 the the DT cord-022594-fx044gcd 569 19 panel panel NN cord-022594-fx044gcd 569 20 was be VBD cord-022594-fx044gcd 569 21 uncomfortable uncomfortable JJ cord-022594-fx044gcd 569 22 making make VBG cord-022594-fx044gcd 569 23 changes change NNS cord-022594-fx044gcd 569 24 that that WDT cord-022594-fx044gcd 569 25 would would MD cord-022594-fx044gcd 569 26 allow allow VB cord-022594-fx044gcd 569 27 MRI MRI NNP cord-022594-fx044gcd 569 28 confirmation confirmation NN cord-022594-fx044gcd 569 29 of of IN cord-022594-fx044gcd 569 30 dissemination dissemination NN cord-022594-fx044gcd 569 31 in in IN cord-022594-fx044gcd 569 32 space space NN cord-022594-fx044gcd 569 33 based base VBN cord-022594-fx044gcd 569 34 on on IN cord-022594-fx044gcd 569 35 lower low JJR cord-022594-fx044gcd 569 36 stringency stringency NN cord-022594-fx044gcd 569 37 imaging imaging NN cord-022594-fx044gcd 569 38 criteria criterion NNS cord-022594-fx044gcd 569 39 without without IN cord-022594-fx044gcd 569 40 appropriate appropriate JJ cord-022594-fx044gcd 569 41 prospective prospective JJ cord-022594-fx044gcd 569 42 data datum NNS cord-022594-fx044gcd 569 43 . . . cord-022594-fx044gcd 570 1 Most Most JJS cord-022594-fx044gcd 570 2 studies study NNS cord-022594-fx044gcd 570 3 performed perform VBN cord-022594-fx044gcd 570 4 to to IN cord-022594-fx044gcd 570 5 date date NN cord-022594-fx044gcd 570 6 have have VBP cord-022594-fx044gcd 570 7 been be VBN cord-022594-fx044gcd 570 8 inadequately inadequately RB cord-022594-fx044gcd 570 9 designed design VBN cord-022594-fx044gcd 570 10 to to TO cord-022594-fx044gcd 570 11 address address VB cord-022594-fx044gcd 570 12 this this DT cord-022594-fx044gcd 570 13 issue issue NN cord-022594-fx044gcd 570 14 . . . cord-022594-fx044gcd 571 1 Advanced advanced JJ cord-022594-fx044gcd 571 2 imaging imaging NN cord-022594-fx044gcd 571 3 technologies technology NNS cord-022594-fx044gcd 571 4 are be VBP cord-022594-fx044gcd 571 5 constantly constantly RB cord-022594-fx044gcd 571 6 evolving evolve VBG cord-022594-fx044gcd 571 7 and and CC cord-022594-fx044gcd 571 8 will will MD cord-022594-fx044gcd 571 9 likely likely RB cord-022594-fx044gcd 571 10 one one CD cord-022594-fx044gcd 571 11 day day NN cord-022594-fx044gcd 571 12 be be VB cord-022594-fx044gcd 571 13 shown show VBN cord-022594-fx044gcd 571 14 to to TO cord-022594-fx044gcd 571 15 aid aid VB cord-022594-fx044gcd 571 16 in in IN cord-022594-fx044gcd 571 17 making make VBG cord-022594-fx044gcd 571 18 the the DT cord-022594-fx044gcd 571 19 diagnosis diagnosis NN cord-022594-fx044gcd 571 20 of of IN cord-022594-fx044gcd 571 21 MS MS NNP cord-022594-fx044gcd 571 22 . . . cord-022594-fx044gcd 572 1 Visualization visualization NN cord-022594-fx044gcd 572 2 of of IN cord-022594-fx044gcd 572 3 intracortical intracortical JJ cord-022594-fx044gcd 572 4 lesions lesion NNS cord-022594-fx044gcd 572 5 , , , cord-022594-fx044gcd 572 6 use use NN cord-022594-fx044gcd 572 7 of of IN cord-022594-fx044gcd 572 8 higher high JJR cord-022594-fx044gcd 572 9 field field NN cord-022594-fx044gcd 572 10 strength strength NN cord-022594-fx044gcd 572 11 magnets magnet NNS cord-022594-fx044gcd 572 12 , , , cord-022594-fx044gcd 572 13 and and CC cord-022594-fx044gcd 572 14 analysis analysis NN cord-022594-fx044gcd 572 15 of of IN cord-022594-fx044gcd 572 16 " " `` cord-022594-fx044gcd 572 17 normal normal JJ cord-022594-fx044gcd 572 18 appearing appear VBG cord-022594-fx044gcd 572 19 brain brain NN cord-022594-fx044gcd 572 20 tissue tissue NN cord-022594-fx044gcd 572 21 , , , cord-022594-fx044gcd 572 22 " " '' cord-022594-fx044gcd 572 23 may may MD cord-022594-fx044gcd 572 24 be be VB cord-022594-fx044gcd 572 25 conrnerstones conrnerstone NNS cord-022594-fx044gcd 572 26 of of IN cord-022594-fx044gcd 572 27 a a DT cord-022594-fx044gcd 572 28 future future JJ cord-022594-fx044gcd 572 29 MRI MRI NNP cord-022594-fx044gcd 572 30 criteria criterion NNS cord-022594-fx044gcd 572 31 for for IN cord-022594-fx044gcd 572 32 MS MS NNP cord-022594-fx044gcd 572 33 . . . cord-022594-fx044gcd 573 1 Preliminary preliminary JJ cord-022594-fx044gcd 573 2 evidence evidence NN cord-022594-fx044gcd 573 3 suggests suggest VBZ cord-022594-fx044gcd 573 4 that that IN cord-022594-fx044gcd 573 5 " " `` cord-022594-fx044gcd 573 6 occult occult JJ cord-022594-fx044gcd 573 7 " " '' cord-022594-fx044gcd 573 8 damage damage NN cord-022594-fx044gcd 573 9 in in IN cord-022594-fx044gcd 573 10 normalappearing normalappeare VBG cord-022594-fx044gcd 573 11 white white JJ cord-022594-fx044gcd 573 12 and and CC cord-022594-fx044gcd 573 13 gray gray JJ cord-022594-fx044gcd 573 14 matter matter NN cord-022594-fx044gcd 573 15 seen see VBN cord-022594-fx044gcd 573 16 with with IN cord-022594-fx044gcd 573 17 magnetization magnetization NN cord-022594-fx044gcd 573 18 transfer transfer NN cord-022594-fx044gcd 573 19 , , , cord-022594-fx044gcd 573 20 diffusion diffusion NN cord-022594-fx044gcd 573 21 tensor tensor NN cord-022594-fx044gcd 573 22 imaging imaging NN cord-022594-fx044gcd 573 23 , , , cord-022594-fx044gcd 573 24 or or CC cord-022594-fx044gcd 573 25 spectroscopy spectroscopy NN cord-022594-fx044gcd 573 26 is be VBZ cord-022594-fx044gcd 573 27 an an DT cord-022594-fx044gcd 573 28 early early JJ cord-022594-fx044gcd 573 29 feature feature NN cord-022594-fx044gcd 573 30 of of IN cord-022594-fx044gcd 573 31 MS MS NNP cord-022594-fx044gcd 573 32 , , , cord-022594-fx044gcd 573 33 whereas whereas IN cord-022594-fx044gcd 573 34 it -PRON- PRP cord-022594-fx044gcd 573 35 likely likely RB cord-022594-fx044gcd 573 36 does do VBZ cord-022594-fx044gcd 573 37 not not RB cord-022594-fx044gcd 573 38 occur occur VB cord-022594-fx044gcd 573 39 in in IN cord-022594-fx044gcd 573 40 other other JJ cord-022594-fx044gcd 573 41 demyelinating demyelinating JJ cord-022594-fx044gcd 573 42 conditions condition NNS cord-022594-fx044gcd 573 43 such such JJ cord-022594-fx044gcd 573 44 as as IN cord-022594-fx044gcd 573 45 acute acute JJ cord-022594-fx044gcd 573 46 disseminated disseminate VBN cord-022594-fx044gcd 573 47 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 573 48 and and CC cord-022594-fx044gcd 573 49 NMO NMO NNP cord-022594-fx044gcd 573 50 . . . cord-022594-fx044gcd 574 1 Important important JJ cord-022594-fx044gcd 574 2 changes change NNS cord-022594-fx044gcd 574 3 have have VBP cord-022594-fx044gcd 574 4 been be VBN cord-022594-fx044gcd 574 5 made make VBN cord-022594-fx044gcd 574 6 to to IN cord-022594-fx044gcd 574 7 the the DT cord-022594-fx044gcd 574 8 original original JJ cord-022594-fx044gcd 574 9 definition definition NN cord-022594-fx044gcd 574 10 of of IN cord-022594-fx044gcd 574 11 " " `` cord-022594-fx044gcd 574 12 dissemination dissemination NN cord-022594-fx044gcd 574 13 in in IN cord-022594-fx044gcd 574 14 time time NN cord-022594-fx044gcd 574 15 " " '' cord-022594-fx044gcd 574 16 by by IN cord-022594-fx044gcd 574 17 MRI MRI NNP cord-022594-fx044gcd 574 18 . . . cord-022594-fx044gcd 575 1 In in IN cord-022594-fx044gcd 575 2 keeping keep VBG cord-022594-fx044gcd 575 3 with with IN cord-022594-fx044gcd 575 4 the the DT cord-022594-fx044gcd 575 5 definition definition NN cord-022594-fx044gcd 575 6 that that IN cord-022594-fx044gcd 575 7 clinical clinical JJ cord-022594-fx044gcd 575 8 relapses relapse NNS cord-022594-fx044gcd 575 9 must must MD cord-022594-fx044gcd 575 10 be be VB cord-022594-fx044gcd 575 11 separated separate VBN cord-022594-fx044gcd 575 12 by by IN cord-022594-fx044gcd 575 13 at at RB cord-022594-fx044gcd 575 14 least least RBS cord-022594-fx044gcd 575 15 1 1 CD cord-022594-fx044gcd 575 16 month month NN cord-022594-fx044gcd 575 17 , , , cord-022594-fx044gcd 575 18 it -PRON- PRP cord-022594-fx044gcd 575 19 was be VBD cord-022594-fx044gcd 575 20 agreed agree VBN cord-022594-fx044gcd 575 21 that that IN cord-022594-fx044gcd 575 22 new new JJ cord-022594-fx044gcd 575 23 T2 T2 NNP cord-022594-fx044gcd 575 24 lesions lesion NNS cord-022594-fx044gcd 575 25 on on IN cord-022594-fx044gcd 575 26 MRI MRI NNP cord-022594-fx044gcd 575 27 should should MD cord-022594-fx044gcd 575 28 occur occur VB cord-022594-fx044gcd 575 29 at at RB cord-022594-fx044gcd 575 30 least least RBS cord-022594-fx044gcd 575 31 30 30 CD cord-022594-fx044gcd 575 32 days day NNS cord-022594-fx044gcd 575 33 after after IN cord-022594-fx044gcd 575 34 disease disease NN cord-022594-fx044gcd 575 35 onset onset NN cord-022594-fx044gcd 575 36 . . . cord-022594-fx044gcd 576 1 This this DT cord-022594-fx044gcd 576 2 means mean VBZ cord-022594-fx044gcd 576 3 that that IN cord-022594-fx044gcd 576 4 any any DT cord-022594-fx044gcd 576 5 new new JJ cord-022594-fx044gcd 576 6 T2 T2 NNP cord-022594-fx044gcd 576 7 lesion lesion NN cord-022594-fx044gcd 576 8 occurring occur VBG cord-022594-fx044gcd 576 9 at at IN cord-022594-fx044gcd 576 10 any any DT cord-022594-fx044gcd 576 11 time time NN cord-022594-fx044gcd 576 12 point point NN cord-022594-fx044gcd 576 13 after after IN cord-022594-fx044gcd 576 14 a a DT cord-022594-fx044gcd 576 15 so so RB cord-022594-fx044gcd 576 16 - - HYPH cord-022594-fx044gcd 576 17 called call VBN cord-022594-fx044gcd 576 18 reference reference NN cord-022594-fx044gcd 576 19 scan scan NN cord-022594-fx044gcd 576 20 performed perform VBN cord-022594-fx044gcd 576 21 at at IN cord-022594-fx044gcd 576 22 least least RBS cord-022594-fx044gcd 576 23 30 30 CD cord-022594-fx044gcd 576 24 days day NNS cord-022594-fx044gcd 576 25 after after IN cord-022594-fx044gcd 576 26 the the DT cord-022594-fx044gcd 576 27 onset onset NN cord-022594-fx044gcd 576 28 of of IN cord-022594-fx044gcd 576 29 the the DT cord-022594-fx044gcd 576 30 initial initial JJ cord-022594-fx044gcd 576 31 clinical clinical JJ cord-022594-fx044gcd 576 32 event event NN cord-022594-fx044gcd 576 33 is be VBZ cord-022594-fx044gcd 576 34 useful useful JJ cord-022594-fx044gcd 576 35 in in IN cord-022594-fx044gcd 576 36 meeting meeting NN cord-022594-fx044gcd 576 37 imaging image VBG cord-022594-fx044gcd 576 38 diagnostic diagnostic JJ cord-022594-fx044gcd 576 39 criteria criterion NNS cord-022594-fx044gcd 576 40 for for IN cord-022594-fx044gcd 576 41 dissemination dissemination NN cord-022594-fx044gcd 576 42 in in IN cord-022594-fx044gcd 576 43 time time NN cord-022594-fx044gcd 576 44 . . . cord-022594-fx044gcd 577 1 It -PRON- PRP cord-022594-fx044gcd 577 2 should should MD cord-022594-fx044gcd 577 3 be be VB cord-022594-fx044gcd 577 4 noted note VBN cord-022594-fx044gcd 577 5 though though IN cord-022594-fx044gcd 577 6 that that IN cord-022594-fx044gcd 577 7 a a DT cord-022594-fx044gcd 577 8 new new JJ cord-022594-fx044gcd 577 9 T2 T2 NNP cord-022594-fx044gcd 577 10 lesion lesion NN cord-022594-fx044gcd 577 11 must must MD cord-022594-fx044gcd 577 12 be be VB cord-022594-fx044gcd 577 13 of of IN cord-022594-fx044gcd 577 14 sufficient sufficient JJ cord-022594-fx044gcd 577 15 size size NN cord-022594-fx044gcd 577 16 and and CC cord-022594-fx044gcd 577 17 location location NN cord-022594-fx044gcd 577 18 to to TO cord-022594-fx044gcd 577 19 exclude exclude VB cord-022594-fx044gcd 577 20 lesions lesion NNS cord-022594-fx044gcd 577 21 that that WDT cord-022594-fx044gcd 577 22 could could MD cord-022594-fx044gcd 577 23 have have VB cord-022594-fx044gcd 577 24 been be VBN cord-022594-fx044gcd 577 25 missed miss VBN cord-022594-fx044gcd 577 26 previously previously RB cord-022594-fx044gcd 577 27 for for IN cord-022594-fx044gcd 577 28 technical technical JJ cord-022594-fx044gcd 577 29 reasons reason NNS cord-022594-fx044gcd 577 30 of of IN cord-022594-fx044gcd 577 31 slice slice NN cord-022594-fx044gcd 577 32 orientation orientation NN cord-022594-fx044gcd 577 33 , , , cord-022594-fx044gcd 577 34 thickness thickness NN cord-022594-fx044gcd 577 35 or or CC cord-022594-fx044gcd 577 36 spacing spacing NN cord-022594-fx044gcd 577 37 , , , cord-022594-fx044gcd 577 38 tissue tissue NN cord-022594-fx044gcd 577 39 contrast contrast NN cord-022594-fx044gcd 577 40 , , , cord-022594-fx044gcd 577 41 patient patient JJ cord-022594-fx044gcd 577 42 motion motion NN cord-022594-fx044gcd 577 43 , , , cord-022594-fx044gcd 577 44 or or CC cord-022594-fx044gcd 577 45 other other JJ cord-022594-fx044gcd 577 46 artifacts artifact NNS cord-022594-fx044gcd 577 47 . . . cord-022594-fx044gcd 578 1 This this DT cord-022594-fx044gcd 578 2 requires require VBZ cord-022594-fx044gcd 578 3 standardized standardized JJ cord-022594-fx044gcd 578 4 scanning scanning NN cord-022594-fx044gcd 578 5 procedures procedure NNS cord-022594-fx044gcd 578 6 with with IN cord-022594-fx044gcd 578 7 emphasis emphasis NN cord-022594-fx044gcd 578 8 on on IN cord-022594-fx044gcd 578 9 careful careful JJ cord-022594-fx044gcd 578 10 repositioning repositioning NN cord-022594-fx044gcd 578 11 , , , cord-022594-fx044gcd 578 12 as as RB cord-022594-fx044gcd 578 13 well well RB cord-022594-fx044gcd 578 14 as as IN cord-022594-fx044gcd 578 15 input input NN cord-022594-fx044gcd 578 16 from from IN cord-022594-fx044gcd 578 17 qualified qualified JJ cord-022594-fx044gcd 578 18 evaluators evaluator NNS cord-022594-fx044gcd 578 19 experienced experience VBN cord-022594-fx044gcd 578 20 in in IN cord-022594-fx044gcd 578 21 MS MS NNP cord-022594-fx044gcd 578 22 imaging imaging NN cord-022594-fx044gcd 578 23 . . . cord-022594-fx044gcd 579 1 With with IN cord-022594-fx044gcd 579 2 the the DT cord-022594-fx044gcd 579 3 new new JJ cord-022594-fx044gcd 579 4 revision revision NN cord-022594-fx044gcd 579 5 , , , cord-022594-fx044gcd 579 6 there there EX cord-022594-fx044gcd 579 7 are be VBP cord-022594-fx044gcd 579 8 two two CD cord-022594-fx044gcd 579 9 ways way NNS cord-022594-fx044gcd 579 10 to to TO cord-022594-fx044gcd 579 11 show show VB cord-022594-fx044gcd 579 12 dissemination dissemination NN cord-022594-fx044gcd 579 13 in in IN cord-022594-fx044gcd 579 14 time time NN cord-022594-fx044gcd 579 15 using use VBG cord-022594-fx044gcd 579 16 imaging image VBG cord-022594-fx044gcd 579 17 : : : cord-022594-fx044gcd 579 18 ( ( -LRB- cord-022594-fx044gcd 579 19 1 1 LS cord-022594-fx044gcd 579 20 ) ) -RRB- cord-022594-fx044gcd 579 21 detection detection NN cord-022594-fx044gcd 579 22 of of IN cord-022594-fx044gcd 579 23 gadolinium gadolinium NN cord-022594-fx044gcd 579 24 enhancement enhancement NN cord-022594-fx044gcd 579 25 at at IN cord-022594-fx044gcd 579 26 least least JJS cord-022594-fx044gcd 579 27 3 3 CD cord-022594-fx044gcd 579 28 months month NNS cord-022594-fx044gcd 579 29 after after IN cord-022594-fx044gcd 579 30 the the DT cord-022594-fx044gcd 579 31 onset onset NN cord-022594-fx044gcd 579 32 of of IN cord-022594-fx044gcd 579 33 initial initial JJ cord-022594-fx044gcd 579 34 clinical clinical JJ cord-022594-fx044gcd 579 35 event event NN cord-022594-fx044gcd 579 36 , , , cord-022594-fx044gcd 579 37 if if IN cord-022594-fx044gcd 579 38 not not RB cord-022594-fx044gcd 579 39 at at IN cord-022594-fx044gcd 579 40 the the DT cord-022594-fx044gcd 579 41 site site NN cord-022594-fx044gcd 579 42 corresponding correspond VBG cord-022594-fx044gcd 579 43 to to IN cord-022594-fx044gcd 579 44 the the DT cord-022594-fx044gcd 579 45 initial initial JJ cord-022594-fx044gcd 579 46 event event NN cord-022594-fx044gcd 579 47 ; ; : cord-022594-fx044gcd 579 48 or or CC cord-022594-fx044gcd 579 49 ( ( -LRB- cord-022594-fx044gcd 579 50 2 2 LS cord-022594-fx044gcd 579 51 ) ) -RRB- cord-022594-fx044gcd 579 52 detection detection NN cord-022594-fx044gcd 579 53 of of IN cord-022594-fx044gcd 579 54 a a DT cord-022594-fx044gcd 579 55 new new JJ cord-022594-fx044gcd 579 56 T2 T2 NNP cord-022594-fx044gcd 579 57 lesion lesion NN cord-022594-fx044gcd 579 58 if if IN cord-022594-fx044gcd 579 59 this this DT cord-022594-fx044gcd 579 60 appears appear VBZ cord-022594-fx044gcd 579 61 at at IN cord-022594-fx044gcd 579 62 any any DT cord-022594-fx044gcd 579 63 time time NN cord-022594-fx044gcd 579 64 compared compare VBN cord-022594-fx044gcd 579 65 with with IN cord-022594-fx044gcd 579 66 a a DT cord-022594-fx044gcd 579 67 reference reference NN cord-022594-fx044gcd 579 68 scan scan NN cord-022594-fx044gcd 579 69 done do VBN cord-022594-fx044gcd 579 70 at at RB cord-022594-fx044gcd 579 71 least least RBS cord-022594-fx044gcd 579 72 30 30 CD cord-022594-fx044gcd 579 73 days day NNS cord-022594-fx044gcd 579 74 after after IN cord-022594-fx044gcd 579 75 onset onset NN cord-022594-fx044gcd 579 76 of of IN cord-022594-fx044gcd 579 77 the the DT cord-022594-fx044gcd 579 78 initial initial JJ cord-022594-fx044gcd 579 79 clinical clinical JJ cord-022594-fx044gcd 579 80 event event NN cord-022594-fx044gcd 579 81 . . . cord-022594-fx044gcd 580 1 Spinal spinal JJ cord-022594-fx044gcd 580 2 cord cord NN cord-022594-fx044gcd 580 3 lesions lesion NNS cord-022594-fx044gcd 580 4 can can MD cord-022594-fx044gcd 580 5 be be VB cord-022594-fx044gcd 580 6 important important JJ cord-022594-fx044gcd 580 7 in in IN cord-022594-fx044gcd 580 8 differentiating differentiate VBG cord-022594-fx044gcd 580 9 MS MS NNP cord-022594-fx044gcd 580 10 from from IN cord-022594-fx044gcd 580 11 other other JJ cord-022594-fx044gcd 580 12 white white JJ cord-022594-fx044gcd 580 13 matter matter NN cord-022594-fx044gcd 580 14 diseases disease NNS cord-022594-fx044gcd 580 15 ; ; : cord-022594-fx044gcd 580 16 however however RB cord-022594-fx044gcd 580 17 , , , cord-022594-fx044gcd 580 18 the the DT cord-022594-fx044gcd 580 19 original original JJ cord-022594-fx044gcd 580 20 McDonald McDonald NNP cord-022594-fx044gcd 580 21 Criteria Criteria NNP cord-022594-fx044gcd 580 22 did do VBD cord-022594-fx044gcd 580 23 not not RB cord-022594-fx044gcd 580 24 provide provide VB cord-022594-fx044gcd 580 25 sufficient sufficient JJ cord-022594-fx044gcd 580 26 guidelines guideline NNS cord-022594-fx044gcd 580 27 for for IN cord-022594-fx044gcd 580 28 the the DT cord-022594-fx044gcd 580 29 use use NN cord-022594-fx044gcd 580 30 of of IN cord-022594-fx044gcd 580 31 cord cord NN cord-022594-fx044gcd 580 32 imaging imaging NN cord-022594-fx044gcd 580 33 in in IN cord-022594-fx044gcd 580 34 MS MS NNP cord-022594-fx044gcd 580 35 . . . cord-022594-fx044gcd 581 1 Spinal spinal JJ cord-022594-fx044gcd 581 2 cord cord NN cord-022594-fx044gcd 581 3 imaging imaging NN cord-022594-fx044gcd 581 4 that that WDT cord-022594-fx044gcd 581 5 detects detect VBZ cord-022594-fx044gcd 581 6 typical typical JJ cord-022594-fx044gcd 581 7 MS MS NNP cord-022594-fx044gcd 581 8 cord cord NN cord-022594-fx044gcd 581 9 lesions lesion NNS cord-022594-fx044gcd 581 10 ( ( -LRB- cord-022594-fx044gcd 581 11 minimal minimal JJ cord-022594-fx044gcd 581 12 or or CC cord-022594-fx044gcd 581 13 no no DT cord-022594-fx044gcd 581 14 swelling swelling NN cord-022594-fx044gcd 581 15 of of IN cord-022594-fx044gcd 581 16 the the DT cord-022594-fx044gcd 581 17 cord cord NN cord-022594-fx044gcd 581 18 ; ; . cord-022594-fx044gcd 582 1 clearly clearly RB cord-022594-fx044gcd 582 2 hyperintense hyperintense NNP cord-022594-fx044gcd 582 3 on on IN cord-022594-fx044gcd 582 4 T2-weighted t2-weighted JJ cord-022594-fx044gcd 582 5 imaging imaging NN cord-022594-fx044gcd 582 6 ; ; : cord-022594-fx044gcd 582 7 at at RB cord-022594-fx044gcd 582 8 least least JJS cord-022594-fx044gcd 582 9 3 3 CD cord-022594-fx044gcd 582 10 mm mm NN cord-022594-fx044gcd 582 11 in in IN cord-022594-fx044gcd 582 12 size size NN cord-022594-fx044gcd 582 13 , , , cord-022594-fx044gcd 582 14 but but CC cord-022594-fx044gcd 582 15 less less JJR cord-022594-fx044gcd 582 16 than than IN cord-022594-fx044gcd 582 17 two two CD cord-022594-fx044gcd 582 18 vertebral vertebral JJ cord-022594-fx044gcd 582 19 segments segment NNS cord-022594-fx044gcd 582 20 long long RB cord-022594-fx044gcd 582 21 ; ; : cord-022594-fx044gcd 582 22 and and CC cord-022594-fx044gcd 582 23 occupying occupy VBG cord-022594-fx044gcd 582 24 only only RB cord-022594-fx044gcd 582 25 part part NN cord-022594-fx044gcd 582 26 of of IN cord-022594-fx044gcd 582 27 the the DT cord-022594-fx044gcd 582 28 cord cord NN cord-022594-fx044gcd 582 29 cross cross NN cord-022594-fx044gcd 582 30 section section NN cord-022594-fx044gcd 582 31 ) ) -RRB- cord-022594-fx044gcd 582 32 is be VBZ cord-022594-fx044gcd 582 33 particularly particularly RB cord-022594-fx044gcd 582 34 helpful helpful JJ cord-022594-fx044gcd 582 35 if if IN cord-022594-fx044gcd 582 36 brain brain NN cord-022594-fx044gcd 582 37 imaging imaging NN cord-022594-fx044gcd 582 38 does do VBZ cord-022594-fx044gcd 582 39 not not RB cord-022594-fx044gcd 582 40 detect detect VB cord-022594-fx044gcd 582 41 dissemination dissemination NN cord-022594-fx044gcd 582 42 in in IN cord-022594-fx044gcd 582 43 space space NN cord-022594-fx044gcd 582 44 in in IN cord-022594-fx044gcd 582 45 a a DT cord-022594-fx044gcd 582 46 patient patient NN cord-022594-fx044gcd 582 47 suspected suspect VBN cord-022594-fx044gcd 582 48 to to TO cord-022594-fx044gcd 582 49 have have VB cord-022594-fx044gcd 582 50 MS MS NNP cord-022594-fx044gcd 582 51 . . . cord-022594-fx044gcd 583 1 For for IN cord-022594-fx044gcd 583 2 dissemination dissemination NN cord-022594-fx044gcd 583 3 in in IN cord-022594-fx044gcd 583 4 space space NN cord-022594-fx044gcd 583 5 , , , cord-022594-fx044gcd 583 6 a a DT cord-022594-fx044gcd 583 7 spinal spinal JJ cord-022594-fx044gcd 583 8 cord cord NN cord-022594-fx044gcd 583 9 lesion lesion NN cord-022594-fx044gcd 583 10 is be VBZ cord-022594-fx044gcd 583 11 equivalent equivalent JJ cord-022594-fx044gcd 583 12 to to IN cord-022594-fx044gcd 583 13 , , , cord-022594-fx044gcd 583 14 and and CC cord-022594-fx044gcd 583 15 can can MD cord-022594-fx044gcd 583 16 substitute substitute VB cord-022594-fx044gcd 583 17 for for IN cord-022594-fx044gcd 583 18 , , , cord-022594-fx044gcd 583 19 a a DT cord-022594-fx044gcd 583 20 brain brain NN cord-022594-fx044gcd 583 21 infratentorial infratentorial JJ cord-022594-fx044gcd 583 22 lesion lesion NN cord-022594-fx044gcd 583 23 , , , cord-022594-fx044gcd 583 24 but but CC cord-022594-fx044gcd 583 25 not not RB cord-022594-fx044gcd 583 26 for for IN cord-022594-fx044gcd 583 27 a a DT cord-022594-fx044gcd 583 28 periventricular periventricular JJ cord-022594-fx044gcd 583 29 or or CC cord-022594-fx044gcd 583 30 juxtacortical juxtacortical JJ cord-022594-fx044gcd 583 31 lesion lesion NN cord-022594-fx044gcd 583 32 . . . cord-022594-fx044gcd 584 1 An an DT cord-022594-fx044gcd 584 2 enhancing enhance VBG cord-022594-fx044gcd 584 3 spinal spinal JJ cord-022594-fx044gcd 584 4 cord cord NN cord-022594-fx044gcd 584 5 lesion lesion NN cord-022594-fx044gcd 584 6 is be VBZ cord-022594-fx044gcd 584 7 equivalent equivalent JJ cord-022594-fx044gcd 584 8 to to IN cord-022594-fx044gcd 584 9 an an DT cord-022594-fx044gcd 584 10 enhancing enhance VBG cord-022594-fx044gcd 584 11 brain brain NN cord-022594-fx044gcd 584 12 lesion lesion NN cord-022594-fx044gcd 584 13 , , , cord-022594-fx044gcd 584 14 and and CC cord-022594-fx044gcd 584 15 an an DT cord-022594-fx044gcd 584 16 enhancing enhance VBG cord-022594-fx044gcd 584 17 spinal spinal JJ cord-022594-fx044gcd 584 18 cord cord NN cord-022594-fx044gcd 584 19 lesion lesion NN cord-022594-fx044gcd 584 20 can can MD cord-022594-fx044gcd 584 21 " " `` cord-022594-fx044gcd 584 22 count count VB cord-022594-fx044gcd 584 23 " " '' cord-022594-fx044gcd 584 24 doubly doubly RB cord-022594-fx044gcd 584 25 in in IN cord-022594-fx044gcd 584 26 fulfilling fulfil VBG cord-022594-fx044gcd 584 27 the the DT cord-022594-fx044gcd 584 28 criteria criterion NNS cord-022594-fx044gcd 584 29 ( ( -LRB- cord-022594-fx044gcd 584 30 e.g. e.g. RB cord-022594-fx044gcd 584 31 , , , cord-022594-fx044gcd 584 32 a a DT cord-022594-fx044gcd 584 33 single single JJ cord-022594-fx044gcd 584 34 enhancing enhance VBG cord-022594-fx044gcd 584 35 spinal spinal JJ cord-022594-fx044gcd 584 36 cord cord NN cord-022594-fx044gcd 584 37 lesion lesion NN cord-022594-fx044gcd 584 38 can can MD cord-022594-fx044gcd 584 39 " " `` cord-022594-fx044gcd 584 40 count count VB cord-022594-fx044gcd 584 41 " " '' cord-022594-fx044gcd 584 42 for for IN cord-022594-fx044gcd 584 43 an an DT cord-022594-fx044gcd 584 44 enhancing enhance VBG cord-022594-fx044gcd 584 45 lesion lesion NN cord-022594-fx044gcd 584 46 and and CC cord-022594-fx044gcd 584 47 an an DT cord-022594-fx044gcd 584 48 infratentorial infratentorial JJ cord-022594-fx044gcd 584 49 lesion lesion NN cord-022594-fx044gcd 584 50 ) ) -RRB- cord-022594-fx044gcd 584 51 . . . cord-022594-fx044gcd 585 1 Individual individual JJ cord-022594-fx044gcd 585 2 cord cord NN cord-022594-fx044gcd 585 3 lesions lesion NNS cord-022594-fx044gcd 585 4 can can MD cord-022594-fx044gcd 585 5 contribute contribute VB cord-022594-fx044gcd 585 6 together together RB cord-022594-fx044gcd 585 7 with with IN cord-022594-fx044gcd 585 8 individual individual JJ cord-022594-fx044gcd 585 9 brain brain NN cord-022594-fx044gcd 585 10 lesions lesion NNS cord-022594-fx044gcd 585 11 to to TO cord-022594-fx044gcd 585 12 reach reach VB cord-022594-fx044gcd 585 13 the the DT cord-022594-fx044gcd 585 14 required require VBN cord-022594-fx044gcd 585 15 nine nine CD cord-022594-fx044gcd 585 16 T2 T2 NNP cord-022594-fx044gcd 585 17 lesions lesion NNS cord-022594-fx044gcd 585 18 to to TO cord-022594-fx044gcd 585 19 satisfy satisfy VB cord-022594-fx044gcd 585 20 the the DT cord-022594-fx044gcd 585 21 Barkhof Barkhof NNP cord-022594-fx044gcd 585 22 - - HYPH cord-022594-fx044gcd 585 23 Tintore Tintore NNP cord-022594-fx044gcd 585 24 criteria criterion NNS cord-022594-fx044gcd 586 1 ( ( -LRB- cord-022594-fx044gcd 586 2 the the DT cord-022594-fx044gcd 586 3 MRI MRI NNP cord-022594-fx044gcd 586 4 criteria criterion NNS cord-022594-fx044gcd 586 5 incorporated incorporate VBN cord-022594-fx044gcd 586 6 in in IN cord-022594-fx044gcd 586 7 the the DT cord-022594-fx044gcd 586 8 original original JJ cord-022594-fx044gcd 586 9 McDonald McDonald NNP cord-022594-fx044gcd 586 10 's 's POS cord-022594-fx044gcd 586 11 criteria criterion NNS cord-022594-fx044gcd 586 12 ) ) -RRB- cord-022594-fx044gcd 586 13 . . . cord-022594-fx044gcd 587 1 The the DT cord-022594-fx044gcd 587 2 panel panel NN cord-022594-fx044gcd 587 3 recognized recognize VBD cord-022594-fx044gcd 587 4 that that IN cord-022594-fx044gcd 587 5 diffuse diffuse JJ cord-022594-fx044gcd 587 6 cord cord NN cord-022594-fx044gcd 587 7 changes change NNS cord-022594-fx044gcd 587 8 may may MD cord-022594-fx044gcd 587 9 occur occur VB cord-022594-fx044gcd 587 10 in in IN cord-022594-fx044gcd 587 11 MS MS NNP cord-022594-fx044gcd 587 12 , , , cord-022594-fx044gcd 587 13 especially especially RB cord-022594-fx044gcd 587 14 in in IN cord-022594-fx044gcd 587 15 the the DT cord-022594-fx044gcd 587 16 progressive progressive JJ cord-022594-fx044gcd 587 17 forms form NNS cord-022594-fx044gcd 587 18 ; ; : cord-022594-fx044gcd 587 19 however however RB cord-022594-fx044gcd 587 20 , , , cord-022594-fx044gcd 587 21 these these DT cord-022594-fx044gcd 587 22 changes change NNS cord-022594-fx044gcd 587 23 are be VBP cord-022594-fx044gcd 587 24 not not RB cord-022594-fx044gcd 587 25 sufficiently sufficiently RB cord-022594-fx044gcd 587 26 reliable reliable JJ cord-022594-fx044gcd 587 27 to to TO cord-022594-fx044gcd 587 28 allow allow VB cord-022594-fx044gcd 587 29 for for IN cord-022594-fx044gcd 587 30 their -PRON- PRP$ cord-022594-fx044gcd 587 31 incorporation incorporation NN cord-022594-fx044gcd 587 32 into into IN cord-022594-fx044gcd 587 33 the the DT cord-022594-fx044gcd 587 34 diagnostic diagnostic JJ cord-022594-fx044gcd 587 35 criteria criterion NNS cord-022594-fx044gcd 587 36 at at IN cord-022594-fx044gcd 587 37 this this DT cord-022594-fx044gcd 587 38 time time NN cord-022594-fx044gcd 587 39 . . . cord-022594-fx044gcd 588 1 Repeat repeat VB cord-022594-fx044gcd 588 2 spinal spinal JJ cord-022594-fx044gcd 588 3 cord cord NN cord-022594-fx044gcd 588 4 imaging imaging NN cord-022594-fx044gcd 588 5 in in IN cord-022594-fx044gcd 588 6 patients patient NNS cord-022594-fx044gcd 588 7 without without IN cord-022594-fx044gcd 588 8 new new JJ cord-022594-fx044gcd 588 9 symptoms symptom NNS cord-022594-fx044gcd 588 10 of of IN cord-022594-fx044gcd 588 11 myelitis myelitis NNP cord-022594-fx044gcd 588 12 has have VBZ cord-022594-fx044gcd 588 13 a a DT cord-022594-fx044gcd 588 14 low low JJ cord-022594-fx044gcd 588 15 yield yield NN cord-022594-fx044gcd 588 16 in in IN cord-022594-fx044gcd 588 17 efforts effort NNS cord-022594-fx044gcd 588 18 to to TO cord-022594-fx044gcd 588 19 demonstrate demonstrate VB cord-022594-fx044gcd 588 20 dissemination dissemination NN cord-022594-fx044gcd 588 21 of of IN cord-022594-fx044gcd 588 22 lesions lesion NNS cord-022594-fx044gcd 588 23 in in IN cord-022594-fx044gcd 588 24 time time NN cord-022594-fx044gcd 588 25 . . . cord-022594-fx044gcd 589 1 In in IN cord-022594-fx044gcd 589 2 other other JJ cord-022594-fx044gcd 589 3 words word NNS cord-022594-fx044gcd 589 4 , , , cord-022594-fx044gcd 589 5 while while IN cord-022594-fx044gcd 589 6 it -PRON- PRP cord-022594-fx044gcd 589 7 is be VBZ cord-022594-fx044gcd 589 8 common common JJ cord-022594-fx044gcd 589 9 to to TO cord-022594-fx044gcd 589 10 see see VB cord-022594-fx044gcd 589 11 asymptomatic asymptomatic JJ cord-022594-fx044gcd 589 12 new new JJ cord-022594-fx044gcd 589 13 brain brain NN cord-022594-fx044gcd 589 14 lesions lesion NNS cord-022594-fx044gcd 589 15 on on IN cord-022594-fx044gcd 589 16 repeated repeat VBN cord-022594-fx044gcd 589 17 scans scan NNS cord-022594-fx044gcd 589 18 , , , cord-022594-fx044gcd 589 19 new new JJ cord-022594-fx044gcd 589 20 cord cord NN cord-022594-fx044gcd 589 21 lesions lesion NNS cord-022594-fx044gcd 589 22 generally generally RB cord-022594-fx044gcd 589 23 do do VBP cord-022594-fx044gcd 589 24 result result VB cord-022594-fx044gcd 589 25 in in IN cord-022594-fx044gcd 589 26 new new JJ cord-022594-fx044gcd 589 27 neurological neurological JJ cord-022594-fx044gcd 589 28 symptoms symptom NNS cord-022594-fx044gcd 589 29 . . . cord-022594-fx044gcd 590 1 Therefore therefore RB cord-022594-fx044gcd 590 2 , , , cord-022594-fx044gcd 590 3 repeat repeat VB cord-022594-fx044gcd 590 4 cord cord NN cord-022594-fx044gcd 590 5 imaging imaging NN cord-022594-fx044gcd 590 6 is be VBZ cord-022594-fx044gcd 590 7 recommended recommend VBN cord-022594-fx044gcd 590 8 only only RB cord-022594-fx044gcd 590 9 to to TO cord-022594-fx044gcd 590 10 support support VB cord-022594-fx044gcd 590 11 an an DT cord-022594-fx044gcd 590 12 MS MS NNP cord-022594-fx044gcd 590 13 diagnosis diagnosis NN cord-022594-fx044gcd 590 14 when when WRB cord-022594-fx044gcd 590 15 there there EX cord-022594-fx044gcd 590 16 is be VBZ cord-022594-fx044gcd 590 17 a a DT cord-022594-fx044gcd 590 18 clinical clinical JJ cord-022594-fx044gcd 590 19 reason reason NN cord-022594-fx044gcd 590 20 to to TO cord-022594-fx044gcd 590 21 suspect suspect VB cord-022594-fx044gcd 590 22 a a DT cord-022594-fx044gcd 590 23 new new JJ cord-022594-fx044gcd 590 24 cord cord NN cord-022594-fx044gcd 590 25 lesion lesion NN cord-022594-fx044gcd 590 26 . . . cord-022594-fx044gcd 591 1 Important important JJ cord-022594-fx044gcd 591 2 changes change NNS cord-022594-fx044gcd 591 3 have have VBP cord-022594-fx044gcd 591 4 been be VBN cord-022594-fx044gcd 591 5 proposed propose VBN cord-022594-fx044gcd 591 6 in in IN cord-022594-fx044gcd 591 7 diagnosing diagnose VBG cord-022594-fx044gcd 591 8 primary primary JJ cord-022594-fx044gcd 591 9 progressive progressive JJ cord-022594-fx044gcd 591 10 MS MS NNP cord-022594-fx044gcd 591 11 . . . cord-022594-fx044gcd 592 1 These these DT cord-022594-fx044gcd 592 2 Revised revise VBN cord-022594-fx044gcd 592 3 Criteria Criteria NNP cord-022594-fx044gcd 592 4 stress stress VBP cord-022594-fx044gcd 592 5 clinical clinical JJ cord-022594-fx044gcd 592 6 and and CC cord-022594-fx044gcd 592 7 imaging image VBG cord-022594-fx044gcd 592 8 ( ( -LRB- cord-022594-fx044gcd 592 9 brain brain NN cord-022594-fx044gcd 592 10 or or CC cord-022594-fx044gcd 592 11 spinal spinal JJ cord-022594-fx044gcd 592 12 cord cord NN cord-022594-fx044gcd 592 13 ) ) -RRB- cord-022594-fx044gcd 592 14 evidence evidence NN cord-022594-fx044gcd 592 15 for for IN cord-022594-fx044gcd 592 16 diagnosis diagnosis NN cord-022594-fx044gcd 592 17 and and CC cord-022594-fx044gcd 592 18 place place NN cord-022594-fx044gcd 592 19 less less JJR cord-022594-fx044gcd 592 20 emphasis emphasis NN cord-022594-fx044gcd 592 21 on on IN cord-022594-fx044gcd 592 22 CSF CSF NNP cord-022594-fx044gcd 592 23 findings finding NNS cord-022594-fx044gcd 592 24 . . . cord-022594-fx044gcd 593 1 The the DT cord-022594-fx044gcd 593 2 new new JJ cord-022594-fx044gcd 593 3 criteria criterion NNS cord-022594-fx044gcd 593 4 for for IN cord-022594-fx044gcd 593 5 PPMS PPMS NNP cord-022594-fx044gcd 593 6 is be VBZ cord-022594-fx044gcd 593 7 as as IN cord-022594-fx044gcd 593 8 follows follow VBZ cord-022594-fx044gcd 593 9 : : : cord-022594-fx044gcd 594 1 ( ( -LRB- cord-022594-fx044gcd 594 2 1 1 LS cord-022594-fx044gcd 594 3 ) ) -RRB- cord-022594-fx044gcd 594 4 at at IN cord-022594-fx044gcd 594 5 least least JJS cord-022594-fx044gcd 594 6 1 1 CD cord-022594-fx044gcd 594 7 year year NN cord-022594-fx044gcd 594 8 of of IN cord-022594-fx044gcd 594 9 disease disease NN cord-022594-fx044gcd 594 10 progression progression NN cord-022594-fx044gcd 594 11 ( ( -LRB- cord-022594-fx044gcd 594 12 retrospectively retrospectively RB cord-022594-fx044gcd 594 13 or or CC cord-022594-fx044gcd 594 14 prospectively prospectively RB cord-022594-fx044gcd 594 15 determined determine VBN cord-022594-fx044gcd 594 16 ) ) -RRB- cord-022594-fx044gcd 594 17 ( ( -LRB- cord-022594-fx044gcd 594 18 2 2 LS cord-022594-fx044gcd 594 19 ) ) -RRB- cord-022594-fx044gcd 594 20 plus plus CC cord-022594-fx044gcd 594 21 two two CD cord-022594-fx044gcd 594 22 of of IN cord-022594-fx044gcd 594 23 the the DT cord-022594-fx044gcd 594 24 following follow VBG cord-022594-fx044gcd 594 25 : : : cord-022594-fx044gcd 594 26 ( ( -LRB- cord-022594-fx044gcd 594 27 a a DT cord-022594-fx044gcd 594 28 ) ) -RRB- cord-022594-fx044gcd 594 29 positive positive JJ cord-022594-fx044gcd 594 30 brain brain NN cord-022594-fx044gcd 594 31 MRI MRI NNP cord-022594-fx044gcd 594 32 ( ( -LRB- cord-022594-fx044gcd 594 33 nine nine CD cord-022594-fx044gcd 594 34 T2 T2 NNP cord-022594-fx044gcd 594 35 lesions lesion NNS cord-022594-fx044gcd 594 36 or or CC cord-022594-fx044gcd 594 37 four four CD cord-022594-fx044gcd 594 38 or or CC cord-022594-fx044gcd 594 39 more more JJR cord-022594-fx044gcd 594 40 T2 T2 NNP cord-022594-fx044gcd 594 41 lesions lesion NNS cord-022594-fx044gcd 594 42 with with IN cord-022594-fx044gcd 594 43 positive positive JJ cord-022594-fx044gcd 594 44 VEP VEP NNP cord-022594-fx044gcd 594 45 ) ) -RRB- cord-022594-fx044gcd 594 46 , , , cord-022594-fx044gcd 594 47 ( ( -LRB- cord-022594-fx044gcd 594 48 b b LS cord-022594-fx044gcd 594 49 ) ) -RRB- cord-022594-fx044gcd 594 50 positive positive JJ cord-022594-fx044gcd 594 51 spinal spinal JJ cord-022594-fx044gcd 594 52 cord cord NN cord-022594-fx044gcd 594 53 MRI MRI NNP cord-022594-fx044gcd 594 54 ( ( -LRB- cord-022594-fx044gcd 594 55 two two CD cord-022594-fx044gcd 594 56 focal focal JJ cord-022594-fx044gcd 594 57 T2 T2 NNP cord-022594-fx044gcd 594 58 lesions lesion NNS cord-022594-fx044gcd 594 59 ) ) -RRB- cord-022594-fx044gcd 594 60 , , , cord-022594-fx044gcd 594 61 ( ( -LRB- cord-022594-fx044gcd 594 62 c c NN cord-022594-fx044gcd 594 63 ) ) -RRB- cord-022594-fx044gcd 594 64 positive positive JJ cord-022594-fx044gcd 594 65 CSF CSF NNP cord-022594-fx044gcd 594 66 ( ( -LRB- cord-022594-fx044gcd 594 67 isoelectric isoelectric VBN cord-022594-fx044gcd 594 68 focusing focus VBG cord-022594-fx044gcd 594 69 evidence evidence NN cord-022594-fx044gcd 594 70 of of IN cord-022594-fx044gcd 594 71 oligoclonal oligoclonal JJ cord-022594-fx044gcd 594 72 IgG IgG NNP cord-022594-fx044gcd 594 73 bands band NNS cord-022594-fx044gcd 594 74 or or CC cord-022594-fx044gcd 594 75 increased increase VBN cord-022594-fx044gcd 594 76 IgG IgG NNP cord-022594-fx044gcd 594 77 index index NN cord-022594-fx044gcd 594 78 , , , cord-022594-fx044gcd 594 79 or or CC cord-022594-fx044gcd 594 80 both both DT cord-022594-fx044gcd 594 81 ) ) -RRB- cord-022594-fx044gcd 594 82 . . . cord-022594-fx044gcd 595 1 Evoked evoke VBN cord-022594-fx044gcd 595 2 potentials potential NNS cord-022594-fx044gcd 595 3 are be VBP cord-022594-fx044gcd 595 4 summed sum VBN cord-022594-fx044gcd 595 5 cortical cortical JJ cord-022594-fx044gcd 595 6 electrical electrical JJ cord-022594-fx044gcd 595 7 responses response NNS cord-022594-fx044gcd 595 8 to to IN cord-022594-fx044gcd 595 9 peripheral peripheral JJ cord-022594-fx044gcd 595 10 sensory sensory JJ cord-022594-fx044gcd 595 11 stimulation stimulation NN cord-022594-fx044gcd 595 12 that that WDT cord-022594-fx044gcd 595 13 can can MD cord-022594-fx044gcd 595 14 be be VB cord-022594-fx044gcd 595 15 used use VBN cord-022594-fx044gcd 595 16 to to TO cord-022594-fx044gcd 595 17 localize localize VB cord-022594-fx044gcd 595 18 sites site NNS cord-022594-fx044gcd 595 19 of of IN cord-022594-fx044gcd 595 20 disease disease NN cord-022594-fx044gcd 595 21 and and CC cord-022594-fx044gcd 595 22 measure measure NN cord-022594-fx044gcd 595 23 conduction conduction NN cord-022594-fx044gcd 595 24 velocity velocity NN cord-022594-fx044gcd 595 25 along along IN cord-022594-fx044gcd 595 26 sensory sensory JJ cord-022594-fx044gcd 595 27 pathways pathway NNS cord-022594-fx044gcd 595 28 . . . cord-022594-fx044gcd 596 1 VEP VEP NNP cord-022594-fx044gcd 596 2 and and CC cord-022594-fx044gcd 596 3 somatosensory somatosensory NN cord-022594-fx044gcd 596 4 evoked evoke VBN cord-022594-fx044gcd 596 5 potentials potential NNS cord-022594-fx044gcd 596 6 ( ( -LRB- cord-022594-fx044gcd 596 7 SSEPs ssep NNS cord-022594-fx044gcd 596 8 ) ) -RRB- cord-022594-fx044gcd 596 9 may may MD cord-022594-fx044gcd 596 10 detect detect VB cord-022594-fx044gcd 596 11 subclinical subclinical JJ cord-022594-fx044gcd 596 12 sites site NNS cord-022594-fx044gcd 596 13 of of IN cord-022594-fx044gcd 596 14 demyelination demyelination NN cord-022594-fx044gcd 596 15 , , , cord-022594-fx044gcd 596 16 thus thus RB cord-022594-fx044gcd 596 17 providing provide VBG cord-022594-fx044gcd 596 18 evidence evidence NN cord-022594-fx044gcd 596 19 of of IN cord-022594-fx044gcd 596 20 multifocality multifocality NN cord-022594-fx044gcd 596 21 . . . cord-022594-fx044gcd 597 1 Brain brain NN cord-022594-fx044gcd 597 2 stem stem NN cord-022594-fx044gcd 597 3 auditory auditory JJ cord-022594-fx044gcd 597 4 evoked evoke VBN cord-022594-fx044gcd 597 5 potentials potential NNS cord-022594-fx044gcd 597 6 ( ( -LRB- cord-022594-fx044gcd 597 7 BAEPs baep NNS cord-022594-fx044gcd 597 8 ) ) -RRB- cord-022594-fx044gcd 597 9 are be VBP cord-022594-fx044gcd 597 10 occasionally occasionally RB cord-022594-fx044gcd 597 11 informative informative JJ cord-022594-fx044gcd 597 12 . . . cord-022594-fx044gcd 598 1 More More JJR cord-022594-fx044gcd 598 2 than than IN cord-022594-fx044gcd 598 3 90 90 CD cord-022594-fx044gcd 598 4 % % NN cord-022594-fx044gcd 598 5 of of IN cord-022594-fx044gcd 598 6 persons person NNS cord-022594-fx044gcd 598 7 with with IN cord-022594-fx044gcd 598 8 a a DT cord-022594-fx044gcd 598 9 history history NN cord-022594-fx044gcd 598 10 of of IN cord-022594-fx044gcd 598 11 ON ON NNP cord-022594-fx044gcd 598 12 have have VBP cord-022594-fx044gcd 598 13 an an DT cord-022594-fx044gcd 598 14 abnormal abnormal JJ cord-022594-fx044gcd 598 15 VEP vep NN cord-022594-fx044gcd 598 16 , , , cord-022594-fx044gcd 598 17 and and CC cord-022594-fx044gcd 598 18 85 85 CD cord-022594-fx044gcd 598 19 % % NN cord-022594-fx044gcd 598 20 of of IN cord-022594-fx044gcd 598 21 CDMS CDMS NNP cord-022594-fx044gcd 598 22 patients patient NNS cord-022594-fx044gcd 598 23 have have VBP cord-022594-fx044gcd 598 24 abnormalities abnormality NNS cord-022594-fx044gcd 598 25 on on IN cord-022594-fx044gcd 598 26 VEPs vep NNS cord-022594-fx044gcd 598 27 even even RB cord-022594-fx044gcd 598 28 when when WRB cord-022594-fx044gcd 598 29 the the DT cord-022594-fx044gcd 598 30 history history NN cord-022594-fx044gcd 598 31 of of IN cord-022594-fx044gcd 598 32 ON ON NNP cord-022594-fx044gcd 598 33 is be VBZ cord-022594-fx044gcd 598 34 absent absent JJ cord-022594-fx044gcd 598 35 . . . cord-022594-fx044gcd 599 1 Slowed slowed JJ cord-022594-fx044gcd 599 2 conduction conduction NN cord-022594-fx044gcd 599 3 is be VBZ cord-022594-fx044gcd 599 4 present present JJ cord-022594-fx044gcd 599 5 on on IN cord-022594-fx044gcd 599 6 SSEP SSEP NNS cord-022594-fx044gcd 599 7 in in IN cord-022594-fx044gcd 599 8 nearly nearly RB cord-022594-fx044gcd 599 9 three three CD cord-022594-fx044gcd 599 10 fourths fourth NNS cord-022594-fx044gcd 599 11 of of IN cord-022594-fx044gcd 599 12 patients patient NNS cord-022594-fx044gcd 599 13 with with IN cord-022594-fx044gcd 599 14 CDMS CDMS NNP cord-022594-fx044gcd 599 15 . . . cord-022594-fx044gcd 600 1 BAEs bae NNS cord-022594-fx044gcd 600 2 are be VBP cord-022594-fx044gcd 600 3 the the DT cord-022594-fx044gcd 600 4 least least RBS cord-022594-fx044gcd 600 5 sensitive sensitive JJ cord-022594-fx044gcd 600 6 , , , cord-022594-fx044gcd 600 7 with with IN cord-022594-fx044gcd 600 8 abnormalities abnormality NNS cord-022594-fx044gcd 600 9 in in IN cord-022594-fx044gcd 600 10 less less JJR cord-022594-fx044gcd 600 11 than than IN cord-022594-fx044gcd 600 12 50 50 CD cord-022594-fx044gcd 600 13 % % NN cord-022594-fx044gcd 600 14 . . . cord-022594-fx044gcd 601 1 MRI MRI NNP cord-022594-fx044gcd 601 2 has have VBZ cord-022594-fx044gcd 601 3 largely largely RB cord-022594-fx044gcd 601 4 supplanted supplant VBN cord-022594-fx044gcd 601 5 the the DT cord-022594-fx044gcd 601 6 use use NN cord-022594-fx044gcd 601 7 of of IN cord-022594-fx044gcd 601 8 evoked evoke VBN cord-022594-fx044gcd 601 9 potentials potential NNS cord-022594-fx044gcd 601 10 in in IN cord-022594-fx044gcd 601 11 MS MS NNP cord-022594-fx044gcd 601 12 because because IN cord-022594-fx044gcd 601 13 of of IN cord-022594-fx044gcd 601 14 the the DT cord-022594-fx044gcd 601 15 greater great JJR cord-022594-fx044gcd 601 16 sensitivity sensitivity NN cord-022594-fx044gcd 601 17 in in IN cord-022594-fx044gcd 601 18 the the DT cord-022594-fx044gcd 601 19 diagnosis diagnosis NN cord-022594-fx044gcd 601 20 and and CC cord-022594-fx044gcd 601 21 the the DT cord-022594-fx044gcd 601 22 detailed detailed JJ cord-022594-fx044gcd 601 23 anatomical anatomical JJ cord-022594-fx044gcd 601 24 information information NN cord-022594-fx044gcd 601 25 it -PRON- PRP cord-022594-fx044gcd 601 26 provides provide VBZ cord-022594-fx044gcd 601 27 . . . cord-022594-fx044gcd 602 1 In in IN cord-022594-fx044gcd 602 2 2001 2001 CD cord-022594-fx044gcd 602 3 , , , cord-022594-fx044gcd 602 4 the the DT cord-022594-fx044gcd 602 5 American American NNP cord-022594-fx044gcd 602 6 Academy Academy NNP cord-022594-fx044gcd 602 7 of of IN cord-022594-fx044gcd 602 8 Neurology Neurology NNP cord-022594-fx044gcd 602 9 released release VBD cord-022594-fx044gcd 602 10 practice practice NN cord-022594-fx044gcd 602 11 parameters parameter NNS cord-022594-fx044gcd 602 12 regarding regard VBG cord-022594-fx044gcd 602 13 the the DT cord-022594-fx044gcd 602 14 usefulness usefulness NN cord-022594-fx044gcd 602 15 of of IN cord-022594-fx044gcd 602 16 evoked evoke VBN cord-022594-fx044gcd 602 17 potential potential JJ cord-022594-fx044gcd 602 18 studies study NNS cord-022594-fx044gcd 602 19 in in IN cord-022594-fx044gcd 602 20 MS MS NNP cord-022594-fx044gcd 602 21 . . . cord-022594-fx044gcd 603 1 According accord VBG cord-022594-fx044gcd 603 2 to to IN cord-022594-fx044gcd 603 3 these these DT cord-022594-fx044gcd 603 4 recommendations recommendation NNS cord-022594-fx044gcd 603 5 , , , cord-022594-fx044gcd 603 6 VEPs vep NNS cord-022594-fx044gcd 603 7 are be VBP cord-022594-fx044gcd 603 8 considered consider VBN cord-022594-fx044gcd 603 9 probably probably RB cord-022594-fx044gcd 603 10 useful useful JJ cord-022594-fx044gcd 603 11 ( ( -LRB- cord-022594-fx044gcd 603 12 class class NN cord-022594-fx044gcd 603 13 II II NNP cord-022594-fx044gcd 603 14 evidence evidence NN cord-022594-fx044gcd 603 15 ) ) -RRB- cord-022594-fx044gcd 603 16 to to TO cord-022594-fx044gcd 603 17 identify identify VB cord-022594-fx044gcd 603 18 patients patient NNS cord-022594-fx044gcd 603 19 at at IN cord-022594-fx044gcd 603 20 increased increase VBN cord-022594-fx044gcd 603 21 risk risk NN cord-022594-fx044gcd 603 22 for for IN cord-022594-fx044gcd 603 23 developing develop VBG cord-022594-fx044gcd 603 24 clinically clinically RB cord-022594-fx044gcd 603 25 definite definite JJ cord-022594-fx044gcd 603 26 MS m NNS cord-022594-fx044gcd 603 27 . . . cord-022594-fx044gcd 604 1 SSEPs ssep NNS cord-022594-fx044gcd 604 2 are be VBP cord-022594-fx044gcd 604 3 possibly possibly RB cord-022594-fx044gcd 604 4 useful useful JJ cord-022594-fx044gcd 604 5 , , , cord-022594-fx044gcd 604 6 whereas whereas IN cord-022594-fx044gcd 604 7 the the DT cord-022594-fx044gcd 604 8 evidence evidence NN cord-022594-fx044gcd 604 9 for for IN cord-022594-fx044gcd 604 10 BAEPs baep NNS cord-022594-fx044gcd 604 11 supporting support VBG cord-022594-fx044gcd 604 12 the the DT cord-022594-fx044gcd 604 13 diagnosis diagnosis NN cord-022594-fx044gcd 604 14 of of IN cord-022594-fx044gcd 604 15 CDMS CDMS NNP cord-022594-fx044gcd 604 16 is be VBZ cord-022594-fx044gcd 604 17 insufficient insufficient JJ cord-022594-fx044gcd 604 18 . . . cord-022594-fx044gcd 605 1 MANAGEMENT management NN cord-022594-fx044gcd 605 2 . . . cord-022594-fx044gcd 606 1 There there EX cord-022594-fx044gcd 606 2 is be VBZ cord-022594-fx044gcd 606 3 no no DT cord-022594-fx044gcd 606 4 available available JJ cord-022594-fx044gcd 606 5 prevention prevention NN cord-022594-fx044gcd 606 6 or or CC cord-022594-fx044gcd 606 7 cure cure NN cord-022594-fx044gcd 606 8 for for IN cord-022594-fx044gcd 606 9 MS MS NNP cord-022594-fx044gcd 606 10 . . . cord-022594-fx044gcd 607 1 Treatments treatment NNS cord-022594-fx044gcd 607 2 focus focus VBP cord-022594-fx044gcd 607 3 on on IN cord-022594-fx044gcd 607 4 three three CD cord-022594-fx044gcd 607 5 areas area NNS cord-022594-fx044gcd 607 6 : : : cord-022594-fx044gcd 607 7 treating treat VBG cord-022594-fx044gcd 607 8 acute acute JJ cord-022594-fx044gcd 607 9 exacerbations exacerbation NNS cord-022594-fx044gcd 607 10 and and CC cord-022594-fx044gcd 607 11 hastening hasten VBG cord-022594-fx044gcd 607 12 their -PRON- PRP$ cord-022594-fx044gcd 607 13 recovery recovery NN cord-022594-fx044gcd 607 14 ; ; : cord-022594-fx044gcd 607 15 altering alter VBG cord-022594-fx044gcd 607 16 the the DT cord-022594-fx044gcd 607 17 natural natural JJ cord-022594-fx044gcd 607 18 history history NN cord-022594-fx044gcd 607 19 of of IN cord-022594-fx044gcd 607 20 MS MS NNP cord-022594-fx044gcd 607 21 ; ; : cord-022594-fx044gcd 607 22 and and CC cord-022594-fx044gcd 607 23 providing provide VBG cord-022594-fx044gcd 607 24 symptomatic symptomatic JJ cord-022594-fx044gcd 607 25 relief relief NN cord-022594-fx044gcd 607 26 of of IN cord-022594-fx044gcd 607 27 current current JJ cord-022594-fx044gcd 607 28 symptoms symptom NNS cord-022594-fx044gcd 607 29 by by IN cord-022594-fx044gcd 607 30 enhancing enhance VBG cord-022594-fx044gcd 607 31 physical physical JJ cord-022594-fx044gcd 607 32 abilities ability NNS cord-022594-fx044gcd 607 33 and and CC cord-022594-fx044gcd 607 34 preventing prevent VBG cord-022594-fx044gcd 607 35 or or CC cord-022594-fx044gcd 607 36 treating treat VBG cord-022594-fx044gcd 607 37 complications complication NNS cord-022594-fx044gcd 607 38 . . . cord-022594-fx044gcd 608 1 A a DT cord-022594-fx044gcd 608 2 fourth fourth JJ cord-022594-fx044gcd 608 3 management management NN cord-022594-fx044gcd 608 4 topic topic NN cord-022594-fx044gcd 608 5 concerns concern VBZ cord-022594-fx044gcd 608 6 special special JJ cord-022594-fx044gcd 608 7 treatment treatment NN cord-022594-fx044gcd 608 8 issues issue NNS cord-022594-fx044gcd 608 9 related relate VBN cord-022594-fx044gcd 608 10 to to IN cord-022594-fx044gcd 608 11 pregnancy pregnancy NN cord-022594-fx044gcd 608 12 . . . cord-022594-fx044gcd 609 1 Acute Acute NNP cord-022594-fx044gcd 609 2 Exacerbations Exacerbations NNPS cord-022594-fx044gcd 609 3 . . . cord-022594-fx044gcd 610 1 Corticosteroids corticosteroid NNS cord-022594-fx044gcd 610 2 are be VBP cord-022594-fx044gcd 610 3 the the DT cord-022594-fx044gcd 610 4 most most RBS cord-022594-fx044gcd 610 5 commonly commonly RB cord-022594-fx044gcd 610 6 used use VBN cord-022594-fx044gcd 610 7 treatment treatment NN cord-022594-fx044gcd 610 8 for for IN cord-022594-fx044gcd 610 9 MS MS NNP cord-022594-fx044gcd 610 10 , , , cord-022594-fx044gcd 610 11 although although IN cord-022594-fx044gcd 610 12 there there EX cord-022594-fx044gcd 610 13 have have VBP cord-022594-fx044gcd 610 14 been be VBN cord-022594-fx044gcd 610 15 few few JJ cord-022594-fx044gcd 610 16 studies study NNS cord-022594-fx044gcd 610 17 to to TO cord-022594-fx044gcd 610 18 address address VB cord-022594-fx044gcd 610 19 their -PRON- PRP$ cord-022594-fx044gcd 610 20 efficacy efficacy NN cord-022594-fx044gcd 610 21 . . . cord-022594-fx044gcd 611 1 Adrenocorticotropic Adrenocorticotropic NNP cord-022594-fx044gcd 611 2 hormone hormone NN cord-022594-fx044gcd 611 3 ( ( -LRB- cord-022594-fx044gcd 611 4 ACTH ACTH NNP cord-022594-fx044gcd 611 5 ) ) -RRB- cord-022594-fx044gcd 611 6 was be VBD cord-022594-fx044gcd 611 7 shown show VBN cord-022594-fx044gcd 611 8 to to TO cord-022594-fx044gcd 611 9 speed speed VB cord-022594-fx044gcd 611 10 recovery recovery NN cord-022594-fx044gcd 611 11 from from IN cord-022594-fx044gcd 611 12 an an DT cord-022594-fx044gcd 611 13 exacerbation exacerbation NN cord-022594-fx044gcd 611 14 but but CC cord-022594-fx044gcd 611 15 had have VBD cord-022594-fx044gcd 611 16 no no DT cord-022594-fx044gcd 611 17 effect effect NN cord-022594-fx044gcd 611 18 on on IN cord-022594-fx044gcd 611 19 the the DT cord-022594-fx044gcd 611 20 ultimate ultimate JJ cord-022594-fx044gcd 611 21 degree degree NN cord-022594-fx044gcd 611 22 of of IN cord-022594-fx044gcd 611 23 recovery recovery NN cord-022594-fx044gcd 611 24 . . . cord-022594-fx044gcd 612 1 Because because IN cord-022594-fx044gcd 612 2 of of IN cord-022594-fx044gcd 612 3 the the DT cord-022594-fx044gcd 612 4 unpredictable unpredictable JJ cord-022594-fx044gcd 612 5 cortisone cortisone NN cord-022594-fx044gcd 612 6 response response NN cord-022594-fx044gcd 612 7 to to IN cord-022594-fx044gcd 612 8 ACTH ACTH NNP cord-022594-fx044gcd 612 9 , , , cord-022594-fx044gcd 612 10 oral oral JJ cord-022594-fx044gcd 612 11 prednisone prednisone NN cord-022594-fx044gcd 612 12 and and CC cord-022594-fx044gcd 612 13 later later JJ cord-022594-fx044gcd 612 14 intravenous intravenous JJ cord-022594-fx044gcd 612 15 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 612 16 became become VBD cord-022594-fx044gcd 612 17 the the DT cord-022594-fx044gcd 612 18 preferred preferred JJ cord-022594-fx044gcd 612 19 treatments treatment NNS cord-022594-fx044gcd 612 20 . . . cord-022594-fx044gcd 613 1 The the DT cord-022594-fx044gcd 613 2 Optic Optic NNP cord-022594-fx044gcd 613 3 Neuritis Neuritis NNP cord-022594-fx044gcd 613 4 Treatment Treatment NNP cord-022594-fx044gcd 613 5 Trial Trial NNP cord-022594-fx044gcd 613 6 verified verify VBD cord-022594-fx044gcd 613 7 that that IN cord-022594-fx044gcd 613 8 intravenous intravenous JJ cord-022594-fx044gcd 613 9 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 613 10 but but CC cord-022594-fx044gcd 613 11 not not RB cord-022594-fx044gcd 613 12 prednisone prednisone NNP cord-022594-fx044gcd 613 13 increased increase VBD cord-022594-fx044gcd 613 14 the the DT cord-022594-fx044gcd 613 15 recovery recovery NN cord-022594-fx044gcd 613 16 rate rate NN cord-022594-fx044gcd 613 17 and and CC cord-022594-fx044gcd 613 18 unexpectedly unexpectedly RB cord-022594-fx044gcd 613 19 increased increase VBD cord-022594-fx044gcd 613 20 the the DT cord-022594-fx044gcd 613 21 time time NN cord-022594-fx044gcd 613 22 to to IN cord-022594-fx044gcd 613 23 the the DT cord-022594-fx044gcd 613 24 next next JJ cord-022594-fx044gcd 613 25 relapse relapse NN cord-022594-fx044gcd 613 26 , , , cord-022594-fx044gcd 613 27 thus thus RB cord-022594-fx044gcd 613 28 delaying delay VBG cord-022594-fx044gcd 613 29 the the DT cord-022594-fx044gcd 613 30 diagnosis diagnosis NN cord-022594-fx044gcd 613 31 of of IN cord-022594-fx044gcd 613 32 CDMS CDMS NNP cord-022594-fx044gcd 613 33 . . . cord-022594-fx044gcd 614 1 54 54 CD cord-022594-fx044gcd 615 1 Moreover moreover RB cord-022594-fx044gcd 615 2 , , , cord-022594-fx044gcd 615 3 the the DT cord-022594-fx044gcd 615 4 prednisone prednisone NN cord-022594-fx044gcd 615 5 - - HYPH cord-022594-fx044gcd 615 6 treated treat VBN cord-022594-fx044gcd 615 7 group group NN cord-022594-fx044gcd 615 8 had have VBD cord-022594-fx044gcd 615 9 twice twice RB cord-022594-fx044gcd 615 10 as as RB cord-022594-fx044gcd 615 11 many many JJ cord-022594-fx044gcd 615 12 recurrences recurrence NNS cord-022594-fx044gcd 615 13 . . . cord-022594-fx044gcd 616 1 The the DT cord-022594-fx044gcd 616 2 finding finding NN cord-022594-fx044gcd 616 3 was be VBD cord-022594-fx044gcd 616 4 not not RB cord-022594-fx044gcd 616 5 replicated replicate VBN cord-022594-fx044gcd 616 6 in in IN cord-022594-fx044gcd 616 7 a a DT cord-022594-fx044gcd 616 8 second second JJ cord-022594-fx044gcd 616 9 study study NN cord-022594-fx044gcd 616 10 , , , cord-022594-fx044gcd 616 11 but but CC cord-022594-fx044gcd 616 12 it -PRON- PRP cord-022594-fx044gcd 616 13 has have VBZ cord-022594-fx044gcd 616 14 affected affect VBN cord-022594-fx044gcd 616 15 the the DT cord-022594-fx044gcd 616 16 practice practice NN cord-022594-fx044gcd 616 17 of of IN cord-022594-fx044gcd 616 18 treating treat VBG cord-022594-fx044gcd 616 19 acute acute JJ cord-022594-fx044gcd 616 20 MS MS NNP cord-022594-fx044gcd 616 21 exacerbations exacerbation NNS cord-022594-fx044gcd 616 22 . . . cord-022594-fx044gcd 617 1 The the DT cord-022594-fx044gcd 617 2 current current JJ cord-022594-fx044gcd 617 3 recommendation recommendation NN cord-022594-fx044gcd 617 4 is be VBZ cord-022594-fx044gcd 617 5 to to TO cord-022594-fx044gcd 617 6 treat treat VB cord-022594-fx044gcd 617 7 disabling disable VBG cord-022594-fx044gcd 617 8 attacks attack NNS cord-022594-fx044gcd 617 9 with with IN cord-022594-fx044gcd 617 10 500 500 CD cord-022594-fx044gcd 617 11 to to TO cord-022594-fx044gcd 617 12 1000 1000 CD cord-022594-fx044gcd 617 13 mg mg NN cord-022594-fx044gcd 617 14 of of IN cord-022594-fx044gcd 617 15 intravenous intravenous JJ cord-022594-fx044gcd 617 16 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 617 17 per per IN cord-022594-fx044gcd 617 18 day day NN cord-022594-fx044gcd 617 19 for for IN cord-022594-fx044gcd 617 20 3 3 CD cord-022594-fx044gcd 617 21 to to TO cord-022594-fx044gcd 617 22 5 5 CD cord-022594-fx044gcd 617 23 days day NNS cord-022594-fx044gcd 617 24 with with IN cord-022594-fx044gcd 617 25 or or CC cord-022594-fx044gcd 617 26 without without IN cord-022594-fx044gcd 617 27 a a DT cord-022594-fx044gcd 617 28 short short JJ cord-022594-fx044gcd 617 29 tapering tapering NN cord-022594-fx044gcd 617 30 dose dose NN cord-022594-fx044gcd 617 31 of of IN cord-022594-fx044gcd 617 32 oral oral JJ cord-022594-fx044gcd 617 33 corticosteroids corticosteroid NNS cord-022594-fx044gcd 617 34 . . . cord-022594-fx044gcd 618 1 According accord VBG cord-022594-fx044gcd 618 2 to to IN cord-022594-fx044gcd 618 3 the the DT cord-022594-fx044gcd 618 4 practice practice NN cord-022594-fx044gcd 618 5 parameters parameter NNS cord-022594-fx044gcd 618 6 for for IN cord-022594-fx044gcd 618 7 steroid steroid NN cord-022594-fx044gcd 618 8 treatment treatment NN cord-022594-fx044gcd 618 9 of of IN cord-022594-fx044gcd 618 10 acute acute JJ cord-022594-fx044gcd 618 11 ON on IN cord-022594-fx044gcd 618 12 attacks attack NNS cord-022594-fx044gcd 618 13 released release VBN cord-022594-fx044gcd 618 14 by by IN cord-022594-fx044gcd 618 15 the the DT cord-022594-fx044gcd 618 16 American American NNP cord-022594-fx044gcd 618 17 Academy Academy NNP cord-022594-fx044gcd 618 18 of of IN cord-022594-fx044gcd 618 19 Neurology Neurology NNP cord-022594-fx044gcd 618 20 in in IN cord-022594-fx044gcd 618 21 2001 2001 CD cord-022594-fx044gcd 618 22 , , , cord-022594-fx044gcd 618 23 oral oral JJ cord-022594-fx044gcd 618 24 prednisone prednisone NN cord-022594-fx044gcd 618 25 in in IN cord-022594-fx044gcd 618 26 doses dose NNS cord-022594-fx044gcd 618 27 of of IN cord-022594-fx044gcd 618 28 1 1 CD cord-022594-fx044gcd 618 29 mg mg NNP cord-022594-fx044gcd 618 30 / / SYM cord-022594-fx044gcd 618 31 kg kg NNP cord-022594-fx044gcd 618 32 / / SYM cord-022594-fx044gcd 618 33 day day NN cord-022594-fx044gcd 618 34 has have VBZ cord-022594-fx044gcd 618 35 no no DT cord-022594-fx044gcd 618 36 proven prove VBN cord-022594-fx044gcd 618 37 value value NN cord-022594-fx044gcd 618 38 . . . cord-022594-fx044gcd 619 1 Higher high JJR cord-022594-fx044gcd 619 2 dose dose NN cord-022594-fx044gcd 619 3 of of IN cord-022594-fx044gcd 619 4 oral oral JJ cord-022594-fx044gcd 619 5 or or CC cord-022594-fx044gcd 619 6 parenteral parenteral JJ cord-022594-fx044gcd 619 7 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 619 8 may may MD cord-022594-fx044gcd 619 9 result result VB cord-022594-fx044gcd 619 10 in in IN cord-022594-fx044gcd 619 11 quicker quick RBR cord-022594-fx044gcd 619 12 and and CC cord-022594-fx044gcd 619 13 more more RBR cord-022594-fx044gcd 619 14 thorough thorough JJ cord-022594-fx044gcd 619 15 recovery recovery NN cord-022594-fx044gcd 619 16 of of IN cord-022594-fx044gcd 619 17 visual visual JJ cord-022594-fx044gcd 619 18 function function NN cord-022594-fx044gcd 619 19 . . . cord-022594-fx044gcd 620 1 There there EX cord-022594-fx044gcd 620 2 is be VBZ cord-022594-fx044gcd 620 3 no no DT cord-022594-fx044gcd 620 4 evidence evidence NN cord-022594-fx044gcd 620 5 of of IN cord-022594-fx044gcd 620 6 long long JJ cord-022594-fx044gcd 620 7 - - HYPH cord-022594-fx044gcd 620 8 term term NN cord-022594-fx044gcd 620 9 benefit benefit NN cord-022594-fx044gcd 620 10 for for IN cord-022594-fx044gcd 620 11 visual visual JJ cord-022594-fx044gcd 620 12 function function NN cord-022594-fx044gcd 620 13 . . . cord-022594-fx044gcd 621 1 A a DT cord-022594-fx044gcd 621 2 study study NN cord-022594-fx044gcd 621 3 suggested suggest VBD cord-022594-fx044gcd 621 4 that that IN cord-022594-fx044gcd 621 5 intravenous intravenous JJ cord-022594-fx044gcd 621 6 steroids steroid NNS cord-022594-fx044gcd 621 7 may may MD cord-022594-fx044gcd 621 8 also also RB cord-022594-fx044gcd 621 9 have have VB cord-022594-fx044gcd 621 10 long long JJ cord-022594-fx044gcd 621 11 - - HYPH cord-022594-fx044gcd 621 12 term term NN cord-022594-fx044gcd 621 13 effects effect NNS cord-022594-fx044gcd 621 14 on on IN cord-022594-fx044gcd 621 15 disease disease NN cord-022594-fx044gcd 621 16 progression progression NN cord-022594-fx044gcd 621 17 when when WRB cord-022594-fx044gcd 621 18 given give VBN cord-022594-fx044gcd 621 19 regularly regularly RB cord-022594-fx044gcd 621 20 . . . cord-022594-fx044gcd 622 1 55 55 CD cord-022594-fx044gcd 623 1 In in IN cord-022594-fx044gcd 623 2 this this DT cord-022594-fx044gcd 623 3 study study NN cord-022594-fx044gcd 623 4 , , , cord-022594-fx044gcd 623 5 RRMS RRMS NNP cord-022594-fx044gcd 623 6 patients patient NNS cord-022594-fx044gcd 623 7 randomized randomize VBN cord-022594-fx044gcd 623 8 to to TO cord-022594-fx044gcd 623 9 receive receive VB cord-022594-fx044gcd 623 10 regularly regularly RB cord-022594-fx044gcd 623 11 scheduled schedule VBN cord-022594-fx044gcd 623 12 pulses pulse NNS cord-022594-fx044gcd 623 13 of of IN cord-022594-fx044gcd 623 14 IV IV NNP cord-022594-fx044gcd 623 15 methylprednisolone methylprednisolone NNP cord-022594-fx044gcd 623 16 ( ( -LRB- cord-022594-fx044gcd 623 17 every every DT cord-022594-fx044gcd 623 18 4 4 CD cord-022594-fx044gcd 623 19 months month NNS cord-022594-fx044gcd 623 20 for for IN cord-022594-fx044gcd 623 21 3 3 CD cord-022594-fx044gcd 623 22 years year NNS cord-022594-fx044gcd 623 23 , , , cord-022594-fx044gcd 623 24 then then RB cord-022594-fx044gcd 623 25 every every DT cord-022594-fx044gcd 623 26 6 6 CD cord-022594-fx044gcd 623 27 months month NNS cord-022594-fx044gcd 623 28 for for IN cord-022594-fx044gcd 623 29 2 2 CD cord-022594-fx044gcd 623 30 years year NNS cord-022594-fx044gcd 623 31 ) ) -RRB- cord-022594-fx044gcd 623 32 demonstrated demonstrate VBD cord-022594-fx044gcd 623 33 stability stability NN cord-022594-fx044gcd 623 34 or or CC cord-022594-fx044gcd 623 35 improvement improvement NN cord-022594-fx044gcd 623 36 in in IN cord-022594-fx044gcd 623 37 disability disability NN cord-022594-fx044gcd 623 38 measures measure NNS cord-022594-fx044gcd 623 39 , , , cord-022594-fx044gcd 623 40 fewer few JJR cord-022594-fx044gcd 623 41 " " `` cord-022594-fx044gcd 623 42 T1 t1 NN cord-022594-fx044gcd 623 43 black black JJ cord-022594-fx044gcd 623 44 holes hole NNS cord-022594-fx044gcd 623 45 , , , cord-022594-fx044gcd 623 46 " " '' cord-022594-fx044gcd 623 47 and and CC cord-022594-fx044gcd 623 48 less less JJR cord-022594-fx044gcd 623 49 brain brain NN cord-022594-fx044gcd 623 50 atrophy atrophy NN cord-022594-fx044gcd 623 51 than than IN cord-022594-fx044gcd 623 52 did do VBD cord-022594-fx044gcd 623 53 control control NN cord-022594-fx044gcd 623 54 patients patient NNS cord-022594-fx044gcd 623 55 randomized randomize VBN cord-022594-fx044gcd 623 56 to to TO cord-022594-fx044gcd 623 57 receive receive VB cord-022594-fx044gcd 623 58 steroids steroid NNS cord-022594-fx044gcd 623 59 only only RB cord-022594-fx044gcd 623 60 with with IN cord-022594-fx044gcd 623 61 relapses relapse NNS cord-022594-fx044gcd 623 62 . . . cord-022594-fx044gcd 624 1 These these DT cord-022594-fx044gcd 624 2 findings finding NNS cord-022594-fx044gcd 624 3 suggest suggest VBP cord-022594-fx044gcd 624 4 a a DT cord-022594-fx044gcd 624 5 possible possible JJ cord-022594-fx044gcd 624 6 long long JJ cord-022594-fx044gcd 624 7 - - HYPH cord-022594-fx044gcd 624 8 term term NN cord-022594-fx044gcd 624 9 benefit benefit NN cord-022594-fx044gcd 624 10 of of IN cord-022594-fx044gcd 624 11 pulsed pulse VBN cord-022594-fx044gcd 624 12 IV IV NNP cord-022594-fx044gcd 624 13 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 624 14 therapy therapy NN cord-022594-fx044gcd 624 15 on on IN cord-022594-fx044gcd 624 16 brain brain NN cord-022594-fx044gcd 624 17 atrophy atrophy NN cord-022594-fx044gcd 624 18 and and CC cord-022594-fx044gcd 624 19 disability disability NN cord-022594-fx044gcd 624 20 . . . cord-022594-fx044gcd 625 1 This this DT cord-022594-fx044gcd 625 2 as as IN cord-022594-fx044gcd 625 3 yet yet RB cord-022594-fx044gcd 625 4 unconfirmed unconfirmed JJ cord-022594-fx044gcd 625 5 approach approach NN cord-022594-fx044gcd 625 6 to to IN cord-022594-fx044gcd 625 7 long long JJ cord-022594-fx044gcd 625 8 - - HYPH cord-022594-fx044gcd 625 9 term term NN cord-022594-fx044gcd 625 10 therapy therapy NN cord-022594-fx044gcd 625 11 might may MD cord-022594-fx044gcd 625 12 be be VB cord-022594-fx044gcd 625 13 considered consider VBN cord-022594-fx044gcd 625 14 a a DT cord-022594-fx044gcd 625 15 reasonable reasonable JJ cord-022594-fx044gcd 625 16 " " `` cord-022594-fx044gcd 625 17 control control NN cord-022594-fx044gcd 625 18 arm arm NN cord-022594-fx044gcd 625 19 " " '' cord-022594-fx044gcd 625 20 in in IN cord-022594-fx044gcd 625 21 future future JJ cord-022594-fx044gcd 625 22 phase phase NN cord-022594-fx044gcd 625 23 III iii CD cord-022594-fx044gcd 625 24 trials trial NNS cord-022594-fx044gcd 625 25 of of IN cord-022594-fx044gcd 625 26 experimental experimental JJ cord-022594-fx044gcd 625 27 therapies therapy NNS cord-022594-fx044gcd 625 28 . . . cord-022594-fx044gcd 626 1 Up up IN cord-022594-fx044gcd 626 2 to to TO cord-022594-fx044gcd 626 3 one one CD cord-022594-fx044gcd 626 4 third third NN cord-022594-fx044gcd 626 5 of of IN cord-022594-fx044gcd 626 6 patients patient NNS cord-022594-fx044gcd 626 7 do do VBP cord-022594-fx044gcd 626 8 not not RB cord-022594-fx044gcd 626 9 have have VB cord-022594-fx044gcd 626 10 an an DT cord-022594-fx044gcd 626 11 adequate adequate JJ cord-022594-fx044gcd 626 12 recovery recovery NN cord-022594-fx044gcd 626 13 after after IN cord-022594-fx044gcd 626 14 a a DT cord-022594-fx044gcd 626 15 relapse relapse NN cord-022594-fx044gcd 626 16 despite despite IN cord-022594-fx044gcd 626 17 the the DT cord-022594-fx044gcd 626 18 use use NN cord-022594-fx044gcd 626 19 of of IN cord-022594-fx044gcd 626 20 corticosteroids corticosteroid NNS cord-022594-fx044gcd 626 21 . . . cord-022594-fx044gcd 627 1 Plasma plasma NN cord-022594-fx044gcd 627 2 exchange exchange NN cord-022594-fx044gcd 627 3 ( ( -LRB- cord-022594-fx044gcd 627 4 PLEX PLEX NNP cord-022594-fx044gcd 627 5 ) ) -RRB- cord-022594-fx044gcd 627 6 alone alone RB cord-022594-fx044gcd 627 7 was be VBD cord-022594-fx044gcd 627 8 found find VBN cord-022594-fx044gcd 627 9 beneficial beneficial JJ cord-022594-fx044gcd 627 10 in in IN cord-022594-fx044gcd 627 11 a a DT cord-022594-fx044gcd 627 12 substantial substantial JJ cord-022594-fx044gcd 627 13 proportion proportion NN cord-022594-fx044gcd 627 14 of of IN cord-022594-fx044gcd 627 15 patients patient NNS cord-022594-fx044gcd 627 16 with with IN cord-022594-fx044gcd 627 17 severe severe JJ cord-022594-fx044gcd 627 18 inflammatory inflammatory JJ cord-022594-fx044gcd 627 19 demyelinating demyelinating JJ cord-022594-fx044gcd 627 20 episodes episode NNS cord-022594-fx044gcd 627 21 who who WP cord-022594-fx044gcd 627 22 had have VBD cord-022594-fx044gcd 627 23 failed fail VBN cord-022594-fx044gcd 627 24 to to TO cord-022594-fx044gcd 627 25 improve improve VB cord-022594-fx044gcd 627 26 following follow VBG cord-022594-fx044gcd 627 27 treatment treatment NN cord-022594-fx044gcd 627 28 with with IN cord-022594-fx044gcd 627 29 high high JJ cord-022594-fx044gcd 627 30 - - HYPH cord-022594-fx044gcd 627 31 dose dose NN cord-022594-fx044gcd 627 32 IV IV NNP cord-022594-fx044gcd 627 33 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 627 34 . . . cord-022594-fx044gcd 628 1 56 56 CD cord-022594-fx044gcd 628 2 , , , cord-022594-fx044gcd 628 3 57 57 CD cord-022594-fx044gcd 629 1 A a DT cord-022594-fx044gcd 629 2 randomized randomized JJ cord-022594-fx044gcd 629 3 , , , cord-022594-fx044gcd 629 4 sham sham NN cord-022594-fx044gcd 629 5 - - HYPH cord-022594-fx044gcd 629 6 controlled control VBN cord-022594-fx044gcd 629 7 , , , cord-022594-fx044gcd 629 8 double double JJ cord-022594-fx044gcd 629 9 - - HYPH cord-022594-fx044gcd 629 10 blind blind JJ cord-022594-fx044gcd 629 11 trial trial NN cord-022594-fx044gcd 629 12 in in IN cord-022594-fx044gcd 629 13 22 22 CD cord-022594-fx044gcd 629 14 patients patient NNS cord-022594-fx044gcd 629 15 ( ( -LRB- cord-022594-fx044gcd 629 16 seven seven CD cord-022594-fx044gcd 629 17 exchanges exchange NNS cord-022594-fx044gcd 629 18 over over IN cord-022594-fx044gcd 629 19 14 14 CD cord-022594-fx044gcd 629 20 days day NNS cord-022594-fx044gcd 629 21 ) ) -RRB- cord-022594-fx044gcd 629 22 without without IN cord-022594-fx044gcd 629 23 concomitant concomitant JJ cord-022594-fx044gcd 629 24 use use NN cord-022594-fx044gcd 629 25 of of IN cord-022594-fx044gcd 629 26 immunosuppressants immunosuppressant NNS cord-022594-fx044gcd 629 27 in in IN cord-022594-fx044gcd 629 28 acute acute JJ cord-022594-fx044gcd 629 29 demyelinating demyelinating JJ cord-022594-fx044gcd 629 30 events event NNS cord-022594-fx044gcd 629 31 confirmed confirm VBD cord-022594-fx044gcd 629 32 these these DT cord-022594-fx044gcd 629 33 findings finding NNS cord-022594-fx044gcd 629 34 . . . cord-022594-fx044gcd 630 1 58 58 CD cord-022594-fx044gcd 630 2 Moderate moderate JJ cord-022594-fx044gcd 630 3 or or CC cord-022594-fx044gcd 630 4 greater great JJR cord-022594-fx044gcd 630 5 clinical clinical JJ cord-022594-fx044gcd 630 6 improvement improvement NN cord-022594-fx044gcd 630 7 was be VBD cord-022594-fx044gcd 630 8 observed observe VBN cord-022594-fx044gcd 630 9 in in IN cord-022594-fx044gcd 630 10 over over IN cord-022594-fx044gcd 630 11 42 42 CD cord-022594-fx044gcd 630 12 % % NN cord-022594-fx044gcd 630 13 of of IN cord-022594-fx044gcd 630 14 participants participant NNS cord-022594-fx044gcd 630 15 . . . cord-022594-fx044gcd 631 1 A a DT cord-022594-fx044gcd 631 2 trial trial NN cord-022594-fx044gcd 631 3 of of IN cord-022594-fx044gcd 631 4 seven seven CD cord-022594-fx044gcd 631 5 PLEX PLEX NNP cord-022594-fx044gcd 631 6 treatments treatment NNS cord-022594-fx044gcd 631 7 ( ( -LRB- cord-022594-fx044gcd 631 8 alternate alternate JJ cord-022594-fx044gcd 631 9 days day NNS cord-022594-fx044gcd 631 10 ) ) -RRB- cord-022594-fx044gcd 631 11 is be VBZ cord-022594-fx044gcd 631 12 a a DT cord-022594-fx044gcd 631 13 reasonable reasonable JJ cord-022594-fx044gcd 631 14 option option NN cord-022594-fx044gcd 631 15 for for IN cord-022594-fx044gcd 631 16 patients patient NNS cord-022594-fx044gcd 631 17 who who WP cord-022594-fx044gcd 631 18 fail fail VBP cord-022594-fx044gcd 631 19 to to TO cord-022594-fx044gcd 631 20 respond respond VB cord-022594-fx044gcd 631 21 to to IN cord-022594-fx044gcd 631 22 conventional conventional JJ cord-022594-fx044gcd 631 23 IV IV NNP cord-022594-fx044gcd 631 24 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 631 25 therapy therapy NN cord-022594-fx044gcd 631 26 in in IN cord-022594-fx044gcd 631 27 acute acute JJ cord-022594-fx044gcd 631 28 , , , cord-022594-fx044gcd 631 29 severe severe JJ cord-022594-fx044gcd 631 30 episodes episode NNS cord-022594-fx044gcd 631 31 of of IN cord-022594-fx044gcd 631 32 demyelinating demyelinate VBG cord-022594-fx044gcd 631 33 diseases disease NNS cord-022594-fx044gcd 631 34 . . . cord-022594-fx044gcd 632 1 The the DT cord-022594-fx044gcd 632 2 response response NN cord-022594-fx044gcd 632 3 to to IN cord-022594-fx044gcd 632 4 PLEX PLEX NNP cord-022594-fx044gcd 632 5 is be VBZ cord-022594-fx044gcd 632 6 stongly stongly RB cord-022594-fx044gcd 632 7 associated associate VBN cord-022594-fx044gcd 632 8 with with IN cord-022594-fx044gcd 632 9 the the DT cord-022594-fx044gcd 632 10 histological histological JJ cord-022594-fx044gcd 632 11 MS MS NNP cord-022594-fx044gcd 632 12 subtype subtype NN cord-022594-fx044gcd 632 13 . . . cord-022594-fx044gcd 633 1 59 59 CD cord-022594-fx044gcd 633 2 Antibody antibody NN cord-022594-fx044gcd 633 3 and and CC cord-022594-fx044gcd 633 4 complement complement NN cord-022594-fx044gcd 633 5 plays play VBZ cord-022594-fx044gcd 633 6 a a DT cord-022594-fx044gcd 633 7 crucial crucial JJ cord-022594-fx044gcd 633 8 role role NN cord-022594-fx044gcd 633 9 in in IN cord-022594-fx044gcd 633 10 pattern pattern NN cord-022594-fx044gcd 633 11 II ii CD cord-022594-fx044gcd 633 12 lesion lesion NN cord-022594-fx044gcd 633 13 formation formation NN cord-022594-fx044gcd 633 14 . . . cord-022594-fx044gcd 634 1 In in IN cord-022594-fx044gcd 634 2 a a DT cord-022594-fx044gcd 634 3 study study NN cord-022594-fx044gcd 634 4 of of IN cord-022594-fx044gcd 634 5 19 19 CD cord-022594-fx044gcd 634 6 biopsy biopsy NN cord-022594-fx044gcd 634 7 - - HYPH cord-022594-fx044gcd 634 8 proven prove VBN cord-022594-fx044gcd 634 9 MS MS NNP cord-022594-fx044gcd 634 10 cases case NNS cord-022594-fx044gcd 634 11 by by IN cord-022594-fx044gcd 634 12 Keegan Keegan NNP cord-022594-fx044gcd 634 13 and and CC cord-022594-fx044gcd 634 14 associates associate NNS cord-022594-fx044gcd 634 15 , , , cord-022594-fx044gcd 634 16 10 10 CD cord-022594-fx044gcd 634 17 pattern pattern NN cord-022594-fx044gcd 634 18 II ii CD cord-022594-fx044gcd 634 19 cases case NNS cord-022594-fx044gcd 634 20 showed show VBD cord-022594-fx044gcd 634 21 good good JJ cord-022594-fx044gcd 634 22 response response NN cord-022594-fx044gcd 634 23 to to IN cord-022594-fx044gcd 634 24 PLEX PLEX NNP cord-022594-fx044gcd 634 25 , , , cord-022594-fx044gcd 634 26 whereas whereas IN cord-022594-fx044gcd 634 27 9 9 CD cord-022594-fx044gcd 634 28 cases case NNS cord-022594-fx044gcd 634 29 of of IN cord-022594-fx044gcd 634 30 pattern pattern NN cord-022594-fx044gcd 634 31 I -PRON- PRP cord-022594-fx044gcd 634 32 or or CC cord-022594-fx044gcd 634 33 III III NNP cord-022594-fx044gcd 634 34 did do VBD cord-022594-fx044gcd 634 35 not not RB cord-022594-fx044gcd 634 36 respond respond VB cord-022594-fx044gcd 634 37 at at RB cord-022594-fx044gcd 634 38 all all RB cord-022594-fx044gcd 634 39 to to IN cord-022594-fx044gcd 634 40 PLEX PLEX NNP cord-022594-fx044gcd 634 41 . . . cord-022594-fx044gcd 635 1 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 635 2 optica optica NN cord-022594-fx044gcd 635 3 , , , cord-022594-fx044gcd 635 4 which which WDT cord-022594-fx044gcd 635 5 is be VBZ cord-022594-fx044gcd 635 6 now now RB cord-022594-fx044gcd 635 7 considered consider VBN cord-022594-fx044gcd 635 8 an an DT cord-022594-fx044gcd 635 9 antibody antibody NN cord-022594-fx044gcd 635 10 - - HYPH cord-022594-fx044gcd 635 11 mediated mediate VBN cord-022594-fx044gcd 635 12 condition condition NN cord-022594-fx044gcd 635 13 with with IN cord-022594-fx044gcd 635 14 a a DT cord-022594-fx044gcd 635 15 known know VBN cord-022594-fx044gcd 635 16 serological serological JJ cord-022594-fx044gcd 635 17 marker marker NN cord-022594-fx044gcd 635 18 , , , cord-022594-fx044gcd 635 19 also also RB cord-022594-fx044gcd 635 20 shows show VBZ cord-022594-fx044gcd 635 21 good good JJ cord-022594-fx044gcd 635 22 response response NN cord-022594-fx044gcd 635 23 to to IN cord-022594-fx044gcd 635 24 PLEX PLEX NNP cord-022594-fx044gcd 635 25 : : : cord-022594-fx044gcd 635 26 in in IN cord-022594-fx044gcd 635 27 a a DT cord-022594-fx044gcd 635 28 study study NN cord-022594-fx044gcd 635 29 by by IN cord-022594-fx044gcd 635 30 the the DT cord-022594-fx044gcd 635 31 Mayo Mayo NNP cord-022594-fx044gcd 635 32 group group NN cord-022594-fx044gcd 635 33 , , , cord-022594-fx044gcd 635 34 60 60 CD cord-022594-fx044gcd 635 35 % % NN cord-022594-fx044gcd 635 36 of of IN cord-022594-fx044gcd 635 37 NMO NMO NNP cord-022594-fx044gcd 635 38 patients patient NNS cord-022594-fx044gcd 635 39 showed show VBD cord-022594-fx044gcd 635 40 moderate moderate JJ cord-022594-fx044gcd 635 41 or or CC cord-022594-fx044gcd 635 42 marked marked JJ cord-022594-fx044gcd 635 43 improvement improvement NN cord-022594-fx044gcd 635 44 to to IN cord-022594-fx044gcd 635 45 PLEX PLEX NNP cord-022594-fx044gcd 635 46 , , , cord-022594-fx044gcd 635 47 and and CC cord-022594-fx044gcd 635 48 an an DT cord-022594-fx044gcd 635 49 additional additional JJ cord-022594-fx044gcd 635 50 10 10 CD cord-022594-fx044gcd 635 51 % % NN cord-022594-fx044gcd 635 52 showed show VBD cord-022594-fx044gcd 635 53 mild mild JJ cord-022594-fx044gcd 635 54 improvement improvement NN cord-022594-fx044gcd 635 55 . . . cord-022594-fx044gcd 636 1 60 60 CD cord-022594-fx044gcd 636 2 Alteration alteration NN cord-022594-fx044gcd 636 3 of of IN cord-022594-fx044gcd 636 4 the the DT cord-022594-fx044gcd 636 5 Natural Natural NNP cord-022594-fx044gcd 636 6 Course Course NNP cord-022594-fx044gcd 636 7 . . . cord-022594-fx044gcd 637 1 The the DT cord-022594-fx044gcd 637 2 primary primary JJ cord-022594-fx044gcd 637 3 goal goal NN cord-022594-fx044gcd 637 4 of of IN cord-022594-fx044gcd 637 5 drug drug NN cord-022594-fx044gcd 637 6 treatment treatment NN cord-022594-fx044gcd 637 7 is be VBZ cord-022594-fx044gcd 637 8 to to TO cord-022594-fx044gcd 637 9 alter alter VB cord-022594-fx044gcd 637 10 the the DT cord-022594-fx044gcd 637 11 natural natural JJ cord-022594-fx044gcd 637 12 course course NN cord-022594-fx044gcd 637 13 of of IN cord-022594-fx044gcd 637 14 the the DT cord-022594-fx044gcd 637 15 disease disease NN cord-022594-fx044gcd 637 16 ( ( -LRB- cord-022594-fx044gcd 637 17 e.g. e.g. RB cord-022594-fx044gcd 637 18 , , , cord-022594-fx044gcd 637 19 reducing reduce VBG cord-022594-fx044gcd 637 20 the the DT cord-022594-fx044gcd 637 21 frequency frequency NN cord-022594-fx044gcd 637 22 and and CC cord-022594-fx044gcd 637 23 severity severity NN cord-022594-fx044gcd 637 24 of of IN cord-022594-fx044gcd 637 25 relapses relapse NNS cord-022594-fx044gcd 637 26 , , , cord-022594-fx044gcd 637 27 preventing prevent VBG cord-022594-fx044gcd 637 28 the the DT cord-022594-fx044gcd 637 29 chronic chronic JJ cord-022594-fx044gcd 637 30 progressive progressive JJ cord-022594-fx044gcd 637 31 phase phase NN cord-022594-fx044gcd 637 32 , , , cord-022594-fx044gcd 637 33 and and CC cord-022594-fx044gcd 637 34 slowing slow VBG cord-022594-fx044gcd 637 35 the the DT cord-022594-fx044gcd 637 36 progression progression NN cord-022594-fx044gcd 637 37 of of IN cord-022594-fx044gcd 637 38 disability disability NN cord-022594-fx044gcd 637 39 ) ) -RRB- cord-022594-fx044gcd 637 40 . . . cord-022594-fx044gcd 638 1 The the DT cord-022594-fx044gcd 638 2 disease disease NN cord-022594-fx044gcd 638 3 activity activity NN cord-022594-fx044gcd 638 4 seen see VBN cord-022594-fx044gcd 638 5 on on IN cord-022594-fx044gcd 638 6 MRI MRI NNP cord-022594-fx044gcd 638 7 is be VBZ cord-022594-fx044gcd 638 8 often often RB cord-022594-fx044gcd 638 9 used use VBN cord-022594-fx044gcd 638 10 as as IN cord-022594-fx044gcd 638 11 a a DT cord-022594-fx044gcd 638 12 secondary secondary JJ cord-022594-fx044gcd 638 13 outcome outcome NN cord-022594-fx044gcd 638 14 , , , cord-022594-fx044gcd 638 15 although although IN cord-022594-fx044gcd 638 16 MRI MRI NNP cord-022594-fx044gcd 638 17 measures measure NNS cord-022594-fx044gcd 638 18 currently currently RB cord-022594-fx044gcd 638 19 correlate correlate VBP cord-022594-fx044gcd 638 20 imperfectly imperfectly RB cord-022594-fx044gcd 638 21 with with IN cord-022594-fx044gcd 638 22 clinical clinical JJ cord-022594-fx044gcd 638 23 outcome outcome NN cord-022594-fx044gcd 638 24 . . . cord-022594-fx044gcd 639 1 Knowledge knowledge NN cord-022594-fx044gcd 639 2 on on IN cord-022594-fx044gcd 639 3 altering alter VBG cord-022594-fx044gcd 639 4 the the DT cord-022594-fx044gcd 639 5 course course NN cord-022594-fx044gcd 639 6 of of IN cord-022594-fx044gcd 639 7 MS MS NNP cord-022594-fx044gcd 639 8 is be VBZ cord-022594-fx044gcd 639 9 largely largely RB cord-022594-fx044gcd 639 10 restricted restrict VBN cord-022594-fx044gcd 639 11 to to IN cord-022594-fx044gcd 639 12 three three CD cord-022594-fx044gcd 639 13 patient patient JJ cord-022594-fx044gcd 639 14 groups group NNS cord-022594-fx044gcd 639 15 , , , cord-022594-fx044gcd 639 16 those those DT cord-022594-fx044gcd 639 17 with with IN cord-022594-fx044gcd 639 18 clinically clinically RB cord-022594-fx044gcd 639 19 isolated isolate VBN cord-022594-fx044gcd 639 20 syndromes syndrome NNS cord-022594-fx044gcd 639 21 , , , cord-022594-fx044gcd 639 22 those those DT cord-022594-fx044gcd 639 23 with with IN cord-022594-fx044gcd 639 24 RRMS RRMS NNP cord-022594-fx044gcd 639 25 , , , cord-022594-fx044gcd 639 26 and and CC cord-022594-fx044gcd 639 27 those those DT cord-022594-fx044gcd 639 28 with with IN cord-022594-fx044gcd 639 29 secondary secondary JJ cord-022594-fx044gcd 639 30 progressive progressive JJ cord-022594-fx044gcd 639 31 MS MS NNP cord-022594-fx044gcd 639 32 . . . cord-022594-fx044gcd 640 1 Before before IN cord-022594-fx044gcd 640 2 we -PRON- PRP cord-022594-fx044gcd 640 3 discuss discuss VBP cord-022594-fx044gcd 640 4 the the DT cord-022594-fx044gcd 640 5 known know VBN cord-022594-fx044gcd 640 6 data datum NNS cord-022594-fx044gcd 640 7 in in IN cord-022594-fx044gcd 640 8 each each DT cord-022594-fx044gcd 640 9 of of IN cord-022594-fx044gcd 640 10 these these DT cord-022594-fx044gcd 640 11 demyelinating demyelinate VBG cord-022594-fx044gcd 640 12 disease disease NN cord-022594-fx044gcd 640 13 categories category NNS cord-022594-fx044gcd 640 14 , , , cord-022594-fx044gcd 640 15 it -PRON- PRP cord-022594-fx044gcd 640 16 may may MD cord-022594-fx044gcd 640 17 be be VB cord-022594-fx044gcd 640 18 worth worth JJ cord-022594-fx044gcd 640 19 while while IN cord-022594-fx044gcd 640 20 to to TO cord-022594-fx044gcd 640 21 review review VB cord-022594-fx044gcd 640 22 the the DT cord-022594-fx044gcd 640 23 use use NN cord-022594-fx044gcd 640 24 of of IN cord-022594-fx044gcd 640 25 the the DT cord-022594-fx044gcd 640 26 most most RBS cord-022594-fx044gcd 640 27 important important JJ cord-022594-fx044gcd 640 28 evidence evidence NN cord-022594-fx044gcd 640 29 - - HYPH cord-022594-fx044gcd 640 30 based base VBN cord-022594-fx044gcd 640 31 medicine medicine NN cord-022594-fx044gcd 640 32 ( ( -LRB- cord-022594-fx044gcd 640 33 EBM EBM NNP cord-022594-fx044gcd 640 34 ) ) -RRB- cord-022594-fx044gcd 640 35 statistics statistic NNS cord-022594-fx044gcd 640 36 that that WDT cord-022594-fx044gcd 640 37 are be VBP cord-022594-fx044gcd 640 38 applied apply VBN cord-022594-fx044gcd 640 39 to to TO cord-022594-fx044gcd 640 40 measure measure VB cord-022594-fx044gcd 640 41 the the DT cord-022594-fx044gcd 640 42 magnitude magnitude NN cord-022594-fx044gcd 640 43 of of IN cord-022594-fx044gcd 640 44 treatment treatment NN cord-022594-fx044gcd 640 45 effect effect NN cord-022594-fx044gcd 640 46 . . . cord-022594-fx044gcd 641 1 Relative relative JJ cord-022594-fx044gcd 641 2 risk risk NN cord-022594-fx044gcd 641 3 reduction reduction NN cord-022594-fx044gcd 641 4 ( ( -LRB- cord-022594-fx044gcd 641 5 RRR RRR NNP cord-022594-fx044gcd 641 6 ) ) -RRB- cord-022594-fx044gcd 641 7 is be VBZ cord-022594-fx044gcd 641 8 the the DT cord-022594-fx044gcd 641 9 metric metric JJ cord-022594-fx044gcd 641 10 most most RBS cord-022594-fx044gcd 641 11 commonly commonly RB cord-022594-fx044gcd 641 12 cited cite VBN cord-022594-fx044gcd 641 13 in in IN cord-022594-fx044gcd 641 14 publications publication NNS cord-022594-fx044gcd 641 15 and and CC cord-022594-fx044gcd 641 16 promotional promotional JJ cord-022594-fx044gcd 641 17 materials material NNS cord-022594-fx044gcd 641 18 about about IN cord-022594-fx044gcd 641 19 clinical clinical JJ cord-022594-fx044gcd 641 20 trials trial NNS cord-022594-fx044gcd 641 21 . . . cord-022594-fx044gcd 642 1 The the DT cord-022594-fx044gcd 642 2 RRR RRR NNP cord-022594-fx044gcd 642 3 is be VBZ cord-022594-fx044gcd 642 4 the the DT cord-022594-fx044gcd 642 5 degree degree NN cord-022594-fx044gcd 642 6 that that IN cord-022594-fx044gcd 642 7 the the DT cord-022594-fx044gcd 642 8 treatment treatment NN cord-022594-fx044gcd 642 9 reduced reduce VBD cord-022594-fx044gcd 642 10 the the DT cord-022594-fx044gcd 642 11 frequency frequency NN cord-022594-fx044gcd 642 12 of of IN cord-022594-fx044gcd 642 13 the the DT cord-022594-fx044gcd 642 14 outcome outcome NN cord-022594-fx044gcd 642 15 measure measure NN cord-022594-fx044gcd 642 16 ( ( -LRB- cord-022594-fx044gcd 642 17 experimental experimental JJ cord-022594-fx044gcd 642 18 event event NN cord-022594-fx044gcd 642 19 rate rate NN cord-022594-fx044gcd 642 20 , , , cord-022594-fx044gcd 642 21 e.g. e.g. RB cord-022594-fx044gcd 642 22 , , , cord-022594-fx044gcd 642 23 relapse relapse NN cord-022594-fx044gcd 642 24 , , , cord-022594-fx044gcd 642 25 progression progression NN cord-022594-fx044gcd 642 26 ) ) -RRB- cord-022594-fx044gcd 642 27 compared compare VBN cord-022594-fx044gcd 642 28 with with IN cord-022594-fx044gcd 642 29 the the DT cord-022594-fx044gcd 642 30 control control NN cord-022594-fx044gcd 642 31 treatment treatment NN cord-022594-fx044gcd 642 32 ( ( -LRB- cord-022594-fx044gcd 642 33 control control NN cord-022594-fx044gcd 642 34 event event NN cord-022594-fx044gcd 642 35 rate rate NN cord-022594-fx044gcd 642 36 ) ) -RRB- cord-022594-fx044gcd 642 37 . . . cord-022594-fx044gcd 643 1 The the DT cord-022594-fx044gcd 643 2 RRR RRR NNP cord-022594-fx044gcd 643 3 is be VBZ cord-022594-fx044gcd 643 4 a a DT cord-022594-fx044gcd 643 5 ratio ratio NN cord-022594-fx044gcd 643 6 , , , cord-022594-fx044gcd 643 7 not not RB cord-022594-fx044gcd 643 8 an an DT cord-022594-fx044gcd 643 9 absolute absolute JJ cord-022594-fx044gcd 643 10 number number NN cord-022594-fx044gcd 643 11 , , , cord-022594-fx044gcd 643 12 and and CC cord-022594-fx044gcd 643 13 is be VBZ cord-022594-fx044gcd 643 14 calculated calculate VBN cord-022594-fx044gcd 643 15 as as IN cord-022594-fx044gcd 643 16 follows follow VBZ cord-022594-fx044gcd 643 17 : : : cord-022594-fx044gcd 644 1 RRR RRR NNP cord-022594-fx044gcd 644 2 ¼ ¼ NNP cord-022594-fx044gcd 644 3 ðControl ðControl NNP cord-022594-fx044gcd 644 4 event event NN cord-022594-fx044gcd 644 5 rate rate NN cord-022594-fx044gcd 644 6 À à NN cord-022594-fx044gcd 644 7 experimental experimental JJ cord-022594-fx044gcd 644 8 event event NN cord-022594-fx044gcd 644 9 rateÞ= rateÞ= NNP cord-022594-fx044gcd 644 10 control control NN cord-022594-fx044gcd 644 11 event event NN cord-022594-fx044gcd 644 12 rate rate NN cord-022594-fx044gcd 645 1 If if IN cord-022594-fx044gcd 645 2 the the DT cord-022594-fx044gcd 645 3 control control NN cord-022594-fx044gcd 645 4 event event NN cord-022594-fx044gcd 645 5 rate rate NN cord-022594-fx044gcd 645 6 is be VBZ cord-022594-fx044gcd 645 7 low low JJ cord-022594-fx044gcd 645 8 ( ( -LRB- cord-022594-fx044gcd 645 9 making make VBG cord-022594-fx044gcd 645 10 the the DT cord-022594-fx044gcd 645 11 denominator denominator NN cord-022594-fx044gcd 645 12 smaller smaller RBR cord-022594-fx044gcd 645 13 ) ) -RRB- cord-022594-fx044gcd 645 14 , , , cord-022594-fx044gcd 645 15 it -PRON- PRP cord-022594-fx044gcd 645 16 will will MD cord-022594-fx044gcd 645 17 obviously obviously RB cord-022594-fx044gcd 645 18 inflate inflate VB cord-022594-fx044gcd 645 19 the the DT cord-022594-fx044gcd 645 20 RRR RRR NNP cord-022594-fx044gcd 645 21 . . . cord-022594-fx044gcd 646 1 An an DT cord-022594-fx044gcd 646 2 " " `` cord-022594-fx044gcd 646 3 impressive impressive JJ cord-022594-fx044gcd 646 4 " " '' cord-022594-fx044gcd 646 5 50 50 CD cord-022594-fx044gcd 646 6 % % NN cord-022594-fx044gcd 646 7 RRR RRR NNP cord-022594-fx044gcd 646 8 may may MD cord-022594-fx044gcd 646 9 have have VB cord-022594-fx044gcd 646 10 a a DT cord-022594-fx044gcd 646 11 low low JJ cord-022594-fx044gcd 646 12 biological biological JJ cord-022594-fx044gcd 646 13 significance significance NN cord-022594-fx044gcd 646 14 if if IN cord-022594-fx044gcd 646 15 the the DT cord-022594-fx044gcd 646 16 outcome outcome NN cord-022594-fx044gcd 646 17 occurs occur VBZ cord-022594-fx044gcd 646 18 infrequently infrequently RB cord-022594-fx044gcd 646 19 . . . cord-022594-fx044gcd 647 1 Therefore therefore RB cord-022594-fx044gcd 647 2 , , , cord-022594-fx044gcd 647 3 the the DT cord-022594-fx044gcd 647 4 absolute absolute JJ cord-022594-fx044gcd 647 5 risk risk NN cord-022594-fx044gcd 647 6 reduction reduction NN cord-022594-fx044gcd 647 7 ( ( -LRB- cord-022594-fx044gcd 647 8 ARR arr NN cord-022594-fx044gcd 647 9 ) ) -RRB- cord-022594-fx044gcd 647 10 should should MD cord-022594-fx044gcd 647 11 be be VB cord-022594-fx044gcd 647 12 calculated calculate VBN cord-022594-fx044gcd 647 13 as as IN cord-022594-fx044gcd 647 14 this this DT cord-022594-fx044gcd 647 15 corrects correct VBZ cord-022594-fx044gcd 647 16 for for IN cord-022594-fx044gcd 647 17 the the DT cord-022594-fx044gcd 647 18 frequency frequency NN cord-022594-fx044gcd 647 19 of of IN cord-022594-fx044gcd 647 20 the the DT cord-022594-fx044gcd 647 21 outcome outcome NN cord-022594-fx044gcd 647 22 . . . cord-022594-fx044gcd 648 1 For for IN cord-022594-fx044gcd 648 2 most most JJS cord-022594-fx044gcd 648 3 of of IN cord-022594-fx044gcd 648 4 the the DT cord-022594-fx044gcd 648 5 approved approve VBN cord-022594-fx044gcd 648 6 MS MS NNP cord-022594-fx044gcd 648 7 agents agent NNS cord-022594-fx044gcd 648 8 , , , cord-022594-fx044gcd 648 9 the the DT cord-022594-fx044gcd 648 10 calculated calculate VBN cord-022594-fx044gcd 648 11 ARR arr NN cord-022594-fx044gcd 648 12 is be VBZ cord-022594-fx044gcd 648 13 considerably considerably RB cord-022594-fx044gcd 648 14 less less JJR cord-022594-fx044gcd 648 15 than than IN cord-022594-fx044gcd 648 16 RRR RRR NNP cord-022594-fx044gcd 648 17 . . . cord-022594-fx044gcd 649 1 This this DT cord-022594-fx044gcd 649 2 metric metric NN cord-022594-fx044gcd 649 3 is be VBZ cord-022594-fx044gcd 649 4 usually usually RB cord-022594-fx044gcd 649 5 not not RB cord-022594-fx044gcd 649 6 cited cite VBN cord-022594-fx044gcd 649 7 in in IN cord-022594-fx044gcd 649 8 reports report NNS cord-022594-fx044gcd 649 9 of of IN cord-022594-fx044gcd 649 10 clinical clinical JJ cord-022594-fx044gcd 649 11 trials trial NNS cord-022594-fx044gcd 649 12 of of IN cord-022594-fx044gcd 649 13 disease disease NN cord-022594-fx044gcd 649 14 - - HYPH cord-022594-fx044gcd 649 15 modifying modify VBG cord-022594-fx044gcd 649 16 agents agent NNS cord-022594-fx044gcd 649 17 . . . cord-022594-fx044gcd 650 1 To to TO cord-022594-fx044gcd 650 2 calculate calculate VB cord-022594-fx044gcd 650 3 risk risk NN cord-022594-fx044gcd 650 4 reduction reduction NN cord-022594-fx044gcd 650 5 , , , cord-022594-fx044gcd 650 6 one one PRP cord-022594-fx044gcd 650 7 must must MD cord-022594-fx044gcd 650 8 have have VB cord-022594-fx044gcd 650 9 access access NN cord-022594-fx044gcd 650 10 to to IN cord-022594-fx044gcd 650 11 the the DT cord-022594-fx044gcd 650 12 data datum NNS cord-022594-fx044gcd 650 13 citing cite VBG cord-022594-fx044gcd 650 14 comparisons comparison NNS cord-022594-fx044gcd 650 15 of of IN cord-022594-fx044gcd 650 16 proportions proportion NNS cord-022594-fx044gcd 650 17 ( ( -LRB- cord-022594-fx044gcd 650 18 ratios ratio NNS cord-022594-fx044gcd 650 19 ) ) -RRB- cord-022594-fx044gcd 650 20 , , , cord-022594-fx044gcd 650 21 and and CC cord-022594-fx044gcd 650 22 this this DT cord-022594-fx044gcd 650 23 is be VBZ cord-022594-fx044gcd 650 24 not not RB cord-022594-fx044gcd 650 25 always always RB cord-022594-fx044gcd 650 26 immediately immediately RB cord-022594-fx044gcd 650 27 available available JJ cord-022594-fx044gcd 650 28 in in IN cord-022594-fx044gcd 650 29 publications publication NNS cord-022594-fx044gcd 650 30 . . . cord-022594-fx044gcd 651 1 Another another DT cord-022594-fx044gcd 651 2 useful useful JJ cord-022594-fx044gcd 651 3 measure measure NN cord-022594-fx044gcd 651 4 of of IN cord-022594-fx044gcd 651 5 treatment treatment NN cord-022594-fx044gcd 651 6 effect effect NN cord-022594-fx044gcd 651 7 is be VBZ cord-022594-fx044gcd 651 8 the the DT cord-022594-fx044gcd 651 9 " " `` cord-022594-fx044gcd 651 10 number number NN cord-022594-fx044gcd 651 11 needed need VBN cord-022594-fx044gcd 651 12 to to TO cord-022594-fx044gcd 651 13 treat treat VB cord-022594-fx044gcd 651 14 " " '' cord-022594-fx044gcd 651 15 ( ( -LRB- cord-022594-fx044gcd 651 16 NNT NNT NNP cord-022594-fx044gcd 651 17 ) ) -RRB- cord-022594-fx044gcd 651 18 . . . cord-022594-fx044gcd 652 1 It -PRON- PRP cord-022594-fx044gcd 652 2 is be VBZ cord-022594-fx044gcd 652 3 calculated calculate VBN cord-022594-fx044gcd 652 4 as as IN cord-022594-fx044gcd 652 5 the the DT cord-022594-fx044gcd 652 6 inverse inverse NN cord-022594-fx044gcd 652 7 of of IN cord-022594-fx044gcd 652 8 the the DT cord-022594-fx044gcd 652 9 ARR arr NN cord-022594-fx044gcd 652 10 : : : cord-022594-fx044gcd 652 11 Overall overall RB cord-022594-fx044gcd 652 12 , , , cord-022594-fx044gcd 652 13 the the DT cord-022594-fx044gcd 652 14 NNTs nnts NN cord-022594-fx044gcd 652 15 for for IN cord-022594-fx044gcd 652 16 the the DT cord-022594-fx044gcd 652 17 disease disease NN cord-022594-fx044gcd 652 18 - - HYPH cord-022594-fx044gcd 652 19 modifying modify VBG cord-022594-fx044gcd 652 20 agents agent NNS cord-022594-fx044gcd 652 21 in in IN cord-022594-fx044gcd 652 22 MS MS NNP cord-022594-fx044gcd 652 23 are be VBP cord-022594-fx044gcd 652 24 in in IN cord-022594-fx044gcd 652 25 the the DT cord-022594-fx044gcd 652 26 7 7 CD cord-022594-fx044gcd 652 27 to to TO cord-022594-fx044gcd 652 28 14 14 CD cord-022594-fx044gcd 652 29 range range NN cord-022594-fx044gcd 652 30 for for IN cord-022594-fx044gcd 652 31 treatment treatment NN cord-022594-fx044gcd 652 32 periods period NNS cord-022594-fx044gcd 652 33 of of IN cord-022594-fx044gcd 652 34 2 2 CD cord-022594-fx044gcd 652 35 to to TO cord-022594-fx044gcd 652 36 3 3 CD cord-022594-fx044gcd 652 37 years year NNS cord-022594-fx044gcd 652 38 . . . cord-022594-fx044gcd 653 1 However however RB cord-022594-fx044gcd 653 2 , , , cord-022594-fx044gcd 653 3 these these DT cord-022594-fx044gcd 653 4 NNTs nnt NNS cord-022594-fx044gcd 653 5 are be VBP cord-022594-fx044gcd 653 6 for for IN cord-022594-fx044gcd 653 7 outcomes outcome NNS cord-022594-fx044gcd 653 8 that that WDT cord-022594-fx044gcd 653 9 have have VBP cord-022594-fx044gcd 653 10 limited limit VBN cord-022594-fx044gcd 653 11 predictive predictive JJ cord-022594-fx044gcd 653 12 value value NN cord-022594-fx044gcd 653 13 for for IN cord-022594-fx044gcd 653 14 long long JJ cord-022594-fx044gcd 653 15 - - HYPH cord-022594-fx044gcd 653 16 term term NN cord-022594-fx044gcd 653 17 outcomes outcome NNS cord-022594-fx044gcd 653 18 ( ( -LRB- cord-022594-fx044gcd 653 19 e.g. e.g. RB cord-022594-fx044gcd 653 20 , , , cord-022594-fx044gcd 653 21 relapse relapse NN cord-022594-fx044gcd 653 22 behavior behavior NN cord-022594-fx044gcd 653 23 does do VBZ cord-022594-fx044gcd 653 24 not not RB cord-022594-fx044gcd 653 25 precisely precisely RB cord-022594-fx044gcd 653 26 predict predict VB cord-022594-fx044gcd 653 27 long long JJ cord-022594-fx044gcd 653 28 - - HYPH cord-022594-fx044gcd 653 29 term term NN cord-022594-fx044gcd 653 30 disability disability NN cord-022594-fx044gcd 653 31 ) ) -RRB- cord-022594-fx044gcd 653 32 and and CC cord-022594-fx044gcd 653 33 the the DT cord-022594-fx044gcd 653 34 agents agent NNS cord-022594-fx044gcd 653 35 are be VBP cord-022594-fx044gcd 653 36 expensive expensive JJ cord-022594-fx044gcd 653 37 , , , cord-022594-fx044gcd 653 38 inconvenient inconvenient JJ cord-022594-fx044gcd 653 39 to to TO cord-022594-fx044gcd 653 40 use use VB cord-022594-fx044gcd 653 41 , , , cord-022594-fx044gcd 653 42 and and CC cord-022594-fx044gcd 653 43 not not RB cord-022594-fx044gcd 653 44 without without IN cord-022594-fx044gcd 653 45 risk risk NN cord-022594-fx044gcd 653 46 . . . cord-022594-fx044gcd 654 1 We -PRON- PRP cord-022594-fx044gcd 654 2 must must MD cord-022594-fx044gcd 654 3 also also RB cord-022594-fx044gcd 654 4 remember remember VB cord-022594-fx044gcd 654 5 that that IN cord-022594-fx044gcd 654 6 clinical clinical JJ cord-022594-fx044gcd 654 7 trials trial NNS cord-022594-fx044gcd 654 8 typically typically RB cord-022594-fx044gcd 654 9 enroll enroll VBP cord-022594-fx044gcd 654 10 patients patient NNS cord-022594-fx044gcd 654 11 with with IN cord-022594-fx044gcd 654 12 very very RB cord-022594-fx044gcd 654 13 restricted restricted JJ cord-022594-fx044gcd 654 14 eligibility eligibility NN cord-022594-fx044gcd 654 15 criteria criterion NNS cord-022594-fx044gcd 654 16 ( ( -LRB- cord-022594-fx044gcd 654 17 often often RB cord-022594-fx044gcd 654 18 a a DT cord-022594-fx044gcd 654 19 history history NN cord-022594-fx044gcd 654 20 of of IN cord-022594-fx044gcd 654 21 considerable considerable JJ cord-022594-fx044gcd 654 22 recent recent JJ cord-022594-fx044gcd 654 23 disease disease NN cord-022594-fx044gcd 654 24 activity activity NN cord-022594-fx044gcd 654 25 or or CC cord-022594-fx044gcd 654 26 progression progression NN cord-022594-fx044gcd 654 27 ) ) -RRB- cord-022594-fx044gcd 654 28 , , , cord-022594-fx044gcd 654 29 and and CC cord-022594-fx044gcd 654 30 considerable considerable JJ cord-022594-fx044gcd 654 31 efforts effort NNS cord-022594-fx044gcd 654 32 are be VBP cord-022594-fx044gcd 654 33 in in IN cord-022594-fx044gcd 654 34 place place NN cord-022594-fx044gcd 654 35 in in IN cord-022594-fx044gcd 654 36 trials trial NNS cord-022594-fx044gcd 654 37 to to TO cord-022594-fx044gcd 654 38 optimize optimize VB cord-022594-fx044gcd 654 39 compliance compliance NN cord-022594-fx044gcd 654 40 with with IN cord-022594-fx044gcd 654 41 the the DT cord-022594-fx044gcd 654 42 treatment treatment NN cord-022594-fx044gcd 654 43 plan plan NN cord-022594-fx044gcd 654 44 . . . cord-022594-fx044gcd 655 1 As as IN cord-022594-fx044gcd 655 2 such such JJ cord-022594-fx044gcd 655 3 , , , cord-022594-fx044gcd 655 4 the the DT cord-022594-fx044gcd 655 5 NNT NNT NNP cord-022594-fx044gcd 655 6 experienced experience VBD cord-022594-fx044gcd 655 7 in in IN cord-022594-fx044gcd 655 8 a a DT cord-022594-fx044gcd 655 9 practice practice NN cord-022594-fx044gcd 655 10 setting set VBG cord-022594-fx044gcd 655 11 ( ( -LRB- cord-022594-fx044gcd 655 12 effectiveness effectiveness NN cord-022594-fx044gcd 655 13 ) ) -RRB- cord-022594-fx044gcd 655 14 may may MD cord-022594-fx044gcd 655 15 considerably considerably RB cord-022594-fx044gcd 655 16 exceed exceed VB cord-022594-fx044gcd 655 17 what what WP cord-022594-fx044gcd 655 18 was be VBD cord-022594-fx044gcd 655 19 reported report VBN cord-022594-fx044gcd 655 20 in in IN cord-022594-fx044gcd 655 21 the the DT cord-022594-fx044gcd 655 22 trial trial NN cord-022594-fx044gcd 655 23 setting setting NN cord-022594-fx044gcd 655 24 . . . cord-022594-fx044gcd 656 1 Altering alter VBG cord-022594-fx044gcd 656 2 the the DT cord-022594-fx044gcd 656 3 Course course NN cord-022594-fx044gcd 656 4 of of IN cord-022594-fx044gcd 656 5 a a DT cord-022594-fx044gcd 656 6 Clinically clinically RB cord-022594-fx044gcd 656 7 Isolated isolated JJ cord-022594-fx044gcd 656 8 Syndrome syndrome NN cord-022594-fx044gcd 656 9 . . . cord-022594-fx044gcd 657 1 When when WRB cord-022594-fx044gcd 657 2 should should MD cord-022594-fx044gcd 657 3 treatment treatment NN cord-022594-fx044gcd 657 4 be be VB cord-022594-fx044gcd 657 5 initiated initiate VBN cord-022594-fx044gcd 657 6 in in IN cord-022594-fx044gcd 657 7 patients patient NNS cord-022594-fx044gcd 657 8 with with IN cord-022594-fx044gcd 657 9 very very RB cord-022594-fx044gcd 657 10 early early JJ cord-022594-fx044gcd 657 11 demyelinating demyelinating JJ cord-022594-fx044gcd 657 12 disease disease NN cord-022594-fx044gcd 657 13 ? ? . cord-022594-fx044gcd 658 1 Two two CD cord-022594-fx044gcd 658 2 recently recently RB cord-022594-fx044gcd 658 3 published publish VBN cord-022594-fx044gcd 658 4 multicenter multicenter JJ cord-022594-fx044gcd 658 5 studies study NNS cord-022594-fx044gcd 658 6 have have VBP cord-022594-fx044gcd 658 7 addressed address VBN cord-022594-fx044gcd 658 8 this this DT cord-022594-fx044gcd 658 9 issue issue NN cord-022594-fx044gcd 658 10 in in IN cord-022594-fx044gcd 658 11 persons person NNS cord-022594-fx044gcd 658 12 at at IN cord-022594-fx044gcd 658 13 high high JJ cord-022594-fx044gcd 658 14 risk risk NN cord-022594-fx044gcd 658 15 of of IN cord-022594-fx044gcd 658 16 developing develop VBG cord-022594-fx044gcd 658 17 MS MS NNP cord-022594-fx044gcd 658 18 . . . cord-022594-fx044gcd 659 1 In in IN cord-022594-fx044gcd 659 2 the the DT cord-022594-fx044gcd 659 3 CHAMPS CHAMPS NNP cord-022594-fx044gcd 659 4 study study NN cord-022594-fx044gcd 659 5 , , , cord-022594-fx044gcd 659 6 61 61 CD cord-022594-fx044gcd 659 7 383 383 CD cord-022594-fx044gcd 659 8 patients patient NNS cord-022594-fx044gcd 659 9 with with IN cord-022594-fx044gcd 659 10 their -PRON- PRP$ cord-022594-fx044gcd 659 11 first first JJ cord-022594-fx044gcd 659 12 episode episode NN cord-022594-fx044gcd 659 13 of of IN cord-022594-fx044gcd 659 14 presumed presumed JJ cord-022594-fx044gcd 659 15 demyelinating demyelinating NN cord-022594-fx044gcd 659 16 disease disease NN cord-022594-fx044gcd 659 17 ( ( -LRB- cord-022594-fx044gcd 659 18 " " `` cord-022594-fx044gcd 659 19 clinically clinically RB cord-022594-fx044gcd 659 20 isolated isolated JJ cord-022594-fx044gcd 659 21 syndrome syndrome NN cord-022594-fx044gcd 659 22 " " '' cord-022594-fx044gcd 659 23 ) ) -RRB- cord-022594-fx044gcd 659 24 in in IN cord-022594-fx044gcd 659 25 the the DT cord-022594-fx044gcd 659 26 setting setting NN cord-022594-fx044gcd 659 27 of of IN cord-022594-fx044gcd 659 28 an an DT cord-022594-fx044gcd 659 29 abnormal abnormal JJ cord-022594-fx044gcd 659 30 , , , cord-022594-fx044gcd 659 31 asymptomatic asymptomatic JJ cord-022594-fx044gcd 659 32 baseline baseline JJ cord-022594-fx044gcd 659 33 cranial cranial JJ cord-022594-fx044gcd 659 34 MRI MRI NNP cord-022594-fx044gcd 659 35 scan scan NN cord-022594-fx044gcd 659 36 , , , cord-022594-fx044gcd 659 37 were be VBD cord-022594-fx044gcd 659 38 randomized randomize VBN cord-022594-fx044gcd 659 39 to to TO cord-022594-fx044gcd 659 40 receive receive VB cord-022594-fx044gcd 659 41 either either DT cord-022594-fx044gcd 659 42 weekly weekly JJ cord-022594-fx044gcd 659 43 interferon interferon NN cord-022594-fx044gcd 659 44 - - HYPH cord-022594-fx044gcd 659 45 b b NN cord-022594-fx044gcd 659 46 1a 1a CD cord-022594-fx044gcd 659 47 30 30 CD cord-022594-fx044gcd 659 48 mg mg NN cord-022594-fx044gcd 659 49 IM IM NNP cord-022594-fx044gcd 659 50 or or CC cord-022594-fx044gcd 659 51 placebo placebo NN cord-022594-fx044gcd 659 52 after after IN cord-022594-fx044gcd 659 53 an an DT cord-022594-fx044gcd 659 54 initial initial JJ cord-022594-fx044gcd 659 55 course course NN cord-022594-fx044gcd 659 56 of of IN cord-022594-fx044gcd 659 57 steroid steroid NN cord-022594-fx044gcd 659 58 therapy therapy NN cord-022594-fx044gcd 659 59 . . . cord-022594-fx044gcd 660 1 This this DT cord-022594-fx044gcd 660 2 study study NN cord-022594-fx044gcd 660 3 was be VBD cord-022594-fx044gcd 660 4 terminated terminate VBN cord-022594-fx044gcd 660 5 early early RB cord-022594-fx044gcd 660 6 when when WRB cord-022594-fx044gcd 660 7 the the DT cord-022594-fx044gcd 660 8 primary primary JJ cord-022594-fx044gcd 660 9 outcome outcome NN cord-022594-fx044gcd 660 10 measure measure NN cord-022594-fx044gcd 660 11 of of IN cord-022594-fx044gcd 660 12 conversion conversion NN cord-022594-fx044gcd 660 13 to to IN cord-022594-fx044gcd 660 14 " " `` cord-022594-fx044gcd 660 15 clinically clinically RB cord-022594-fx044gcd 660 16 definite definite JJ cord-022594-fx044gcd 660 17 MS ms NN cord-022594-fx044gcd 660 18 " " '' cord-022594-fx044gcd 660 19 ( ( -LRB- cord-022594-fx044gcd 660 20 CDMS CDMS NNP cord-022594-fx044gcd 660 21 ) ) -RRB- cord-022594-fx044gcd 660 22 status status NN cord-022594-fx044gcd 660 23 was be VBD cord-022594-fx044gcd 660 24 reached reach VBN cord-022594-fx044gcd 660 25 in in IN cord-022594-fx044gcd 660 26 a a DT cord-022594-fx044gcd 660 27 greater great JJR cord-022594-fx044gcd 660 28 number number NN cord-022594-fx044gcd 660 29 of of IN cord-022594-fx044gcd 660 30 placebo placebo NN cord-022594-fx044gcd 660 31 - - HYPH cord-022594-fx044gcd 660 32 treated treat VBN cord-022594-fx044gcd 660 33 patients patient NNS cord-022594-fx044gcd 660 34 . . . cord-022594-fx044gcd 661 1 These these DT cord-022594-fx044gcd 661 2 findings finding NNS cord-022594-fx044gcd 661 3 were be VBD cord-022594-fx044gcd 661 4 not not RB cord-022594-fx044gcd 661 5 unexpected unexpected JJ cord-022594-fx044gcd 661 6 given give VBN cord-022594-fx044gcd 661 7 the the DT cord-022594-fx044gcd 661 8 known know VBN cord-022594-fx044gcd 661 9 effect effect NN cord-022594-fx044gcd 661 10 of of IN cord-022594-fx044gcd 661 11 interferons interferon NNS cord-022594-fx044gcd 661 12 on on IN cord-022594-fx044gcd 661 13 reducing reduce VBG cord-022594-fx044gcd 661 14 relapse relapse NN cord-022594-fx044gcd 661 15 rate rate NN cord-022594-fx044gcd 661 16 but but CC cord-022594-fx044gcd 661 17 do do VBP cord-022594-fx044gcd 661 18 provide provide VB cord-022594-fx044gcd 661 19 some some DT cord-022594-fx044gcd 661 20 support support NN cord-022594-fx044gcd 661 21 for for IN cord-022594-fx044gcd 661 22 early early JJ cord-022594-fx044gcd 661 23 treatment treatment NN cord-022594-fx044gcd 661 24 . . . cord-022594-fx044gcd 662 1 The the DT cord-022594-fx044gcd 662 2 duration duration NN cord-022594-fx044gcd 662 3 of of IN cord-022594-fx044gcd 662 4 follow follow NN cord-022594-fx044gcd 662 5 - - HYPH cord-022594-fx044gcd 662 6 up up NN cord-022594-fx044gcd 662 7 in in IN cord-022594-fx044gcd 662 8 this this DT cord-022594-fx044gcd 662 9 study study NN cord-022594-fx044gcd 662 10 ( ( -LRB- cord-022594-fx044gcd 662 11 71 71 CD cord-022594-fx044gcd 662 12 % % NN cord-022594-fx044gcd 662 13 1 1 CD cord-022594-fx044gcd 662 14 year year NN cord-022594-fx044gcd 662 15 , , , cord-022594-fx044gcd 662 16 34 34 CD cord-022594-fx044gcd 662 17 % % NN cord-022594-fx044gcd 662 18 2 2 CD cord-022594-fx044gcd 662 19 years year NNS cord-022594-fx044gcd 662 20 , , , cord-022594-fx044gcd 662 21 16 16 CD cord-022594-fx044gcd 662 22 % % NN cord-022594-fx044gcd 662 23 3 3 CD cord-022594-fx044gcd 662 24 years year NNS cord-022594-fx044gcd 662 25 ) ) -RRB- cord-022594-fx044gcd 662 26 is be VBZ cord-022594-fx044gcd 662 27 insufficient insufficient JJ cord-022594-fx044gcd 662 28 to to TO cord-022594-fx044gcd 662 29 determine determine VB cord-022594-fx044gcd 662 30 long long JJ cord-022594-fx044gcd 662 31 - - HYPH cord-022594-fx044gcd 662 32 term term NN cord-022594-fx044gcd 662 33 benefit benefit NN cord-022594-fx044gcd 662 34 from from IN cord-022594-fx044gcd 662 35 early early JJ cord-022594-fx044gcd 662 36 intervention intervention NN cord-022594-fx044gcd 662 37 , , , cord-022594-fx044gcd 662 38 however however RB cord-022594-fx044gcd 662 39 . . . cord-022594-fx044gcd 663 1 It -PRON- PRP cord-022594-fx044gcd 663 2 is be VBZ cord-022594-fx044gcd 663 3 also also RB cord-022594-fx044gcd 663 4 clear clear JJ cord-022594-fx044gcd 663 5 that that IN cord-022594-fx044gcd 663 6 the the DT cord-022594-fx044gcd 663 7 treatment treatment NN cord-022594-fx044gcd 663 8 is be VBZ cord-022594-fx044gcd 663 9 only only RB cord-022594-fx044gcd 663 10 partially partially RB cord-022594-fx044gcd 663 11 effective effective JJ cord-022594-fx044gcd 663 12 , , , cord-022594-fx044gcd 663 13 as as IN cord-022594-fx044gcd 663 14 50 50 CD cord-022594-fx044gcd 663 15 % % NN cord-022594-fx044gcd 663 16 of of IN cord-022594-fx044gcd 663 17 interferon interferon NN cord-022594-fx044gcd 663 18 ( ( -LRB- cord-022594-fx044gcd 663 19 IFN)-treated ifn)-treate VBN cord-022594-fx044gcd 663 20 patients patient NNS cord-022594-fx044gcd 663 21 in in IN cord-022594-fx044gcd 663 22 the the DT cord-022594-fx044gcd 663 23 CHAMPS CHAMPS NNP cord-022594-fx044gcd 663 24 trial trial NN cord-022594-fx044gcd 663 25 had have VBD cord-022594-fx044gcd 663 26 clinical clinical JJ cord-022594-fx044gcd 663 27 or or CC cord-022594-fx044gcd 663 28 MRI MRI NNP cord-022594-fx044gcd 663 29 evidence evidence NN cord-022594-fx044gcd 663 30 of of IN cord-022594-fx044gcd 663 31 recurrent recurrent JJ cord-022594-fx044gcd 663 32 disease disease NN cord-022594-fx044gcd 663 33 within within IN cord-022594-fx044gcd 663 34 18 18 CD cord-022594-fx044gcd 663 35 months month NNS cord-022594-fx044gcd 663 36 of of IN cord-022594-fx044gcd 663 37 starting start VBG cord-022594-fx044gcd 663 38 treatment treatment NN cord-022594-fx044gcd 663 39 . . . cord-022594-fx044gcd 664 1 62 62 CD cord-022594-fx044gcd 665 1 The the DT cord-022594-fx044gcd 665 2 analysis analysis NN cord-022594-fx044gcd 665 3 of of IN cord-022594-fx044gcd 665 4 treatment treatment NN cord-022594-fx044gcd 665 5 effect effect NN cord-022594-fx044gcd 665 6 related relate VBN cord-022594-fx044gcd 665 7 to to IN cord-022594-fx044gcd 665 8 the the DT cord-022594-fx044gcd 665 9 CHAMPS CHAMPS NNP cord-022594-fx044gcd 665 10 trial trial NN cord-022594-fx044gcd 665 11 reveal reveal VBP cord-022594-fx044gcd 665 12 a a DT cord-022594-fx044gcd 665 13 RRR RRR NNP cord-022594-fx044gcd 665 14 of of IN cord-022594-fx044gcd 665 15 38 38 CD cord-022594-fx044gcd 665 16 % % NN cord-022594-fx044gcd 665 17 , , , cord-022594-fx044gcd 665 18 an an DT cord-022594-fx044gcd 665 19 ARR arr NN cord-022594-fx044gcd 665 20 of of IN cord-022594-fx044gcd 665 21 14.6 14.6 CD cord-022594-fx044gcd 665 22 % % NN cord-022594-fx044gcd 665 23 , , , cord-022594-fx044gcd 665 24 and and CC cord-022594-fx044gcd 665 25 an an DT cord-022594-fx044gcd 665 26 NNT nnt NN cord-022594-fx044gcd 665 27 of of IN cord-022594-fx044gcd 665 28 7 7 CD cord-022594-fx044gcd 665 29 patients patient NNS cord-022594-fx044gcd 665 30 over over IN cord-022594-fx044gcd 665 31 2 2 CD cord-022594-fx044gcd 665 32 years year NNS cord-022594-fx044gcd 665 33 to to TO cord-022594-fx044gcd 665 34 prevent prevent VB cord-022594-fx044gcd 665 35 one one CD cord-022594-fx044gcd 665 36 conversion conversion NN cord-022594-fx044gcd 665 37 to to IN cord-022594-fx044gcd 665 38 " " `` cord-022594-fx044gcd 665 39 clinically clinically RB cord-022594-fx044gcd 665 40 definite definite JJ cord-022594-fx044gcd 665 41 MS m NNS cord-022594-fx044gcd 665 42 . . . cord-022594-fx044gcd 666 1 " " `` cord-022594-fx044gcd 666 2 In in IN cord-022594-fx044gcd 666 3 a a DT cord-022594-fx044gcd 666 4 second second JJ cord-022594-fx044gcd 666 5 placebo placebo NN cord-022594-fx044gcd 666 6 - - HYPH cord-022594-fx044gcd 666 7 controlled control VBN cord-022594-fx044gcd 666 8 study study NN cord-022594-fx044gcd 666 9 of of IN cord-022594-fx044gcd 666 10 309 309 CD cord-022594-fx044gcd 666 11 patients patient NNS cord-022594-fx044gcd 666 12 with with IN cord-022594-fx044gcd 666 13 either either CC cord-022594-fx044gcd 666 14 monosymptomatic monosymptomatic JJ cord-022594-fx044gcd 666 15 ( ( -LRB- cord-022594-fx044gcd 666 16 61 61 CD cord-022594-fx044gcd 666 17 % % NN cord-022594-fx044gcd 666 18 ) ) -RRB- cord-022594-fx044gcd 666 19 or or CC cord-022594-fx044gcd 666 20 multifocal multifocal JJ cord-022594-fx044gcd 666 21 onset onset NN cord-022594-fx044gcd 666 22 ( ( -LRB- cord-022594-fx044gcd 666 23 39 39 CD cord-022594-fx044gcd 666 24 % % NN cord-022594-fx044gcd 666 25 ) ) -RRB- cord-022594-fx044gcd 666 26 early early JJ cord-022594-fx044gcd 666 27 demyelinating demyelinating JJ cord-022594-fx044gcd 666 28 disease disease NN cord-022594-fx044gcd 666 29 , , , cord-022594-fx044gcd 666 30 early early JJ cord-022594-fx044gcd 666 31 treatment treatment NN cord-022594-fx044gcd 666 32 with with IN cord-022594-fx044gcd 666 33 interferon interferon NN cord-022594-fx044gcd 666 34 - - HYPH cord-022594-fx044gcd 666 35 b b NN cord-022594-fx044gcd 666 36 1a 1a NN cord-022594-fx044gcd 666 37 in in IN cord-022594-fx044gcd 666 38 an an DT cord-022594-fx044gcd 666 39 unusually unusually RB cord-022594-fx044gcd 666 40 low low JJ cord-022594-fx044gcd 666 41 dose dose NN cord-022594-fx044gcd 666 42 ( ( -LRB- cord-022594-fx044gcd 666 43 22 22 CD cord-022594-fx044gcd 666 44 mg mg NNS cord-022594-fx044gcd 666 45 subcutaneously subcutaneously RB cord-022594-fx044gcd 666 46 once once RB cord-022594-fx044gcd 666 47 weekly weekly RB cord-022594-fx044gcd 666 48 ) ) -RRB- cord-022594-fx044gcd 666 49 , , , cord-022594-fx044gcd 666 50 reduced reduce VBN cord-022594-fx044gcd 666 51 conversion conversion NN cord-022594-fx044gcd 666 52 to to IN cord-022594-fx044gcd 666 53 CDMS CDMS NNP cord-022594-fx044gcd 666 54 ( ( -LRB- cord-022594-fx044gcd 666 55 34 34 CD cord-022594-fx044gcd 666 56 % % NN cord-022594-fx044gcd 666 57 versus versus IN cord-022594-fx044gcd 666 58 45 45 CD cord-022594-fx044gcd 666 59 % % NN cord-022594-fx044gcd 666 60 ) ) -RRB- cord-022594-fx044gcd 666 61 at at IN cord-022594-fx044gcd 666 62 2 2 CD cord-022594-fx044gcd 666 63 years year NNS cord-022594-fx044gcd 666 64 . . . cord-022594-fx044gcd 667 1 63 63 CD cord-022594-fx044gcd 668 1 Again again RB cord-022594-fx044gcd 668 2 , , , cord-022594-fx044gcd 668 3 there there EX cord-022594-fx044gcd 668 4 is be VBZ cord-022594-fx044gcd 668 5 no no DT cord-022594-fx044gcd 668 6 data data NN cord-022594-fx044gcd 668 7 on on IN cord-022594-fx044gcd 668 8 whether whether IN cord-022594-fx044gcd 668 9 these these DT cord-022594-fx044gcd 668 10 treatments treatment NNS cord-022594-fx044gcd 668 11 offer offer VBP cord-022594-fx044gcd 668 12 long long JJ cord-022594-fx044gcd 668 13 - - HYPH cord-022594-fx044gcd 668 14 term term NN cord-022594-fx044gcd 668 15 benefit benefit NN cord-022594-fx044gcd 668 16 . . . cord-022594-fx044gcd 669 1 The the DT cord-022594-fx044gcd 669 2 EBM EBM NNP cord-022594-fx044gcd 669 3 calculations calculation NNS cord-022594-fx044gcd 669 4 regarding regard VBG cord-022594-fx044gcd 669 5 this this DT cord-022594-fx044gcd 669 6 trial trial NN cord-022594-fx044gcd 669 7 show show VBP cord-022594-fx044gcd 669 8 an an DT cord-022594-fx044gcd 669 9 RRR RRR NNP cord-022594-fx044gcd 669 10 of of IN cord-022594-fx044gcd 669 11 24 24 CD cord-022594-fx044gcd 669 12 % % NN cord-022594-fx044gcd 669 13 , , , cord-022594-fx044gcd 669 14 and and CC cord-022594-fx044gcd 669 15 ARR arr NN cord-022594-fx044gcd 669 16 of of IN cord-022594-fx044gcd 669 17 11 11 CD cord-022594-fx044gcd 669 18 % % NN cord-022594-fx044gcd 669 19 , , , cord-022594-fx044gcd 669 20 and and CC cord-022594-fx044gcd 669 21 an an DT cord-022594-fx044gcd 669 22 NNT nnt NN cord-022594-fx044gcd 669 23 of of IN cord-022594-fx044gcd 669 24 9 9 CD cord-022594-fx044gcd 669 25 patients patient NNS cord-022594-fx044gcd 669 26 over over IN cord-022594-fx044gcd 669 27 2 2 CD cord-022594-fx044gcd 669 28 years year NNS cord-022594-fx044gcd 669 29 in in IN cord-022594-fx044gcd 669 30 order order NN cord-022594-fx044gcd 669 31 to to TO cord-022594-fx044gcd 669 32 prevent prevent VB cord-022594-fx044gcd 669 33 one one CD cord-022594-fx044gcd 669 34 conversion conversion NN cord-022594-fx044gcd 669 35 to to IN cord-022594-fx044gcd 669 36 " " `` cord-022594-fx044gcd 669 37 clinically clinically RB cord-022594-fx044gcd 669 38 definite definite JJ cord-022594-fx044gcd 669 39 MS m NNS cord-022594-fx044gcd 669 40 . . . cord-022594-fx044gcd 670 1 " " '' cord-022594-fx044gcd 671 1 These these DT cord-022594-fx044gcd 671 2 two two CD cord-022594-fx044gcd 671 3 studies study NNS cord-022594-fx044gcd 671 4 provide provide VBP cord-022594-fx044gcd 671 5 support support NN cord-022594-fx044gcd 671 6 for for IN cord-022594-fx044gcd 671 7 considering consider VBG cord-022594-fx044gcd 671 8 early early JJ cord-022594-fx044gcd 671 9 treatment treatment NN cord-022594-fx044gcd 671 10 in in IN cord-022594-fx044gcd 671 11 patients patient NNS cord-022594-fx044gcd 671 12 presenting present VBG cord-022594-fx044gcd 671 13 with with IN cord-022594-fx044gcd 671 14 first first JJ cord-022594-fx044gcd 671 15 attack attack NN cord-022594-fx044gcd 671 16 , , , cord-022594-fx044gcd 671 17 in in IN cord-022594-fx044gcd 671 18 the the DT cord-022594-fx044gcd 671 19 presence presence NN cord-022594-fx044gcd 671 20 of of IN cord-022594-fx044gcd 671 21 multiple multiple JJ cord-022594-fx044gcd 671 22 asymptomatic asymptomatic JJ cord-022594-fx044gcd 671 23 MRI MRI NNP cord-022594-fx044gcd 671 24 lesions lesion NNS cord-022594-fx044gcd 671 25 , , , cord-022594-fx044gcd 671 26 but but CC cord-022594-fx044gcd 671 27 further further JJ cord-022594-fx044gcd 671 28 studies study NNS cord-022594-fx044gcd 671 29 are be VBP cord-022594-fx044gcd 671 30 needed need VBN cord-022594-fx044gcd 671 31 to to TO cord-022594-fx044gcd 671 32 determine determine VB cord-022594-fx044gcd 671 33 whether whether IN cord-022594-fx044gcd 671 34 this this DT cord-022594-fx044gcd 671 35 approach approach NN cord-022594-fx044gcd 671 36 will will MD cord-022594-fx044gcd 671 37 provide provide VB cord-022594-fx044gcd 671 38 a a DT cord-022594-fx044gcd 671 39 prolonged prolonged JJ cord-022594-fx044gcd 671 40 benefit benefit NN cord-022594-fx044gcd 671 41 on on IN cord-022594-fx044gcd 671 42 disease disease NN cord-022594-fx044gcd 671 43 course course NN cord-022594-fx044gcd 671 44 . . . cord-022594-fx044gcd 672 1 It -PRON- PRP cord-022594-fx044gcd 672 2 is be VBZ cord-022594-fx044gcd 672 3 important important JJ cord-022594-fx044gcd 672 4 to to TO cord-022594-fx044gcd 672 5 note note VB cord-022594-fx044gcd 672 6 that that IN cord-022594-fx044gcd 672 7 these these DT cord-022594-fx044gcd 672 8 studies study NNS cord-022594-fx044gcd 672 9 do do VBP cord-022594-fx044gcd 672 10 not not RB cord-022594-fx044gcd 672 11 provide provide VB cord-022594-fx044gcd 672 12 guidance guidance NN cord-022594-fx044gcd 672 13 about about IN cord-022594-fx044gcd 672 14 clinically clinically RB cord-022594-fx044gcd 672 15 isolated isolate VBN cord-022594-fx044gcd 672 16 syndromes syndrome NNS cord-022594-fx044gcd 672 17 that that WDT cord-022594-fx044gcd 672 18 present present VBP cord-022594-fx044gcd 672 19 with with IN cord-022594-fx044gcd 672 20 a a DT cord-022594-fx044gcd 672 21 brain brain NN cord-022594-fx044gcd 672 22 MRI mri NN cord-022594-fx044gcd 672 23 that that WDT cord-022594-fx044gcd 672 24 is be VBZ cord-022594-fx044gcd 672 25 not not RB cord-022594-fx044gcd 672 26 suggestive suggestive JJ cord-022594-fx044gcd 672 27 of of IN cord-022594-fx044gcd 672 28 MS MS NNP cord-022594-fx044gcd 672 29 ( ( -LRB- cord-022594-fx044gcd 672 30 i.e. i.e. FW cord-022594-fx044gcd 672 31 , , , cord-022594-fx044gcd 672 32 only only RB cord-022594-fx044gcd 672 33 one one CD cord-022594-fx044gcd 672 34 optic optic JJ cord-022594-fx044gcd 672 35 nerve nerve NN cord-022594-fx044gcd 672 36 lesion lesion NN cord-022594-fx044gcd 672 37 , , , cord-022594-fx044gcd 672 38 or or CC cord-022594-fx044gcd 672 39 one one CD cord-022594-fx044gcd 672 40 brain brain NN cord-022594-fx044gcd 672 41 stem stem NN cord-022594-fx044gcd 672 42 or or CC cord-022594-fx044gcd 672 43 cord cord NN cord-022594-fx044gcd 672 44 lesion lesion NN cord-022594-fx044gcd 672 45 explaining explain VBG cord-022594-fx044gcd 672 46 the the DT cord-022594-fx044gcd 672 47 CIS CIS NNP cord-022594-fx044gcd 672 48 symptoms symptom NNS cord-022594-fx044gcd 672 49 ) ) -RRB- cord-022594-fx044gcd 672 50 . . . cord-022594-fx044gcd 673 1 We -PRON- PRP cord-022594-fx044gcd 673 2 do do VBP cord-022594-fx044gcd 673 3 not not RB cord-022594-fx044gcd 673 4 recommend recommend VB cord-022594-fx044gcd 673 5 that that IN cord-022594-fx044gcd 673 6 CIS CIS NNP cord-022594-fx044gcd 673 7 patients patient NNS cord-022594-fx044gcd 673 8 with with IN cord-022594-fx044gcd 673 9 fewer few JJR cord-022594-fx044gcd 673 10 than than IN cord-022594-fx044gcd 673 11 two two CD cord-022594-fx044gcd 673 12 asymptomatic asymptomatic JJ cord-022594-fx044gcd 673 13 MRI MRI NNP cord-022594-fx044gcd 673 14 lesions lesion NNS cord-022594-fx044gcd 673 15 receive receive VBP cord-022594-fx044gcd 673 16 treatment treatment NN cord-022594-fx044gcd 673 17 with with IN cord-022594-fx044gcd 673 18 interferons interferon NNS cord-022594-fx044gcd 673 19 . . . cord-022594-fx044gcd 674 1 Please please UH cord-022594-fx044gcd 674 2 see see VB cord-022594-fx044gcd 674 3 the the DT cord-022594-fx044gcd 674 4 discussions discussion NNS cord-022594-fx044gcd 674 5 under under IN cord-022594-fx044gcd 674 6 " " `` cord-022594-fx044gcd 674 7 Summary Summary NNP cord-022594-fx044gcd 674 8 of of IN cord-022594-fx044gcd 674 9 Recommendations Recommendations NNPS cord-022594-fx044gcd 674 10 for for IN cord-022594-fx044gcd 674 11 the the DT cord-022594-fx044gcd 674 12 Treatment Treatment NNP cord-022594-fx044gcd 674 13 of of IN cord-022594-fx044gcd 674 14 RRMS RRMS NNP cord-022594-fx044gcd 674 15 Patients Patients NNPS cord-022594-fx044gcd 674 16 " " '' cord-022594-fx044gcd 674 17 for for IN cord-022594-fx044gcd 674 18 further further JJ cord-022594-fx044gcd 674 19 advice advice NN cord-022594-fx044gcd 674 20 on on IN cord-022594-fx044gcd 674 21 patient patient JJ cord-022594-fx044gcd 674 22 counseling counseling NN cord-022594-fx044gcd 674 23 and and CC cord-022594-fx044gcd 674 24 decision decision NN cord-022594-fx044gcd 674 25 making make VBG cord-022594-fx044gcd 674 26 about about IN cord-022594-fx044gcd 674 27 the the DT cord-022594-fx044gcd 674 28 use use NN cord-022594-fx044gcd 674 29 of of IN cord-022594-fx044gcd 674 30 the the DT cord-022594-fx044gcd 674 31 disease disease NN cord-022594-fx044gcd 674 32 - - HYPH cord-022594-fx044gcd 674 33 modifying modify VBG cord-022594-fx044gcd 674 34 medications medication NNS cord-022594-fx044gcd 674 35 . . . cord-022594-fx044gcd 675 1 Altering alter VBG cord-022594-fx044gcd 675 2 the the DT cord-022594-fx044gcd 675 3 Course course NN cord-022594-fx044gcd 675 4 of of IN cord-022594-fx044gcd 675 5 Relapsing relapse VBG cord-022594-fx044gcd 675 6 - - HYPH cord-022594-fx044gcd 675 7 Remitting remit VBG cord-022594-fx044gcd 675 8 Multiple multiple JJ cord-022594-fx044gcd 675 9 Sclerosis Sclerosis NNP cord-022594-fx044gcd 675 10 b b NN cord-022594-fx044gcd 675 11 - - : cord-022594-fx044gcd 675 12 Interferons Interferons NNPS cord-022594-fx044gcd 675 13 . . . cord-022594-fx044gcd 676 1 Interferons interferon NNS cord-022594-fx044gcd 676 2 are be VBP cord-022594-fx044gcd 676 3 a a DT cord-022594-fx044gcd 676 4 class class NN cord-022594-fx044gcd 676 5 of of IN cord-022594-fx044gcd 676 6 peptides peptide NNS cord-022594-fx044gcd 676 7 that that WDT cord-022594-fx044gcd 676 8 have have VBP cord-022594-fx044gcd 676 9 antiviral antiviral JJ cord-022594-fx044gcd 676 10 and and CC cord-022594-fx044gcd 676 11 immunoregulatory immunoregulatory JJ cord-022594-fx044gcd 676 12 functions function NNS cord-022594-fx044gcd 676 13 . . . cord-022594-fx044gcd 677 1 Both both DT cord-022594-fx044gcd 677 2 interferon interferon NN cord-022594-fx044gcd 677 3 - - : cord-022594-fx044gcd 677 4 a a NN cord-022594-fx044gcd 677 5 and and CC cord-022594-fx044gcd 677 6 interferon interferon NN cord-022594-fx044gcd 677 7 - - HYPH cord-022594-fx044gcd 677 8 b b NN cord-022594-fx044gcd 677 9 are be VBP cord-022594-fx044gcd 677 10 part part NN cord-022594-fx044gcd 677 11 of of IN cord-022594-fx044gcd 677 12 the the DT cord-022594-fx044gcd 677 13 anti anti JJ cord-022594-fx044gcd 677 14 - - JJ cord-022594-fx044gcd 677 15 inflammatory inflammatory JJ cord-022594-fx044gcd 677 16 T t NN cord-022594-fx044gcd 677 17 H h NN cord-022594-fx044gcd 677 18 2 2 CD cord-022594-fx044gcd 677 19 response response NN cord-022594-fx044gcd 677 20 . . . cord-022594-fx044gcd 678 1 Interferon interferon NN cord-022594-fx044gcd 678 2 - - HYPH cord-022594-fx044gcd 678 3 b b NN cord-022594-fx044gcd 678 4 1b 1b CD cord-022594-fx044gcd 678 5 ( ( -LRB- cord-022594-fx044gcd 678 6 Betaseron Betaseron NNP cord-022594-fx044gcd 678 7 ) ) -RRB- cord-022594-fx044gcd 678 8 was be VBD cord-022594-fx044gcd 678 9 the the DT cord-022594-fx044gcd 678 10 first first JJ cord-022594-fx044gcd 678 11 drug drug NN cord-022594-fx044gcd 678 12 approved approve VBN cord-022594-fx044gcd 678 13 by by IN cord-022594-fx044gcd 678 14 the the DT cord-022594-fx044gcd 678 15 U.S. U.S. NNP cord-022594-fx044gcd 678 16 Food Food NNP cord-022594-fx044gcd 678 17 and and CC cord-022594-fx044gcd 678 18 Drug Drug NNP cord-022594-fx044gcd 678 19 Administration Administration NNP cord-022594-fx044gcd 678 20 ( ( -LRB- cord-022594-fx044gcd 678 21 FDA FDA NNP cord-022594-fx044gcd 678 22 ) ) -RRB- cord-022594-fx044gcd 678 23 specifically specifically RB cord-022594-fx044gcd 678 24 for for IN cord-022594-fx044gcd 678 25 the the DT cord-022594-fx044gcd 678 26 treatment treatment NN cord-022594-fx044gcd 678 27 of of IN cord-022594-fx044gcd 678 28 MS MS NNP cord-022594-fx044gcd 678 29 . . . cord-022594-fx044gcd 679 1 A a DT cord-022594-fx044gcd 679 2 large large JJ cord-022594-fx044gcd 679 3 clinical clinical JJ cord-022594-fx044gcd 679 4 study study NN cord-022594-fx044gcd 679 5 in in IN cord-022594-fx044gcd 679 6 RRMS RRMS NNP cord-022594-fx044gcd 679 7 patients patient NNS cord-022594-fx044gcd 679 8 demonstrated demonstrate VBD cord-022594-fx044gcd 679 9 a a DT cord-022594-fx044gcd 679 10 reduction reduction NN cord-022594-fx044gcd 679 11 in in IN cord-022594-fx044gcd 679 12 the the DT cord-022594-fx044gcd 679 13 frequency frequency NN cord-022594-fx044gcd 679 14 of of IN cord-022594-fx044gcd 679 15 relapses relapse NNS cord-022594-fx044gcd 679 16 by by IN cord-022594-fx044gcd 679 17 about about RB cord-022594-fx044gcd 679 18 one one CD cord-022594-fx044gcd 679 19 third third NN cord-022594-fx044gcd 679 20 with with IN cord-022594-fx044gcd 679 21 subcutaneous subcutaneous JJ cord-022594-fx044gcd 679 22 injection injection NN cord-022594-fx044gcd 679 23 every every DT cord-022594-fx044gcd 679 24 other other JJ cord-022594-fx044gcd 679 25 day day NN cord-022594-fx044gcd 679 26 . . . cord-022594-fx044gcd 680 1 64 64 CD cord-022594-fx044gcd 681 1 The the DT cord-022594-fx044gcd 681 2 severity severity NN cord-022594-fx044gcd 681 3 of of IN cord-022594-fx044gcd 681 4 relapses relapse NNS cord-022594-fx044gcd 681 5 was be VBD cord-022594-fx044gcd 681 6 also also RB cord-022594-fx044gcd 681 7 lessened lessen VBN cord-022594-fx044gcd 681 8 . . . cord-022594-fx044gcd 682 1 Interferon interferon NN cord-022594-fx044gcd 682 2 - - HYPH cord-022594-fx044gcd 682 3 b b NN cord-022594-fx044gcd 682 4 1b 1b CD cord-022594-fx044gcd 682 5 had have VBD cord-022594-fx044gcd 682 6 a a DT cord-022594-fx044gcd 682 7 striking striking JJ cord-022594-fx044gcd 682 8 effect effect NN cord-022594-fx044gcd 682 9 on on IN cord-022594-fx044gcd 682 10 MRI MRI NNP cord-022594-fx044gcd 682 11 measures measure NNS cord-022594-fx044gcd 682 12 of of IN cord-022594-fx044gcd 682 13 disease disease NN cord-022594-fx044gcd 682 14 activity activity NN cord-022594-fx044gcd 682 15 . . . cord-022594-fx044gcd 683 1 The the DT cord-022594-fx044gcd 683 2 placebo placebo NN cord-022594-fx044gcd 683 3 - - HYPH cord-022594-fx044gcd 683 4 control control NN cord-022594-fx044gcd 683 5 group group NN cord-022594-fx044gcd 683 6 continued continue VBD cord-022594-fx044gcd 683 7 to to TO cord-022594-fx044gcd 683 8 accumulate accumulate VB cord-022594-fx044gcd 683 9 white white JJ cord-022594-fx044gcd 683 10 matter matter NN cord-022594-fx044gcd 683 11 lesions lesion NNS cord-022594-fx044gcd 683 12 , , , cord-022594-fx044gcd 683 13 whereas whereas IN cord-022594-fx044gcd 683 14 patients patient NNS cord-022594-fx044gcd 683 15 in in IN cord-022594-fx044gcd 683 16 the the DT cord-022594-fx044gcd 683 17 high high JJ cord-022594-fx044gcd 683 18 - - HYPH cord-022594-fx044gcd 683 19 dose dose NN cord-022594-fx044gcd 683 20 arm arm NN cord-022594-fx044gcd 683 21 ( ( -LRB- cord-022594-fx044gcd 683 22 8 8 CD cord-022594-fx044gcd 683 23 million million CD cord-022594-fx044gcd 683 24 IU IU NNP cord-022594-fx044gcd 683 25 ) ) -RRB- cord-022594-fx044gcd 683 26 had have VBD cord-022594-fx044gcd 683 27 stabilization stabilization NN cord-022594-fx044gcd 683 28 of of IN cord-022594-fx044gcd 683 29 their -PRON- PRP$ cord-022594-fx044gcd 683 30 MRI MRI NNP cord-022594-fx044gcd 683 31 lesion lesion NN cord-022594-fx044gcd 683 32 load load NN cord-022594-fx044gcd 683 33 . . . cord-022594-fx044gcd 684 1 No no DT cord-022594-fx044gcd 684 2 difference difference NN cord-022594-fx044gcd 684 3 was be VBD cord-022594-fx044gcd 684 4 found find VBN cord-022594-fx044gcd 684 5 in in IN cord-022594-fx044gcd 684 6 the the DT cord-022594-fx044gcd 684 7 disability disability NN cord-022594-fx044gcd 684 8 levels level NNS cord-022594-fx044gcd 684 9 , , , cord-022594-fx044gcd 684 10 however however RB cord-022594-fx044gcd 684 11 . . . cord-022594-fx044gcd 685 1 Side side JJ cord-022594-fx044gcd 685 2 effects effect NNS cord-022594-fx044gcd 685 3 include include VBP cord-022594-fx044gcd 685 4 injection injection NN cord-022594-fx044gcd 685 5 site site NN cord-022594-fx044gcd 685 6 reactions reaction NNS cord-022594-fx044gcd 685 7 , , , cord-022594-fx044gcd 685 8 flu flu NN cord-022594-fx044gcd 685 9 - - HYPH cord-022594-fx044gcd 685 10 like like JJ cord-022594-fx044gcd 685 11 symptoms symptom NNS cord-022594-fx044gcd 685 12 ( ( -LRB- cord-022594-fx044gcd 685 13 low low JJ cord-022594-fx044gcd 685 14 - - HYPH cord-022594-fx044gcd 685 15 grade grade NN cord-022594-fx044gcd 685 16 fever fever NN cord-022594-fx044gcd 685 17 , , , cord-022594-fx044gcd 685 18 myalgias myalgias NNP cord-022594-fx044gcd 685 19 , , , cord-022594-fx044gcd 685 20 headache headache NN cord-022594-fx044gcd 685 21 ; ; : cord-022594-fx044gcd 685 22 these these DT cord-022594-fx044gcd 685 23 lessen lessen VBP cord-022594-fx044gcd 685 24 in in IN cord-022594-fx044gcd 685 25 frequency frequency NN cord-022594-fx044gcd 685 26 after after IN cord-022594-fx044gcd 685 27 treatment treatment NN cord-022594-fx044gcd 685 28 for for IN cord-022594-fx044gcd 685 29 a a DT cord-022594-fx044gcd 685 30 few few JJ cord-022594-fx044gcd 685 31 months month NNS cord-022594-fx044gcd 685 32 ) ) -RRB- cord-022594-fx044gcd 685 33 , , , cord-022594-fx044gcd 685 34 mild mild JJ cord-022594-fx044gcd 685 35 liver liver NN cord-022594-fx044gcd 685 36 enzyme enzyme NN cord-022594-fx044gcd 685 37 elevation elevation NN cord-022594-fx044gcd 685 38 , , , cord-022594-fx044gcd 685 39 and and CC cord-022594-fx044gcd 685 40 lymphopenia lymphopenia NNP cord-022594-fx044gcd 685 41 . . . cord-022594-fx044gcd 686 1 Depression depression NN cord-022594-fx044gcd 686 2 and and CC cord-022594-fx044gcd 686 3 attempted attempt VBD cord-022594-fx044gcd 686 4 suicide suicide NN cord-022594-fx044gcd 686 5 were be VBD cord-022594-fx044gcd 686 6 more more RBR cord-022594-fx044gcd 686 7 common common JJ cord-022594-fx044gcd 686 8 in in IN cord-022594-fx044gcd 686 9 the the DT cord-022594-fx044gcd 686 10 treated treat VBN cord-022594-fx044gcd 686 11 groups group NNS cord-022594-fx044gcd 686 12 . . . cord-022594-fx044gcd 687 1 To to TO cord-022594-fx044gcd 687 2 illustrate illustrate VB cord-022594-fx044gcd 687 3 the the DT cord-022594-fx044gcd 687 4 magnitude magnitude NN cord-022594-fx044gcd 687 5 of of IN cord-022594-fx044gcd 687 6 treatment treatment NN cord-022594-fx044gcd 687 7 effect effect NN cord-022594-fx044gcd 687 8 of of IN cord-022594-fx044gcd 687 9 the the DT cord-022594-fx044gcd 687 10 pivotal pivotal JJ cord-022594-fx044gcd 687 11 interferon interferon NN cord-022594-fx044gcd 687 12 - - HYPH cord-022594-fx044gcd 687 13 b b NN cord-022594-fx044gcd 687 14 1b 1b CD cord-022594-fx044gcd 687 15 trial trial NN cord-022594-fx044gcd 687 16 , , , cord-022594-fx044gcd 687 17 the the DT cord-022594-fx044gcd 687 18 RRR RRR NNP cord-022594-fx044gcd 687 19 was be VBD cord-022594-fx044gcd 687 20 18 18 CD cord-022594-fx044gcd 687 21 % % NN cord-022594-fx044gcd 687 22 , , , cord-022594-fx044gcd 687 23 the the DT cord-022594-fx044gcd 687 24 ARR arr NN cord-022594-fx044gcd 687 25 was be VBD cord-022594-fx044gcd 687 26 15 15 CD cord-022594-fx044gcd 687 27 % % NN cord-022594-fx044gcd 687 28 , , , cord-022594-fx044gcd 687 29 and and CC cord-022594-fx044gcd 687 30 the the DT cord-022594-fx044gcd 687 31 NNT NNT NNP cord-022594-fx044gcd 687 32 analysis analysis NN cord-022594-fx044gcd 687 33 showed show VBD cord-022594-fx044gcd 687 34 that that IN cord-022594-fx044gcd 687 35 7 7 CD cord-022594-fx044gcd 687 36 patients patient NNS cord-022594-fx044gcd 687 37 are be VBP cord-022594-fx044gcd 687 38 needed need VBN cord-022594-fx044gcd 687 39 to to TO cord-022594-fx044gcd 687 40 be be VB cord-022594-fx044gcd 687 41 treated treat VBN cord-022594-fx044gcd 687 42 over over IN cord-022594-fx044gcd 687 43 3 3 CD cord-022594-fx044gcd 687 44 years year NNS cord-022594-fx044gcd 687 45 to to TO cord-022594-fx044gcd 687 46 increase increase VB cord-022594-fx044gcd 687 47 the the DT cord-022594-fx044gcd 687 48 number number NN cord-022594-fx044gcd 687 49 of of IN cord-022594-fx044gcd 687 50 those those DT cord-022594-fx044gcd 687 51 who who WP cord-022594-fx044gcd 687 52 were be VBD cord-022594-fx044gcd 687 53 relapse relapse VBN cord-022594-fx044gcd 687 54 free free JJ cord-022594-fx044gcd 687 55 by by IN cord-022594-fx044gcd 687 56 one one CD cord-022594-fx044gcd 687 57 . . . cord-022594-fx044gcd 688 1 One one CD cord-022594-fx044gcd 688 2 particularly particularly RB cord-022594-fx044gcd 688 3 disturbing disturbing JJ cord-022594-fx044gcd 688 4 result result NN cord-022594-fx044gcd 688 5 was be VBD cord-022594-fx044gcd 688 6 the the DT cord-022594-fx044gcd 688 7 production production NN cord-022594-fx044gcd 688 8 of of IN cord-022594-fx044gcd 688 9 neutralizing neutralize VBG cord-022594-fx044gcd 688 10 autoantibodies autoantibody NNS cord-022594-fx044gcd 688 11 ( ( -LRB- cord-022594-fx044gcd 688 12 NAbs NAbs NNP cord-022594-fx044gcd 688 13 ) ) -RRB- cord-022594-fx044gcd 688 14 in in IN cord-022594-fx044gcd 688 15 38 38 CD cord-022594-fx044gcd 688 16 % % NN cord-022594-fx044gcd 688 17 of of IN cord-022594-fx044gcd 688 18 patients patient NNS cord-022594-fx044gcd 688 19 after after IN cord-022594-fx044gcd 688 20 3 3 CD cord-022594-fx044gcd 688 21 years year NNS cord-022594-fx044gcd 688 22 of of IN cord-022594-fx044gcd 688 23 treatment treatment NN cord-022594-fx044gcd 688 24 . . . cord-022594-fx044gcd 689 1 Not not RB cord-022594-fx044gcd 689 2 only only RB cord-022594-fx044gcd 689 3 do do VBP cord-022594-fx044gcd 689 4 patients patient NNS cord-022594-fx044gcd 689 5 with with IN cord-022594-fx044gcd 689 6 these these DT cord-022594-fx044gcd 689 7 antibodies antibody NNS cord-022594-fx044gcd 689 8 thereafter thereafter RB cord-022594-fx044gcd 689 9 fail fail VBP cord-022594-fx044gcd 689 10 to to TO cord-022594-fx044gcd 689 11 respond respond VB cord-022594-fx044gcd 689 12 to to IN cord-022594-fx044gcd 689 13 this this DT cord-022594-fx044gcd 689 14 drug drug NN cord-022594-fx044gcd 689 15 , , , cord-022594-fx044gcd 689 16 but but CC cord-022594-fx044gcd 689 17 there there EX cord-022594-fx044gcd 689 18 is be VBZ cord-022594-fx044gcd 689 19 also also RB cord-022594-fx044gcd 689 20 a a DT cord-022594-fx044gcd 689 21 concern concern NN cord-022594-fx044gcd 689 22 that that IN cord-022594-fx044gcd 689 23 NAbs NAbs NNP cord-022594-fx044gcd 689 24 may may MD cord-022594-fx044gcd 689 25 cross cross VB cord-022594-fx044gcd 689 26 - - VB cord-022594-fx044gcd 689 27 react react VB cord-022594-fx044gcd 689 28 with with IN cord-022594-fx044gcd 689 29 natural natural JJ cord-022594-fx044gcd 689 30 interferon interferon NN cord-022594-fx044gcd 689 31 - - HYPH cord-022594-fx044gcd 689 32 b b NN cord-022594-fx044gcd 689 33 and and CC cord-022594-fx044gcd 689 34 interfere interfere VB cord-022594-fx044gcd 689 35 with with IN cord-022594-fx044gcd 689 36 its -PRON- PRP$ cord-022594-fx044gcd 689 37 function function NN cord-022594-fx044gcd 689 38 . . . cord-022594-fx044gcd 690 1 All all DT cord-022594-fx044gcd 690 2 positive positive JJ cord-022594-fx044gcd 690 3 sera sera NN cord-022594-fx044gcd 690 4 for for IN cord-022594-fx044gcd 690 5 NAbs NAbs NNP cord-022594-fx044gcd 690 6 seem seem VB cord-022594-fx044gcd 690 7 to to TO cord-022594-fx044gcd 690 8 cross cross VB cord-022594-fx044gcd 690 9 - - VB cord-022594-fx044gcd 690 10 react react VB cord-022594-fx044gcd 690 11 with with IN cord-022594-fx044gcd 690 12 both both CC cord-022594-fx044gcd 690 13 interferon interferon NN cord-022594-fx044gcd 690 14 - - HYPH cord-022594-fx044gcd 690 15 b b NN cord-022594-fx044gcd 690 16 1a 1a CD cord-022594-fx044gcd 690 17 and and CC cord-022594-fx044gcd 690 18 1b 1b CD cord-022594-fx044gcd 690 19 . . . cord-022594-fx044gcd 691 1 Switching switch VBG cord-022594-fx044gcd 691 2 from from IN cord-022594-fx044gcd 691 3 one one CD cord-022594-fx044gcd 691 4 preparation preparation NN cord-022594-fx044gcd 691 5 to to IN cord-022594-fx044gcd 691 6 the the DT cord-022594-fx044gcd 691 7 other other JJ cord-022594-fx044gcd 691 8 does do VBZ cord-022594-fx044gcd 691 9 not not RB cord-022594-fx044gcd 691 10 change change VB cord-022594-fx044gcd 691 11 the the DT cord-022594-fx044gcd 691 12 pattern pattern NN cord-022594-fx044gcd 691 13 of of IN cord-022594-fx044gcd 691 14 antibody antibody NN cord-022594-fx044gcd 691 15 response response NN cord-022594-fx044gcd 691 16 . . . cord-022594-fx044gcd 692 1 65 65 CD cord-022594-fx044gcd 693 1 The the DT cord-022594-fx044gcd 693 2 long long JJ cord-022594-fx044gcd 693 3 - - HYPH cord-022594-fx044gcd 693 4 term term NN cord-022594-fx044gcd 693 5 effects effect NNS cord-022594-fx044gcd 693 6 of of IN cord-022594-fx044gcd 693 7 NAbs NAbs NNP cord-022594-fx044gcd 693 8 are be VBP cord-022594-fx044gcd 693 9 unknown unknown JJ cord-022594-fx044gcd 693 10 . . . cord-022594-fx044gcd 694 1 Recent recent JJ cord-022594-fx044gcd 694 2 studies study NNS cord-022594-fx044gcd 694 3 seem seem VBP cord-022594-fx044gcd 694 4 to to TO cord-022594-fx044gcd 694 5 support support VB cord-022594-fx044gcd 694 6 that that DT cord-022594-fx044gcd 694 7 NAb NAb NNP cord-022594-fx044gcd 694 8 formation formation NN cord-022594-fx044gcd 694 9 reduces reduce VBZ cord-022594-fx044gcd 694 10 clinical clinical JJ cord-022594-fx044gcd 694 11 and and CC cord-022594-fx044gcd 694 12 MRI MRI NNP cord-022594-fx044gcd 694 13 effects effect NNS cord-022594-fx044gcd 694 14 although although IN cord-022594-fx044gcd 694 15 often often RB cord-022594-fx044gcd 694 16 NAb nab VBP cord-022594-fx044gcd 694 17 formation formation NN cord-022594-fx044gcd 694 18 subsides subside VBZ cord-022594-fx044gcd 694 19 with with IN cord-022594-fx044gcd 694 20 time time NN cord-022594-fx044gcd 694 21 . . . cord-022594-fx044gcd 695 1 There there EX cord-022594-fx044gcd 695 2 are be VBP cord-022594-fx044gcd 695 3 no no DT cord-022594-fx044gcd 695 4 firm firm JJ cord-022594-fx044gcd 695 5 guidelines guideline NNS cord-022594-fx044gcd 695 6 for for IN cord-022594-fx044gcd 695 7 monitoring monitor VBG cord-022594-fx044gcd 695 8 NAb NAb NNP cord-022594-fx044gcd 695 9 formation formation NN cord-022594-fx044gcd 695 10 . . . cord-022594-fx044gcd 696 1 Most Most JJS cord-022594-fx044gcd 696 2 physicians physician NNS cord-022594-fx044gcd 696 3 do do VBP cord-022594-fx044gcd 696 4 not not RB cord-022594-fx044gcd 696 5 measure measure VB cord-022594-fx044gcd 696 6 NAbs NAbs NNP cord-022594-fx044gcd 696 7 but but CC cord-022594-fx044gcd 696 8 rather rather RB cord-022594-fx044gcd 696 9 change change VB cord-022594-fx044gcd 696 10 therapies therapy NNS cord-022594-fx044gcd 696 11 empirically empirically RB cord-022594-fx044gcd 696 12 when when WRB cord-022594-fx044gcd 696 13 patients patient NNS cord-022594-fx044gcd 696 14 appear appear VBP cord-022594-fx044gcd 696 15 to to TO cord-022594-fx044gcd 696 16 be be VB cord-022594-fx044gcd 696 17 failing fail VBG cord-022594-fx044gcd 696 18 treatment treatment NN cord-022594-fx044gcd 696 19 . . . cord-022594-fx044gcd 697 1 Low low JJ cord-022594-fx044gcd 697 2 titer titer NN cord-022594-fx044gcd 697 3 Nabs Nabs NNP cord-022594-fx044gcd 697 4 may may MD cord-022594-fx044gcd 697 5 be be VB cord-022594-fx044gcd 697 6 just just RB cord-022594-fx044gcd 697 7 transient transient JJ cord-022594-fx044gcd 697 8 phenomenon phenomenon NN cord-022594-fx044gcd 697 9 related relate VBN cord-022594-fx044gcd 697 10 to to IN cord-022594-fx044gcd 697 11 IFN IFN NNP cord-022594-fx044gcd 697 12 treatment treatment NN cord-022594-fx044gcd 697 13 ; ; . cord-022594-fx044gcd 698 1 persistent persistent JJ cord-022594-fx044gcd 698 2 high high JJ cord-022594-fx044gcd 698 3 titer titer NN cord-022594-fx044gcd 698 4 NAbs NAbs NNP cord-022594-fx044gcd 698 5 on on IN cord-022594-fx044gcd 698 6 two two CD cord-022594-fx044gcd 698 7 consecutive consecutive JJ cord-022594-fx044gcd 698 8 tests test NNS cord-022594-fx044gcd 698 9 at at IN cord-022594-fx044gcd 698 10 least least JJS cord-022594-fx044gcd 698 11 6 6 CD cord-022594-fx044gcd 698 12 months month NNS cord-022594-fx044gcd 698 13 apart apart RB cord-022594-fx044gcd 698 14 is be VBZ cord-022594-fx044gcd 698 15 likely likely RB cord-022594-fx044gcd 698 16 associated associate VBN cord-022594-fx044gcd 698 17 with with IN cord-022594-fx044gcd 698 18 poor poor JJ cord-022594-fx044gcd 698 19 treatment treatment NN cord-022594-fx044gcd 698 20 response response NN cord-022594-fx044gcd 698 21 to to IN cord-022594-fx044gcd 698 22 INF INF NNP cord-022594-fx044gcd 698 23 . . . cord-022594-fx044gcd 699 1 Interferon interferon NN cord-022594-fx044gcd 699 2 - - HYPH cord-022594-fx044gcd 699 3 b b NN cord-022594-fx044gcd 699 4 1a 1a CD cord-022594-fx044gcd 699 5 ( ( -LRB- cord-022594-fx044gcd 699 6 Avonex Avonex NNP cord-022594-fx044gcd 699 7 ) ) -RRB- cord-022594-fx044gcd 699 8 has have VBZ cord-022594-fx044gcd 699 9 the the DT cord-022594-fx044gcd 699 10 same same JJ cord-022594-fx044gcd 699 11 amino amino NN cord-022594-fx044gcd 699 12 acid acid NN cord-022594-fx044gcd 699 13 sequence sequence NN cord-022594-fx044gcd 699 14 as as IN cord-022594-fx044gcd 699 15 natural natural JJ cord-022594-fx044gcd 699 16 interferon interferon NN cord-022594-fx044gcd 699 17 - - HYPH cord-022594-fx044gcd 699 18 b b NN cord-022594-fx044gcd 699 19 and and CC cord-022594-fx044gcd 699 20 differs differ VBZ cord-022594-fx044gcd 699 21 from from IN cord-022594-fx044gcd 699 22 interferon interferon NN cord-022594-fx044gcd 699 23 - - HYPH cord-022594-fx044gcd 699 24 b b NN cord-022594-fx044gcd 699 25 1b 1b CD cord-022594-fx044gcd 699 26 by by IN cord-022594-fx044gcd 699 27 one one CD cord-022594-fx044gcd 699 28 amino amino NN cord-022594-fx044gcd 699 29 acid acid NN cord-022594-fx044gcd 699 30 as as RB cord-022594-fx044gcd 699 31 well well RB cord-022594-fx044gcd 699 32 as as IN cord-022594-fx044gcd 699 33 by by IN cord-022594-fx044gcd 699 34 the the DT cord-022594-fx044gcd 699 35 presence presence NN cord-022594-fx044gcd 699 36 of of IN cord-022594-fx044gcd 699 37 carbohydrate carbohydrate NN cord-022594-fx044gcd 699 38 moieties moiety NNS cord-022594-fx044gcd 699 39 . . . cord-022594-fx044gcd 700 1 Once once RB cord-022594-fx044gcd 700 2 - - HYPH cord-022594-fx044gcd 700 3 weekly weekly JJ cord-022594-fx044gcd 700 4 intramuscular intramuscular JJ cord-022594-fx044gcd 700 5 interferon interferon NN cord-022594-fx044gcd 700 6 - - HYPH cord-022594-fx044gcd 700 7 b b NN cord-022594-fx044gcd 700 8 1a 1a NN cord-022594-fx044gcd 700 9 has have VBZ cord-022594-fx044gcd 700 10 been be VBN cord-022594-fx044gcd 700 11 found find VBN cord-022594-fx044gcd 700 12 to to TO cord-022594-fx044gcd 700 13 have have VB cord-022594-fx044gcd 700 14 effects effect NNS cord-022594-fx044gcd 700 15 similar similar JJ cord-022594-fx044gcd 700 16 to to IN cord-022594-fx044gcd 700 17 that that DT cord-022594-fx044gcd 700 18 of of IN cord-022594-fx044gcd 700 19 interferon interferon NN cord-022594-fx044gcd 700 20 - - HYPH cord-022594-fx044gcd 700 21 b b NN cord-022594-fx044gcd 700 22 1b 1b CD cord-022594-fx044gcd 700 23 in in IN cord-022594-fx044gcd 700 24 reducing reduce VBG cord-022594-fx044gcd 700 25 the the DT cord-022594-fx044gcd 700 26 frequency frequency NN cord-022594-fx044gcd 700 27 of of IN cord-022594-fx044gcd 700 28 MS MS NNP cord-022594-fx044gcd 700 29 relapses relapse NNS cord-022594-fx044gcd 700 30 . . . cord-022594-fx044gcd 701 1 In in IN cord-022594-fx044gcd 701 2 addition addition NN cord-022594-fx044gcd 701 3 , , , cord-022594-fx044gcd 701 4 a a DT cord-022594-fx044gcd 701 5 favorable favorable JJ cord-022594-fx044gcd 701 6 effect effect NN cord-022594-fx044gcd 701 7 on on IN cord-022594-fx044gcd 701 8 disability disability NN cord-022594-fx044gcd 701 9 was be VBD cord-022594-fx044gcd 701 10 also also RB cord-022594-fx044gcd 701 11 demonstrated demonstrate VBN cord-022594-fx044gcd 701 12 and and CC cord-022594-fx044gcd 701 13 side side NN cord-022594-fx044gcd 701 14 effects effect NNS cord-022594-fx044gcd 701 15 were be VBD cord-022594-fx044gcd 701 16 less less RBR cord-022594-fx044gcd 701 17 common common JJ cord-022594-fx044gcd 701 18 . . . cord-022594-fx044gcd 702 1 In in IN cord-022594-fx044gcd 702 2 the the DT cord-022594-fx044gcd 702 3 original original JJ cord-022594-fx044gcd 702 4 interferon interferon NN cord-022594-fx044gcd 702 5 - - HYPH cord-022594-fx044gcd 702 6 b b NN cord-022594-fx044gcd 702 7 1-a 1-a CD cord-022594-fx044gcd 702 8 intramuscular intramuscular JJ cord-022594-fx044gcd 702 9 trial trial NN cord-022594-fx044gcd 702 10 , , , cord-022594-fx044gcd 702 11 the the DT cord-022594-fx044gcd 702 12 primary primary JJ cord-022594-fx044gcd 702 13 outcome outcome NN cord-022594-fx044gcd 702 14 measure measure NN cord-022594-fx044gcd 702 15 was be VBD cord-022594-fx044gcd 702 16 time time NN cord-022594-fx044gcd 702 17 to to IN cord-022594-fx044gcd 702 18 EDSS EDSS NNP cord-022594-fx044gcd 702 19 progression progression NN cord-022594-fx044gcd 702 20 . . . cord-022594-fx044gcd 703 1 The the DT cord-022594-fx044gcd 703 2 RRR RRR NNP cord-022594-fx044gcd 703 3 was be VBD cord-022594-fx044gcd 703 4 37 37 CD cord-022594-fx044gcd 703 5 % % NN cord-022594-fx044gcd 703 6 , , , cord-022594-fx044gcd 703 7 the the DT cord-022594-fx044gcd 703 8 ARR arr NN cord-022594-fx044gcd 703 9 was be VBD cord-022594-fx044gcd 703 10 13 13 CD cord-022594-fx044gcd 703 11 % % NN cord-022594-fx044gcd 703 12 , , , cord-022594-fx044gcd 703 13 and and CC cord-022594-fx044gcd 703 14 the the DT cord-022594-fx044gcd 703 15 NNT NNT NNP cord-022594-fx044gcd 703 16 was be VBD cord-022594-fx044gcd 703 17 8 8 CD cord-022594-fx044gcd 703 18 for for IN cord-022594-fx044gcd 703 19 2 2 CD cord-022594-fx044gcd 703 20 years year NNS cord-022594-fx044gcd 703 21 to to TO cord-022594-fx044gcd 703 22 prevent prevent VB cord-022594-fx044gcd 703 23 one one CD cord-022594-fx044gcd 703 24 patient patient NN cord-022594-fx044gcd 703 25 from from IN cord-022594-fx044gcd 703 26 developing develop VBG cord-022594-fx044gcd 703 27 EDSS EDSS NNP cord-022594-fx044gcd 703 28 progression progression NN cord-022594-fx044gcd 703 29 . . . cord-022594-fx044gcd 704 1 The the DT cord-022594-fx044gcd 704 2 calculations calculation NNS cord-022594-fx044gcd 704 3 for for IN cord-022594-fx044gcd 704 4 " " `` cord-022594-fx044gcd 704 5 proportion proportion NN cord-022594-fx044gcd 704 6 relapse relapse VB cord-022594-fx044gcd 704 7 free free JJ cord-022594-fx044gcd 704 8 " " '' cord-022594-fx044gcd 704 9 show show VBP cord-022594-fx044gcd 704 10 an an DT cord-022594-fx044gcd 704 11 RRR RRR NNP cord-022594-fx044gcd 704 12 of of IN cord-022594-fx044gcd 704 13 16 16 CD cord-022594-fx044gcd 704 14 % % NN cord-022594-fx044gcd 704 15 , , , cord-022594-fx044gcd 704 16 and and CC cord-022594-fx044gcd 704 17 ARR arr NN cord-022594-fx044gcd 704 18 of of IN cord-022594-fx044gcd 704 19 12 12 CD cord-022594-fx044gcd 704 20 % % NN cord-022594-fx044gcd 704 21 , , , cord-022594-fx044gcd 704 22 and and CC cord-022594-fx044gcd 704 23 an an DT cord-022594-fx044gcd 704 24 NNT nnt NN cord-022594-fx044gcd 704 25 of of IN cord-022594-fx044gcd 704 26 8 8 CD cord-022594-fx044gcd 704 27 over over IN cord-022594-fx044gcd 704 28 2 2 CD cord-022594-fx044gcd 704 29 years year NNS cord-022594-fx044gcd 704 30 ( ( -LRB- cord-022594-fx044gcd 704 31 8 8 CD cord-022594-fx044gcd 704 32 patients patient NNS cord-022594-fx044gcd 704 33 need need VBP cord-022594-fx044gcd 704 34 to to TO cord-022594-fx044gcd 704 35 be be VB cord-022594-fx044gcd 704 36 treated treat VBN cord-022594-fx044gcd 704 37 for for IN cord-022594-fx044gcd 704 38 2 2 CD cord-022594-fx044gcd 704 39 years year NNS cord-022594-fx044gcd 704 40 to to TO cord-022594-fx044gcd 704 41 increase increase VB cord-022594-fx044gcd 704 42 the the DT cord-022594-fx044gcd 704 43 number number NN cord-022594-fx044gcd 704 44 of of IN cord-022594-fx044gcd 704 45 patients patient NNS cord-022594-fx044gcd 704 46 who who WP cord-022594-fx044gcd 704 47 were be VBD cord-022594-fx044gcd 704 48 relapse relapse VBN cord-022594-fx044gcd 704 49 free free JJ cord-022594-fx044gcd 704 50 by by IN cord-022594-fx044gcd 704 51 one one CD cord-022594-fx044gcd 704 52 ) ) -RRB- cord-022594-fx044gcd 704 53 . . . cord-022594-fx044gcd 705 1 NAbs NAbs NNP cord-022594-fx044gcd 705 2 occurred occur VBD cord-022594-fx044gcd 705 3 half half NN cord-022594-fx044gcd 705 4 as as RB cord-022594-fx044gcd 705 5 often often RB cord-022594-fx044gcd 705 6 as as IN cord-022594-fx044gcd 705 7 with with IN cord-022594-fx044gcd 705 8 interferon interferon NN cord-022594-fx044gcd 705 9 - - HYPH cord-022594-fx044gcd 705 10 b b NN cord-022594-fx044gcd 705 11 1b 1b CD cord-022594-fx044gcd 705 12 . . . cord-022594-fx044gcd 706 1 Interferon interferon NN cord-022594-fx044gcd 706 2 - - HYPH cord-022594-fx044gcd 706 3 b b NN cord-022594-fx044gcd 706 4 1a 1a NN cord-022594-fx044gcd 706 5 has have VBZ cord-022594-fx044gcd 706 6 been be VBN cord-022594-fx044gcd 706 7 approved approve VBN cord-022594-fx044gcd 706 8 by by IN cord-022594-fx044gcd 706 9 the the DT cord-022594-fx044gcd 706 10 FDA FDA NNP cord-022594-fx044gcd 706 11 for for IN cord-022594-fx044gcd 706 12 treatment treatment NN cord-022594-fx044gcd 706 13 of of IN cord-022594-fx044gcd 706 14 " " `` cord-022594-fx044gcd 706 15 relapsing relapse VBG cord-022594-fx044gcd 706 16 MS MS NNP cord-022594-fx044gcd 706 17 . . . cord-022594-fx044gcd 706 18 " " '' cord-022594-fx044gcd 707 1 66 66 CD cord-022594-fx044gcd 708 1 The the DT cord-022594-fx044gcd 708 2 " " `` cord-022594-fx044gcd 708 3 correct correct JJ cord-022594-fx044gcd 708 4 " " '' cord-022594-fx044gcd 708 5 dose dose NN cord-022594-fx044gcd 708 6 of of IN cord-022594-fx044gcd 708 7 interferon interferon NN cord-022594-fx044gcd 708 8 continues continue VBZ cord-022594-fx044gcd 708 9 to to TO cord-022594-fx044gcd 708 10 be be VB cord-022594-fx044gcd 708 11 debated debate VBN cord-022594-fx044gcd 708 12 . . . cord-022594-fx044gcd 709 1 In in IN cord-022594-fx044gcd 709 2 a a DT cord-022594-fx044gcd 709 3 recent recent JJ cord-022594-fx044gcd 709 4 placebo placebo NN cord-022594-fx044gcd 709 5 - - HYPH cord-022594-fx044gcd 709 6 controlled control VBN cord-022594-fx044gcd 709 7 trial trial NN cord-022594-fx044gcd 709 8 , , , cord-022594-fx044gcd 709 9 patients patient NNS cord-022594-fx044gcd 709 10 randomized randomize VBN cord-022594-fx044gcd 709 11 to to IN cord-022594-fx044gcd 709 12 a a DT cord-022594-fx044gcd 709 13 high high JJ cord-022594-fx044gcd 709 14 dose dose NN cord-022594-fx044gcd 709 15 of of IN cord-022594-fx044gcd 709 16 interferon interferon NN cord-022594-fx044gcd 709 17 - - HYPH cord-022594-fx044gcd 709 18 b b NN cord-022594-fx044gcd 709 19 1a 1a CD cord-022594-fx044gcd 709 20 ( ( -LRB- cord-022594-fx044gcd 709 21 44 44 CD cord-022594-fx044gcd 709 22 mg mg NNP cord-022594-fx044gcd 709 23 three three CD cord-022594-fx044gcd 709 24 times time NNS cord-022594-fx044gcd 709 25 per per IN cord-022594-fx044gcd 709 26 week week NN cord-022594-fx044gcd 709 27 ) ) -RRB- cord-022594-fx044gcd 709 28 did do VBD cord-022594-fx044gcd 709 29 better well RBR cord-022594-fx044gcd 709 30 than than IN cord-022594-fx044gcd 709 31 those those DT cord-022594-fx044gcd 709 32 receiving receive VBG cord-022594-fx044gcd 709 33 half half PDT cord-022594-fx044gcd 709 34 this this DT cord-022594-fx044gcd 709 35 weekly weekly JJ cord-022594-fx044gcd 709 36 dose dose NN cord-022594-fx044gcd 709 37 . . . cord-022594-fx044gcd 710 1 Both both DT cord-022594-fx044gcd 710 2 groups group NNS cord-022594-fx044gcd 710 3 outperformed outperform VBD cord-022594-fx044gcd 710 4 placebo placebo NN cord-022594-fx044gcd 710 5 and and CC cord-022594-fx044gcd 710 6 the the DT cord-022594-fx044gcd 710 7 high high JJ cord-022594-fx044gcd 710 8 dose dose NN cord-022594-fx044gcd 710 9 seemed seem VBD cord-022594-fx044gcd 710 10 to to TO cord-022594-fx044gcd 710 11 have have VB cord-022594-fx044gcd 710 12 more more JJR cord-022594-fx044gcd 710 13 effect effect NN cord-022594-fx044gcd 710 14 on on IN cord-022594-fx044gcd 710 15 relapse relapse NN cord-022594-fx044gcd 710 16 severity severity NN cord-022594-fx044gcd 710 17 , , , cord-022594-fx044gcd 710 18 hospitalizations hospitalization NNS cord-022594-fx044gcd 710 19 , , , cord-022594-fx044gcd 710 20 MRI MRI NNP cord-022594-fx044gcd 710 21 activity activity NN cord-022594-fx044gcd 710 22 , , , cord-022594-fx044gcd 710 23 and and CC cord-022594-fx044gcd 710 24 lesion lesion NN cord-022594-fx044gcd 710 25 volume volume NN cord-022594-fx044gcd 710 26 accumulation accumulation NN cord-022594-fx044gcd 710 27 , , , cord-022594-fx044gcd 710 28 and and CC cord-022594-fx044gcd 710 29 possibly possibly RB cord-022594-fx044gcd 710 30 on on IN cord-022594-fx044gcd 710 31 delaying delay VBG cord-022594-fx044gcd 710 32 disability disability NN cord-022594-fx044gcd 710 33 in in IN cord-022594-fx044gcd 710 34 the the DT cord-022594-fx044gcd 710 35 most most RBS cord-022594-fx044gcd 710 36 severely severely RB cord-022594-fx044gcd 710 37 disabled disabled JJ cord-022594-fx044gcd 710 38 patients patient NNS cord-022594-fx044gcd 710 39 . . . cord-022594-fx044gcd 711 1 At at IN cord-022594-fx044gcd 711 2 the the DT cord-022594-fx044gcd 711 3 end end NN cord-022594-fx044gcd 711 4 of of IN cord-022594-fx044gcd 711 5 the the DT cord-022594-fx044gcd 711 6 2 2 CD cord-022594-fx044gcd 711 7 years year NNS cord-022594-fx044gcd 711 8 of of IN cord-022594-fx044gcd 711 9 follow follow NN cord-022594-fx044gcd 711 10 - - HYPH cord-022594-fx044gcd 711 11 up up NN cord-022594-fx044gcd 711 12 , , , cord-022594-fx044gcd 711 13 placebo placebo NN cord-022594-fx044gcd 711 14 - - HYPH cord-022594-fx044gcd 711 15 treated treat VBN cord-022594-fx044gcd 711 16 patients patient NNS cord-022594-fx044gcd 711 17 were be VBD cord-022594-fx044gcd 711 18 randomized randomize VBN cord-022594-fx044gcd 711 19 to to IN cord-022594-fx044gcd 711 20 22 22 CD cord-022594-fx044gcd 711 21 or or CC cord-022594-fx044gcd 711 22 44 44 CD cord-022594-fx044gcd 711 23 mg mg NNS cord-022594-fx044gcd 711 24 subcutaneously subcutaneously RB cord-022594-fx044gcd 711 25 three three CD cord-022594-fx044gcd 711 26 times time NNS cord-022594-fx044gcd 711 27 weekly weekly JJ cord-022594-fx044gcd 711 28 ; ; : cord-022594-fx044gcd 711 29 patients patient NNS cord-022594-fx044gcd 711 30 on on IN cord-022594-fx044gcd 711 31 active active JJ cord-022594-fx044gcd 711 32 treatment treatment NN cord-022594-fx044gcd 711 33 were be VBD cord-022594-fx044gcd 711 34 continued continue VBN cord-022594-fx044gcd 711 35 on on IN cord-022594-fx044gcd 711 36 their -PRON- PRP$ cord-022594-fx044gcd 711 37 original original JJ cord-022594-fx044gcd 711 38 dose dose NN cord-022594-fx044gcd 711 39 . . . cord-022594-fx044gcd 712 1 67 67 CD cord-022594-fx044gcd 713 1 The the DT cord-022594-fx044gcd 713 2 authors author NNS cord-022594-fx044gcd 713 3 reported report VBD cord-022594-fx044gcd 713 4 a a DT cord-022594-fx044gcd 713 5 benefit benefit NN cord-022594-fx044gcd 713 6 for for IN cord-022594-fx044gcd 713 7 the the DT cord-022594-fx044gcd 713 8 higher high JJR cord-022594-fx044gcd 713 9 dose dose NN cord-022594-fx044gcd 713 10 and and CC cord-022594-fx044gcd 713 11 for for IN cord-022594-fx044gcd 713 12 those those DT cord-022594-fx044gcd 713 13 treated treat VBN cord-022594-fx044gcd 713 14 for for IN cord-022594-fx044gcd 713 15 the the DT cord-022594-fx044gcd 713 16 full full JJ cord-022594-fx044gcd 713 17 4 4 CD cord-022594-fx044gcd 713 18 years year NNS cord-022594-fx044gcd 713 19 , , , cord-022594-fx044gcd 713 20 again again RB cord-022594-fx044gcd 713 21 suggesting suggest VBG cord-022594-fx044gcd 713 22 that that IN cord-022594-fx044gcd 713 23 early early JJ cord-022594-fx044gcd 713 24 treatment treatment NN cord-022594-fx044gcd 713 25 and and CC cord-022594-fx044gcd 713 26 perhaps perhaps RB cord-022594-fx044gcd 713 27 higher high JJR cord-022594-fx044gcd 713 28 doses dose NNS cord-022594-fx044gcd 713 29 of of IN cord-022594-fx044gcd 713 30 interferons interferon NNS cord-022594-fx044gcd 713 31 may may MD cord-022594-fx044gcd 713 32 be be VB cord-022594-fx044gcd 713 33 beneficial beneficial JJ cord-022594-fx044gcd 713 34 . . . cord-022594-fx044gcd 714 1 The the DT cord-022594-fx044gcd 714 2 primary primary JJ cord-022594-fx044gcd 714 3 outcome outcome NN cord-022594-fx044gcd 714 4 , , , cord-022594-fx044gcd 714 5 however however RB cord-022594-fx044gcd 714 6 , , , cord-022594-fx044gcd 714 7 was be VBD cord-022594-fx044gcd 714 8 relapse relapse NN cord-022594-fx044gcd 714 9 count count NN cord-022594-fx044gcd 714 10 per per IN cord-022594-fx044gcd 714 11 patient patient NN cord-022594-fx044gcd 714 12 per per IN cord-022594-fx044gcd 714 13 4 4 CD cord-022594-fx044gcd 714 14 years year NNS cord-022594-fx044gcd 714 15 and and CC cord-022594-fx044gcd 714 16 , , , cord-022594-fx044gcd 714 17 as as IN cord-022594-fx044gcd 714 18 such such JJ cord-022594-fx044gcd 714 19 , , , cord-022594-fx044gcd 714 20 patients patient NNS cord-022594-fx044gcd 714 21 treated treat VBN cord-022594-fx044gcd 714 22 early early RB cord-022594-fx044gcd 714 23 had have VBD cord-022594-fx044gcd 714 24 a a DT cord-022594-fx044gcd 714 25 significant significant JJ cord-022594-fx044gcd 714 26 advantage advantage NN cord-022594-fx044gcd 714 27 using use VBG cord-022594-fx044gcd 714 28 this this DT cord-022594-fx044gcd 714 29 outcome outcome NN cord-022594-fx044gcd 714 30 measure measure NN cord-022594-fx044gcd 714 31 . . . cord-022594-fx044gcd 715 1 There there EX cord-022594-fx044gcd 715 2 were be VBD cord-022594-fx044gcd 715 3 trends trend NNS cord-022594-fx044gcd 715 4 favoring favor VBG cord-022594-fx044gcd 715 5 the the DT cord-022594-fx044gcd 715 6 higher high JJR cord-022594-fx044gcd 715 7 dose dose NN cord-022594-fx044gcd 715 8 ( ( -LRB- cord-022594-fx044gcd 715 9 relapse relapse NN cord-022594-fx044gcd 715 10 rate rate NN cord-022594-fx044gcd 715 11 , , , cord-022594-fx044gcd 715 12 MRI MRI NNP cord-022594-fx044gcd 715 13 volumes volume NNS cord-022594-fx044gcd 715 14 ; ; : cord-022594-fx044gcd 715 15 not not RB cord-022594-fx044gcd 715 16 for for IN cord-022594-fx044gcd 715 17 time time NN cord-022594-fx044gcd 715 18 to to IN cord-022594-fx044gcd 715 19 first first RB cord-022594-fx044gcd 715 20 confirmed confirm VBN cord-022594-fx044gcd 715 21 progression progression NN cord-022594-fx044gcd 715 22 , , , cord-022594-fx044gcd 715 23 however however RB cord-022594-fx044gcd 715 24 ) ) -RRB- cord-022594-fx044gcd 715 25 . . . cord-022594-fx044gcd 716 1 The the DT cord-022594-fx044gcd 716 2 authors author NNS cord-022594-fx044gcd 716 3 did do VBD cord-022594-fx044gcd 716 4 not not RB cord-022594-fx044gcd 716 5 make make VB cord-022594-fx044gcd 716 6 statistical statistical JJ cord-022594-fx044gcd 716 7 adjustments adjustment NNS cord-022594-fx044gcd 716 8 for for IN cord-022594-fx044gcd 716 9 multiple multiple JJ cord-022594-fx044gcd 716 10 comparisons comparison NNS cord-022594-fx044gcd 716 11 and and CC cord-022594-fx044gcd 716 12 there there EX cord-022594-fx044gcd 716 13 were be VBD cord-022594-fx044gcd 716 14 many many JJ cord-022594-fx044gcd 716 15 dropouts dropout NNS cord-022594-fx044gcd 716 16 in in IN cord-022594-fx044gcd 716 17 the the DT cord-022594-fx044gcd 716 18 high high JJ cord-022594-fx044gcd 716 19 - - HYPH cord-022594-fx044gcd 716 20 dose dose NN cord-022594-fx044gcd 716 21 groups group NNS cord-022594-fx044gcd 716 22 , , , cord-022594-fx044gcd 716 23 making make VBG cord-022594-fx044gcd 716 24 it -PRON- PRP cord-022594-fx044gcd 716 25 difficult difficult JJ cord-022594-fx044gcd 716 26 to to TO cord-022594-fx044gcd 716 27 draw draw VB cord-022594-fx044gcd 716 28 firm firm JJ cord-022594-fx044gcd 716 29 conclusions conclusion NNS cord-022594-fx044gcd 716 30 . . . cord-022594-fx044gcd 717 1 Again again RB cord-022594-fx044gcd 717 2 , , , cord-022594-fx044gcd 717 3 the the DT cord-022594-fx044gcd 717 4 answer answer NN cord-022594-fx044gcd 717 5 to to IN cord-022594-fx044gcd 717 6 the the DT cord-022594-fx044gcd 717 7 question question NN cord-022594-fx044gcd 717 8 about about IN cord-022594-fx044gcd 717 9 the the DT cord-022594-fx044gcd 717 10 benefit benefit NN cord-022594-fx044gcd 717 11 of of IN cord-022594-fx044gcd 717 12 early early JJ cord-022594-fx044gcd 717 13 treatment treatment NN cord-022594-fx044gcd 717 14 can can MD cord-022594-fx044gcd 717 15 best best RB cord-022594-fx044gcd 717 16 come come VB cord-022594-fx044gcd 717 17 from from IN cord-022594-fx044gcd 717 18 long long JJ cord-022594-fx044gcd 717 19 - - HYPH cord-022594-fx044gcd 717 20 term term NN cord-022594-fx044gcd 717 21 ( ( -LRB- cord-022594-fx044gcd 717 22 perhaps perhaps RB cord-022594-fx044gcd 717 23 8 8 CD cord-022594-fx044gcd 717 24 to to TO cord-022594-fx044gcd 717 25 10 10 CD cord-022594-fx044gcd 717 26 years year NNS cord-022594-fx044gcd 717 27 ) ) -RRB- cord-022594-fx044gcd 717 28 studies study NNS cord-022594-fx044gcd 717 29 using use VBG cord-022594-fx044gcd 717 30 " " `` cord-022594-fx044gcd 717 31 hard hard JJ cord-022594-fx044gcd 717 32 outcomes outcome NNS cord-022594-fx044gcd 717 33 " " '' cord-022594-fx044gcd 717 34 ( ( -LRB- cord-022594-fx044gcd 717 35 e.g. e.g. RB cord-022594-fx044gcd 717 36 , , , cord-022594-fx044gcd 717 37 time time NN cord-022594-fx044gcd 717 38 to to IN cord-022594-fx044gcd 717 39 progression progression NN cord-022594-fx044gcd 717 40 , , , cord-022594-fx044gcd 717 41 major major JJ cord-022594-fx044gcd 717 42 milestones milestone NNS cord-022594-fx044gcd 717 43 in in IN cord-022594-fx044gcd 717 44 disability disability NN cord-022594-fx044gcd 717 45 ) ) -RRB- cord-022594-fx044gcd 717 46 . . . cord-022594-fx044gcd 718 1 The the DT cord-022594-fx044gcd 718 2 EBM EBM NNP cord-022594-fx044gcd 718 3 calculations calculation NNS cord-022594-fx044gcd 718 4 based base VBN cord-022594-fx044gcd 718 5 on on IN cord-022594-fx044gcd 718 6 the the DT cord-022594-fx044gcd 718 7 " " `` cord-022594-fx044gcd 718 8 proportion proportion NN cord-022594-fx044gcd 718 9 relapse relapse NN cord-022594-fx044gcd 719 1 free free JJ cord-022594-fx044gcd 719 2 " " '' cord-022594-fx044gcd 719 3 data datum NNS cord-022594-fx044gcd 719 4 for for IN cord-022594-fx044gcd 719 5 the the DT cord-022594-fx044gcd 719 6 original original JJ cord-022594-fx044gcd 719 7 interferon interferon NN cord-022594-fx044gcd 719 8 - - HYPH cord-022594-fx044gcd 719 9 b b NN cord-022594-fx044gcd 719 10 1a 1a CD cord-022594-fx044gcd 720 1 ( ( -LRB- cord-022594-fx044gcd 720 2 Rebif Rebif NNP cord-022594-fx044gcd 720 3 ) ) -RRB- cord-022594-fx044gcd 720 4 study study NN cord-022594-fx044gcd 720 5 show show VBP cord-022594-fx044gcd 720 6 an an DT cord-022594-fx044gcd 720 7 RRR RRR NNP cord-022594-fx044gcd 720 8 of of IN cord-022594-fx044gcd 720 9 19 19 CD cord-022594-fx044gcd 720 10 % % NN cord-022594-fx044gcd 720 11 , , , cord-022594-fx044gcd 720 12 and and CC cord-022594-fx044gcd 720 13 ARR arr NN cord-022594-fx044gcd 720 14 of of IN cord-022594-fx044gcd 720 15 16 16 CD cord-022594-fx044gcd 720 16 % % NN cord-022594-fx044gcd 720 17 , , , cord-022594-fx044gcd 720 18 and and CC cord-022594-fx044gcd 720 19 an an DT cord-022594-fx044gcd 720 20 NNT nnt NN cord-022594-fx044gcd 720 21 of of IN cord-022594-fx044gcd 720 22 6 6 CD cord-022594-fx044gcd 720 23 over over IN cord-022594-fx044gcd 720 24 2 2 CD cord-022594-fx044gcd 720 25 years year NNS cord-022594-fx044gcd 720 26 to to TO cord-022594-fx044gcd 720 27 increase increase VB cord-022594-fx044gcd 720 28 the the DT cord-022594-fx044gcd 720 29 number number NN cord-022594-fx044gcd 720 30 of of IN cord-022594-fx044gcd 720 31 relapse relapse NN cord-022594-fx044gcd 720 32 free free JJ cord-022594-fx044gcd 720 33 by by IN cord-022594-fx044gcd 720 34 one one CD cord-022594-fx044gcd 720 35 . . . cord-022594-fx044gcd 721 1 Relative relative JJ cord-022594-fx044gcd 721 2 treatment treatment NN cord-022594-fx044gcd 721 3 advantages advantage NNS cord-022594-fx044gcd 721 4 of of IN cord-022594-fx044gcd 721 5 interferon interferon NN cord-022594-fx044gcd 721 6 - - HYPH cord-022594-fx044gcd 721 7 b b NN cord-022594-fx044gcd 721 8 1a 1a CD cord-022594-fx044gcd 721 9 and and CC cord-022594-fx044gcd 721 10 1b 1b CD cord-022594-fx044gcd 721 11 have have VBP cord-022594-fx044gcd 721 12 not not RB cord-022594-fx044gcd 721 13 been be VBN cord-022594-fx044gcd 721 14 clearly clearly RB cord-022594-fx044gcd 721 15 established establish VBN cord-022594-fx044gcd 721 16 but but CC cord-022594-fx044gcd 721 17 are be VBP cord-022594-fx044gcd 721 18 under under IN cord-022594-fx044gcd 721 19 study study NN cord-022594-fx044gcd 721 20 . . . cord-022594-fx044gcd 722 1 68 68 CD cord-022594-fx044gcd 723 1 , , , cord-022594-fx044gcd 723 2 69 69 CD cord-022594-fx044gcd 724 1 A a DT cord-022594-fx044gcd 724 2 pilot pilot NN cord-022594-fx044gcd 724 3 study study NN cord-022594-fx044gcd 724 4 in in IN cord-022594-fx044gcd 724 5 RRMS RRMS NNP cord-022594-fx044gcd 724 6 patients patient NNS cord-022594-fx044gcd 724 7 suggests suggest VBZ cord-022594-fx044gcd 724 8 that that IN cord-022594-fx044gcd 724 9 interferon interferon NN cord-022594-fx044gcd 724 10 - - : cord-022594-fx044gcd 724 11 a a DT cord-022594-fx044gcd 724 12 may may MD cord-022594-fx044gcd 724 13 also also RB cord-022594-fx044gcd 724 14 have have VB cord-022594-fx044gcd 724 15 a a DT cord-022594-fx044gcd 724 16 therapeutic therapeutic JJ cord-022594-fx044gcd 724 17 effect effect NN cord-022594-fx044gcd 724 18 . . . cord-022594-fx044gcd 725 1 70 70 CD cord-022594-fx044gcd 726 1 A a DT cord-022594-fx044gcd 726 2 study study NN cord-022594-fx044gcd 726 3 of of IN cord-022594-fx044gcd 726 4 interferon interferon NN cord-022594-fx044gcd 726 5 responders responder NNS cord-022594-fx044gcd 726 6 showed show VBD cord-022594-fx044gcd 726 7 that that IN cord-022594-fx044gcd 726 8 younger young JJR cord-022594-fx044gcd 726 9 patients patient NNS cord-022594-fx044gcd 726 10 with with IN cord-022594-fx044gcd 726 11 frequent frequent JJ cord-022594-fx044gcd 726 12 relapses relapse NNS cord-022594-fx044gcd 726 13 , , , cord-022594-fx044gcd 726 14 and and CC cord-022594-fx044gcd 726 15 higher high JJR cord-022594-fx044gcd 726 16 EDSS EDSS NNP cord-022594-fx044gcd 726 17 scores score NNS cord-022594-fx044gcd 726 18 upon upon IN cord-022594-fx044gcd 726 19 entry entry NN cord-022594-fx044gcd 726 20 may may MD cord-022594-fx044gcd 726 21 be be VB cord-022594-fx044gcd 726 22 associated associate VBN cord-022594-fx044gcd 726 23 better well JJR cord-022594-fx044gcd 726 24 response response NN cord-022594-fx044gcd 726 25 . . . cord-022594-fx044gcd 727 1 71 71 CD cord-022594-fx044gcd 727 2 Laboratory Laboratory NNP cord-022594-fx044gcd 727 3 Monitoring Monitoring NNP cord-022594-fx044gcd 727 4 of of IN cord-022594-fx044gcd 727 5 Interferon Interferon NNP cord-022594-fx044gcd 727 6 Products Products NNP cord-022594-fx044gcd 727 7 . . . cord-022594-fx044gcd 728 1 It -PRON- PRP cord-022594-fx044gcd 728 2 is be VBZ cord-022594-fx044gcd 728 3 important important JJ cord-022594-fx044gcd 728 4 to to TO cord-022594-fx044gcd 728 5 note note VB cord-022594-fx044gcd 728 6 that that IN cord-022594-fx044gcd 728 7 even even RB cord-022594-fx044gcd 728 8 though though IN cord-022594-fx044gcd 728 9 the the DT cord-022594-fx044gcd 728 10 interferon interferon NN cord-022594-fx044gcd 728 11 products product NNS cord-022594-fx044gcd 728 12 are be VBP cord-022594-fx044gcd 728 13 generally generally RB cord-022594-fx044gcd 728 14 safe safe JJ cord-022594-fx044gcd 728 15 to to TO cord-022594-fx044gcd 728 16 use use VB cord-022594-fx044gcd 728 17 , , , cord-022594-fx044gcd 728 18 they -PRON- PRP cord-022594-fx044gcd 728 19 can can MD cord-022594-fx044gcd 728 20 be be VB cord-022594-fx044gcd 728 21 associated associate VBN cord-022594-fx044gcd 728 22 with with IN cord-022594-fx044gcd 728 23 potentially potentially RB cord-022594-fx044gcd 728 24 harmful harmful JJ cord-022594-fx044gcd 728 25 adverse adverse JJ cord-022594-fx044gcd 728 26 reactions reaction NNS cord-022594-fx044gcd 728 27 . . . cord-022594-fx044gcd 729 1 We -PRON- PRP cord-022594-fx044gcd 729 2 recommend recommend VBP cord-022594-fx044gcd 729 3 that that IN cord-022594-fx044gcd 729 4 every every DT cord-022594-fx044gcd 729 5 newly newly RB cord-022594-fx044gcd 729 6 starting start VBG cord-022594-fx044gcd 729 7 patient patient NN cord-022594-fx044gcd 729 8 should should MD cord-022594-fx044gcd 729 9 have have VB cord-022594-fx044gcd 729 10 a a DT cord-022594-fx044gcd 729 11 baseline baseline JJ cord-022594-fx044gcd 729 12 complete complete JJ cord-022594-fx044gcd 729 13 blood blood NN cord-022594-fx044gcd 729 14 count count NN cord-022594-fx044gcd 729 15 , , , cord-022594-fx044gcd 729 16 liver liver NN cord-022594-fx044gcd 729 17 function function NN cord-022594-fx044gcd 729 18 tests test NNS cord-022594-fx044gcd 729 19 , , , cord-022594-fx044gcd 729 20 and and CC cord-022594-fx044gcd 729 21 thyroid thyroid NN cord-022594-fx044gcd 729 22 - - HYPH cord-022594-fx044gcd 729 23 stimulating stimulate VBG cord-022594-fx044gcd 729 24 hormone hormone NN cord-022594-fx044gcd 729 25 ( ( -LRB- cord-022594-fx044gcd 729 26 TSH TSH NNP cord-022594-fx044gcd 729 27 ) ) -RRB- cord-022594-fx044gcd 729 28 test test NN cord-022594-fx044gcd 729 29 . . . cord-022594-fx044gcd 730 1 The the DT cord-022594-fx044gcd 730 2 liver liver NN cord-022594-fx044gcd 730 3 function function NN cord-022594-fx044gcd 730 4 tests test NNS cord-022594-fx044gcd 730 5 and and CC cord-022594-fx044gcd 730 6 blood blood NN cord-022594-fx044gcd 730 7 count count NN cord-022594-fx044gcd 730 8 studies study NNS cord-022594-fx044gcd 730 9 should should MD cord-022594-fx044gcd 730 10 be be VB cord-022594-fx044gcd 730 11 repeated repeat VBN cord-022594-fx044gcd 730 12 in in IN cord-022594-fx044gcd 730 13 1 1 CD cord-022594-fx044gcd 730 14 week week NN cord-022594-fx044gcd 730 15 , , , cord-022594-fx044gcd 730 16 1 1 CD cord-022594-fx044gcd 730 17 month month NN cord-022594-fx044gcd 730 18 , , , cord-022594-fx044gcd 730 19 and and CC cord-022594-fx044gcd 730 20 every every DT cord-022594-fx044gcd 730 21 3 3 CD cord-022594-fx044gcd 730 22 months month NNS cord-022594-fx044gcd 730 23 thereafter thereafter RB cord-022594-fx044gcd 730 24 ; ; : cord-022594-fx044gcd 730 25 the the DT cord-022594-fx044gcd 730 26 TSH TSH NNP cord-022594-fx044gcd 730 27 should should MD cord-022594-fx044gcd 730 28 be be VB cord-022594-fx044gcd 730 29 repeated repeat VBN cord-022594-fx044gcd 730 30 every every DT cord-022594-fx044gcd 730 31 6 6 CD cord-022594-fx044gcd 730 32 to to TO cord-022594-fx044gcd 730 33 12 12 CD cord-022594-fx044gcd 730 34 months month NNS cord-022594-fx044gcd 730 35 . . . cord-022594-fx044gcd 731 1 Glatiramer Glatiramer NNP cord-022594-fx044gcd 731 2 Acetate Acetate NNP cord-022594-fx044gcd 731 3 . . . cord-022594-fx044gcd 732 1 Glatiramer glatiramer JJ cord-022594-fx044gcd 732 2 acetate acetate NN cord-022594-fx044gcd 732 3 ( ( -LRB- cord-022594-fx044gcd 732 4 GA GA NNP cord-022594-fx044gcd 732 5 ) ) -RRB- cord-022594-fx044gcd 732 6 is be VBZ cord-022594-fx044gcd 732 7 a a DT cord-022594-fx044gcd 732 8 synthetic synthetic JJ cord-022594-fx044gcd 732 9 mixture mixture NN cord-022594-fx044gcd 732 10 of of IN cord-022594-fx044gcd 732 11 polypeptides polypeptide NNS cord-022594-fx044gcd 732 12 produced produce VBN cord-022594-fx044gcd 732 13 by by IN cord-022594-fx044gcd 732 14 the the DT cord-022594-fx044gcd 732 15 random random JJ cord-022594-fx044gcd 732 16 combinations combination NNS cord-022594-fx044gcd 732 17 of of IN cord-022594-fx044gcd 732 18 four four CD cord-022594-fx044gcd 732 19 amino amino NN cord-022594-fx044gcd 732 20 acids acid NNS cord-022594-fx044gcd 732 21 that that WDT cord-022594-fx044gcd 732 22 are be VBP cord-022594-fx044gcd 732 23 frequent frequent JJ cord-022594-fx044gcd 732 24 in in IN cord-022594-fx044gcd 732 25 MBP MBP NNP cord-022594-fx044gcd 732 26 . . . cord-022594-fx044gcd 733 1 After after IN cord-022594-fx044gcd 733 2 a a DT cord-022594-fx044gcd 733 3 preliminary preliminary JJ cord-022594-fx044gcd 733 4 study study NN cord-022594-fx044gcd 733 5 suggested suggest VBD cord-022594-fx044gcd 733 6 efficacy efficacy NN cord-022594-fx044gcd 733 7 , , , cord-022594-fx044gcd 733 8 72 72 CD cord-022594-fx044gcd 733 9 a a DT cord-022594-fx044gcd 733 10 phase phase NN cord-022594-fx044gcd 733 11 III iii CD cord-022594-fx044gcd 734 1 randomized randomized JJ cord-022594-fx044gcd 734 2 , , , cord-022594-fx044gcd 734 3 double double JJ cord-022594-fx044gcd 734 4 - - HYPH cord-022594-fx044gcd 734 5 blind blind JJ cord-022594-fx044gcd 734 6 , , , cord-022594-fx044gcd 734 7 placebo placebo NN cord-022594-fx044gcd 734 8 - - HYPH cord-022594-fx044gcd 734 9 controlled control VBN cord-022594-fx044gcd 734 10 , , , cord-022594-fx044gcd 734 11 multicenter multicenter JJ cord-022594-fx044gcd 734 12 trial trial NN cord-022594-fx044gcd 734 13 showed show VBD cord-022594-fx044gcd 734 14 a a DT cord-022594-fx044gcd 734 15 29 29 CD cord-022594-fx044gcd 734 16 % % NN cord-022594-fx044gcd 734 17 reduction reduction NN cord-022594-fx044gcd 734 18 in in IN cord-022594-fx044gcd 734 19 relapse relapse NN cord-022594-fx044gcd 734 20 rate rate NN cord-022594-fx044gcd 734 21 . . . cord-022594-fx044gcd 735 1 73 73 CD cord-022594-fx044gcd 736 1 The the DT cord-022594-fx044gcd 736 2 FDA FDA NNP cord-022594-fx044gcd 736 3 has have VBZ cord-022594-fx044gcd 736 4 approved approve VBN cord-022594-fx044gcd 736 5 this this DT cord-022594-fx044gcd 736 6 medication medication NN cord-022594-fx044gcd 736 7 for for IN cord-022594-fx044gcd 736 8 use use NN cord-022594-fx044gcd 736 9 in in IN cord-022594-fx044gcd 736 10 RRMS RRMS NNP cord-022594-fx044gcd 736 11 . . . cord-022594-fx044gcd 737 1 Even even RB cord-022594-fx044gcd 737 2 though though IN cord-022594-fx044gcd 737 3 this this DT cord-022594-fx044gcd 737 4 disease disease NN cord-022594-fx044gcd 737 5 - - HYPH cord-022594-fx044gcd 737 6 modifying modify VBG cord-022594-fx044gcd 737 7 therapy therapy NN cord-022594-fx044gcd 737 8 requires require VBZ cord-022594-fx044gcd 737 9 daily daily JJ cord-022594-fx044gcd 737 10 subcutaneous subcutaneous JJ cord-022594-fx044gcd 737 11 administration administration NN cord-022594-fx044gcd 737 12 , , , cord-022594-fx044gcd 737 13 the the DT cord-022594-fx044gcd 737 14 side side NN cord-022594-fx044gcd 737 15 effects effect NNS cord-022594-fx044gcd 737 16 are be VBP cord-022594-fx044gcd 737 17 relatively relatively RB cord-022594-fx044gcd 737 18 minor minor JJ cord-022594-fx044gcd 737 19 compared compare VBN cord-022594-fx044gcd 737 20 to to IN cord-022594-fx044gcd 737 21 the the DT cord-022594-fx044gcd 737 22 interferons interferon NNS cord-022594-fx044gcd 737 23 , , , cord-022594-fx044gcd 737 24 and and CC cord-022594-fx044gcd 737 25 patients patient NNS cord-022594-fx044gcd 737 26 do do VBP cord-022594-fx044gcd 737 27 not not RB cord-022594-fx044gcd 737 28 need need VB cord-022594-fx044gcd 737 29 regular regular JJ cord-022594-fx044gcd 737 30 laboratory laboratory NN cord-022594-fx044gcd 737 31 monitoring monitoring NN cord-022594-fx044gcd 737 32 ( ( -LRB- cord-022594-fx044gcd 737 33 Table table NN cord-022594-fx044gcd 737 34 48- 48- CD cord-022594-fx044gcd 737 35 lesions lesion NNS cord-022594-fx044gcd 737 36 , , , cord-022594-fx044gcd 737 37 lesion lesion NN cord-022594-fx044gcd 737 38 volumes volume NNS cord-022594-fx044gcd 737 39 , , , cord-022594-fx044gcd 737 40 and and CC cord-022594-fx044gcd 737 41 the the DT cord-022594-fx044gcd 737 42 percentage percentage NN cord-022594-fx044gcd 737 43 of of IN cord-022594-fx044gcd 737 44 new new JJ cord-022594-fx044gcd 737 45 lesions lesion NNS cord-022594-fx044gcd 737 46 that that WDT cord-022594-fx044gcd 737 47 will will MD cord-022594-fx044gcd 737 48 evolve evolve VB cord-022594-fx044gcd 737 49 into into IN cord-022594-fx044gcd 737 50 T1 T1 NNP cord-022594-fx044gcd 737 51 " " `` cord-022594-fx044gcd 737 52 black black JJ cord-022594-fx044gcd 737 53 holes hole NNS cord-022594-fx044gcd 737 54 , , , cord-022594-fx044gcd 737 55 " " '' cord-022594-fx044gcd 737 56 although although IN cord-022594-fx044gcd 737 57 the the DT cord-022594-fx044gcd 737 58 MRI MRI NNP cord-022594-fx044gcd 737 59 effect effect NN cord-022594-fx044gcd 737 60 may may MD cord-022594-fx044gcd 737 61 be be VB cord-022594-fx044gcd 737 62 less less RBR cord-022594-fx044gcd 737 63 pronounced pronounced JJ cord-022594-fx044gcd 737 64 compared compare VBN cord-022594-fx044gcd 737 65 to to IN cord-022594-fx044gcd 737 66 the the DT cord-022594-fx044gcd 737 67 interferon interferon NN cord-022594-fx044gcd 737 68 products product NNS cord-022594-fx044gcd 737 69 , , , cord-022594-fx044gcd 737 70 and and CC cord-022594-fx044gcd 737 71 is be VBZ cord-022594-fx044gcd 737 72 not not RB cord-022594-fx044gcd 737 73 apparent apparent JJ cord-022594-fx044gcd 737 74 until until IN cord-022594-fx044gcd 737 75 the the DT cord-022594-fx044gcd 737 76 agent agent NN cord-022594-fx044gcd 737 77 has have VBZ cord-022594-fx044gcd 737 78 been be VBN cord-022594-fx044gcd 737 79 used use VBN cord-022594-fx044gcd 737 80 for for IN cord-022594-fx044gcd 737 81 at at RB cord-022594-fx044gcd 737 82 least least RBS cord-022594-fx044gcd 737 83 6 6 CD cord-022594-fx044gcd 737 84 months month NNS cord-022594-fx044gcd 737 85 . . . cord-022594-fx044gcd 738 1 [ [ -LRB- cord-022594-fx044gcd 738 2 74 74 CD cord-022594-fx044gcd 738 3 ] ] -RRB- cord-022594-fx044gcd 738 4 [ [ -LRB- cord-022594-fx044gcd 738 5 75 75 CD cord-022594-fx044gcd 738 6 ] ] -RRB- cord-022594-fx044gcd 739 1 [ [ -LRB- cord-022594-fx044gcd 739 2 76 76 CD cord-022594-fx044gcd 739 3 ] ] -RRB- cord-022594-fx044gcd 740 1 The the DT cord-022594-fx044gcd 740 2 EBM EBM NNP cord-022594-fx044gcd 740 3 calculations calculation NNS cord-022594-fx044gcd 740 4 for for IN cord-022594-fx044gcd 740 5 GA GA NNP cord-022594-fx044gcd 740 6 using use VBG cord-022594-fx044gcd 740 7 the the DT cord-022594-fx044gcd 740 8 " " `` cord-022594-fx044gcd 740 9 proportion proportion NN cord-022594-fx044gcd 740 10 relapse relapse VB cord-022594-fx044gcd 740 11 free free JJ cord-022594-fx044gcd 741 1 " " `` cord-022594-fx044gcd 741 2 data datum NNS cord-022594-fx044gcd 741 3 show show VBP cord-022594-fx044gcd 741 4 an an DT cord-022594-fx044gcd 741 5 RRR RRR NNP cord-022594-fx044gcd 741 6 of of IN cord-022594-fx044gcd 741 7 10 10 CD cord-022594-fx044gcd 741 8 % % NN cord-022594-fx044gcd 741 9 , , , cord-022594-fx044gcd 741 10 ARR arr NN cord-022594-fx044gcd 741 11 of of IN cord-022594-fx044gcd 741 12 7 7 CD cord-022594-fx044gcd 741 13 % % NN cord-022594-fx044gcd 741 14 , , , cord-022594-fx044gcd 741 15 and and CC cord-022594-fx044gcd 741 16 an an DT cord-022594-fx044gcd 741 17 NNT nnt NN cord-022594-fx044gcd 741 18 of of IN cord-022594-fx044gcd 741 19 14 14 CD cord-022594-fx044gcd 741 20 over over IN cord-022594-fx044gcd 741 21 2 2 CD cord-022594-fx044gcd 741 22 years year NNS cord-022594-fx044gcd 741 23 to to TO cord-022594-fx044gcd 741 24 increase increase VB cord-022594-fx044gcd 741 25 the the DT cord-022594-fx044gcd 741 26 number number NN cord-022594-fx044gcd 741 27 of of IN cord-022594-fx044gcd 741 28 relapse relapse NN cord-022594-fx044gcd 741 29 free free JJ cord-022594-fx044gcd 741 30 by by IN cord-022594-fx044gcd 741 31 one one CD cord-022594-fx044gcd 741 32 . . . cord-022594-fx044gcd 742 1 Combined combine VBN cord-022594-fx044gcd 742 2 Azathioprine Azathioprine NNP cord-022594-fx044gcd 742 3 and and CC cord-022594-fx044gcd 742 4 Interferon interferon NN cord-022594-fx044gcd 742 5 - - HYPH cord-022594-fx044gcd 742 6 b b NN cord-022594-fx044gcd 742 7 1b 1b CD cord-022594-fx044gcd 742 8 . . . cord-022594-fx044gcd 743 1 A a DT cord-022594-fx044gcd 743 2 small small JJ cord-022594-fx044gcd 743 3 trial trial NN cord-022594-fx044gcd 743 4 at at IN cord-022594-fx044gcd 743 5 NIH NIH NNP cord-022594-fx044gcd 743 6 showed show VBD cord-022594-fx044gcd 743 7 significant significant JJ cord-022594-fx044gcd 743 8 reduction reduction NN cord-022594-fx044gcd 743 9 in in IN cord-022594-fx044gcd 743 10 the the DT cord-022594-fx044gcd 743 11 number number NN cord-022594-fx044gcd 743 12 of of IN cord-022594-fx044gcd 743 13 contrast contrast NN cord-022594-fx044gcd 743 14 - - HYPH cord-022594-fx044gcd 743 15 enhancing enhance VBG cord-022594-fx044gcd 743 16 lesions lesion NNS cord-022594-fx044gcd 743 17 when when WRB cord-022594-fx044gcd 743 18 azathioprine azathioprine JJ cord-022594-fx044gcd 743 19 in in IN cord-022594-fx044gcd 743 20 an an DT cord-022594-fx044gcd 743 21 average average JJ cord-022594-fx044gcd 743 22 maintenance maintenance NN cord-022594-fx044gcd 743 23 dose dose NN cord-022594-fx044gcd 743 24 of of IN cord-022594-fx044gcd 743 25 2 2 CD cord-022594-fx044gcd 743 26 mg mg NNP cord-022594-fx044gcd 743 27 / / SYM cord-022594-fx044gcd 743 28 kg kg NNP cord-022594-fx044gcd 743 29 / / SYM cord-022594-fx044gcd 743 30 day day NN cord-022594-fx044gcd 743 31 was be VBD cord-022594-fx044gcd 743 32 added add VBN cord-022594-fx044gcd 743 33 to to IN cord-022594-fx044gcd 743 34 interferon interferon NN cord-022594-fx044gcd 743 35 - - HYPH cord-022594-fx044gcd 743 36 b b NN cord-022594-fx044gcd 743 37 1b 1b CD cord-022594-fx044gcd 743 38 in in IN cord-022594-fx044gcd 743 39 a a DT cord-022594-fx044gcd 743 40 study study NN cord-022594-fx044gcd 743 41 of of IN cord-022594-fx044gcd 743 42 six six CD cord-022594-fx044gcd 743 43 RRMS rrm NNS cord-022594-fx044gcd 743 44 patients patient NNS cord-022594-fx044gcd 743 45 followed follow VBD cord-022594-fx044gcd 743 46 for for IN cord-022594-fx044gcd 743 47 a a DT cord-022594-fx044gcd 743 48 median median JJ cord-022594-fx044gcd 743 49 period period NN cord-022594-fx044gcd 743 50 of of IN cord-022594-fx044gcd 743 51 15 15 CD cord-022594-fx044gcd 743 52 months month NNS cord-022594-fx044gcd 743 53 . . . cord-022594-fx044gcd 744 1 The the DT cord-022594-fx044gcd 744 2 addition addition NN cord-022594-fx044gcd 744 3 of of IN cord-022594-fx044gcd 744 4 azathioprine azathioprine NN cord-022594-fx044gcd 744 5 may may MD cord-022594-fx044gcd 744 6 be be VB cord-022594-fx044gcd 744 7 considered consider VBN cord-022594-fx044gcd 744 8 in in IN cord-022594-fx044gcd 744 9 " " `` cord-022594-fx044gcd 744 10 treatment treatment NN cord-022594-fx044gcd 744 11 failure failure NN cord-022594-fx044gcd 744 12 " " '' cord-022594-fx044gcd 744 13 cases case NNS cord-022594-fx044gcd 744 14 , , , cord-022594-fx044gcd 744 15 but but CC cord-022594-fx044gcd 744 16 this this DT cord-022594-fx044gcd 744 17 study study NN cord-022594-fx044gcd 744 18 was be VBD cord-022594-fx044gcd 744 19 hampered hamper VBN cord-022594-fx044gcd 744 20 by by IN cord-022594-fx044gcd 744 21 the the DT cord-022594-fx044gcd 744 22 small small JJ cord-022594-fx044gcd 744 23 number number NN cord-022594-fx044gcd 744 24 of of IN cord-022594-fx044gcd 744 25 patients patient NNS cord-022594-fx044gcd 744 26 , , , cord-022594-fx044gcd 744 27 no no DT cord-022594-fx044gcd 744 28 control control NN cord-022594-fx044gcd 744 29 subjects subject NNS cord-022594-fx044gcd 744 30 , , , cord-022594-fx044gcd 744 31 and and CC cord-022594-fx044gcd 744 32 no no DT cord-022594-fx044gcd 744 33 blinding blinding NN cord-022594-fx044gcd 744 34 . . . cord-022594-fx044gcd 745 1 77 77 CD cord-022594-fx044gcd 746 1 Intravenous intravenous JJ cord-022594-fx044gcd 746 2 Immunoglobulin Immunoglobulin NNP cord-022594-fx044gcd 746 3 . . . cord-022594-fx044gcd 747 1 Monthly monthly JJ cord-022594-fx044gcd 747 2 treatment treatment NN cord-022594-fx044gcd 747 3 with with IN cord-022594-fx044gcd 747 4 low low JJ cord-022594-fx044gcd 747 5 - - HYPH cord-022594-fx044gcd 747 6 dose dose NN cord-022594-fx044gcd 747 7 ( ( -LRB- cord-022594-fx044gcd 747 8 0.15 0.15 CD cord-022594-fx044gcd 747 9 to to TO cord-022594-fx044gcd 747 10 0.2 0.2 CD cord-022594-fx044gcd 747 11 g g NN cord-022594-fx044gcd 747 12 / / SYM cord-022594-fx044gcd 747 13 kg kg NN cord-022594-fx044gcd 747 14 ) ) -RRB- cord-022594-fx044gcd 748 1 intravenous intravenous JJ cord-022594-fx044gcd 748 2 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 748 3 ( ( -LRB- cord-022594-fx044gcd 748 4 IVIG IVIG NNP cord-022594-fx044gcd 748 5 ) ) -RRB- cord-022594-fx044gcd 748 6 in in IN cord-022594-fx044gcd 748 7 RRMS RRMS NNP cord-022594-fx044gcd 748 8 patients patient NNS cord-022594-fx044gcd 748 9 resulted result VBD cord-022594-fx044gcd 748 10 in in IN cord-022594-fx044gcd 748 11 fewer few JJR cord-022594-fx044gcd 748 12 and and CC cord-022594-fx044gcd 748 13 less less RBR cord-022594-fx044gcd 748 14 severe severe JJ cord-022594-fx044gcd 748 15 relapses relapse NNS cord-022594-fx044gcd 748 16 in in IN cord-022594-fx044gcd 748 17 addition addition NN cord-022594-fx044gcd 748 18 to to IN cord-022594-fx044gcd 748 19 slowing slow VBG cord-022594-fx044gcd 748 20 the the DT cord-022594-fx044gcd 748 21 accumulation accumulation NN cord-022594-fx044gcd 748 22 of of IN cord-022594-fx044gcd 748 23 disability disability NN cord-022594-fx044gcd 748 24 in in IN cord-022594-fx044gcd 748 25 a a DT cord-022594-fx044gcd 748 26 single single JJ cord-022594-fx044gcd 748 27 randomized randomized JJ cord-022594-fx044gcd 748 28 trial trial NN cord-022594-fx044gcd 748 29 . . . cord-022594-fx044gcd 749 1 The the DT cord-022594-fx044gcd 749 2 outcome outcome NN cord-022594-fx044gcd 749 3 was be VBD cord-022594-fx044gcd 749 4 similar similar JJ cord-022594-fx044gcd 749 5 to to IN cord-022594-fx044gcd 749 6 that that DT cord-022594-fx044gcd 749 7 of of IN cord-022594-fx044gcd 749 8 injectable injectable JJ cord-022594-fx044gcd 749 9 interferons interferon NNS cord-022594-fx044gcd 749 10 . . . cord-022594-fx044gcd 750 1 78 78 CD cord-022594-fx044gcd 751 1 This this DT cord-022594-fx044gcd 751 2 therapy therapy NN cord-022594-fx044gcd 751 3 is be VBZ cord-022594-fx044gcd 751 4 less less RBR cord-022594-fx044gcd 751 5 accepted accept VBN cord-022594-fx044gcd 751 6 in in IN cord-022594-fx044gcd 751 7 the the DT cord-022594-fx044gcd 751 8 United United NNP cord-022594-fx044gcd 751 9 States States NNP cord-022594-fx044gcd 751 10 . . . cord-022594-fx044gcd 752 1 More More JJR cord-022594-fx044gcd 752 2 studies study NNS cord-022594-fx044gcd 752 3 with with IN cord-022594-fx044gcd 752 4 larger large JJR cord-022594-fx044gcd 752 5 number number NN cord-022594-fx044gcd 752 6 of of IN cord-022594-fx044gcd 752 7 patients patient NNS cord-022594-fx044gcd 752 8 and and CC cord-022594-fx044gcd 752 9 extended extended JJ cord-022594-fx044gcd 752 10 follow follow NN cord-022594-fx044gcd 752 11 - - HYPH cord-022594-fx044gcd 752 12 up up NN cord-022594-fx044gcd 752 13 are be VBP cord-022594-fx044gcd 752 14 needed need VBN cord-022594-fx044gcd 752 15 to to TO cord-022594-fx044gcd 752 16 confirm confirm VB cord-022594-fx044gcd 752 17 these these DT cord-022594-fx044gcd 752 18 limited limited JJ cord-022594-fx044gcd 752 19 observations observation NNS cord-022594-fx044gcd 752 20 . . . cord-022594-fx044gcd 753 1 Recent recent JJ cord-022594-fx044gcd 753 2 studies study NNS cord-022594-fx044gcd 753 3 have have VBP cord-022594-fx044gcd 753 4 failed fail VBN cord-022594-fx044gcd 753 5 to to TO cord-022594-fx044gcd 753 6 demonstrate demonstrate VB cord-022594-fx044gcd 753 7 that that IN cord-022594-fx044gcd 753 8 IVIG IVIG NNP cord-022594-fx044gcd 753 9 administration administration NN cord-022594-fx044gcd 753 10 reverses reverse VBZ cord-022594-fx044gcd 753 11 long long RB cord-022594-fx044gcd 753 12 - - HYPH cord-022594-fx044gcd 753 13 standing stand VBG cord-022594-fx044gcd 753 14 deficits deficit NNS cord-022594-fx044gcd 753 15 from from IN cord-022594-fx044gcd 753 16 MS MS NNP cord-022594-fx044gcd 753 17 and and CC cord-022594-fx044gcd 753 18 ON ON NNP cord-022594-fx044gcd 753 19 . . . cord-022594-fx044gcd 754 1 [ [ -LRB- cord-022594-fx044gcd 754 2 79 79 CD cord-022594-fx044gcd 754 3 ] ] -RRB- cord-022594-fx044gcd 754 4 [ [ -LRB- cord-022594-fx044gcd 754 5 80 80 CD cord-022594-fx044gcd 754 6 ] ] -RRB- cord-022594-fx044gcd 755 1 [ [ -LRB- cord-022594-fx044gcd 755 2 81 81 CD cord-022594-fx044gcd 755 3 ] ] -RRB- cord-022594-fx044gcd 755 4 IVIG IVIG NNP cord-022594-fx044gcd 755 5 was be VBD cord-022594-fx044gcd 755 6 also also RB cord-022594-fx044gcd 755 7 recently recently RB cord-022594-fx044gcd 755 8 studied study VBN cord-022594-fx044gcd 755 9 in in IN cord-022594-fx044gcd 755 10 acute acute JJ cord-022594-fx044gcd 755 11 ON ON NNP cord-022594-fx044gcd 755 12 and and CC cord-022594-fx044gcd 755 13 failed fail VBD cord-022594-fx044gcd 755 14 to to TO cord-022594-fx044gcd 755 15 demonstrate demonstrate VB cord-022594-fx044gcd 755 16 benefit benefit NN cord-022594-fx044gcd 755 17 on on IN cord-022594-fx044gcd 755 18 any any DT cord-022594-fx044gcd 755 19 of of IN cord-022594-fx044gcd 755 20 the the DT cord-022594-fx044gcd 755 21 outcome outcome NN cord-022594-fx044gcd 755 22 measures measure NNS cord-022594-fx044gcd 755 23 . . . cord-022594-fx044gcd 756 1 82 82 CD cord-022594-fx044gcd 756 2 Natalizumab Natalizumab NNS cord-022594-fx044gcd 756 3 . . . cord-022594-fx044gcd 757 1 In in IN cord-022594-fx044gcd 757 2 late late JJ cord-022594-fx044gcd 757 3 2004 2004 CD cord-022594-fx044gcd 757 4 , , , cord-022594-fx044gcd 757 5 natalizumab natalizumab NNP cord-022594-fx044gcd 757 6 was be VBD cord-022594-fx044gcd 757 7 approved approve VBN cord-022594-fx044gcd 757 8 for for IN cord-022594-fx044gcd 757 9 the the DT cord-022594-fx044gcd 757 10 treatment treatment NN cord-022594-fx044gcd 757 11 of of IN cord-022594-fx044gcd 757 12 RRMS RRMS NNP cord-022594-fx044gcd 757 13 . . . cord-022594-fx044gcd 758 1 83 83 CD cord-022594-fx044gcd 759 1 Natalizumab Natalizumab NNP cord-022594-fx044gcd 759 2 is be VBZ cord-022594-fx044gcd 759 3 a a DT cord-022594-fx044gcd 759 4 humanized humanize VBN cord-022594-fx044gcd 759 5 a-4 a-4 NN cord-022594-fx044gcd 759 6 integrin integrin NN cord-022594-fx044gcd 759 7 antibody antibody NN cord-022594-fx044gcd 759 8 that that WDT cord-022594-fx044gcd 759 9 inhibits inhibit VBZ cord-022594-fx044gcd 759 10 the the DT cord-022594-fx044gcd 759 11 migration migration NN cord-022594-fx044gcd 759 12 of of IN cord-022594-fx044gcd 759 13 all all DT cord-022594-fx044gcd 759 14 leukocytes leukocyte NNS cord-022594-fx044gcd 759 15 ( ( -LRB- cord-022594-fx044gcd 759 16 except except IN cord-022594-fx044gcd 759 17 for for IN cord-022594-fx044gcd 759 18 neutrophils neutrophil NNS cord-022594-fx044gcd 759 19 ) ) -RRB- cord-022594-fx044gcd 759 20 to to TO cord-022594-fx044gcd 759 21 target target VB cord-022594-fx044gcd 759 22 organs organ NNS cord-022594-fx044gcd 759 23 . . . cord-022594-fx044gcd 760 1 A a DT cord-022594-fx044gcd 760 2 phase phase NN cord-022594-fx044gcd 760 3 2 2 CD cord-022594-fx044gcd 760 4 study study NN cord-022594-fx044gcd 760 5 established establish VBD cord-022594-fx044gcd 760 6 84 84 CD cord-022594-fx044gcd 760 7 that that IN cord-022594-fx044gcd 760 8 a a DT cord-022594-fx044gcd 760 9 300-mg 300-mg CD cord-022594-fx044gcd 760 10 monthly monthly JJ cord-022594-fx044gcd 760 11 dose dose NN cord-022594-fx044gcd 760 12 reduced reduce VBD cord-022594-fx044gcd 760 13 the the DT cord-022594-fx044gcd 760 14 number number NN cord-022594-fx044gcd 760 15 of of IN cord-022594-fx044gcd 760 16 gadolinium gadolinium NN cord-022594-fx044gcd 760 17 - - HYPH cord-022594-fx044gcd 760 18 enhancing enhance VBG cord-022594-fx044gcd 760 19 lesions lesion NNS cord-022594-fx044gcd 760 20 by by IN cord-022594-fx044gcd 760 21 90 90 CD cord-022594-fx044gcd 760 22 % % NN cord-022594-fx044gcd 760 23 and and CC cord-022594-fx044gcd 760 24 the the DT cord-022594-fx044gcd 760 25 clinical clinical JJ cord-022594-fx044gcd 760 26 relapse relapse NN cord-022594-fx044gcd 760 27 rate rate NN cord-022594-fx044gcd 760 28 by by IN cord-022594-fx044gcd 760 29 over over IN cord-022594-fx044gcd 760 30 50 50 CD cord-022594-fx044gcd 760 31 % % NN cord-022594-fx044gcd 760 32 compared compare VBN cord-022594-fx044gcd 760 33 to to IN cord-022594-fx044gcd 760 34 placebo placebo NN cord-022594-fx044gcd 760 35 . . . cord-022594-fx044gcd 761 1 This this DT cord-022594-fx044gcd 761 2 study study NN cord-022594-fx044gcd 761 3 was be VBD cord-022594-fx044gcd 761 4 followed follow VBN cord-022594-fx044gcd 761 5 by by IN cord-022594-fx044gcd 761 6 the the DT cord-022594-fx044gcd 761 7 AFFIRM AFFIRM NNP cord-022594-fx044gcd 761 8 and and CC cord-022594-fx044gcd 761 9 SENTINEL SENTINEL NNP cord-022594-fx044gcd 761 10 phase phase NN cord-022594-fx044gcd 761 11 III iii CD cord-022594-fx044gcd 761 12 studies study NNS cord-022594-fx044gcd 761 13 . . . cord-022594-fx044gcd 762 1 The the DT cord-022594-fx044gcd 762 2 AFFIRM affirm JJ cord-022594-fx044gcd 762 3 study study NN cord-022594-fx044gcd 762 4 enrolled enrol VBD cord-022594-fx044gcd 762 5 over over IN cord-022594-fx044gcd 762 6 900 900 CD cord-022594-fx044gcd 762 7 patients patient NNS cord-022594-fx044gcd 762 8 with with IN cord-022594-fx044gcd 762 9 RRMS RRMS NNP cord-022594-fx044gcd 762 10 ; ; : cord-022594-fx044gcd 762 11 none none NN cord-022594-fx044gcd 762 12 of of IN cord-022594-fx044gcd 762 13 them -PRON- PRP cord-022594-fx044gcd 762 14 had have VBD cord-022594-fx044gcd 762 15 been be VBN cord-022594-fx044gcd 762 16 on on IN cord-022594-fx044gcd 762 17 other other JJ cord-022594-fx044gcd 762 18 approved approve VBN cord-022594-fx044gcd 762 19 immunomodulators immunomodulator NNS cord-022594-fx044gcd 762 20 for for IN cord-022594-fx044gcd 762 21 longer long JJR cord-022594-fx044gcd 762 22 than than IN cord-022594-fx044gcd 762 23 6 6 CD cord-022594-fx044gcd 762 24 months month NNS cord-022594-fx044gcd 762 25 . . . cord-022594-fx044gcd 763 1 The the DT cord-022594-fx044gcd 763 2 annualized annualize VBN cord-022594-fx044gcd 763 3 relapse relapse NN cord-022594-fx044gcd 763 4 rate rate NN cord-022594-fx044gcd 763 5 at at IN cord-022594-fx044gcd 763 6 1 1 CD cord-022594-fx044gcd 763 7 year year NN cord-022594-fx044gcd 763 8 was be VBD cord-022594-fx044gcd 763 9 reduced reduce VBN cord-022594-fx044gcd 763 10 from from IN cord-022594-fx044gcd 763 11 0.74 0.74 CD cord-022594-fx044gcd 763 12 in in IN cord-022594-fx044gcd 763 13 the the DT cord-022594-fx044gcd 763 14 placebo placebo NN cord-022594-fx044gcd 763 15 group group NN cord-022594-fx044gcd 763 16 to to IN cord-022594-fx044gcd 763 17 0.25 0.25 CD cord-022594-fx044gcd 763 18 in in IN cord-022594-fx044gcd 763 19 the the DT cord-022594-fx044gcd 763 20 treated treated JJ cord-022594-fx044gcd 763 21 group group NN cord-022594-fx044gcd 763 22 ( ( -LRB- cord-022594-fx044gcd 763 23 66 66 CD cord-022594-fx044gcd 763 24 % % NN cord-022594-fx044gcd 763 25 relative relative JJ cord-022594-fx044gcd 763 26 reduction reduction NN cord-022594-fx044gcd 763 27 , , , cord-022594-fx044gcd 763 28 p p NN cord-022594-fx044gcd 763 29 < < XX cord-022594-fx044gcd 763 30 0.0001 0.0001 CD cord-022594-fx044gcd 763 31 ) ) -RRB- cord-022594-fx044gcd 763 32 . . . cord-022594-fx044gcd 764 1 The the DT cord-022594-fx044gcd 764 2 proportion proportion NN cord-022594-fx044gcd 764 3 of of IN cord-022594-fx044gcd 764 4 relapse relapse NN cord-022594-fx044gcd 764 5 - - HYPH cord-022594-fx044gcd 764 6 free free JJ cord-022594-fx044gcd 764 7 patients patient NNS cord-022594-fx044gcd 764 8 was be VBD cord-022594-fx044gcd 764 9 76 76 CD cord-022594-fx044gcd 764 10 % % NN cord-022594-fx044gcd 764 11 in in IN cord-022594-fx044gcd 764 12 the the DT cord-022594-fx044gcd 764 13 treated treated JJ cord-022594-fx044gcd 764 14 group group NN cord-022594-fx044gcd 764 15 , , , cord-022594-fx044gcd 764 16 53 53 CD cord-022594-fx044gcd 764 17 % % NN cord-022594-fx044gcd 764 18 in in IN cord-022594-fx044gcd 764 19 the the DT cord-022594-fx044gcd 764 20 placebo placebo NN cord-022594-fx044gcd 764 21 group group NN cord-022594-fx044gcd 764 22 . . . cord-022594-fx044gcd 765 1 The the DT cord-022594-fx044gcd 765 2 number number NN cord-022594-fx044gcd 765 3 of of IN cord-022594-fx044gcd 765 4 enhancing enhance VBG cord-022594-fx044gcd 765 5 lesions lesion NNS cord-022594-fx044gcd 765 6 was be VBD cord-022594-fx044gcd 765 7 reduced reduce VBN cord-022594-fx044gcd 765 8 by by IN cord-022594-fx044gcd 765 9 92 92 CD cord-022594-fx044gcd 765 10 % % NN cord-022594-fx044gcd 765 11 , , , cord-022594-fx044gcd 765 12 and and CC cord-022594-fx044gcd 765 13 the the DT cord-022594-fx044gcd 765 14 number number NN cord-022594-fx044gcd 765 15 of of IN cord-022594-fx044gcd 765 16 new new JJ cord-022594-fx044gcd 765 17 or or CC cord-022594-fx044gcd 765 18 newly newly RB cord-022594-fx044gcd 765 19 enlarging enlarge VBG cord-022594-fx044gcd 765 20 T2 T2 NNP cord-022594-fx044gcd 765 21 lesions lesion NNS cord-022594-fx044gcd 765 22 was be VBD cord-022594-fx044gcd 765 23 reduced reduce VBN cord-022594-fx044gcd 765 24 by by IN cord-022594-fx044gcd 765 25 80 80 CD cord-022594-fx044gcd 765 26 % % NN cord-022594-fx044gcd 765 27 . . . cord-022594-fx044gcd 766 1 The the DT cord-022594-fx044gcd 766 2 proportion proportion NN cord-022594-fx044gcd 766 3 of of IN cord-022594-fx044gcd 766 4 patients patient NNS cord-022594-fx044gcd 766 5 without without IN cord-022594-fx044gcd 766 6 clinical clinical JJ cord-022594-fx044gcd 766 7 and and CC cord-022594-fx044gcd 766 8 MRI MRI NNP cord-022594-fx044gcd 766 9 activity activity NN cord-022594-fx044gcd 766 10 was be VBD cord-022594-fx044gcd 766 11 46 46 CD cord-022594-fx044gcd 766 12 % % NN cord-022594-fx044gcd 766 13 in in IN cord-022594-fx044gcd 766 14 the the DT cord-022594-fx044gcd 766 15 natalizumab natalizumab NNP cord-022594-fx044gcd 766 16 group group NN cord-022594-fx044gcd 766 17 , , , cord-022594-fx044gcd 766 18 and and CC cord-022594-fx044gcd 766 19 14 14 CD cord-022594-fx044gcd 766 20 % % NN cord-022594-fx044gcd 766 21 in in IN cord-022594-fx044gcd 766 22 the the DT cord-022594-fx044gcd 766 23 placebo placebo NN cord-022594-fx044gcd 766 24 group group NN cord-022594-fx044gcd 766 25 . . . cord-022594-fx044gcd 767 1 In in IN cord-022594-fx044gcd 767 2 the the DT cord-022594-fx044gcd 767 3 SENTINEL SENTINEL NNP cord-022594-fx044gcd 767 4 trial trial NN cord-022594-fx044gcd 767 5 , , , cord-022594-fx044gcd 767 6 the the DT cord-022594-fx044gcd 767 7 combination combination NN cord-022594-fx044gcd 767 8 of of IN cord-022594-fx044gcd 767 9 intramuscular intramuscular JJ cord-022594-fx044gcd 767 10 interferon interferon NN cord-022594-fx044gcd 767 11 - - HYPH cord-022594-fx044gcd 767 12 b b NN cord-022594-fx044gcd 767 13 1a 1a CD cord-022594-fx044gcd 767 14 and and CC cord-022594-fx044gcd 767 15 natalizumab natalizumab NNP cord-022594-fx044gcd 767 16 was be VBD cord-022594-fx044gcd 767 17 studied study VBN cord-022594-fx044gcd 767 18 against against IN cord-022594-fx044gcd 767 19 IM IM NNP cord-022594-fx044gcd 767 20 interferon interferon NN cord-022594-fx044gcd 767 21 - - HYPH cord-022594-fx044gcd 767 22 b b NN cord-022594-fx044gcd 767 23 1a 1a CD cord-022594-fx044gcd 767 24 and and CC cord-022594-fx044gcd 767 25 placebo placebo NN cord-022594-fx044gcd 767 26 in in IN cord-022594-fx044gcd 767 27 patients patient NNS cord-022594-fx044gcd 767 28 who who WP cord-022594-fx044gcd 767 29 had have VBD cord-022594-fx044gcd 767 30 demonstrated demonstrate VBN cord-022594-fx044gcd 767 31 an an DT cord-022594-fx044gcd 767 32 incomplete incomplete JJ cord-022594-fx044gcd 767 33 response response NN cord-022594-fx044gcd 767 34 ( ( -LRB- cord-022594-fx044gcd 767 35 relapse relapse NN cord-022594-fx044gcd 767 36 suppression suppression NN cord-022594-fx044gcd 767 37 ) ) -RRB- cord-022594-fx044gcd 767 38 to to IN cord-022594-fx044gcd 767 39 interferon interferon NN cord-022594-fx044gcd 767 40 therapy therapy NN cord-022594-fx044gcd 767 41 . . . cord-022594-fx044gcd 768 1 The the DT cord-022594-fx044gcd 768 2 EBM EBM NNP cord-022594-fx044gcd 768 3 calculations calculation NNS cord-022594-fx044gcd 768 4 of of IN cord-022594-fx044gcd 768 5 the the DT cord-022594-fx044gcd 768 6 AFFIRM AFFIRM NNP cord-022594-fx044gcd 768 7 data datum NNS cord-022594-fx044gcd 768 8 based base VBN cord-022594-fx044gcd 768 9 on on IN cord-022594-fx044gcd 768 10 proportion proportion NN cord-022594-fx044gcd 768 11 with with IN cord-022594-fx044gcd 768 12 relapses relapse NNS cord-022594-fx044gcd 768 13 suggests suggest VBZ cord-022594-fx044gcd 768 14 an an DT cord-022594-fx044gcd 768 15 RRR RRR NNP cord-022594-fx044gcd 768 16 of of IN cord-022594-fx044gcd 768 17 49 49 CD cord-022594-fx044gcd 768 18 % % NN cord-022594-fx044gcd 768 19 , , , cord-022594-fx044gcd 768 20 an an DT cord-022594-fx044gcd 768 21 ARR arr NN cord-022594-fx044gcd 768 22 of of IN cord-022594-fx044gcd 768 23 23 23 CD cord-022594-fx044gcd 768 24 % % NN cord-022594-fx044gcd 768 25 , , , cord-022594-fx044gcd 768 26 and and CC cord-022594-fx044gcd 768 27 an an DT cord-022594-fx044gcd 768 28 NNT nnt NN cord-022594-fx044gcd 768 29 of of IN cord-022594-fx044gcd 768 30 4 4 CD cord-022594-fx044gcd 768 31 over over IN cord-022594-fx044gcd 768 32 1 1 CD cord-022594-fx044gcd 768 33 year year NN cord-022594-fx044gcd 768 34 to to TO cord-022594-fx044gcd 768 35 increase increase VB cord-022594-fx044gcd 768 36 the the DT cord-022594-fx044gcd 768 37 proportion proportion NN cord-022594-fx044gcd 768 38 of of IN cord-022594-fx044gcd 768 39 relapse relapse NN cord-022594-fx044gcd 768 40 free free JJ cord-022594-fx044gcd 768 41 by by IN cord-022594-fx044gcd 768 42 one one CD cord-022594-fx044gcd 768 43 . . . cord-022594-fx044gcd 769 1 The the DT cord-022594-fx044gcd 769 2 SENTI SENTI NNP cord-022594-fx044gcd 769 3 - - HYPH cord-022594-fx044gcd 769 4 NEL NEL NNP cord-022594-fx044gcd 769 5 data datum NNS cord-022594-fx044gcd 769 6 shows show VBZ cord-022594-fx044gcd 769 7 an an DT cord-022594-fx044gcd 769 8 RRR RRR NNP cord-022594-fx044gcd 769 9 of of IN cord-022594-fx044gcd 769 10 31 31 CD cord-022594-fx044gcd 769 11 % % NN cord-022594-fx044gcd 769 12 , , , cord-022594-fx044gcd 769 13 an an DT cord-022594-fx044gcd 769 14 ARR arr NN cord-022594-fx044gcd 769 15 of of IN cord-022594-fx044gcd 769 16 17 17 CD cord-022594-fx044gcd 769 17 % % NN cord-022594-fx044gcd 769 18 , , , cord-022594-fx044gcd 769 19 and and CC cord-022594-fx044gcd 769 20 an an DT cord-022594-fx044gcd 769 21 NNT nnt NN cord-022594-fx044gcd 769 22 of of IN cord-022594-fx044gcd 769 23 6 6 CD cord-022594-fx044gcd 769 24 over over IN cord-022594-fx044gcd 769 25 1 1 CD cord-022594-fx044gcd 769 26 year year NN cord-022594-fx044gcd 769 27 to to TO cord-022594-fx044gcd 769 28 increase increase VB cord-022594-fx044gcd 769 29 the the DT cord-022594-fx044gcd 769 30 proportion proportion NN cord-022594-fx044gcd 769 31 relapse relapse VB cord-022594-fx044gcd 769 32 free free JJ cord-022594-fx044gcd 769 33 . . . cord-022594-fx044gcd 770 1 The the DT cord-022594-fx044gcd 770 2 original original JJ cord-022594-fx044gcd 770 3 pilot pilot NN cord-022594-fx044gcd 770 4 trial trial NN cord-022594-fx044gcd 770 5 data datum NNS cord-022594-fx044gcd 770 6 shows show VBZ cord-022594-fx044gcd 770 7 a a DT cord-022594-fx044gcd 770 8 RRR RRR NNP cord-022594-fx044gcd 770 9 of of IN cord-022594-fx044gcd 770 10 50 50 CD cord-022594-fx044gcd 770 11 % % NN cord-022594-fx044gcd 770 12 and and CC cord-022594-fx044gcd 770 13 an an DT cord-022594-fx044gcd 770 14 ARR arr NN cord-022594-fx044gcd 770 15 of of IN cord-022594-fx044gcd 770 16 19 19 CD cord-022594-fx044gcd 770 17 % % NN cord-022594-fx044gcd 770 18 , , , cord-022594-fx044gcd 770 19 with with IN cord-022594-fx044gcd 770 20 an an DT cord-022594-fx044gcd 770 21 NNT nnt NN cord-022594-fx044gcd 770 22 of of IN cord-022594-fx044gcd 770 23 5 5 CD cord-022594-fx044gcd 770 24 over over IN cord-022594-fx044gcd 770 25 6 6 CD cord-022594-fx044gcd 770 26 months month NNS cord-022594-fx044gcd 770 27 to to TO cord-022594-fx044gcd 770 28 increase increase VB cord-022594-fx044gcd 770 29 the the DT cord-022594-fx044gcd 770 30 proportion proportion NN cord-022594-fx044gcd 770 31 relapse relapse VB cord-022594-fx044gcd 770 32 free free JJ cord-022594-fx044gcd 770 33 . . . cord-022594-fx044gcd 771 1 Based base VBN cord-022594-fx044gcd 771 2 on on IN cord-022594-fx044gcd 771 3 these these DT cord-022594-fx044gcd 771 4 data datum NNS cord-022594-fx044gcd 771 5 , , , cord-022594-fx044gcd 771 6 the the DT cord-022594-fx044gcd 771 7 FDA FDA NNP cord-022594-fx044gcd 771 8 granted grant VBD cord-022594-fx044gcd 771 9 expedited expedited JJ cord-022594-fx044gcd 771 10 approval approval NN cord-022594-fx044gcd 771 11 of of IN cord-022594-fx044gcd 771 12 natalizumab natalizumab NNS cord-022594-fx044gcd 771 13 on on IN cord-022594-fx044gcd 771 14 November November NNP cord-022594-fx044gcd 771 15 23 23 CD cord-022594-fx044gcd 771 16 , , , cord-022594-fx044gcd 771 17 2004 2004 CD cord-022594-fx044gcd 771 18 . . . cord-022594-fx044gcd 772 1 On on IN cord-022594-fx044gcd 772 2 February February NNP cord-022594-fx044gcd 772 3 28 28 CD cord-022594-fx044gcd 772 4 , , , cord-022594-fx044gcd 772 5 2005 2005 CD cord-022594-fx044gcd 772 6 , , , cord-022594-fx044gcd 772 7 the the DT cord-022594-fx044gcd 772 8 medication medication NN cord-022594-fx044gcd 772 9 was be VBD cord-022594-fx044gcd 772 10 voluntarily voluntarily RB cord-022594-fx044gcd 772 11 withdrawn withdraw VBN cord-022594-fx044gcd 772 12 from from IN cord-022594-fx044gcd 772 13 the the DT cord-022594-fx044gcd 772 14 market market NN cord-022594-fx044gcd 772 15 by by IN cord-022594-fx044gcd 772 16 the the DT cord-022594-fx044gcd 772 17 sponsor sponsor NN cord-022594-fx044gcd 772 18 ( ( -LRB- cord-022594-fx044gcd 772 19 Biogen Biogen NNP cord-022594-fx044gcd 772 20 - - HYPH cord-022594-fx044gcd 772 21 Elan Elan NNP cord-022594-fx044gcd 772 22 ) ) -RRB- cord-022594-fx044gcd 772 23 after after IN cord-022594-fx044gcd 772 24 two two CD cord-022594-fx044gcd 772 25 cases case NNS cord-022594-fx044gcd 772 26 of of IN cord-022594-fx044gcd 772 27 progressive progressive JJ cord-022594-fx044gcd 772 28 multifocal multifocal JJ cord-022594-fx044gcd 772 29 leukoencephalopathy leukoencephalopathy NNS cord-022594-fx044gcd 772 30 ( ( -LRB- cord-022594-fx044gcd 772 31 PML PML NNP cord-022594-fx044gcd 772 32 ) ) -RRB- cord-022594-fx044gcd 772 33 were be VBD cord-022594-fx044gcd 772 34 reported report VBN cord-022594-fx044gcd 772 35 in in IN cord-022594-fx044gcd 772 36 the the DT cord-022594-fx044gcd 772 37 SENTINEL SENTINEL NNP cord-022594-fx044gcd 772 38 study study NN cord-022594-fx044gcd 772 39 cohort cohort NN cord-022594-fx044gcd 772 40 . . . cord-022594-fx044gcd 773 1 85 85 CD cord-022594-fx044gcd 774 1 Both both DT cord-022594-fx044gcd 774 2 patients patient NNS cord-022594-fx044gcd 774 3 were be VBD cord-022594-fx044gcd 774 4 in in IN cord-022594-fx044gcd 774 5 the the DT cord-022594-fx044gcd 774 6 combined combine VBN cord-022594-fx044gcd 774 7 interferon interferon NN cord-022594-fx044gcd 774 8 and and CC cord-022594-fx044gcd 774 9 natalizumab natalizumab NNP cord-022594-fx044gcd 774 10 arm arm NN cord-022594-fx044gcd 774 11 . . . cord-022594-fx044gcd 775 1 A a DT cord-022594-fx044gcd 775 2 third third JJ cord-022594-fx044gcd 775 3 PML PML NNP cord-022594-fx044gcd 775 4 case case NN cord-022594-fx044gcd 775 5 was be VBD cord-022594-fx044gcd 775 6 later later RB cord-022594-fx044gcd 775 7 identified identify VBN cord-022594-fx044gcd 775 8 from from IN cord-022594-fx044gcd 775 9 one one CD cord-022594-fx044gcd 775 10 of of IN cord-022594-fx044gcd 775 11 the the DT cord-022594-fx044gcd 775 12 phase phase NN cord-022594-fx044gcd 775 13 III iii CD cord-022594-fx044gcd 775 14 inflammatory inflammatory JJ cord-022594-fx044gcd 775 15 bowel bowel NN cord-022594-fx044gcd 775 16 trials trial NNS cord-022594-fx044gcd 775 17 of of IN cord-022594-fx044gcd 775 18 this this DT cord-022594-fx044gcd 775 19 agent agent NN cord-022594-fx044gcd 775 20 . . . cord-022594-fx044gcd 776 1 At at IN cord-022594-fx044gcd 776 2 the the DT cord-022594-fx044gcd 776 3 time time NN cord-022594-fx044gcd 776 4 of of IN cord-022594-fx044gcd 776 5 writing write VBG cord-022594-fx044gcd 776 6 this this DT cord-022594-fx044gcd 776 7 manuscript manuscript NN cord-022594-fx044gcd 776 8 , , , cord-022594-fx044gcd 776 9 natalizumab natalizumab NNP cord-022594-fx044gcd 776 10 is be VBZ cord-022594-fx044gcd 776 11 still still RB cord-022594-fx044gcd 776 12 off off IN cord-022594-fx044gcd 776 13 the the DT cord-022594-fx044gcd 776 14 market market NN cord-022594-fx044gcd 776 15 . . . cord-022594-fx044gcd 777 1 The the DT cord-022594-fx044gcd 777 2 natalizumab natalizumab JJ cord-022594-fx044gcd 777 3 story story NN cord-022594-fx044gcd 777 4 has have VBZ cord-022594-fx044gcd 777 5 received receive VBN cord-022594-fx044gcd 777 6 significant significant JJ cord-022594-fx044gcd 777 7 media medium NNS cord-022594-fx044gcd 777 8 attention attention NN cord-022594-fx044gcd 777 9 . . . cord-022594-fx044gcd 778 1 Several several JJ cord-022594-fx044gcd 778 2 consequences consequence NNS cord-022594-fx044gcd 778 3 can can MD cord-022594-fx044gcd 778 4 be be VB cord-022594-fx044gcd 778 5 drawn draw VBN cord-022594-fx044gcd 778 6 from from IN cord-022594-fx044gcd 778 7 this this DT cord-022594-fx044gcd 778 8 failure failure NN cord-022594-fx044gcd 778 9 . . . cord-022594-fx044gcd 779 1 First first RB cord-022594-fx044gcd 779 2 , , , cord-022594-fx044gcd 779 3 highly highly RB cord-022594-fx044gcd 779 4 potent potent JJ cord-022594-fx044gcd 779 5 immunomodulators immunomodulator NNS cord-022594-fx044gcd 779 6 like like IN cord-022594-fx044gcd 779 7 natalizumab natalizumab NNS cord-022594-fx044gcd 779 8 are be VBP cord-022594-fx044gcd 779 9 best well RBS cord-022594-fx044gcd 779 10 used use VBN cord-022594-fx044gcd 779 11 by by IN cord-022594-fx044gcd 779 12 specialists specialist NNS cord-022594-fx044gcd 779 13 in in IN cord-022594-fx044gcd 779 14 selected select VBN cord-022594-fx044gcd 779 15 cases case NNS cord-022594-fx044gcd 779 16 . . . cord-022594-fx044gcd 780 1 A a DT cord-022594-fx044gcd 780 2 large large JJ cord-022594-fx044gcd 780 3 number number NN cord-022594-fx044gcd 780 4 of of IN cord-022594-fx044gcd 780 5 prescriptions prescription NNS cord-022594-fx044gcd 780 6 were be VBD cord-022594-fx044gcd 780 7 written write VBN cord-022594-fx044gcd 780 8 for for IN cord-022594-fx044gcd 780 9 natalizumab natalizumab NNS cord-022594-fx044gcd 780 10 during during IN cord-022594-fx044gcd 780 11 its -PRON- PRP$ cord-022594-fx044gcd 780 12 short short JJ cord-022594-fx044gcd 780 13 3 3 CD cord-022594-fx044gcd 780 14 months month NNS cord-022594-fx044gcd 780 15 on on IN cord-022594-fx044gcd 780 16 the the DT cord-022594-fx044gcd 780 17 market market NN cord-022594-fx044gcd 780 18 , , , cord-022594-fx044gcd 780 19 including include VBG cord-022594-fx044gcd 780 20 prescriptions prescription NNS cord-022594-fx044gcd 780 21 by by IN cord-022594-fx044gcd 780 22 general general JJ cord-022594-fx044gcd 780 23 practitioners practitioner NNS cord-022594-fx044gcd 780 24 . . . cord-022594-fx044gcd 781 1 Widespread widespread JJ cord-022594-fx044gcd 781 2 use use NN cord-022594-fx044gcd 781 3 of of IN cord-022594-fx044gcd 781 4 such such JJ cord-022594-fx044gcd 781 5 medication medication NN cord-022594-fx044gcd 781 6 in in IN cord-022594-fx044gcd 781 7 relatively relatively RB cord-022594-fx044gcd 781 8 stable stable JJ cord-022594-fx044gcd 781 9 cases case NNS cord-022594-fx044gcd 781 10 of of IN cord-022594-fx044gcd 781 11 MS MS NNP cord-022594-fx044gcd 781 12 is be VBZ cord-022594-fx044gcd 781 13 not not RB cord-022594-fx044gcd 781 14 indicated indicate VBN cord-022594-fx044gcd 781 15 . . . cord-022594-fx044gcd 782 1 Second second RB cord-022594-fx044gcd 782 2 , , , cord-022594-fx044gcd 782 3 the the DT cord-022594-fx044gcd 782 4 combination combination NN cord-022594-fx044gcd 782 5 of of IN cord-022594-fx044gcd 782 6 potent potent JJ cord-022594-fx044gcd 782 7 immunomodulators immunomodulator NNS cord-022594-fx044gcd 782 8 may may MD cord-022594-fx044gcd 782 9 result result VB cord-022594-fx044gcd 782 10 in in IN cord-022594-fx044gcd 782 11 unpredictable unpredictable JJ cord-022594-fx044gcd 782 12 adverse adverse JJ cord-022594-fx044gcd 782 13 outcomes outcome NNS cord-022594-fx044gcd 782 14 . . . cord-022594-fx044gcd 783 1 Many many JJ cord-022594-fx044gcd 783 2 MS MS NNP cord-022594-fx044gcd 783 3 experts expert NNS cord-022594-fx044gcd 783 4 anticipate anticipate VBP cord-022594-fx044gcd 783 5 that that IN cord-022594-fx044gcd 783 6 in in IN cord-022594-fx044gcd 783 7 the the DT cord-022594-fx044gcd 783 8 future future JJ cord-022594-fx044gcd 783 9 MS MS NNP cord-022594-fx044gcd 783 10 therapies therapy NNS cord-022594-fx044gcd 783 11 will will MD cord-022594-fx044gcd 783 12 need need VB cord-022594-fx044gcd 783 13 to to TO cord-022594-fx044gcd 783 14 be be VB cord-022594-fx044gcd 783 15 administered administer VBN cord-022594-fx044gcd 783 16 in in IN cord-022594-fx044gcd 783 17 combination combination NN cord-022594-fx044gcd 783 18 to to TO cord-022594-fx044gcd 783 19 optimize optimize VB cord-022594-fx044gcd 783 20 therapeutic therapeutic JJ cord-022594-fx044gcd 783 21 benefit benefit NN cord-022594-fx044gcd 783 22 . . . cord-022594-fx044gcd 784 1 However however RB cord-022594-fx044gcd 784 2 , , , cord-022594-fx044gcd 784 3 the the DT cord-022594-fx044gcd 784 4 exact exact JJ cord-022594-fx044gcd 784 5 effect effect NN cord-022594-fx044gcd 784 6 of of IN cord-022594-fx044gcd 784 7 such such JJ cord-022594-fx044gcd 784 8 combinations combination NNS cord-022594-fx044gcd 784 9 on on IN cord-022594-fx044gcd 784 10 the the DT cord-022594-fx044gcd 784 11 highly highly RB cord-022594-fx044gcd 784 12 complex complex JJ cord-022594-fx044gcd 784 13 immune immune JJ cord-022594-fx044gcd 784 14 system system NN cord-022594-fx044gcd 784 15 is be VBZ cord-022594-fx044gcd 784 16 difficult difficult JJ cord-022594-fx044gcd 784 17 if if IN cord-022594-fx044gcd 784 18 not not RB cord-022594-fx044gcd 784 19 impossible impossible JJ cord-022594-fx044gcd 784 20 to to TO cord-022594-fx044gcd 784 21 predict predict VB cord-022594-fx044gcd 784 22 . . . cord-022594-fx044gcd 785 1 Furthermore furthermore RB cord-022594-fx044gcd 785 2 , , , cord-022594-fx044gcd 785 3 our -PRON- PRP$ cord-022594-fx044gcd 785 4 inability inability NN cord-022594-fx044gcd 785 5 to to TO cord-022594-fx044gcd 785 6 treat treat VB cord-022594-fx044gcd 785 7 MS MS NNP cord-022594-fx044gcd 785 8 more more RBR cord-022594-fx044gcd 785 9 effectively effectively RB cord-022594-fx044gcd 785 10 does do VBZ cord-022594-fx044gcd 785 11 not not RB cord-022594-fx044gcd 785 12 stem stem VB cord-022594-fx044gcd 785 13 from from IN cord-022594-fx044gcd 785 14 the the DT cord-022594-fx044gcd 785 15 fact fact NN cord-022594-fx044gcd 785 16 that that IN cord-022594-fx044gcd 785 17 we -PRON- PRP cord-022594-fx044gcd 785 18 can can MD cord-022594-fx044gcd 785 19 not not RB cord-022594-fx044gcd 785 20 provide provide VB cord-022594-fx044gcd 785 21 powerful powerful JJ cord-022594-fx044gcd 785 22 immunosuppression immunosuppression NN cord-022594-fx044gcd 785 23 , , , cord-022594-fx044gcd 785 24 as as IN cord-022594-fx044gcd 785 25 evidenced evidence VBN cord-022594-fx044gcd 785 26 by by IN cord-022594-fx044gcd 785 27 the the DT cord-022594-fx044gcd 785 28 autologous autologous JJ cord-022594-fx044gcd 785 29 bone bone NN cord-022594-fx044gcd 785 30 marrow marrow NN cord-022594-fx044gcd 785 31 transplantation transplantation NN cord-022594-fx044gcd 785 32 studies study NNS cord-022594-fx044gcd 785 33 . . . cord-022594-fx044gcd 786 1 MS MS NNP cord-022594-fx044gcd 786 2 is be VBZ cord-022594-fx044gcd 786 3 a a DT cord-022594-fx044gcd 786 4 complex complex JJ cord-022594-fx044gcd 786 5 disease disease NN cord-022594-fx044gcd 786 6 with with IN cord-022594-fx044gcd 786 7 a a DT cord-022594-fx044gcd 786 8 prominent prominent JJ cord-022594-fx044gcd 786 9 inflammatory inflammatory JJ cord-022594-fx044gcd 786 10 component component NN cord-022594-fx044gcd 786 11 ; ; : cord-022594-fx044gcd 786 12 however however RB cord-022594-fx044gcd 786 13 , , , cord-022594-fx044gcd 786 14 increasing increase VBG cord-022594-fx044gcd 786 15 evidence evidence NN cord-022594-fx044gcd 786 16 suggests suggest VBZ cord-022594-fx044gcd 786 17 that that IN cord-022594-fx044gcd 786 18 the the DT cord-022594-fx044gcd 786 19 neurodegenerative neurodegenerative JJ cord-022594-fx044gcd 786 20 component component NN cord-022594-fx044gcd 786 21 of of IN cord-022594-fx044gcd 786 22 this this DT cord-022594-fx044gcd 786 23 illness illness NN cord-022594-fx044gcd 786 24 may may MD cord-022594-fx044gcd 786 25 be be VB cord-022594-fx044gcd 786 26 independent independent JJ cord-022594-fx044gcd 786 27 of of IN cord-022594-fx044gcd 786 28 the the DT cord-022594-fx044gcd 786 29 inflammatory inflammatory JJ cord-022594-fx044gcd 786 30 component component NN cord-022594-fx044gcd 786 31 , , , cord-022594-fx044gcd 786 32 and and CC cord-022594-fx044gcd 786 33 is be VBZ cord-022594-fx044gcd 786 34 just just RB cord-022594-fx044gcd 786 35 as as RB cord-022594-fx044gcd 786 36 important important JJ cord-022594-fx044gcd 786 37 , , , cord-022594-fx044gcd 786 38 if if IN cord-022594-fx044gcd 786 39 not not RB cord-022594-fx044gcd 786 40 more more RBR cord-022594-fx044gcd 786 41 important important JJ cord-022594-fx044gcd 786 42 , , , cord-022594-fx044gcd 786 43 from from IN cord-022594-fx044gcd 786 44 the the DT cord-022594-fx044gcd 786 45 standpoint standpoint NN cord-022594-fx044gcd 786 46 of of IN cord-022594-fx044gcd 786 47 long long JJ cord-022594-fx044gcd 786 48 - - HYPH cord-022594-fx044gcd 786 49 term term NN cord-022594-fx044gcd 786 50 disability disability NN cord-022594-fx044gcd 786 51 . . . cord-022594-fx044gcd 787 1 Third third RB cord-022594-fx044gcd 787 2 , , , cord-022594-fx044gcd 787 3 in in IN cord-022594-fx044gcd 787 4 chronic chronic JJ cord-022594-fx044gcd 787 5 diseases disease NNS cord-022594-fx044gcd 787 6 such such JJ cord-022594-fx044gcd 787 7 as as IN cord-022594-fx044gcd 787 8 MS MS NNP cord-022594-fx044gcd 787 9 , , , cord-022594-fx044gcd 787 10 a a DT cord-022594-fx044gcd 787 11 short short JJ cord-022594-fx044gcd 787 12 1-year 1-year CD cord-022594-fx044gcd 787 13 trial trial NN cord-022594-fx044gcd 787 14 , , , cord-022594-fx044gcd 787 15 no no RB cord-022594-fx044gcd 787 16 matter matter RB cord-022594-fx044gcd 787 17 how how WRB cord-022594-fx044gcd 787 18 convincing convince VBG cord-022594-fx044gcd 787 19 the the DT cord-022594-fx044gcd 787 20 outcome outcome NN cord-022594-fx044gcd 787 21 may may MD cord-022594-fx044gcd 787 22 be be VB cord-022594-fx044gcd 787 23 , , , cord-022594-fx044gcd 787 24 should should MD cord-022594-fx044gcd 787 25 not not RB cord-022594-fx044gcd 787 26 be be VB cord-022594-fx044gcd 787 27 considered consider VBN cord-022594-fx044gcd 787 28 sufficient sufficient JJ cord-022594-fx044gcd 787 29 to to TO cord-022594-fx044gcd 787 30 approve approve VB cord-022594-fx044gcd 787 31 a a DT cord-022594-fx044gcd 787 32 medication medication NN cord-022594-fx044gcd 787 33 , , , cord-022594-fx044gcd 787 34 which which WDT cord-022594-fx044gcd 787 35 will will MD cord-022594-fx044gcd 787 36 then then RB cord-022594-fx044gcd 787 37 be be VB cord-022594-fx044gcd 787 38 used use VBN cord-022594-fx044gcd 787 39 in in IN cord-022594-fx044gcd 787 40 tens ten NNS cord-022594-fx044gcd 787 41 of of IN cord-022594-fx044gcd 787 42 thousands thousand NNS cord-022594-fx044gcd 787 43 of of IN cord-022594-fx044gcd 787 44 patients patient NNS cord-022594-fx044gcd 787 45 on on IN cord-022594-fx044gcd 787 46 a a DT cord-022594-fx044gcd 787 47 " " `` cord-022594-fx044gcd 787 48 lifelong lifelong JJ cord-022594-fx044gcd 787 49 " " '' cord-022594-fx044gcd 787 50 basis basis NN cord-022594-fx044gcd 787 51 . . . cord-022594-fx044gcd 788 1 There there EX cord-022594-fx044gcd 788 2 clearly clearly RB cord-022594-fx044gcd 788 3 is be VBZ cord-022594-fx044gcd 788 4 a a DT cord-022594-fx044gcd 788 5 need need NN cord-022594-fx044gcd 788 6 for for IN cord-022594-fx044gcd 788 7 new new JJ cord-022594-fx044gcd 788 8 and and CC cord-022594-fx044gcd 788 9 more more RBR cord-022594-fx044gcd 788 10 effective effective JJ cord-022594-fx044gcd 788 11 medications medication NNS cord-022594-fx044gcd 788 12 for for IN cord-022594-fx044gcd 788 13 treating treat VBG cord-022594-fx044gcd 788 14 MS MS NNP cord-022594-fx044gcd 788 15 ; ; : cord-022594-fx044gcd 788 16 however however RB cord-022594-fx044gcd 788 17 , , , cord-022594-fx044gcd 788 18 clinical clinical JJ cord-022594-fx044gcd 788 19 trials trial NNS cord-022594-fx044gcd 788 20 in in IN cord-022594-fx044gcd 788 21 chronic chronic JJ cord-022594-fx044gcd 788 22 conditions condition NNS cord-022594-fx044gcd 788 23 are be VBP cord-022594-fx044gcd 788 24 very very RB cord-022594-fx044gcd 788 25 difficult difficult JJ cord-022594-fx044gcd 788 26 to to TO cord-022594-fx044gcd 788 27 sustain sustain VB cord-022594-fx044gcd 788 28 . . . cord-022594-fx044gcd 789 1 To to TO cord-022594-fx044gcd 789 2 overcome overcome VB cord-022594-fx044gcd 789 3 this this DT cord-022594-fx044gcd 789 4 , , , cord-022594-fx044gcd 789 5 many many JJ cord-022594-fx044gcd 789 6 MS MS NNP cord-022594-fx044gcd 789 7 trials trial NNS cord-022594-fx044gcd 789 8 use use VBP cord-022594-fx044gcd 789 9 primary primary JJ cord-022594-fx044gcd 789 10 MRI MRI NNP cord-022594-fx044gcd 789 11 outcome outcome NN cord-022594-fx044gcd 789 12 measures measure NNS cord-022594-fx044gcd 789 13 , , , cord-022594-fx044gcd 789 14 since since IN cord-022594-fx044gcd 789 15 inflammation inflammation NN cord-022594-fx044gcd 789 16 and and CC cord-022594-fx044gcd 789 17 new new JJ cord-022594-fx044gcd 789 18 lesion lesion NN cord-022594-fx044gcd 789 19 formation formation NN cord-022594-fx044gcd 789 20 - - HYPH cord-022594-fx044gcd 789 21 related relate VBN cord-022594-fx044gcd 789 22 MRI MRI NNP cord-022594-fx044gcd 789 23 markers marker NNS cord-022594-fx044gcd 789 24 respond respond VBP cord-022594-fx044gcd 789 25 more more RBR cord-022594-fx044gcd 789 26 immediately immediately RB cord-022594-fx044gcd 789 27 to to IN cord-022594-fx044gcd 789 28 treatment treatment NN cord-022594-fx044gcd 789 29 ; ; : cord-022594-fx044gcd 789 30 however however RB cord-022594-fx044gcd 789 31 , , , cord-022594-fx044gcd 789 32 these these DT cord-022594-fx044gcd 789 33 markers marker NNS cord-022594-fx044gcd 789 34 do do VBP cord-022594-fx044gcd 789 35 not not RB cord-022594-fx044gcd 789 36 correlate correlate VB cord-022594-fx044gcd 789 37 well well RB cord-022594-fx044gcd 789 38 with with IN cord-022594-fx044gcd 789 39 long long JJ cord-022594-fx044gcd 789 40 term term NN cord-022594-fx044gcd 789 41 disability disability NN cord-022594-fx044gcd 789 42 , , , cord-022594-fx044gcd 789 43 as as IN cord-022594-fx044gcd 789 44 discussed discuss VBN cord-022594-fx044gcd 789 45 earlier early RBR cord-022594-fx044gcd 789 46 . . . cord-022594-fx044gcd 790 1 Summary Summary NNP cord-022594-fx044gcd 790 2 of of IN cord-022594-fx044gcd 790 3 Recommendations Recommendations NNPS cord-022594-fx044gcd 790 4 for for IN cord-022594-fx044gcd 790 5 the the DT cord-022594-fx044gcd 790 6 Treatment Treatment NNP cord-022594-fx044gcd 790 7 of of IN cord-022594-fx044gcd 790 8 RRMS RRMS NNP cord-022594-fx044gcd 790 9 Patients Patients NNPS cord-022594-fx044gcd 790 10 . . . cord-022594-fx044gcd 791 1 When when WRB cord-022594-fx044gcd 791 2 making make VBG cord-022594-fx044gcd 791 3 decisions decision NNS cord-022594-fx044gcd 791 4 about about IN cord-022594-fx044gcd 791 5 starting start VBG cord-022594-fx044gcd 791 6 an an DT cord-022594-fx044gcd 791 7 MS MS NNP cord-022594-fx044gcd 791 8 patients patient NNS cord-022594-fx044gcd 791 9 on on IN cord-022594-fx044gcd 791 10 immunomodulators immunomodulator NNS cord-022594-fx044gcd 791 11 , , , cord-022594-fx044gcd 791 12 several several JJ cord-022594-fx044gcd 791 13 factors factor NNS cord-022594-fx044gcd 791 14 must must MD cord-022594-fx044gcd 791 15 be be VB cord-022594-fx044gcd 791 16 considered consider VBN cord-022594-fx044gcd 791 17 . . . cord-022594-fx044gcd 792 1 One one PRP cord-022594-fx044gcd 792 2 must must MD cord-022594-fx044gcd 792 3 realize realize VB cord-022594-fx044gcd 792 4 that that IN cord-022594-fx044gcd 792 5 even even RB cord-022594-fx044gcd 792 6 though though IN cord-022594-fx044gcd 792 7 there there EX cord-022594-fx044gcd 792 8 are be VBP cord-022594-fx044gcd 792 9 medications medication NNS cord-022594-fx044gcd 792 10 available available JJ cord-022594-fx044gcd 792 11 for for IN cord-022594-fx044gcd 792 12 relapsing relapse VBG cord-022594-fx044gcd 792 13 forms form NNS cord-022594-fx044gcd 792 14 of of IN cord-022594-fx044gcd 792 15 MS MS NNP cord-022594-fx044gcd 792 16 , , , cord-022594-fx044gcd 792 17 all all PDT cord-022594-fx044gcd 792 18 the the DT cord-022594-fx044gcd 792 19 currently currently RB cord-022594-fx044gcd 792 20 available available JJ cord-022594-fx044gcd 792 21 therapies therapy NNS cord-022594-fx044gcd 792 22 are be VBP cord-022594-fx044gcd 792 23 only only RB cord-022594-fx044gcd 792 24 partially partially RB cord-022594-fx044gcd 792 25 effective effective JJ cord-022594-fx044gcd 792 26 , , , cord-022594-fx044gcd 792 27 the the DT cord-022594-fx044gcd 792 28 most most RBS cord-022594-fx044gcd 792 29 reliable reliable JJ cord-022594-fx044gcd 792 30 data data NN cord-022594-fx044gcd 792 31 is be VBZ cord-022594-fx044gcd 792 32 about about IN cord-022594-fx044gcd 792 33 short short JJ cord-022594-fx044gcd 792 34 - - HYPH cord-022594-fx044gcd 792 35 term term NN cord-022594-fx044gcd 792 36 relapse relapse NN cord-022594-fx044gcd 792 37 rate rate NN cord-022594-fx044gcd 792 38 reduction reduction NN cord-022594-fx044gcd 792 39 , , , cord-022594-fx044gcd 792 40 and and CC cord-022594-fx044gcd 792 41 a a DT cord-022594-fx044gcd 792 42 relapse relapse NN cord-022594-fx044gcd 792 43 rate rate NN cord-022594-fx044gcd 792 44 reduction reduction NN cord-022594-fx044gcd 792 45 does do VBZ cord-022594-fx044gcd 792 46 not not RB cord-022594-fx044gcd 792 47 necessarily necessarily RB cord-022594-fx044gcd 792 48 translate translate VB cord-022594-fx044gcd 792 49 into into IN cord-022594-fx044gcd 792 50 reduction reduction NN cord-022594-fx044gcd 792 51 of of IN cord-022594-fx044gcd 792 52 future future JJ cord-022594-fx044gcd 792 53 disabilities disability NNS cord-022594-fx044gcd 792 54 . . . cord-022594-fx044gcd 793 1 Natural natural JJ cord-022594-fx044gcd 793 2 history history NN cord-022594-fx044gcd 793 3 data datum NNS cord-022594-fx044gcd 793 4 clearly clearly RB cord-022594-fx044gcd 793 5 suggest suggest VBP cord-022594-fx044gcd 793 6 that that IN cord-022594-fx044gcd 793 7 a a DT cord-022594-fx044gcd 793 8 subset subset NN cord-022594-fx044gcd 793 9 of of IN cord-022594-fx044gcd 793 10 MS MS NNP cord-022594-fx044gcd 793 11 patients patient NNS cord-022594-fx044gcd 793 12 will will MD cord-022594-fx044gcd 793 13 do do VB cord-022594-fx044gcd 793 14 very very RB cord-022594-fx044gcd 793 15 well well RB cord-022594-fx044gcd 793 16 without without IN cord-022594-fx044gcd 793 17 treatment treatment NN cord-022594-fx044gcd 793 18 ( ( -LRB- cord-022594-fx044gcd 793 19 see see VB cord-022594-fx044gcd 793 20 discussion discussion NN cord-022594-fx044gcd 793 21 about about IN cord-022594-fx044gcd 793 22 the the DT cord-022594-fx044gcd 793 23 Olmsted Olmsted NNP cord-022594-fx044gcd 793 24 County County NNP cord-022594-fx044gcd 793 25 cohort cohort NN cord-022594-fx044gcd 793 26 later later RB cord-022594-fx044gcd 793 27 ) ) -RRB- cord-022594-fx044gcd 793 28 ; ; : cord-022594-fx044gcd 793 29 this this DT cord-022594-fx044gcd 793 30 information information NN cord-022594-fx044gcd 793 31 can can MD cord-022594-fx044gcd 793 32 be be VB cord-022594-fx044gcd 793 33 very very RB cord-022594-fx044gcd 793 34 useful useful JJ cord-022594-fx044gcd 793 35 when when WRB cord-022594-fx044gcd 793 36 deciding decide VBG cord-022594-fx044gcd 793 37 about about IN cord-022594-fx044gcd 793 38 treatment treatment NN cord-022594-fx044gcd 793 39 in in IN cord-022594-fx044gcd 793 40 patients patient NNS cord-022594-fx044gcd 793 41 with with IN cord-022594-fx044gcd 793 42 a a DT cord-022594-fx044gcd 793 43 5-or 5-or CD cord-022594-fx044gcd 793 44 10-year 10-year CD cord-022594-fx044gcd 793 45 disease disease NN cord-022594-fx044gcd 793 46 history history NN cord-022594-fx044gcd 793 47 and and CC cord-022594-fx044gcd 793 48 minimal minimal JJ cord-022594-fx044gcd 793 49 disability disability NN cord-022594-fx044gcd 793 50 ( ( -LRB- cord-022594-fx044gcd 793 51 EDSS EDSS NNP cord-022594-fx044gcd 793 52 2.0 2.0 CD cord-022594-fx044gcd 793 53 ) ) -RRB- cord-022594-fx044gcd 793 54 . . . cord-022594-fx044gcd 794 1 In in IN cord-022594-fx044gcd 794 2 this this DT cord-022594-fx044gcd 794 3 patient patient NN cord-022594-fx044gcd 794 4 group group NN cord-022594-fx044gcd 794 5 , , , cord-022594-fx044gcd 794 6 a a DT cord-022594-fx044gcd 794 7 careful careful JJ cord-022594-fx044gcd 794 8 wait wait NN cord-022594-fx044gcd 794 9 and and CC cord-022594-fx044gcd 794 10 see see VB cord-022594-fx044gcd 794 11 approach approach NN cord-022594-fx044gcd 794 12 with with IN cord-022594-fx044gcd 794 13 appropriate appropriate JJ cord-022594-fx044gcd 794 14 monitoring monitoring NN cord-022594-fx044gcd 794 15 is be VBZ cord-022594-fx044gcd 794 16 acceptable acceptable JJ cord-022594-fx044gcd 794 17 . . . cord-022594-fx044gcd 795 1 Counseling counseling NN cord-022594-fx044gcd 795 2 of of IN cord-022594-fx044gcd 795 3 newly newly RB cord-022594-fx044gcd 795 4 diagnosed diagnose VBN cord-022594-fx044gcd 795 5 MS MS NNP cord-022594-fx044gcd 795 6 patients patient NNS cord-022594-fx044gcd 795 7 is be VBZ cord-022594-fx044gcd 795 8 of of IN cord-022594-fx044gcd 795 9 crucial crucial JJ cord-022594-fx044gcd 795 10 importance importance NN cord-022594-fx044gcd 795 11 , , , cord-022594-fx044gcd 795 12 and and CC cord-022594-fx044gcd 795 13 it -PRON- PRP cord-022594-fx044gcd 795 14 should should MD cord-022594-fx044gcd 795 15 usually usually RB cord-022594-fx044gcd 795 16 include include VB cord-022594-fx044gcd 795 17 family family NN cord-022594-fx044gcd 795 18 members member NNS cord-022594-fx044gcd 795 19 . . . cord-022594-fx044gcd 796 1 Most Most JJS cord-022594-fx044gcd 796 2 patients patient NNS cord-022594-fx044gcd 796 3 have have VBP cord-022594-fx044gcd 796 4 easy easy JJ cord-022594-fx044gcd 796 5 access access NN cord-022594-fx044gcd 796 6 to to IN cord-022594-fx044gcd 796 7 an an DT cord-022594-fx044gcd 796 8 abundance abundance NN cord-022594-fx044gcd 796 9 of of IN cord-022594-fx044gcd 796 10 frequently frequently RB cord-022594-fx044gcd 796 11 misleading mislead VBG cord-022594-fx044gcd 796 12 information information NN cord-022594-fx044gcd 796 13 on on IN cord-022594-fx044gcd 796 14 the the DT cord-022594-fx044gcd 796 15 Internet internet NN cord-022594-fx044gcd 796 16 , , , cord-022594-fx044gcd 796 17 or or CC cord-022594-fx044gcd 796 18 from from IN cord-022594-fx044gcd 796 19 relatives relative NNS cord-022594-fx044gcd 796 20 and and CC cord-022594-fx044gcd 796 21 friends friend NNS cord-022594-fx044gcd 796 22 with with IN cord-022594-fx044gcd 796 23 MS MS NNP cord-022594-fx044gcd 796 24 . . . cord-022594-fx044gcd 797 1 It -PRON- PRP cord-022594-fx044gcd 797 2 is be VBZ cord-022594-fx044gcd 797 3 important important JJ cord-022594-fx044gcd 797 4 to to TO cord-022594-fx044gcd 797 5 realize realize VB cord-022594-fx044gcd 797 6 that that IN cord-022594-fx044gcd 797 7 every every DT cord-022594-fx044gcd 797 8 case case NN cord-022594-fx044gcd 797 9 is be VBZ cord-022594-fx044gcd 797 10 different different JJ cord-022594-fx044gcd 797 11 ; ; : cord-022594-fx044gcd 797 12 however however RB cord-022594-fx044gcd 797 13 , , , cord-022594-fx044gcd 797 14 through through IN cord-022594-fx044gcd 797 15 the the DT cord-022594-fx044gcd 797 16 rational rational JJ cord-022594-fx044gcd 797 17 use use NN cord-022594-fx044gcd 797 18 of of IN cord-022594-fx044gcd 797 19 natural natural JJ cord-022594-fx044gcd 797 20 history history NN cord-022594-fx044gcd 797 21 data datum NNS cord-022594-fx044gcd 797 22 , , , cord-022594-fx044gcd 797 23 clinical clinical JJ cord-022594-fx044gcd 797 24 and and CC cord-022594-fx044gcd 797 25 MRI MRI NNP cord-022594-fx044gcd 797 26 features feature NNS cord-022594-fx044gcd 797 27 of of IN cord-022594-fx044gcd 797 28 the the DT cord-022594-fx044gcd 797 29 specific specific JJ cord-022594-fx044gcd 797 30 case case NN cord-022594-fx044gcd 797 31 , , , cord-022594-fx044gcd 797 32 and and CC cord-022594-fx044gcd 797 33 the the DT cord-022594-fx044gcd 797 34 clear clear JJ cord-022594-fx044gcd 797 35 understanding understanding NN cord-022594-fx044gcd 797 36 of of IN cord-022594-fx044gcd 797 37 the the DT cord-022594-fx044gcd 797 38 available available JJ cord-022594-fx044gcd 797 39 clinical clinical JJ cord-022594-fx044gcd 797 40 trial trial NN cord-022594-fx044gcd 797 41 data datum NNS cord-022594-fx044gcd 797 42 , , , cord-022594-fx044gcd 797 43 the the DT cord-022594-fx044gcd 797 44 clinician clinician NN cord-022594-fx044gcd 797 45 should should MD cord-022594-fx044gcd 797 46 be be VB cord-022594-fx044gcd 797 47 able able JJ cord-022594-fx044gcd 797 48 to to TO cord-022594-fx044gcd 797 49 provide provide VB cord-022594-fx044gcd 797 50 customized customize VBN cord-022594-fx044gcd 797 51 and and CC cord-022594-fx044gcd 797 52 relevant relevant JJ cord-022594-fx044gcd 797 53 advice advice NN cord-022594-fx044gcd 797 54 to to IN cord-022594-fx044gcd 797 55 patients patient NNS cord-022594-fx044gcd 797 56 and and CC cord-022594-fx044gcd 797 57 families family NNS cord-022594-fx044gcd 797 58 . . . cord-022594-fx044gcd 798 1 Considering consider VBG cord-022594-fx044gcd 798 2 that that IN cord-022594-fx044gcd 798 3 the the DT cord-022594-fx044gcd 798 4 treatments treatment NNS cord-022594-fx044gcd 798 5 are be VBP cord-022594-fx044gcd 798 6 only only RB cord-022594-fx044gcd 798 7 partially partially RB cord-022594-fx044gcd 798 8 effective effective JJ cord-022594-fx044gcd 798 9 , , , cord-022594-fx044gcd 798 10 the the DT cord-022594-fx044gcd 798 11 wishes wish NNS cord-022594-fx044gcd 798 12 of of IN cord-022594-fx044gcd 798 13 an an DT cord-022594-fx044gcd 798 14 educated educate VBN cord-022594-fx044gcd 798 15 patient patient NN cord-022594-fx044gcd 798 16 constitute constitute VBP cord-022594-fx044gcd 798 17 an an DT cord-022594-fx044gcd 798 18 important important JJ cord-022594-fx044gcd 798 19 part part NN cord-022594-fx044gcd 798 20 in in IN cord-022594-fx044gcd 798 21 the the DT cord-022594-fx044gcd 798 22 decision decision NN cord-022594-fx044gcd 798 23 - - HYPH cord-022594-fx044gcd 798 24 making make VBG cord-022594-fx044gcd 798 25 process process NN cord-022594-fx044gcd 798 26 . . . cord-022594-fx044gcd 799 1 Ultimately ultimately RB cord-022594-fx044gcd 799 2 , , , cord-022594-fx044gcd 799 3 the the DT cord-022594-fx044gcd 799 4 treatment treatment NN cord-022594-fx044gcd 799 5 decisions decision NNS cord-022594-fx044gcd 799 6 should should MD cord-022594-fx044gcd 799 7 remain remain VB cord-022594-fx044gcd 799 8 individualized individualized JJ cord-022594-fx044gcd 799 9 between between IN cord-022594-fx044gcd 799 10 the the DT cord-022594-fx044gcd 799 11 patients patient NNS cord-022594-fx044gcd 799 12 and and CC cord-022594-fx044gcd 799 13 their -PRON- PRP$ cord-022594-fx044gcd 799 14 treating treat VBG cord-022594-fx044gcd 799 15 physicians physician NNS cord-022594-fx044gcd 799 16 , , , cord-022594-fx044gcd 799 17 and and CC cord-022594-fx044gcd 799 18 the the DT cord-022594-fx044gcd 799 19 physician physician NN cord-022594-fx044gcd 799 20 's 's POS cord-022594-fx044gcd 799 21 role role NN cord-022594-fx044gcd 799 22 as as IN cord-022594-fx044gcd 799 23 an an DT cord-022594-fx044gcd 799 24 information information NN cord-022594-fx044gcd 799 25 clearinghouse clearinghouse NN cord-022594-fx044gcd 799 26 and and CC cord-022594-fx044gcd 799 27 educator educator NN cord-022594-fx044gcd 799 28 can can MD cord-022594-fx044gcd 799 29 not not RB cord-022594-fx044gcd 799 30 be be VB cord-022594-fx044gcd 799 31 overemphasized overemphasize VBN cord-022594-fx044gcd 799 32 in in IN cord-022594-fx044gcd 799 33 this this DT cord-022594-fx044gcd 799 34 process process NN cord-022594-fx044gcd 799 35 . . . cord-022594-fx044gcd 800 1 The the DT cord-022594-fx044gcd 800 2 three three CD cord-022594-fx044gcd 800 3 interferon interferon NN cord-022594-fx044gcd 800 4 products product NNS cord-022594-fx044gcd 800 5 and and CC cord-022594-fx044gcd 800 6 GA GA NNP cord-022594-fx044gcd 800 7 represent represent VBP cord-022594-fx044gcd 800 8 the the DT cord-022594-fx044gcd 800 9 most most RBS cord-022594-fx044gcd 800 10 commonly commonly RB cord-022594-fx044gcd 800 11 used use VBN cord-022594-fx044gcd 800 12 MS MS NNP cord-022594-fx044gcd 800 13 immunomodulators immunomodulator NNS cord-022594-fx044gcd 800 14 in in IN cord-022594-fx044gcd 800 15 the the DT cord-022594-fx044gcd 800 16 United United NNP cord-022594-fx044gcd 800 17 States States NNP cord-022594-fx044gcd 800 18 ; ; : cord-022594-fx044gcd 800 19 therefore therefore RB cord-022594-fx044gcd 800 20 , , , cord-022594-fx044gcd 800 21 it -PRON- PRP cord-022594-fx044gcd 800 22 is be VBZ cord-022594-fx044gcd 800 23 important important JJ cord-022594-fx044gcd 800 24 to to TO cord-022594-fx044gcd 800 25 draw draw VB cord-022594-fx044gcd 800 26 some some DT cord-022594-fx044gcd 800 27 practical practical JJ cord-022594-fx044gcd 800 28 conclusions conclusion NNS cord-022594-fx044gcd 800 29 about about IN cord-022594-fx044gcd 800 30 these these DT cord-022594-fx044gcd 800 31 agents agent NNS cord-022594-fx044gcd 800 32 . . . cord-022594-fx044gcd 801 1 By by IN cord-022594-fx044gcd 801 2 now now RB cord-022594-fx044gcd 801 3 , , , cord-022594-fx044gcd 801 4 several several JJ cord-022594-fx044gcd 801 5 class class NN cord-022594-fx044gcd 801 6 I -PRON- PRP cord-022594-fx044gcd 801 7 studies study NNS cord-022594-fx044gcd 801 8 demonstrate demonstrate VBP cord-022594-fx044gcd 801 9 that that IN cord-022594-fx044gcd 801 10 these these DT cord-022594-fx044gcd 801 11 agents agent NNS cord-022594-fx044gcd 801 12 are be VBP cord-022594-fx044gcd 801 13 effective effective JJ cord-022594-fx044gcd 801 14 in in IN cord-022594-fx044gcd 801 15 reducing reduce VBG cord-022594-fx044gcd 801 16 the the DT cord-022594-fx044gcd 801 17 relapse relapse NN cord-022594-fx044gcd 801 18 rate rate NN cord-022594-fx044gcd 801 19 in in IN cord-022594-fx044gcd 801 20 RRMS RRMS NNP cord-022594-fx044gcd 801 21 over over IN cord-022594-fx044gcd 801 22 a a DT cord-022594-fx044gcd 801 23 2-to 2-to CD cord-022594-fx044gcd 801 24 3-year 3-year CD cord-022594-fx044gcd 801 25 period period NN cord-022594-fx044gcd 801 26 ; ; : cord-022594-fx044gcd 801 27 the the DT cord-022594-fx044gcd 801 28 reduction reduction NN cord-022594-fx044gcd 801 29 is be VBZ cord-022594-fx044gcd 801 30 roughly roughly RB cord-022594-fx044gcd 801 31 30 30 CD cord-022594-fx044gcd 801 32 % % NN cord-022594-fx044gcd 801 33 with with IN cord-022594-fx044gcd 801 34 the the DT cord-022594-fx044gcd 801 35 high high JJ cord-022594-fx044gcd 801 36 - - HYPH cord-022594-fx044gcd 801 37 dose dose NN cord-022594-fx044gcd 801 38 interferons interferon NNS cord-022594-fx044gcd 801 39 and and CC cord-022594-fx044gcd 801 40 GA GA NNP cord-022594-fx044gcd 801 41 . . . cord-022594-fx044gcd 802 1 The the DT cord-022594-fx044gcd 802 2 above above RB cord-022594-fx044gcd 802 3 - - HYPH cord-022594-fx044gcd 802 4 mentioned mention VBN cord-022594-fx044gcd 802 5 NNT NNT NNP cord-022594-fx044gcd 802 6 data datum NNS cord-022594-fx044gcd 802 7 are be VBP cord-022594-fx044gcd 802 8 also also RB cord-022594-fx044gcd 802 9 very very RB cord-022594-fx044gcd 802 10 useful useful JJ cord-022594-fx044gcd 802 11 for for IN cord-022594-fx044gcd 802 12 the the DT cord-022594-fx044gcd 802 13 clinician clinician NN cord-022594-fx044gcd 802 14 and and CC cord-022594-fx044gcd 802 15 the the DT cord-022594-fx044gcd 802 16 well well RB cord-022594-fx044gcd 802 17 - - HYPH cord-022594-fx044gcd 802 18 informed inform VBN cord-022594-fx044gcd 802 19 patient patient NN cord-022594-fx044gcd 802 20 when when WRB cord-022594-fx044gcd 802 21 making make VBG cord-022594-fx044gcd 802 22 treatment treatment NN cord-022594-fx044gcd 802 23 decisions decision NNS cord-022594-fx044gcd 802 24 . . . cord-022594-fx044gcd 803 1 There there EX cord-022594-fx044gcd 803 2 is be VBZ cord-022594-fx044gcd 803 3 evidence evidence NN cord-022594-fx044gcd 803 4 for for IN cord-022594-fx044gcd 803 5 a a DT cord-022594-fx044gcd 803 6 dose dose JJ cord-022594-fx044gcd 803 7 - - HYPH cord-022594-fx044gcd 803 8 response response NN cord-022594-fx044gcd 803 9 relationship relationship NN cord-022594-fx044gcd 803 10 among among IN cord-022594-fx044gcd 803 11 the the DT cord-022594-fx044gcd 803 12 interferon interferon NN cord-022594-fx044gcd 803 13 products product NNS cord-022594-fx044gcd 803 14 , , , cord-022594-fx044gcd 803 15 mostly mostly RB cord-022594-fx044gcd 803 16 from from IN cord-022594-fx044gcd 803 17 the the DT cord-022594-fx044gcd 803 18 EVIDENCE EVIDENCE NNP cord-022594-fx044gcd 803 19 and and CC cord-022594-fx044gcd 803 20 INCOMIN INCOMIN NNP cord-022594-fx044gcd 803 21 studies study NNS cord-022594-fx044gcd 803 22 . . . cord-022594-fx044gcd 804 1 The the DT cord-022594-fx044gcd 804 2 double double JJ cord-022594-fx044gcd 804 3 dose dose NN cord-022594-fx044gcd 804 4 IM IM NNP cord-022594-fx044gcd 804 5 interferon interferon NN cord-022594-fx044gcd 804 6 - - HYPH cord-022594-fx044gcd 804 7 b b NN cord-022594-fx044gcd 804 8 1a 1a CD cord-022594-fx044gcd 804 9 study study NN cord-022594-fx044gcd 804 10 did do VBD cord-022594-fx044gcd 804 11 not not RB cord-022594-fx044gcd 804 12 show show VB cord-022594-fx044gcd 804 13 a a DT cord-022594-fx044gcd 804 14 dose dose JJ cord-022594-fx044gcd 804 15 - - HYPH cord-022594-fx044gcd 804 16 response response NN cord-022594-fx044gcd 804 17 relationship relationship NN cord-022594-fx044gcd 804 18 ; ; : cord-022594-fx044gcd 804 19 this this DT cord-022594-fx044gcd 804 20 may may MD cord-022594-fx044gcd 804 21 be be VB cord-022594-fx044gcd 804 22 related relate VBN cord-022594-fx044gcd 804 23 to to IN cord-022594-fx044gcd 804 24 the the DT cord-022594-fx044gcd 804 25 fact fact NN cord-022594-fx044gcd 804 26 that that IN cord-022594-fx044gcd 804 27 the the DT cord-022594-fx044gcd 804 28 increased increase VBN cord-022594-fx044gcd 804 29 dose dose NN cord-022594-fx044gcd 804 30 was be VBD cord-022594-fx044gcd 804 31 given give VBN cord-022594-fx044gcd 804 32 with with IN cord-022594-fx044gcd 804 33 the the DT cord-022594-fx044gcd 804 34 same same JJ cord-022594-fx044gcd 804 35 frequency frequency NN cord-022594-fx044gcd 804 36 as as IN cord-022594-fx044gcd 804 37 the the DT cord-022594-fx044gcd 804 38 standard standard JJ cord-022594-fx044gcd 804 39 dose dose NN cord-022594-fx044gcd 804 40 . . . cord-022594-fx044gcd 805 1 The the DT cord-022594-fx044gcd 805 2 injectable injectable JJ cord-022594-fx044gcd 805 3 immunomodulators immunomodulator NNS cord-022594-fx044gcd 805 4 have have VBP cord-022594-fx044gcd 805 5 incomplete incomplete JJ cord-022594-fx044gcd 805 6 evidence evidence NN cord-022594-fx044gcd 805 7 for for IN cord-022594-fx044gcd 805 8 efficacy efficacy NN cord-022594-fx044gcd 805 9 in in IN cord-022594-fx044gcd 805 10 disability disability NN cord-022594-fx044gcd 805 11 - - HYPH cord-022594-fx044gcd 805 12 based base VBN cord-022594-fx044gcd 805 13 outcome outcome NN cord-022594-fx044gcd 805 14 measures measure NNS cord-022594-fx044gcd 805 15 . . . cord-022594-fx044gcd 806 1 Many many JJ cord-022594-fx044gcd 806 2 of of IN cord-022594-fx044gcd 806 3 the the DT cord-022594-fx044gcd 806 4 long long JJ cord-022594-fx044gcd 806 5 - - HYPH cord-022594-fx044gcd 806 6 term term NN cord-022594-fx044gcd 806 7 extension extension NN cord-022594-fx044gcd 806 8 studies study NNS cord-022594-fx044gcd 806 9 suffer suffer VBP cord-022594-fx044gcd 806 10 from from IN cord-022594-fx044gcd 806 11 several several JJ cord-022594-fx044gcd 806 12 drawbacks drawback NNS cord-022594-fx044gcd 806 13 , , , cord-022594-fx044gcd 806 14 including include VBG cord-022594-fx044gcd 806 15 open open JJ cord-022594-fx044gcd 806 16 label label NN cord-022594-fx044gcd 806 17 unblinded unblinded JJ cord-022594-fx044gcd 806 18 design design NN cord-022594-fx044gcd 806 19 , , , cord-022594-fx044gcd 806 20 significant significant JJ cord-022594-fx044gcd 806 21 dropout dropout NN cord-022594-fx044gcd 806 22 rate rate NN cord-022594-fx044gcd 806 23 , , , cord-022594-fx044gcd 806 24 and and CC cord-022594-fx044gcd 806 25 lack lack NN cord-022594-fx044gcd 806 26 of of IN cord-022594-fx044gcd 806 27 control control NN cord-022594-fx044gcd 806 28 subjects subject NNS cord-022594-fx044gcd 806 29 ; ; : cord-022594-fx044gcd 806 30 this this DT cord-022594-fx044gcd 806 31 is be VBZ cord-022594-fx044gcd 806 32 especially especially RB cord-022594-fx044gcd 806 33 true true JJ cord-022594-fx044gcd 806 34 for for IN cord-022594-fx044gcd 806 35 the the DT cord-022594-fx044gcd 806 36 GA GA NNP cord-022594-fx044gcd 806 37 extension extension NN cord-022594-fx044gcd 806 38 data datum NNS cord-022594-fx044gcd 806 39 . . . cord-022594-fx044gcd 807 1 The the DT cord-022594-fx044gcd 807 2 currently currently RB cord-022594-fx044gcd 807 3 available available JJ cord-022594-fx044gcd 807 4 few few JJ cord-022594-fx044gcd 807 5 head head NN cord-022594-fx044gcd 807 6 - - HYPH cord-022594-fx044gcd 807 7 to to IN cord-022594-fx044gcd 807 8 - - HYPH cord-022594-fx044gcd 807 9 head head NN cord-022594-fx044gcd 807 10 comparison comparison NN cord-022594-fx044gcd 807 11 studies study NNS cord-022594-fx044gcd 807 12 are be VBP cord-022594-fx044gcd 807 13 also also RB cord-022594-fx044gcd 807 14 hampered hamper VBN cord-022594-fx044gcd 807 15 with with IN cord-022594-fx044gcd 807 16 methodological methodological JJ cord-022594-fx044gcd 807 17 issues issue NNS cord-022594-fx044gcd 807 18 ; ; , cord-022594-fx044gcd 807 19 new new JJ cord-022594-fx044gcd 807 20 comparative comparative JJ cord-022594-fx044gcd 807 21 studies study NNS cord-022594-fx044gcd 807 22 are be VBP cord-022594-fx044gcd 807 23 under under IN cord-022594-fx044gcd 807 24 way way NN cord-022594-fx044gcd 807 25 . . . cord-022594-fx044gcd 808 1 Overall overall RB cord-022594-fx044gcd 808 2 , , , cord-022594-fx044gcd 808 3 these these DT cord-022594-fx044gcd 808 4 agents agent NNS cord-022594-fx044gcd 808 5 remain remain VBP cord-022594-fx044gcd 808 6 partially partially RB cord-022594-fx044gcd 808 7 effective effective JJ cord-022594-fx044gcd 808 8 in in IN cord-022594-fx044gcd 808 9 relapsing relapse VBG cord-022594-fx044gcd 808 10 forms form NNS cord-022594-fx044gcd 808 11 of of IN cord-022594-fx044gcd 808 12 MS MS NNP cord-022594-fx044gcd 808 13 ; ; : cord-022594-fx044gcd 808 14 their -PRON- PRP$ cord-022594-fx044gcd 808 15 long long JJ cord-022594-fx044gcd 808 16 - - HYPH cord-022594-fx044gcd 808 17 term term NN cord-022594-fx044gcd 808 18 effects effect NNS cord-022594-fx044gcd 808 19 on on IN cord-022594-fx044gcd 808 20 reducing reduce VBG cord-022594-fx044gcd 808 21 the the DT cord-022594-fx044gcd 808 22 clinically clinically RB cord-022594-fx044gcd 808 23 most most RBS cord-022594-fx044gcd 808 24 important important JJ cord-022594-fx044gcd 808 25 feature feature NN cord-022594-fx044gcd 808 26 of of IN cord-022594-fx044gcd 808 27 MS MS NNP cord-022594-fx044gcd 808 28 - - HYPH cord-022594-fx044gcd 808 29 disability disability NN cord-022594-fx044gcd 808 30 - - : cord-022594-fx044gcd 808 31 still still RB cord-022594-fx044gcd 808 32 remains remain VBZ cord-022594-fx044gcd 808 33 unclear unclear JJ cord-022594-fx044gcd 808 34 . . . cord-022594-fx044gcd 809 1 Altering alter VBG cord-022594-fx044gcd 809 2 the the DT cord-022594-fx044gcd 809 3 Course Course NNP cord-022594-fx044gcd 809 4 of of IN cord-022594-fx044gcd 809 5 Secondary Secondary NNP cord-022594-fx044gcd 809 6 Progressive Progressive NNP cord-022594-fx044gcd 809 7 MS MS NNP cord-022594-fx044gcd 809 8 . . . cord-022594-fx044gcd 810 1 Within within IN cord-022594-fx044gcd 810 2 15 15 CD cord-022594-fx044gcd 810 3 years year NNS cord-022594-fx044gcd 810 4 of of IN cord-022594-fx044gcd 810 5 onset onset NN cord-022594-fx044gcd 810 6 , , , cord-022594-fx044gcd 810 7 almost almost RB cord-022594-fx044gcd 810 8 60 60 CD cord-022594-fx044gcd 810 9 % % NN cord-022594-fx044gcd 810 10 of of IN cord-022594-fx044gcd 810 11 RRMS RRMS NNP cord-022594-fx044gcd 810 12 patients patient NNS cord-022594-fx044gcd 810 13 will will MD cord-022594-fx044gcd 810 14 enter enter VB cord-022594-fx044gcd 810 15 the the DT cord-022594-fx044gcd 810 16 secondary secondary JJ cord-022594-fx044gcd 810 17 progressive progressive JJ cord-022594-fx044gcd 810 18 phase phase NN cord-022594-fx044gcd 810 19 of of IN cord-022594-fx044gcd 810 20 the the DT cord-022594-fx044gcd 810 21 disease disease NN cord-022594-fx044gcd 810 22 . . . cord-022594-fx044gcd 811 1 Treatment treatment NN cord-022594-fx044gcd 811 2 approaches approach NNS cord-022594-fx044gcd 811 3 aimed aim VBN cord-022594-fx044gcd 811 4 to to TO cord-022594-fx044gcd 811 5 affect affect VB cord-022594-fx044gcd 811 6 the the DT cord-022594-fx044gcd 811 7 natural natural JJ cord-022594-fx044gcd 811 8 course course NN cord-022594-fx044gcd 811 9 of of IN cord-022594-fx044gcd 811 10 disease disease NN cord-022594-fx044gcd 811 11 are be VBP cord-022594-fx044gcd 811 12 available available JJ cord-022594-fx044gcd 811 13 for for IN cord-022594-fx044gcd 811 14 these these DT cord-022594-fx044gcd 811 15 patients patient NNS cord-022594-fx044gcd 811 16 . . . cord-022594-fx044gcd 812 1 Interferons interferon NNS cord-022594-fx044gcd 812 2 . . . cord-022594-fx044gcd 813 1 Interferon interferon NN cord-022594-fx044gcd 813 2 - - HYPH cord-022594-fx044gcd 813 3 b b NN cord-022594-fx044gcd 813 4 1b 1b CD cord-022594-fx044gcd 813 5 may may MD cord-022594-fx044gcd 813 6 have have VB cord-022594-fx044gcd 813 7 a a DT cord-022594-fx044gcd 813 8 beneficial beneficial JJ cord-022594-fx044gcd 813 9 effect effect NN cord-022594-fx044gcd 813 10 on on IN cord-022594-fx044gcd 813 11 the the DT cord-022594-fx044gcd 813 12 overall overall JJ cord-022594-fx044gcd 813 13 outcome outcome NN cord-022594-fx044gcd 813 14 of of IN cord-022594-fx044gcd 813 15 SPMS SPMS NNP cord-022594-fx044gcd 813 16 and and CC cord-022594-fx044gcd 813 17 may may MD cord-022594-fx044gcd 813 18 also also RB cord-022594-fx044gcd 813 19 alter alter VB cord-022594-fx044gcd 813 20 MR MR NNP cord-022594-fx044gcd 813 21 lesions lesion NNS cord-022594-fx044gcd 813 22 , , , cord-022594-fx044gcd 813 23 86 86 CD cord-022594-fx044gcd 813 24 , , , cord-022594-fx044gcd 813 25 87 87 CD cord-022594-fx044gcd 813 26 but but CC cord-022594-fx044gcd 813 27 this this DT cord-022594-fx044gcd 813 28 question question NN cord-022594-fx044gcd 813 29 remains remain VBZ cord-022594-fx044gcd 813 30 incompletely incompletely RB cord-022594-fx044gcd 813 31 answered answer VBN cord-022594-fx044gcd 813 32 . . . cord-022594-fx044gcd 814 1 In in IN cord-022594-fx044gcd 814 2 the the DT cord-022594-fx044gcd 814 3 placebo placebo NN cord-022594-fx044gcd 814 4 - - HYPH cord-022594-fx044gcd 814 5 controlled control VBN cord-022594-fx044gcd 814 6 European european JJ cord-022594-fx044gcd 814 7 study study NN cord-022594-fx044gcd 814 8 88 88 CD cord-022594-fx044gcd 814 9 of of IN cord-022594-fx044gcd 814 10 inteferon inteferon NNP cord-022594-fx044gcd 814 11 - - HYPH cord-022594-fx044gcd 814 12 b b NN cord-022594-fx044gcd 814 13 1b 1b CD cord-022594-fx044gcd 814 14 in in IN cord-022594-fx044gcd 814 15 SPMS SPMS NNP cord-022594-fx044gcd 814 16 , , , cord-022594-fx044gcd 814 17 the the DT cord-022594-fx044gcd 814 18 time time NN cord-022594-fx044gcd 814 19 to to IN cord-022594-fx044gcd 814 20 worsening worsen VBG cord-022594-fx044gcd 814 21 was be VBD cord-022594-fx044gcd 814 22 extended extend VBN cord-022594-fx044gcd 814 23 for for IN cord-022594-fx044gcd 814 24 treated treat VBN cord-022594-fx044gcd 814 25 patients patient NNS cord-022594-fx044gcd 814 26 . . . cord-022594-fx044gcd 815 1 Treated treat VBN cord-022594-fx044gcd 815 2 patients patient NNS cord-022594-fx044gcd 815 3 were be VBD cord-022594-fx044gcd 815 4 less less RBR cord-022594-fx044gcd 815 5 likely likely JJ cord-022594-fx044gcd 815 6 to to TO cord-022594-fx044gcd 815 7 be be VB cord-022594-fx044gcd 815 8 wheelchair wheelchair NN cord-022594-fx044gcd 815 9 - - HYPH cord-022594-fx044gcd 815 10 bound bind VBN cord-022594-fx044gcd 815 11 and and CC cord-022594-fx044gcd 815 12 had have VBD cord-022594-fx044gcd 815 13 fewer few JJR cord-022594-fx044gcd 815 14 hospitalizations hospitalization NNS cord-022594-fx044gcd 815 15 . . . cord-022594-fx044gcd 816 1 Another another DT cord-022594-fx044gcd 816 2 analysis analysis NN cord-022594-fx044gcd 816 3 89 89 CD cord-022594-fx044gcd 816 4 of of IN cord-022594-fx044gcd 816 5 this this DT cord-022594-fx044gcd 816 6 study study NN cord-022594-fx044gcd 816 7 confirmed confirm VBD cord-022594-fx044gcd 816 8 the the DT cord-022594-fx044gcd 816 9 benefits benefit NNS cord-022594-fx044gcd 816 10 , , , cord-022594-fx044gcd 816 11 though though IN cord-022594-fx044gcd 816 12 the the DT cord-022594-fx044gcd 816 13 dropout dropout NN cord-022594-fx044gcd 816 14 rate rate NN cord-022594-fx044gcd 816 15 in in IN cord-022594-fx044gcd 816 16 this this DT cord-022594-fx044gcd 816 17 study study NN cord-022594-fx044gcd 816 18 was be VBD cord-022594-fx044gcd 816 19 relatively relatively RB cord-022594-fx044gcd 816 20 high high JJ cord-022594-fx044gcd 816 21 . . . cord-022594-fx044gcd 817 1 The the DT cord-022594-fx044gcd 817 2 patients patient NNS cord-022594-fx044gcd 817 3 who who WP cord-022594-fx044gcd 817 4 responded respond VBD cord-022594-fx044gcd 817 5 best well RBS cord-022594-fx044gcd 817 6 to to IN cord-022594-fx044gcd 817 7 interferon interferon NN cord-022594-fx044gcd 817 8 therapy therapy NN cord-022594-fx044gcd 817 9 were be VBD cord-022594-fx044gcd 817 10 those those DT cord-022594-fx044gcd 817 11 who who WP cord-022594-fx044gcd 817 12 experienced experience VBD cord-022594-fx044gcd 817 13 relapses relapse NNS cord-022594-fx044gcd 817 14 during during IN cord-022594-fx044gcd 817 15 their -PRON- PRP$ cord-022594-fx044gcd 817 16 disease disease NN cord-022594-fx044gcd 817 17 course course NN cord-022594-fx044gcd 817 18 . . . cord-022594-fx044gcd 818 1 MRI MRI NNP cord-022594-fx044gcd 818 2 monitoring monitoring NN cord-022594-fx044gcd 818 3 suggested suggest VBD cord-022594-fx044gcd 818 4 that that IN cord-022594-fx044gcd 818 5 the the DT cord-022594-fx044gcd 818 6 benefit benefit NN cord-022594-fx044gcd 818 7 on on IN cord-022594-fx044gcd 818 8 T2 T2 NNP cord-022594-fx044gcd 818 9 lesion lesion NN cord-022594-fx044gcd 818 10 activity activity NN cord-022594-fx044gcd 818 11 was be VBD cord-022594-fx044gcd 818 12 seen see VBN cord-022594-fx044gcd 818 13 early early RB cord-022594-fx044gcd 818 14 and and CC cord-022594-fx044gcd 818 15 persisted persist VBD cord-022594-fx044gcd 818 16 into into IN cord-022594-fx044gcd 818 17 the the DT cord-022594-fx044gcd 818 18 second second JJ cord-022594-fx044gcd 818 19 half half NN cord-022594-fx044gcd 818 20 of of IN cord-022594-fx044gcd 818 21 the the DT cord-022594-fx044gcd 818 22 second second JJ cord-022594-fx044gcd 818 23 year year NN cord-022594-fx044gcd 818 24 of of IN cord-022594-fx044gcd 818 25 treatment treatment NN cord-022594-fx044gcd 818 26 . . . cord-022594-fx044gcd 819 1 T2 T2 NNP cord-022594-fx044gcd 819 2 lesion lesion NN cord-022594-fx044gcd 819 3 load load NN cord-022594-fx044gcd 819 4 increased increase VBD cord-022594-fx044gcd 819 5 in in IN cord-022594-fx044gcd 819 6 placebo placebo NN cord-022594-fx044gcd 819 7 - - : cord-022594-fx044gcd 819 8 but but CC cord-022594-fx044gcd 819 9 not not RB cord-022594-fx044gcd 819 10 interferon interferon NN cord-022594-fx044gcd 819 11 - - HYPH cord-022594-fx044gcd 819 12 treated treat VBN cord-022594-fx044gcd 819 13 patients patient NNS cord-022594-fx044gcd 819 14 in in IN cord-022594-fx044gcd 819 15 the the DT cord-022594-fx044gcd 819 16 first first JJ cord-022594-fx044gcd 819 17 2 2 CD cord-022594-fx044gcd 819 18 years year NNS cord-022594-fx044gcd 819 19 of of IN cord-022594-fx044gcd 819 20 treatment treatment NN cord-022594-fx044gcd 819 21 . . . cord-022594-fx044gcd 820 1 90 90 CD cord-022594-fx044gcd 821 1 Contrasting contrast VBG cord-022594-fx044gcd 821 2 with with IN cord-022594-fx044gcd 821 3 these these DT cord-022594-fx044gcd 821 4 results result NNS cord-022594-fx044gcd 821 5 , , , cord-022594-fx044gcd 821 6 in in IN cord-022594-fx044gcd 821 7 another another DT cord-022594-fx044gcd 821 8 trial trial NN cord-022594-fx044gcd 821 9 involving involve VBG cord-022594-fx044gcd 821 10 patients patient NNS cord-022594-fx044gcd 821 11 with with IN cord-022594-fx044gcd 821 12 SPMS SPMS NNP cord-022594-fx044gcd 821 13 , , , cord-022594-fx044gcd 821 14 91 91 CD cord-022594-fx044gcd 821 15 both both DT cord-022594-fx044gcd 821 16 high high JJ cord-022594-fx044gcd 821 17 dose dose NN cord-022594-fx044gcd 821 18 ( ( -LRB- cord-022594-fx044gcd 821 19 44 44 CD cord-022594-fx044gcd 821 20 mg mg NNP cord-022594-fx044gcd 821 21 ) ) -RRB- cord-022594-fx044gcd 821 22 and and CC cord-022594-fx044gcd 821 23 lower low JJR cord-022594-fx044gcd 821 24 dose dose NN cord-022594-fx044gcd 821 25 ( ( -LRB- cord-022594-fx044gcd 821 26 22 22 CD cord-022594-fx044gcd 821 27 mg mg CD cord-022594-fx044gcd 821 28 ) ) -RRB- cord-022594-fx044gcd 822 1 interferon interferon NN cord-022594-fx044gcd 822 2 - - HYPH cord-022594-fx044gcd 822 3 b b NNP cord-022594-fx044gcd 822 4 1a 1a CD cord-022594-fx044gcd 822 5 failed fail VBD cord-022594-fx044gcd 822 6 to to TO cord-022594-fx044gcd 822 7 change change VB cord-022594-fx044gcd 822 8 the the DT cord-022594-fx044gcd 822 9 primary primary JJ cord-022594-fx044gcd 822 10 outcome outcome NN cord-022594-fx044gcd 822 11 of of IN cord-022594-fx044gcd 822 12 time time NN cord-022594-fx044gcd 822 13 to to IN cord-022594-fx044gcd 822 14 disability disability NN cord-022594-fx044gcd 822 15 worsening worsen VBG cord-022594-fx044gcd 822 16 . . . cord-022594-fx044gcd 823 1 Positive positive JJ cord-022594-fx044gcd 823 2 effects effect NNS cord-022594-fx044gcd 823 3 were be VBD cord-022594-fx044gcd 823 4 seen see VBN cord-022594-fx044gcd 823 5 on on IN cord-022594-fx044gcd 823 6 relapse relapse NN cord-022594-fx044gcd 823 7 rate rate NN cord-022594-fx044gcd 823 8 and and CC cord-022594-fx044gcd 823 9 reduction reduction NN cord-022594-fx044gcd 823 10 of of IN cord-022594-fx044gcd 823 11 MRI MRI NNP cord-022594-fx044gcd 823 12 activity activity NN cord-022594-fx044gcd 823 13 , , , cord-022594-fx044gcd 823 14 but but CC cord-022594-fx044gcd 823 15 the the DT cord-022594-fx044gcd 823 16 effect effect NN cord-022594-fx044gcd 823 17 on on IN cord-022594-fx044gcd 823 18 disability disability NN cord-022594-fx044gcd 823 19 did do VBD cord-022594-fx044gcd 823 20 not not RB cord-022594-fx044gcd 823 21 replicate replicate VB cord-022594-fx044gcd 823 22 the the DT cord-022594-fx044gcd 823 23 European european JJ cord-022594-fx044gcd 823 24 interferon interferon NN cord-022594-fx044gcd 823 25 - - HYPH cord-022594-fx044gcd 823 26 b b NN cord-022594-fx044gcd 823 27 1b 1b CD cord-022594-fx044gcd 823 28 report report NN cord-022594-fx044gcd 823 29 . . . cord-022594-fx044gcd 824 1 A a DT cord-022594-fx044gcd 824 2 combined combined JJ cord-022594-fx044gcd 824 3 analysis analysis NN cord-022594-fx044gcd 824 4 of of IN cord-022594-fx044gcd 824 5 the the DT cord-022594-fx044gcd 824 6 American american JJ cord-022594-fx044gcd 824 7 and and CC cord-022594-fx044gcd 824 8 European european JJ cord-022594-fx044gcd 824 9 trials trial NNS cord-022594-fx044gcd 824 10 concluded conclude VBD cord-022594-fx044gcd 824 11 that that IN cord-022594-fx044gcd 824 12 continued continue VBN cord-022594-fx044gcd 824 13 relapse relapse NN cord-022594-fx044gcd 824 14 activity activity NN cord-022594-fx044gcd 824 15 and and CC cord-022594-fx044gcd 824 16 more more RBR cord-022594-fx044gcd 824 17 rapid rapid JJ cord-022594-fx044gcd 824 18 progression progression NN cord-022594-fx044gcd 824 19 over over IN cord-022594-fx044gcd 824 20 the the DT cord-022594-fx044gcd 824 21 preceding precede VBG cord-022594-fx044gcd 824 22 year year NN cord-022594-fx044gcd 824 23 ( ( -LRB- cord-022594-fx044gcd 824 24 by by IN cord-022594-fx044gcd 824 25 > > XX cord-022594-fx044gcd 824 26 1 1 CD cord-022594-fx044gcd 824 27 on on IN cord-022594-fx044gcd 824 28 the the DT cord-022594-fx044gcd 824 29 EDSS EDSS NNP cord-022594-fx044gcd 824 30 scale scale NN cord-022594-fx044gcd 824 31 ) ) -RRB- cord-022594-fx044gcd 824 32 are be VBP cord-022594-fx044gcd 824 33 the the DT cord-022594-fx044gcd 824 34 best good JJS cord-022594-fx044gcd 824 35 predictors predictor NNS cord-022594-fx044gcd 824 36 of of IN cord-022594-fx044gcd 824 37 response response NN cord-022594-fx044gcd 824 38 . . . cord-022594-fx044gcd 825 1 92 92 CD cord-022594-fx044gcd 825 2 IVIG IVIG NNP cord-022594-fx044gcd 825 3 in in IN cord-022594-fx044gcd 825 4 Secondary Secondary NNP cord-022594-fx044gcd 825 5 Progressive Progressive NNP cord-022594-fx044gcd 825 6 MS MS NNP cord-022594-fx044gcd 825 7 . . . cord-022594-fx044gcd 826 1 A a DT cord-022594-fx044gcd 826 2 recent recent JJ cord-022594-fx044gcd 826 3 European european JJ cord-022594-fx044gcd 826 4 trial trial NN cord-022594-fx044gcd 826 5 reported report VBD cord-022594-fx044gcd 826 6 that that IN cord-022594-fx044gcd 826 7 IVIG IVIG NNP cord-022594-fx044gcd 826 8 did do VBD cord-022594-fx044gcd 826 9 not not RB cord-022594-fx044gcd 826 10 have have VB cord-022594-fx044gcd 826 11 a a DT cord-022594-fx044gcd 826 12 significant significant JJ cord-022594-fx044gcd 826 13 impact impact NN cord-022594-fx044gcd 826 14 on on IN cord-022594-fx044gcd 826 15 clinical clinical JJ cord-022594-fx044gcd 826 16 and and CC cord-022594-fx044gcd 826 17 disability disability NN cord-022594-fx044gcd 826 18 related relate VBN cord-022594-fx044gcd 826 19 outcome outcome NN cord-022594-fx044gcd 826 20 measures measure NNS cord-022594-fx044gcd 826 21 . . . cord-022594-fx044gcd 827 1 IVIG IVIG NNP cord-022594-fx044gcd 827 2 did do VBD cord-022594-fx044gcd 827 3 reduce reduce VB cord-022594-fx044gcd 827 4 the the DT cord-022594-fx044gcd 827 5 accumulation accumulation NN cord-022594-fx044gcd 827 6 of of IN cord-022594-fx044gcd 827 7 brain brain NN cord-022594-fx044gcd 827 8 atrophy atrophy NN cord-022594-fx044gcd 827 9 in in IN cord-022594-fx044gcd 827 10 SPMS SPMS NNP cord-022594-fx044gcd 827 11 , , , cord-022594-fx044gcd 827 12 but but CC cord-022594-fx044gcd 827 13 did do VBD cord-022594-fx044gcd 827 14 not not RB cord-022594-fx044gcd 827 15 reduce reduce VB cord-022594-fx044gcd 827 16 the the DT cord-022594-fx044gcd 827 17 incidence incidence NN cord-022594-fx044gcd 827 18 of of IN cord-022594-fx044gcd 827 19 blood blood NN cord-022594-fx044gcd 827 20 - - HYPH cord-022594-fx044gcd 827 21 brain brain NN cord-022594-fx044gcd 827 22 barrier barrier NN cord-022594-fx044gcd 827 23 abnormalities abnormality NNS cord-022594-fx044gcd 827 24 . . . cord-022594-fx044gcd 828 1 There there EX cord-022594-fx044gcd 828 2 was be VBD cord-022594-fx044gcd 828 3 no no DT cord-022594-fx044gcd 828 4 statistically statistically RB cord-022594-fx044gcd 828 5 significant significant JJ cord-022594-fx044gcd 828 6 change change NN cord-022594-fx044gcd 828 7 on on IN cord-022594-fx044gcd 828 8 magnetization magnetization NN cord-022594-fx044gcd 828 9 transfer transfer NN cord-022594-fx044gcd 828 10 MRI mri NN cord-022594-fx044gcd 828 11 measurements measurement NNS cord-022594-fx044gcd 828 12 ; ; : cord-022594-fx044gcd 828 13 however however RB cord-022594-fx044gcd 828 14 , , , cord-022594-fx044gcd 828 15 a a DT cord-022594-fx044gcd 828 16 trend trend NN cord-022594-fx044gcd 828 17 for for IN cord-022594-fx044gcd 828 18 conservation conservation NN cord-022594-fx044gcd 828 19 of of IN cord-022594-fx044gcd 828 20 normal normal RB cord-022594-fx044gcd 828 21 - - HYPH cord-022594-fx044gcd 828 22 appearing appear VBG cord-022594-fx044gcd 828 23 brain brain NN cord-022594-fx044gcd 828 24 tissue tissue NN cord-022594-fx044gcd 828 25 was be VBD cord-022594-fx044gcd 828 26 found find VBN cord-022594-fx044gcd 828 27 . . . cord-022594-fx044gcd 829 1 93 93 CD cord-022594-fx044gcd 830 1 Overall overall JJ cord-022594-fx044gcd 830 2 Recommendations Recommendations NNPS cord-022594-fx044gcd 830 3 for for IN cord-022594-fx044gcd 830 4 SPMS SPMS NNP cord-022594-fx044gcd 830 5 . . . cord-022594-fx044gcd 831 1 In in IN cord-022594-fx044gcd 831 2 general general JJ cord-022594-fx044gcd 831 3 , , , cord-022594-fx044gcd 831 4 as as IN cord-022594-fx044gcd 831 5 the the DT cord-022594-fx044gcd 831 6 evidence evidence NN cord-022594-fx044gcd 831 7 that that IN cord-022594-fx044gcd 831 8 interferons interferon NNS cord-022594-fx044gcd 831 9 alter alter VBP cord-022594-fx044gcd 831 10 long long JJ cord-022594-fx044gcd 831 11 - - HYPH cord-022594-fx044gcd 831 12 term term NN cord-022594-fx044gcd 831 13 disability disability NN cord-022594-fx044gcd 831 14 is be VBZ cord-022594-fx044gcd 831 15 limited limited JJ cord-022594-fx044gcd 831 16 and and CC cord-022594-fx044gcd 831 17 controversial controversial JJ cord-022594-fx044gcd 831 18 , , , cord-022594-fx044gcd 831 19 we -PRON- PRP cord-022594-fx044gcd 831 20 generally generally RB cord-022594-fx044gcd 831 21 do do VBP cord-022594-fx044gcd 831 22 not not RB cord-022594-fx044gcd 831 23 newly newly RB cord-022594-fx044gcd 831 24 start start VB cord-022594-fx044gcd 831 25 SPMS SPMS NNP cord-022594-fx044gcd 831 26 patients patient NNS cord-022594-fx044gcd 831 27 on on IN cord-022594-fx044gcd 831 28 interferon interferon NN cord-022594-fx044gcd 831 29 products product NNS cord-022594-fx044gcd 831 30 . . . cord-022594-fx044gcd 832 1 In in IN cord-022594-fx044gcd 832 2 a a DT cord-022594-fx044gcd 832 3 subset subset NN cord-022594-fx044gcd 832 4 of of IN cord-022594-fx044gcd 832 5 patients patient NNS cord-022594-fx044gcd 832 6 still still RB cord-022594-fx044gcd 832 7 having have VBG cord-022594-fx044gcd 832 8 disabling disable VBG cord-022594-fx044gcd 832 9 relapses relapse NNS cord-022594-fx044gcd 832 10 , , , cord-022594-fx044gcd 832 11 interferon interferon NN cord-022594-fx044gcd 832 12 therapy therapy NN cord-022594-fx044gcd 832 13 may may MD cord-022594-fx044gcd 832 14 be be VB cord-022594-fx044gcd 832 15 offered offer VBN cord-022594-fx044gcd 832 16 to to TO cord-022594-fx044gcd 832 17 specifically specifically RB cord-022594-fx044gcd 832 18 reduce reduce VB cord-022594-fx044gcd 832 19 relapse relapse NN cord-022594-fx044gcd 832 20 rate rate NN cord-022594-fx044gcd 832 21 . . . cord-022594-fx044gcd 833 1 The the DT cord-022594-fx044gcd 833 2 data datum NNS cord-022594-fx044gcd 833 3 by by IN cord-022594-fx044gcd 833 4 Confavreux Confavreux NNP cord-022594-fx044gcd 833 5 and and CC cord-022594-fx044gcd 833 6 associates associate NNS cord-022594-fx044gcd 833 7 , , , cord-022594-fx044gcd 833 8 however however RB cord-022594-fx044gcd 833 9 , , , cord-022594-fx044gcd 833 10 suggest suggest VBP cord-022594-fx044gcd 833 11 that that IN cord-022594-fx044gcd 833 12 the the DT cord-022594-fx044gcd 833 13 EDSS EDSS NNP cord-022594-fx044gcd 833 14 in in IN cord-022594-fx044gcd 833 15 populations population NNS cord-022594-fx044gcd 833 16 of of IN cord-022594-fx044gcd 833 17 SPMS SPMS NNP cord-022594-fx044gcd 833 18 patients patient NNS cord-022594-fx044gcd 833 19 continues continue VBZ cord-022594-fx044gcd 833 20 to to TO cord-022594-fx044gcd 833 21 progress progress VB cord-022594-fx044gcd 833 22 independent independent JJ cord-022594-fx044gcd 833 23 of of IN cord-022594-fx044gcd 833 24 relapses relapse NNS cord-022594-fx044gcd 833 25 94 94 CD cord-022594-fx044gcd 833 26 once once IN cord-022594-fx044gcd 833 27 a a DT cord-022594-fx044gcd 833 28 " " `` cord-022594-fx044gcd 833 29 fixed fix VBN cord-022594-fx044gcd 833 30 " " '' cord-022594-fx044gcd 833 31 baseline baseline JJ cord-022594-fx044gcd 833 32 level level NN cord-022594-fx044gcd 833 33 of of IN cord-022594-fx044gcd 833 34 moderate moderate JJ cord-022594-fx044gcd 833 35 disability disability NN cord-022594-fx044gcd 833 36 has have VBZ cord-022594-fx044gcd 833 37 been be VBN cord-022594-fx044gcd 833 38 reached reach VBN cord-022594-fx044gcd 833 39 . . . cord-022594-fx044gcd 834 1 Therefore therefore RB cord-022594-fx044gcd 834 2 , , , cord-022594-fx044gcd 834 3 while while IN cord-022594-fx044gcd 834 4 interferons interferon NNS cord-022594-fx044gcd 834 5 may may MD cord-022594-fx044gcd 834 6 reduce reduce VB cord-022594-fx044gcd 834 7 the the DT cord-022594-fx044gcd 834 8 relapse relapse NN cord-022594-fx044gcd 834 9 rate rate NN cord-022594-fx044gcd 834 10 in in IN cord-022594-fx044gcd 834 11 SPMS SPMS NNP cord-022594-fx044gcd 834 12 , , , cord-022594-fx044gcd 834 13 the the DT cord-022594-fx044gcd 834 14 rate rate NN cord-022594-fx044gcd 834 15 of of IN cord-022594-fx044gcd 834 16 progression progression NN cord-022594-fx044gcd 834 17 of of IN cord-022594-fx044gcd 834 18 disability disability NN cord-022594-fx044gcd 834 19 may may MD cord-022594-fx044gcd 834 20 not not RB cord-022594-fx044gcd 834 21 be be VB cord-022594-fx044gcd 834 22 reduced reduce VBN cord-022594-fx044gcd 834 23 by by IN cord-022594-fx044gcd 834 24 these these DT cord-022594-fx044gcd 834 25 treatments treatment NNS cord-022594-fx044gcd 834 26 . . . cord-022594-fx044gcd 835 1 More more RBR cord-022594-fx044gcd 835 2 usually usually RB cord-022594-fx044gcd 835 3 , , , cord-022594-fx044gcd 835 4 SPMS SPMS NNP cord-022594-fx044gcd 835 5 patients patient NNS cord-022594-fx044gcd 835 6 are be VBP cord-022594-fx044gcd 835 7 already already RB cord-022594-fx044gcd 835 8 on on IN cord-022594-fx044gcd 835 9 an an DT cord-022594-fx044gcd 835 10 injectable injectable JJ cord-022594-fx044gcd 835 11 immunomodulator immunomodulator NN cord-022594-fx044gcd 835 12 , , , cord-022594-fx044gcd 835 13 and and CC cord-022594-fx044gcd 835 14 the the DT cord-022594-fx044gcd 835 15 question question NN cord-022594-fx044gcd 835 16 of of IN cord-022594-fx044gcd 835 17 whether whether IN cord-022594-fx044gcd 835 18 it -PRON- PRP cord-022594-fx044gcd 835 19 is be VBZ cord-022594-fx044gcd 835 20 worth worth JJ cord-022594-fx044gcd 835 21 continuing continue VBG cord-022594-fx044gcd 835 22 the the DT cord-022594-fx044gcd 835 23 therapy therapy NN cord-022594-fx044gcd 835 24 may may MD cord-022594-fx044gcd 835 25 come come VB cord-022594-fx044gcd 835 26 up up RP cord-022594-fx044gcd 835 27 , , , cord-022594-fx044gcd 835 28 especially especially RB cord-022594-fx044gcd 835 29 in in IN cord-022594-fx044gcd 835 30 patients patient NNS cord-022594-fx044gcd 835 31 who who WP cord-022594-fx044gcd 835 32 have have VBP cord-022594-fx044gcd 835 33 a a DT cord-022594-fx044gcd 835 34 hard hard JJ cord-022594-fx044gcd 835 35 time time NN cord-022594-fx044gcd 835 36 tolerating tolerate VBG cord-022594-fx044gcd 835 37 these these DT cord-022594-fx044gcd 835 38 medications medication NNS cord-022594-fx044gcd 835 39 and and CC cord-022594-fx044gcd 835 40 feel feel VBP cord-022594-fx044gcd 835 41 that that IN cord-022594-fx044gcd 835 42 the the DT cord-022594-fx044gcd 835 43 side side NN cord-022594-fx044gcd 835 44 effects effect NNS cord-022594-fx044gcd 835 45 of of IN cord-022594-fx044gcd 835 46 the the DT cord-022594-fx044gcd 835 47 medications medication NNS cord-022594-fx044gcd 835 48 have have VBP cord-022594-fx044gcd 835 49 a a DT cord-022594-fx044gcd 835 50 clear clear JJ cord-022594-fx044gcd 835 51 negative negative JJ cord-022594-fx044gcd 835 52 impact impact NN cord-022594-fx044gcd 835 53 on on IN cord-022594-fx044gcd 835 54 their -PRON- PRP$ cord-022594-fx044gcd 835 55 overall overall JJ cord-022594-fx044gcd 835 56 health health NN cord-022594-fx044gcd 835 57 . . . cord-022594-fx044gcd 836 1 In in IN cord-022594-fx044gcd 836 2 these these DT cord-022594-fx044gcd 836 3 cases case NNS cord-022594-fx044gcd 836 4 , , , cord-022594-fx044gcd 836 5 we -PRON- PRP cord-022594-fx044gcd 836 6 usually usually RB cord-022594-fx044gcd 836 7 allow allow VBP cord-022594-fx044gcd 836 8 the the DT cord-022594-fx044gcd 836 9 patients patient NNS cord-022594-fx044gcd 836 10 to to TO cord-022594-fx044gcd 836 11 stop stop VB cord-022594-fx044gcd 836 12 their -PRON- PRP$ cord-022594-fx044gcd 836 13 medications medication NNS cord-022594-fx044gcd 836 14 . . . cord-022594-fx044gcd 837 1 Just just RB cord-022594-fx044gcd 837 2 like like IN cord-022594-fx044gcd 837 3 in in IN cord-022594-fx044gcd 837 4 the the DT cord-022594-fx044gcd 837 5 RRMS RRMS NNP cord-022594-fx044gcd 837 6 cases case NNS cord-022594-fx044gcd 837 7 , , , cord-022594-fx044gcd 837 8 however however RB cord-022594-fx044gcd 837 9 , , , cord-022594-fx044gcd 837 10 patient patient JJ cord-022594-fx044gcd 837 11 education education NN cord-022594-fx044gcd 837 12 about about IN cord-022594-fx044gcd 837 13 SPMS SPMS NNP cord-022594-fx044gcd 837 14 trials trial NNS cord-022594-fx044gcd 837 15 and and CC cord-022594-fx044gcd 837 16 realistic realistic JJ cord-022594-fx044gcd 837 17 expectations expectation NNS cord-022594-fx044gcd 837 18 about about IN cord-022594-fx044gcd 837 19 the the DT cord-022594-fx044gcd 837 20 treatment treatment NN cord-022594-fx044gcd 837 21 is be VBZ cord-022594-fx044gcd 837 22 a a DT cord-022594-fx044gcd 837 23 crucial crucial JJ cord-022594-fx044gcd 837 24 element element NN cord-022594-fx044gcd 837 25 in in IN cord-022594-fx044gcd 837 26 the the DT cord-022594-fx044gcd 837 27 decision decision NN cord-022594-fx044gcd 837 28 - - HYPH cord-022594-fx044gcd 837 29 making make VBG cord-022594-fx044gcd 837 30 process process NN cord-022594-fx044gcd 837 31 . . . cord-022594-fx044gcd 838 1 Understanding understand VBG cord-022594-fx044gcd 838 2 the the DT cord-022594-fx044gcd 838 3 patient patient NN cord-022594-fx044gcd 838 4 's 's POS cord-022594-fx044gcd 838 5 needs need NNS cord-022594-fx044gcd 838 6 and and CC cord-022594-fx044gcd 838 7 fears fear NNS cord-022594-fx044gcd 838 8 and and CC cord-022594-fx044gcd 838 9 clarifying clarify VBG cord-022594-fx044gcd 838 10 potential potential JJ cord-022594-fx044gcd 838 11 misconceptions misconception NNS cord-022594-fx044gcd 838 12 constitute constitute VBP cord-022594-fx044gcd 838 13 a a DT cord-022594-fx044gcd 838 14 very very RB cord-022594-fx044gcd 838 15 important important JJ cord-022594-fx044gcd 838 16 role role NN cord-022594-fx044gcd 838 17 of of IN cord-022594-fx044gcd 838 18 the the DT cord-022594-fx044gcd 838 19 treating treat VBG cord-022594-fx044gcd 838 20 neurologist neurologist NN cord-022594-fx044gcd 838 21 . . . cord-022594-fx044gcd 839 1 In in IN cord-022594-fx044gcd 839 2 those those DT cord-022594-fx044gcd 839 3 patients patient NNS cord-022594-fx044gcd 839 4 who who WP cord-022594-fx044gcd 839 5 continue continue VBP cord-022594-fx044gcd 839 6 their -PRON- PRP$ cord-022594-fx044gcd 839 7 interferon interferon NN cord-022594-fx044gcd 839 8 therapy therapy NN cord-022594-fx044gcd 839 9 , , , cord-022594-fx044gcd 839 10 we -PRON- PRP cord-022594-fx044gcd 839 11 must must MD cord-022594-fx044gcd 839 12 continue continue VB cord-022594-fx044gcd 839 13 to to TO cord-022594-fx044gcd 839 14 follow follow VB cord-022594-fx044gcd 839 15 them -PRON- PRP cord-022594-fx044gcd 839 16 for for IN cord-022594-fx044gcd 839 17 toxicity toxicity NN cord-022594-fx044gcd 839 18 and and CC cord-022594-fx044gcd 839 19 disease disease NN cord-022594-fx044gcd 839 20 activity activity NN cord-022594-fx044gcd 839 21 . . . cord-022594-fx044gcd 840 1 Please please UH cord-022594-fx044gcd 840 2 also also RB cord-022594-fx044gcd 840 3 see see VB cord-022594-fx044gcd 840 4 the the DT cord-022594-fx044gcd 840 5 following follow VBG cord-022594-fx044gcd 840 6 discussion discussion NN cord-022594-fx044gcd 840 7 under under IN cord-022594-fx044gcd 840 8 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 840 9 for for IN cord-022594-fx044gcd 840 10 recommendations recommendation NNS cord-022594-fx044gcd 840 11 on on IN cord-022594-fx044gcd 840 12 the the DT cord-022594-fx044gcd 840 13 potential potential JJ cord-022594-fx044gcd 840 14 use use NN cord-022594-fx044gcd 840 15 of of IN cord-022594-fx044gcd 840 16 that that DT cord-022594-fx044gcd 840 17 specific specific JJ cord-022594-fx044gcd 840 18 agent agent NN cord-022594-fx044gcd 840 19 in in IN cord-022594-fx044gcd 840 20 SPMS SPMS NNP cord-022594-fx044gcd 840 21 . . . cord-022594-fx044gcd 841 1 Mitoxantrone Mitoxantrone NNP cord-022594-fx044gcd 841 2 . . . cord-022594-fx044gcd 842 1 Mitoxantrone Mitoxantrone NNP cord-022594-fx044gcd 842 2 ( ( -LRB- cord-022594-fx044gcd 842 3 Novantrone Novantrone NNP cord-022594-fx044gcd 842 4 ) ) -RRB- cord-022594-fx044gcd 842 5 is be VBZ cord-022594-fx044gcd 842 6 an an DT cord-022594-fx044gcd 842 7 anthracenedione anthracenedione NN cord-022594-fx044gcd 842 8 chemotherapeutic chemotherapeutic JJ cord-022594-fx044gcd 842 9 agent agent NN cord-022594-fx044gcd 842 10 licensed license VBN cord-022594-fx044gcd 842 11 . . . cord-022594-fx044gcd 842 12 . . . cord-022594-fx044gcd 843 1 .for .for . cord-022594-fx044gcd 844 1 reducing reduce VBG cord-022594-fx044gcd 844 2 neurologic neurologic JJ cord-022594-fx044gcd 844 3 disability disability NN cord-022594-fx044gcd 844 4 and/or and/or CC cord-022594-fx044gcd 844 5 the the DT cord-022594-fx044gcd 844 6 frequency frequency NN cord-022594-fx044gcd 844 7 of of IN cord-022594-fx044gcd 844 8 clinical clinical JJ cord-022594-fx044gcd 844 9 relapses relapse NNS cord-022594-fx044gcd 844 10 in in IN cord-022594-fx044gcd 844 11 patients patient NNS cord-022594-fx044gcd 844 12 with with IN cord-022594-fx044gcd 844 13 secondary secondary JJ cord-022594-fx044gcd 844 14 ( ( -LRB- cord-022594-fx044gcd 844 15 chronic chronic JJ cord-022594-fx044gcd 844 16 ) ) -RRB- cord-022594-fx044gcd 844 17 progressive progressive JJ cord-022594-fx044gcd 844 18 , , , cord-022594-fx044gcd 844 19 progressive progressive JJ cord-022594-fx044gcd 844 20 relapsing relapsing NN cord-022594-fx044gcd 844 21 , , , cord-022594-fx044gcd 844 22 or or CC cord-022594-fx044gcd 844 23 worsening worsen VBG cord-022594-fx044gcd 844 24 relapsing relapse VBG cord-022594-fx044gcd 844 25 - - HYPH cord-022594-fx044gcd 844 26 remitting remit VBG cord-022594-fx044gcd 844 27 multiple multiple JJ cord-022594-fx044gcd 844 28 sclerosis sclerosis NN cord-022594-fx044gcd 844 29 ( ( -LRB- cord-022594-fx044gcd 844 30 i.e. i.e. FW cord-022594-fx044gcd 844 31 patients patient NNS cord-022594-fx044gcd 844 32 whose whose WP$ cord-022594-fx044gcd 844 33 neurologic neurologic JJ cord-022594-fx044gcd 844 34 status status NN cord-022594-fx044gcd 844 35 is be VBZ cord-022594-fx044gcd 844 36 significantly significantly RB cord-022594-fx044gcd 844 37 abnormal abnormal JJ cord-022594-fx044gcd 844 38 between between IN cord-022594-fx044gcd 844 39 relapses relapse NNS cord-022594-fx044gcd 844 40 ) ) -RRB- cord-022594-fx044gcd 844 41 . . . cord-022594-fx044gcd 845 1 Mitoxantrone mitoxantrone NN cord-022594-fx044gcd 845 2 is be VBZ cord-022594-fx044gcd 845 3 not not RB cord-022594-fx044gcd 845 4 indicated indicate VBN cord-022594-fx044gcd 845 5 in in IN cord-022594-fx044gcd 845 6 treatment treatment NN cord-022594-fx044gcd 845 7 of of IN cord-022594-fx044gcd 845 8 patients patient NNS cord-022594-fx044gcd 845 9 with with IN cord-022594-fx044gcd 845 10 primary primary JJ cord-022594-fx044gcd 845 11 progressive progressive JJ cord-022594-fx044gcd 845 12 multiple multiple JJ cord-022594-fx044gcd 845 13 sclerosis sclerosis NN cord-022594-fx044gcd 845 14 . . . cord-022594-fx044gcd 846 1 Significant significant JJ cord-022594-fx044gcd 846 2 benefits benefit NNS cord-022594-fx044gcd 846 3 were be VBD cord-022594-fx044gcd 846 4 observed observe VBN cord-022594-fx044gcd 846 5 in in IN cord-022594-fx044gcd 846 6 a a DT cord-022594-fx044gcd 846 7 group group NN cord-022594-fx044gcd 846 8 of of IN cord-022594-fx044gcd 846 9 SPMS SPMS NNP cord-022594-fx044gcd 846 10 patients patient NNS cord-022594-fx044gcd 846 11 as as IN cord-022594-fx044gcd 846 12 in in IN cord-022594-fx044gcd 846 13 a a DT cord-022594-fx044gcd 846 14 European european JJ cord-022594-fx044gcd 846 15 phase phase NN cord-022594-fx044gcd 846 16 III iii CD cord-022594-fx044gcd 846 17 study study NN cord-022594-fx044gcd 846 18 of of IN cord-022594-fx044gcd 846 19 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 846 20 . . . cord-022594-fx044gcd 847 1 95 95 CD cord-022594-fx044gcd 848 1 It -PRON- PRP cord-022594-fx044gcd 848 2 has have VBZ cord-022594-fx044gcd 848 3 also also RB cord-022594-fx044gcd 848 4 been be VBN cord-022594-fx044gcd 848 5 used use VBN cord-022594-fx044gcd 848 6 in in IN cord-022594-fx044gcd 848 7 combination combination NN cord-022594-fx044gcd 848 8 with with IN cord-022594-fx044gcd 848 9 methylprednisolone methylprednisolone NNP cord-022594-fx044gcd 848 10 . . . cord-022594-fx044gcd 849 1 96 96 CD cord-022594-fx044gcd 850 1 Several several JJ cord-022594-fx044gcd 850 2 clinical clinical JJ cord-022594-fx044gcd 850 3 and and CC cord-022594-fx044gcd 850 4 functional functional JJ cord-022594-fx044gcd 850 5 outcome outcome NN cord-022594-fx044gcd 850 6 measures measure NNS cord-022594-fx044gcd 850 7 were be VBD cord-022594-fx044gcd 850 8 reported report VBN cord-022594-fx044gcd 850 9 to to TO cord-022594-fx044gcd 850 10 stabilize stabilize VB cord-022594-fx044gcd 850 11 or or CC cord-022594-fx044gcd 850 12 improve improve VB cord-022594-fx044gcd 850 13 with with IN cord-022594-fx044gcd 850 14 every every DT cord-022594-fx044gcd 850 15 3-month 3-month CD cord-022594-fx044gcd 850 16 administration administration NN cord-022594-fx044gcd 850 17 of of IN cord-022594-fx044gcd 850 18 this this DT cord-022594-fx044gcd 850 19 intravenous intravenous JJ cord-022594-fx044gcd 850 20 medication medication NN cord-022594-fx044gcd 850 21 . . . cord-022594-fx044gcd 851 1 Secondary secondary JJ cord-022594-fx044gcd 851 2 MRI MRI NNP cord-022594-fx044gcd 851 3 outcome outcome NN cord-022594-fx044gcd 851 4 measures measure NNS cord-022594-fx044gcd 851 5 , , , cord-022594-fx044gcd 851 6 including include VBG cord-022594-fx044gcd 851 7 enhancing enhance VBG cord-022594-fx044gcd 851 8 lesion lesion NN cord-022594-fx044gcd 851 9 formation formation NN cord-022594-fx044gcd 851 10 and and CC cord-022594-fx044gcd 851 11 overall overall JJ cord-022594-fx044gcd 851 12 T2 T2 NNP cord-022594-fx044gcd 851 13 lesion lesion NN cord-022594-fx044gcd 851 14 load load NN cord-022594-fx044gcd 851 15 , , , cord-022594-fx044gcd 851 16 were be VBD cord-022594-fx044gcd 851 17 also also RB cord-022594-fx044gcd 851 18 better well JJR cord-022594-fx044gcd 851 19 in in IN cord-022594-fx044gcd 851 20 the the DT cord-022594-fx044gcd 851 21 treated treat VBN cord-022594-fx044gcd 851 22 patients patient NNS cord-022594-fx044gcd 851 23 . . . cord-022594-fx044gcd 852 1 The the DT cord-022594-fx044gcd 852 2 greatest great JJS cord-022594-fx044gcd 852 3 concern concern NN cord-022594-fx044gcd 852 4 regarding regard VBG cord-022594-fx044gcd 852 5 this this DT cord-022594-fx044gcd 852 6 medication medication NN cord-022594-fx044gcd 852 7 is be VBZ cord-022594-fx044gcd 852 8 its -PRON- PRP$ cord-022594-fx044gcd 852 9 cardiac cardiac JJ cord-022594-fx044gcd 852 10 toxicity toxicity NN cord-022594-fx044gcd 852 11 : : : cord-022594-fx044gcd 852 12 the the DT cord-022594-fx044gcd 852 13 cumulative cumulative JJ cord-022594-fx044gcd 852 14 lifetime lifetime NN cord-022594-fx044gcd 852 15 maximum maximum NN cord-022594-fx044gcd 852 16 dose dose NN cord-022594-fx044gcd 852 17 was be VBD cord-022594-fx044gcd 852 18 established establish VBN cord-022594-fx044gcd 852 19 at at IN cord-022594-fx044gcd 852 20 140 140 CD cord-022594-fx044gcd 852 21 mg mg NNP cord-022594-fx044gcd 852 22 / / SYM cord-022594-fx044gcd 852 23 m m NN cord-022594-fx044gcd 852 24 2 2 CD cord-022594-fx044gcd 852 25 . . . cord-022594-fx044gcd 853 1 Mitoxantrone Mitoxantrone NNP cord-022594-fx044gcd 853 2 can can MD cord-022594-fx044gcd 853 3 induce induce VB cord-022594-fx044gcd 853 4 a a DT cord-022594-fx044gcd 853 5 seemingly seemingly RB cord-022594-fx044gcd 853 6 dose dose NN cord-022594-fx044gcd 853 7 - - HYPH cord-022594-fx044gcd 853 8 dependent dependent JJ cord-022594-fx044gcd 853 9 cardiomyopathy cardiomyopathy NN cord-022594-fx044gcd 853 10 , , , cord-022594-fx044gcd 853 11 leading lead VBG cord-022594-fx044gcd 853 12 to to IN cord-022594-fx044gcd 853 13 potentially potentially RB cord-022594-fx044gcd 853 14 fatal fatal JJ cord-022594-fx044gcd 853 15 congestive congestive JJ cord-022594-fx044gcd 853 16 heart heart NN cord-022594-fx044gcd 853 17 failure failure NN cord-022594-fx044gcd 853 18 . . . cord-022594-fx044gcd 854 1 We -PRON- PRP cord-022594-fx044gcd 854 2 generally generally RB cord-022594-fx044gcd 854 3 avoid avoid VBP cord-022594-fx044gcd 854 4 exceeding exceed VBG cord-022594-fx044gcd 854 5 a a DT cord-022594-fx044gcd 854 6 total total JJ cord-022594-fx044gcd 854 7 lifetime lifetime NN cord-022594-fx044gcd 854 8 dose dose NN cord-022594-fx044gcd 854 9 of of IN cord-022594-fx044gcd 854 10 96 96 CD cord-022594-fx044gcd 854 11 mg mg NNP cord-022594-fx044gcd 854 12 / / SYM cord-022594-fx044gcd 854 13 m m NN cord-022594-fx044gcd 854 14 2 2 CD cord-022594-fx044gcd 854 15 ( ( -LRB- cord-022594-fx044gcd 854 16 8 8 CD cord-022594-fx044gcd 854 17 doses dose NNS cord-022594-fx044gcd 854 18 of of IN cord-022594-fx044gcd 854 19 12 12 CD cord-022594-fx044gcd 854 20 mg mg NNP cord-022594-fx044gcd 854 21 / / SYM cord-022594-fx044gcd 854 22 m m NNP cord-022594-fx044gcd 854 23 2 2 CD cord-022594-fx044gcd 854 24 ) ) -RRB- cord-022594-fx044gcd 854 25 . . . cord-022594-fx044gcd 855 1 Patients patient NNS cord-022594-fx044gcd 855 2 receiving receive VBG cord-022594-fx044gcd 855 3 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 855 4 should should MD cord-022594-fx044gcd 855 5 also also RB cord-022594-fx044gcd 855 6 be be VB cord-022594-fx044gcd 855 7 monitored monitor VBN cord-022594-fx044gcd 855 8 every every DT cord-022594-fx044gcd 855 9 3 3 CD cord-022594-fx044gcd 855 10 months month NNS cord-022594-fx044gcd 855 11 with with IN cord-022594-fx044gcd 855 12 echocardiograms echocardiogram NNS cord-022594-fx044gcd 855 13 or or CC cord-022594-fx044gcd 855 14 MUGA MUGA NNP cord-022594-fx044gcd 855 15 ( ( -LRB- cord-022594-fx044gcd 855 16 multiple multiple JJ cord-022594-fx044gcd 855 17 gated gated JJ cord-022594-fx044gcd 855 18 acquisition acquisition NN cord-022594-fx044gcd 855 19 ) ) -RRB- cord-022594-fx044gcd 855 20 scans scan NNS cord-022594-fx044gcd 855 21 to to TO cord-022594-fx044gcd 855 22 determine determine VB cord-022594-fx044gcd 855 23 the the DT cord-022594-fx044gcd 855 24 ejection ejection NN cord-022594-fx044gcd 855 25 fraction fraction NN cord-022594-fx044gcd 855 26 . . . cord-022594-fx044gcd 856 1 Reduction reduction NN cord-022594-fx044gcd 856 2 in in IN cord-022594-fx044gcd 856 3 the the DT cord-022594-fx044gcd 856 4 ejection ejection NN cord-022594-fx044gcd 856 5 fraction fraction NN cord-022594-fx044gcd 856 6 should should MD cord-022594-fx044gcd 856 7 prompt prompt VB cord-022594-fx044gcd 856 8 discontinuation discontinuation NN cord-022594-fx044gcd 856 9 of of IN cord-022594-fx044gcd 856 10 this this DT cord-022594-fx044gcd 856 11 therapy therapy NN cord-022594-fx044gcd 856 12 . . . cord-022594-fx044gcd 857 1 Besides besides IN cord-022594-fx044gcd 857 2 the the DT cord-022594-fx044gcd 857 3 cardiac cardiac JJ cord-022594-fx044gcd 857 4 side side NN cord-022594-fx044gcd 857 5 effects effect NNS cord-022594-fx044gcd 857 6 , , , cord-022594-fx044gcd 857 7 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 857 8 may may MD cord-022594-fx044gcd 857 9 cause cause VB cord-022594-fx044gcd 857 10 menstrual menstrual JJ cord-022594-fx044gcd 857 11 irregularities irregularity NNS cord-022594-fx044gcd 857 12 or or CC cord-022594-fx044gcd 857 13 overall overall JJ cord-022594-fx044gcd 857 14 ablation ablation NN cord-022594-fx044gcd 857 15 of of IN cord-022594-fx044gcd 857 16 the the DT cord-022594-fx044gcd 857 17 menstrual menstrual JJ cord-022594-fx044gcd 857 18 cycle cycle NN cord-022594-fx044gcd 857 19 , , , cord-022594-fx044gcd 857 20 which which WDT cord-022594-fx044gcd 857 21 may may MD cord-022594-fx044gcd 857 22 be be VB cord-022594-fx044gcd 857 23 permanent permanent JJ cord-022594-fx044gcd 857 24 . . . cord-022594-fx044gcd 858 1 In in IN cord-022594-fx044gcd 858 2 a a DT cord-022594-fx044gcd 858 3 review review NN cord-022594-fx044gcd 858 4 of of IN cord-022594-fx044gcd 858 5 the the DT cord-022594-fx044gcd 858 6 literature literature NN cord-022594-fx044gcd 858 7 , , , cord-022594-fx044gcd 858 8 Ghalie Ghalie NNP cord-022594-fx044gcd 858 9 97 97 CD cord-022594-fx044gcd 858 10 estimated estimate VBD cord-022594-fx044gcd 858 11 the the DT cord-022594-fx044gcd 858 12 risk risk NN cord-022594-fx044gcd 858 13 of of IN cord-022594-fx044gcd 858 14 mitoxantrone mitoxantrone NNP cord-022594-fx044gcd 858 15 therapyrelated therapyrelate VBD cord-022594-fx044gcd 858 16 acute acute JJ cord-022594-fx044gcd 858 17 leukemia leukemia NN cord-022594-fx044gcd 858 18 in in IN cord-022594-fx044gcd 858 19 MS MS NNP cord-022594-fx044gcd 858 20 patients patient NNS cord-022594-fx044gcd 858 21 at at IN cord-022594-fx044gcd 858 22 0.05 0.05 CD cord-022594-fx044gcd 858 23 % % NN cord-022594-fx044gcd 858 24 to to IN cord-022594-fx044gcd 858 25 0.1 0.1 CD cord-022594-fx044gcd 858 26 % % NN cord-022594-fx044gcd 858 27 ; ; : cord-022594-fx044gcd 858 28 in in IN cord-022594-fx044gcd 858 29 an an DT cord-022594-fx044gcd 858 30 international international JJ cord-022594-fx044gcd 858 31 registry registry NN cord-022594-fx044gcd 858 32 of of IN cord-022594-fx044gcd 858 33 MS MS NNP cord-022594-fx044gcd 858 34 patients patient NNS cord-022594-fx044gcd 858 35 taking take VBG cord-022594-fx044gcd 858 36 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 858 37 , , , cord-022594-fx044gcd 858 38 the the DT cord-022594-fx044gcd 858 39 risk risk NN cord-022594-fx044gcd 858 40 of of IN cord-022594-fx044gcd 858 41 leukemia leukemia NN cord-022594-fx044gcd 858 42 seems seem VBZ cord-022594-fx044gcd 858 43 somewhat somewhat RB cord-022594-fx044gcd 858 44 higher high JJR cord-022594-fx044gcd 858 45 . . . cord-022594-fx044gcd 859 1 This this DT cord-022594-fx044gcd 859 2 therapy therapy NN cord-022594-fx044gcd 859 3 has have VBZ cord-022594-fx044gcd 859 4 been be VBN cord-022594-fx044gcd 859 5 approved approve VBN cord-022594-fx044gcd 859 6 by by IN cord-022594-fx044gcd 859 7 the the DT cord-022594-fx044gcd 859 8 FDA FDA NNP cord-022594-fx044gcd 859 9 for for IN cord-022594-fx044gcd 859 10 treatment treatment NN cord-022594-fx044gcd 859 11 of of IN cord-022594-fx044gcd 859 12 SPMS SPMS NNP cord-022594-fx044gcd 859 13 , , , cord-022594-fx044gcd 859 14 but but CC cord-022594-fx044gcd 859 15 no no DT cord-022594-fx044gcd 859 16 peer peer NN cord-022594-fx044gcd 859 17 - - HYPH cord-022594-fx044gcd 859 18 reviewed review VBN cord-022594-fx044gcd 859 19 full full JJ cord-022594-fx044gcd 859 20 report report NN cord-022594-fx044gcd 859 21 of of IN cord-022594-fx044gcd 859 22 the the DT cord-022594-fx044gcd 859 23 MIMS MIMS NNP cord-022594-fx044gcd 859 24 study study NN cord-022594-fx044gcd 859 25 had have VBD cord-022594-fx044gcd 859 26 been be VBN cord-022594-fx044gcd 859 27 published publish VBN cord-022594-fx044gcd 859 28 until until IN cord-022594-fx044gcd 859 29 4 4 CD cord-022594-fx044gcd 859 30 years year NNS cord-022594-fx044gcd 859 31 after after IN cord-022594-fx044gcd 859 32 the the DT cord-022594-fx044gcd 859 33 initial initial JJ cord-022594-fx044gcd 859 34 report report NN cord-022594-fx044gcd 859 35 in in IN cord-022594-fx044gcd 859 36 an an DT cord-022594-fx044gcd 859 37 abstracts abstract NNS cord-022594-fx044gcd 859 38 form form NN cord-022594-fx044gcd 859 39 . . . cord-022594-fx044gcd 860 1 The the DT cord-022594-fx044gcd 860 2 study study NN cord-022594-fx044gcd 860 3 98 98 CD cord-022594-fx044gcd 860 4 showed show VBD cord-022594-fx044gcd 860 5 a a DT cord-022594-fx044gcd 860 6 treatment treatment NN cord-022594-fx044gcd 860 7 effect effect NN cord-022594-fx044gcd 860 8 in in IN cord-022594-fx044gcd 860 9 RRMS RRMS NNP cord-022594-fx044gcd 860 10 and and CC cord-022594-fx044gcd 860 11 SPMS SPMS NNP cord-022594-fx044gcd 860 12 patients patient NNS cord-022594-fx044gcd 860 13 with with IN cord-022594-fx044gcd 860 14 " " `` cord-022594-fx044gcd 860 15 recent recent JJ cord-022594-fx044gcd 860 16 rapid rapid JJ cord-022594-fx044gcd 860 17 worsening worsening NN cord-022594-fx044gcd 860 18 . . . cord-022594-fx044gcd 861 1 " " '' cord-022594-fx044gcd 862 1 The the DT cord-022594-fx044gcd 862 2 study study NN cord-022594-fx044gcd 862 3 had have VBD cord-022594-fx044gcd 862 4 a a DT cord-022594-fx044gcd 862 5 high high JJ cord-022594-fx044gcd 862 6 dropout dropout NN cord-022594-fx044gcd 862 7 rate rate NN cord-022594-fx044gcd 862 8 and and CC cord-022594-fx044gcd 862 9 a a DT cord-022594-fx044gcd 862 10 small small JJ cord-022594-fx044gcd 862 11 sample sample NN cord-022594-fx044gcd 862 12 size size NN cord-022594-fx044gcd 862 13 . . . cord-022594-fx044gcd 863 1 Most Most JJS cord-022594-fx044gcd 863 2 patients patient NNS cord-022594-fx044gcd 863 3 ( ( -LRB- cord-022594-fx044gcd 863 4 74 74 CD cord-022594-fx044gcd 863 5 % % NN cord-022594-fx044gcd 863 6 ) ) -RRB- cord-022594-fx044gcd 863 7 had have VBD cord-022594-fx044gcd 863 8 relapses relapse NNS cord-022594-fx044gcd 863 9 in in IN cord-022594-fx044gcd 863 10 the the DT cord-022594-fx044gcd 863 11 preceding precede VBG cord-022594-fx044gcd 863 12 2 2 CD cord-022594-fx044gcd 863 13 years year NNS cord-022594-fx044gcd 863 14 , , , cord-022594-fx044gcd 863 15 suggesting suggest VBG cord-022594-fx044gcd 863 16 this this DT cord-022594-fx044gcd 863 17 cohort cohort NN cord-022594-fx044gcd 863 18 mostly mostly RB cord-022594-fx044gcd 863 19 includes include VBZ cord-022594-fx044gcd 863 20 worsening worsen VBG cord-022594-fx044gcd 863 21 RRMS rrm NNS cord-022594-fx044gcd 863 22 or or CC cord-022594-fx044gcd 863 23 PRMS PRMS NNP cord-022594-fx044gcd 863 24 patients patient NNS cord-022594-fx044gcd 863 25 , , , cord-022594-fx044gcd 863 26 in in IN cord-022594-fx044gcd 863 27 whom whom WP cord-022594-fx044gcd 863 28 a a DT cord-022594-fx044gcd 863 29 positive positive JJ cord-022594-fx044gcd 863 30 treatment treatment NN cord-022594-fx044gcd 863 31 effect effect NN cord-022594-fx044gcd 863 32 is be VBZ cord-022594-fx044gcd 863 33 expected expect VBN cord-022594-fx044gcd 863 34 ; ; : cord-022594-fx044gcd 863 35 however however RB cord-022594-fx044gcd 863 36 , , , cord-022594-fx044gcd 863 37 it -PRON- PRP cord-022594-fx044gcd 863 38 does do VBZ cord-022594-fx044gcd 863 39 not not RB cord-022594-fx044gcd 863 40 mean mean VB cord-022594-fx044gcd 863 41 that that IN cord-022594-fx044gcd 863 42 for for IN cord-022594-fx044gcd 863 43 classic classic JJ cord-022594-fx044gcd 863 44 SPMS SPMS NNP cord-022594-fx044gcd 863 45 patients patient NNS cord-022594-fx044gcd 863 46 who who WP cord-022594-fx044gcd 863 47 no no RB cord-022594-fx044gcd 863 48 longer longer RB cord-022594-fx044gcd 863 49 have have VBP cord-022594-fx044gcd 863 50 relapses relapse NNS cord-022594-fx044gcd 863 51 the the DT cord-022594-fx044gcd 863 52 study study NN cord-022594-fx044gcd 863 53 outcome outcome NN cord-022594-fx044gcd 863 54 is be VBZ cord-022594-fx044gcd 863 55 applicable applicable JJ cord-022594-fx044gcd 863 56 , , , cord-022594-fx044gcd 863 57 and and CC cord-022594-fx044gcd 863 58 it -PRON- PRP cord-022594-fx044gcd 863 59 is be VBZ cord-022594-fx044gcd 863 60 especially especially RB cord-022594-fx044gcd 863 61 not not RB cord-022594-fx044gcd 863 62 applicable applicable JJ cord-022594-fx044gcd 863 63 to to IN cord-022594-fx044gcd 863 64 PPMS PPMS NNP cord-022594-fx044gcd 863 65 cases case NNS cord-022594-fx044gcd 863 66 . . . cord-022594-fx044gcd 864 1 The the DT cord-022594-fx044gcd 864 2 primary primary JJ cord-022594-fx044gcd 864 3 outcome outcome NN cord-022594-fx044gcd 864 4 measure measure NN cord-022594-fx044gcd 864 5 was be VBD cord-022594-fx044gcd 864 6 a a DT cord-022594-fx044gcd 864 7 composite composite JJ cord-022594-fx044gcd 864 8 score score NN cord-022594-fx044gcd 864 9 comprised comprise VBN cord-022594-fx044gcd 864 10 of of IN cord-022594-fx044gcd 864 11 five five CD cord-022594-fx044gcd 864 12 clinical clinical JJ cord-022594-fx044gcd 864 13 measures measure NNS cord-022594-fx044gcd 864 14 : : : cord-022594-fx044gcd 864 15 change change VB cord-022594-fx044gcd 864 16 in in IN cord-022594-fx044gcd 864 17 EDSS EDSS NNP cord-022594-fx044gcd 864 18 at at IN cord-022594-fx044gcd 864 19 2 2 CD cord-022594-fx044gcd 864 20 years year NNS cord-022594-fx044gcd 864 21 ; ; : cord-022594-fx044gcd 864 22 change change NN cord-022594-fx044gcd 864 23 in in IN cord-022594-fx044gcd 864 24 Ambulation Ambulation NNP cord-022594-fx044gcd 864 25 Index Index NNP cord-022594-fx044gcd 864 26 at at IN cord-022594-fx044gcd 864 27 2 2 CD cord-022594-fx044gcd 864 28 years year NNS cord-022594-fx044gcd 864 29 ; ; : cord-022594-fx044gcd 864 30 change change VB cord-022594-fx044gcd 864 31 in in IN cord-022594-fx044gcd 864 32 the the DT cord-022594-fx044gcd 864 33 baseline baseline JJ cord-022594-fx044gcd 864 34 standardized standardized JJ cord-022594-fx044gcd 864 35 neurological neurological JJ cord-022594-fx044gcd 864 36 status status NN cord-022594-fx044gcd 864 37 at at IN cord-022594-fx044gcd 864 38 2 2 CD cord-022594-fx044gcd 864 39 years year NNS cord-022594-fx044gcd 864 40 ; ; : cord-022594-fx044gcd 864 41 number number NN cord-022594-fx044gcd 864 42 of of IN cord-022594-fx044gcd 864 43 relapses relapse NNS cord-022594-fx044gcd 864 44 requiring require VBG cord-022594-fx044gcd 864 45 corticosteroid corticosteroid NN cord-022594-fx044gcd 864 46 treatment treatment NN cord-022594-fx044gcd 864 47 ; ; : cord-022594-fx044gcd 864 48 and and CC cord-022594-fx044gcd 864 49 time time NN cord-022594-fx044gcd 864 50 to to IN cord-022594-fx044gcd 864 51 first first JJ cord-022594-fx044gcd 864 52 relapse relapse VB cord-022594-fx044gcd 864 53 . . . cord-022594-fx044gcd 865 1 Seventy seventy CD cord-022594-fx044gcd 865 2 - - HYPH cord-022594-fx044gcd 865 3 seven seven CD cord-022594-fx044gcd 865 4 percent percent NN cord-022594-fx044gcd 865 5 completed complete VBN cord-022594-fx044gcd 865 6 24 24 CD cord-022594-fx044gcd 865 7 months month NNS cord-022594-fx044gcd 865 8 of of IN cord-022594-fx044gcd 865 9 follow follow NN cord-022594-fx044gcd 865 10 - - HYPH cord-022594-fx044gcd 865 11 up up NN cord-022594-fx044gcd 865 12 . . . cord-022594-fx044gcd 866 1 At at IN cord-022594-fx044gcd 866 2 24 24 CD cord-022594-fx044gcd 866 3 months month NNS cord-022594-fx044gcd 866 4 , , , cord-022594-fx044gcd 866 5 benefit benefit NN cord-022594-fx044gcd 866 6 was be VBD cord-022594-fx044gcd 866 7 reported report VBN cord-022594-fx044gcd 866 8 in in IN cord-022594-fx044gcd 866 9 all all DT cord-022594-fx044gcd 866 10 five five CD cord-022594-fx044gcd 866 11 components component NNS cord-022594-fx044gcd 866 12 of of IN cord-022594-fx044gcd 866 13 the the DT cord-022594-fx044gcd 866 14 composite composite JJ cord-022594-fx044gcd 866 15 measure measure NN cord-022594-fx044gcd 866 16 for for IN cord-022594-fx044gcd 866 17 both both DT cord-022594-fx044gcd 866 18 active active JJ cord-022594-fx044gcd 866 19 treatment treatment NN cord-022594-fx044gcd 866 20 arms arm NNS cord-022594-fx044gcd 866 21 , , , cord-022594-fx044gcd 866 22 with with IN cord-022594-fx044gcd 866 23 the the DT cord-022594-fx044gcd 866 24 overall overall JJ cord-022594-fx044gcd 866 25 greatest great JJS cord-022594-fx044gcd 866 26 benefit benefit NN cord-022594-fx044gcd 866 27 noted note VBN cord-022594-fx044gcd 866 28 between between IN cord-022594-fx044gcd 866 29 placebo placebo NN cord-022594-fx044gcd 866 30 and and CC cord-022594-fx044gcd 866 31 the the DT cord-022594-fx044gcd 866 32 group group NN cord-022594-fx044gcd 866 33 receiving receive VBG cord-022594-fx044gcd 866 34 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 866 35 at at IN cord-022594-fx044gcd 866 36 a a DT cord-022594-fx044gcd 866 37 dose dose NN cord-022594-fx044gcd 866 38 of of IN cord-022594-fx044gcd 866 39 12 12 CD cord-022594-fx044gcd 866 40 mg mg NNP cord-022594-fx044gcd 866 41 / / SYM cord-022594-fx044gcd 866 42 m m NN cord-022594-fx044gcd 866 43 2 2 CD cord-022594-fx044gcd 866 44 . . . cord-022594-fx044gcd 867 1 The the DT cord-022594-fx044gcd 867 2 magnitude magnitude NN cord-022594-fx044gcd 867 3 of of IN cord-022594-fx044gcd 867 4 the the DT cord-022594-fx044gcd 867 5 effect effect NN cord-022594-fx044gcd 867 6 on on IN cord-022594-fx044gcd 867 7 EDSS EDSS NNP cord-022594-fx044gcd 867 8 was be VBD cord-022594-fx044gcd 867 9 rather rather RB cord-022594-fx044gcd 867 10 modest modest JJ cord-022594-fx044gcd 867 11 ( ( -LRB- cord-022594-fx044gcd 867 12 mean mean VB cord-022594-fx044gcd 867 13 EDSS EDSS NNP cord-022594-fx044gcd 867 14 change change NN cord-022594-fx044gcd 867 15 for for IN cord-022594-fx044gcd 867 16 high high JJ cord-022594-fx044gcd 867 17 - - HYPH cord-022594-fx044gcd 867 18 dose dose NN cord-022594-fx044gcd 867 19 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 867 20 , , , cord-022594-fx044gcd 868 1 -0.13 -0.13 NFP cord-022594-fx044gcd 869 1 [ [ -LRB- cord-022594-fx044gcd 869 2 SD SD NNP cord-022594-fx044gcd 869 3 0.90 0.90 CD cord-022594-fx044gcd 869 4 ] ] -RRB- cord-022594-fx044gcd 869 5 versus versus FW cord-022594-fx044gcd 869 6 þ0.23 þ0.23 NNP cord-022594-fx044gcd 869 7 [ [ -LRB- cord-022594-fx044gcd 869 8 SD SD NNP cord-022594-fx044gcd 869 9 1.01 1.01 CD cord-022594-fx044gcd 869 10 ] ] -RRB- cord-022594-fx044gcd 869 11 in in IN cord-022594-fx044gcd 869 12 the the DT cord-022594-fx044gcd 869 13 placebo placebo NN cord-022594-fx044gcd 869 14 group group NN cord-022594-fx044gcd 869 15 ) ) -RRB- cord-022594-fx044gcd 869 16 . . . cord-022594-fx044gcd 870 1 The the DT cord-022594-fx044gcd 870 2 MRI MRI NNP cord-022594-fx044gcd 870 3 results result NNS cord-022594-fx044gcd 870 4 of of IN cord-022594-fx044gcd 870 5 the the DT cord-022594-fx044gcd 870 6 MIMS MIMS NNP cord-022594-fx044gcd 870 7 trial trial NN cord-022594-fx044gcd 870 8 were be VBD cord-022594-fx044gcd 870 9 published publish VBN cord-022594-fx044gcd 870 10 in in IN cord-022594-fx044gcd 870 11 2005 2005 CD cord-022594-fx044gcd 870 12 and and CC cord-022594-fx044gcd 870 13 are be VBP cord-022594-fx044gcd 870 14 frankly frankly RB cord-022594-fx044gcd 870 15 disappointing disappointing JJ cord-022594-fx044gcd 870 16 . . . cord-022594-fx044gcd 871 1 99 99 CD cord-022594-fx044gcd 872 1 In in IN cord-022594-fx044gcd 872 2 a a DT cord-022594-fx044gcd 872 3 subset subset NN cord-022594-fx044gcd 872 4 of of IN cord-022594-fx044gcd 872 5 110 110 CD cord-022594-fx044gcd 872 6 patients patient NNS cord-022594-fx044gcd 872 7 ( ( -LRB- cord-022594-fx044gcd 872 8 out out IN cord-022594-fx044gcd 872 9 of of IN cord-022594-fx044gcd 872 10 194 194 CD cord-022594-fx044gcd 872 11 in in IN cord-022594-fx044gcd 872 12 the the DT cord-022594-fx044gcd 872 13 trial trial NN cord-022594-fx044gcd 872 14 overall overall RB cord-022594-fx044gcd 872 15 ) ) -RRB- cord-022594-fx044gcd 872 16 , , , cord-022594-fx044gcd 872 17 the the DT cord-022594-fx044gcd 872 18 12 12 CD cord-022594-fx044gcd 872 19 mg mg NNP cord-022594-fx044gcd 872 20 / / SYM cord-022594-fx044gcd 872 21 m m NN cord-022594-fx044gcd 872 22 2 2 CD cord-022594-fx044gcd 872 23 dose dose NN cord-022594-fx044gcd 872 24 failed fail VBD cord-022594-fx044gcd 872 25 to to TO cord-022594-fx044gcd 872 26 reach reach VB cord-022594-fx044gcd 872 27 a a DT cord-022594-fx044gcd 872 28 significant significant JJ cord-022594-fx044gcd 872 29 difference difference NN cord-022594-fx044gcd 872 30 from from IN cord-022594-fx044gcd 872 31 placebo placebo NN cord-022594-fx044gcd 872 32 as as IN cord-022594-fx044gcd 872 33 measured measure VBN cord-022594-fx044gcd 872 34 by by IN cord-022594-fx044gcd 872 35 the the DT cord-022594-fx044gcd 872 36 primary primary JJ cord-022594-fx044gcd 872 37 MRI MRI NNP cord-022594-fx044gcd 872 38 outcome outcome NN cord-022594-fx044gcd 872 39 ( ( -LRB- cord-022594-fx044gcd 872 40 total total JJ cord-022594-fx044gcd 872 41 number number NN cord-022594-fx044gcd 872 42 of of IN cord-022594-fx044gcd 872 43 scans scan NNS cord-022594-fx044gcd 872 44 with with IN cord-022594-fx044gcd 872 45 gadoliniumenhancing gadoliniumenhancing NN cord-022594-fx044gcd 872 46 lesions lesion NNS cord-022594-fx044gcd 872 47 ) ) -RRB- cord-022594-fx044gcd 872 48 . . . cord-022594-fx044gcd 873 1 The the DT cord-022594-fx044gcd 873 2 12 12 CD cord-022594-fx044gcd 873 3 mg mg NNP cord-022594-fx044gcd 873 4 / / SYM cord-022594-fx044gcd 873 5 m m NN cord-022594-fx044gcd 873 6 2 2 CD cord-022594-fx044gcd 873 7 dose dose NN cord-022594-fx044gcd 873 8 reduced reduce VBD cord-022594-fx044gcd 873 9 the the DT cord-022594-fx044gcd 873 10 number number NN cord-022594-fx044gcd 873 11 of of IN cord-022594-fx044gcd 873 12 T2-weighted t2-weighted JJ cord-022594-fx044gcd 873 13 lesions lesion NNS cord-022594-fx044gcd 873 14 at at IN cord-022594-fx044gcd 873 15 month month NN cord-022594-fx044gcd 873 16 24 24 CD cord-022594-fx044gcd 873 17 ( ( -LRB- cord-022594-fx044gcd 873 18 p p NN cord-022594-fx044gcd 873 19 ¼ ¼ NNP cord-022594-fx044gcd 873 20 0.027 0.027 CD cord-022594-fx044gcd 873 21 ) ) -RRB- cord-022594-fx044gcd 873 22 and and CC cord-022594-fx044gcd 873 23 showed show VBD cord-022594-fx044gcd 873 24 a a DT cord-022594-fx044gcd 873 25 trend trend NN cord-022594-fx044gcd 873 26 at at IN cord-022594-fx044gcd 873 27 month month NN cord-022594-fx044gcd 873 28 12 12 CD cord-022594-fx044gcd 873 29 ( ( -LRB- cord-022594-fx044gcd 873 30 p p NN cord-022594-fx044gcd 873 31 ¼ ¼ NN cord-022594-fx044gcd 873 32 0.069 0.069 CD cord-022594-fx044gcd 873 33 ) ) -RRB- cord-022594-fx044gcd 873 34 . . . cord-022594-fx044gcd 874 1 The the DT cord-022594-fx044gcd 874 2 number number NN cord-022594-fx044gcd 874 3 of of IN cord-022594-fx044gcd 874 4 active active JJ cord-022594-fx044gcd 874 5 MR MR NNP cord-022594-fx044gcd 874 6 lesions lesion NNS cord-022594-fx044gcd 874 7 showed show VBD cord-022594-fx044gcd 874 8 a a DT cord-022594-fx044gcd 874 9 trend trend NN cord-022594-fx044gcd 874 10 toward toward IN cord-022594-fx044gcd 874 11 reduction reduction NN cord-022594-fx044gcd 874 12 in in IN cord-022594-fx044gcd 874 13 the the DT cord-022594-fx044gcd 874 14 12 12 CD cord-022594-fx044gcd 874 15 mg mg NNP cord-022594-fx044gcd 874 16 / / SYM cord-022594-fx044gcd 874 17 m m NNP cord-022594-fx044gcd 874 18 2 2 CD cord-022594-fx044gcd 874 19 group group NN cord-022594-fx044gcd 874 20 only only RB cord-022594-fx044gcd 874 21 at at IN cord-022594-fx044gcd 874 22 month month NN cord-022594-fx044gcd 874 23 24 24 CD cord-022594-fx044gcd 874 24 ( ( -LRB- cord-022594-fx044gcd 874 25 p p NN cord-022594-fx044gcd 874 26 ¼ ¼ NNP cord-022594-fx044gcd 874 27 0.054 0.054 CD cord-022594-fx044gcd 874 28 ) ) -RRB- cord-022594-fx044gcd 874 29 . . . cord-022594-fx044gcd 875 1 Overall overall RB cord-022594-fx044gcd 875 2 , , , cord-022594-fx044gcd 875 3 the the DT cord-022594-fx044gcd 875 4 limited limited JJ cord-022594-fx044gcd 875 5 evidence evidence NN cord-022594-fx044gcd 875 6 to to IN cord-022594-fx044gcd 875 7 date date NN cord-022594-fx044gcd 875 8 supports support VBZ cord-022594-fx044gcd 875 9 the the DT cord-022594-fx044gcd 875 10 conclusion conclusion NN cord-022594-fx044gcd 875 11 that that IN cord-022594-fx044gcd 875 12 mitoxantrone mitoxantrone NNP cord-022594-fx044gcd 875 13 reduces reduce VBZ cord-022594-fx044gcd 875 14 relapse relapse NN cord-022594-fx044gcd 875 15 frequency frequency NN cord-022594-fx044gcd 875 16 and and CC cord-022594-fx044gcd 875 17 MRI MRI NNP cord-022594-fx044gcd 875 18 evidence evidence NN cord-022594-fx044gcd 875 19 for for IN cord-022594-fx044gcd 875 20 blood blood NN cord-022594-fx044gcd 875 21 - - HYPH cord-022594-fx044gcd 875 22 brain brain NN cord-022594-fx044gcd 875 23 barrier barrier NN cord-022594-fx044gcd 875 24 disruption disruption NN cord-022594-fx044gcd 875 25 in in IN cord-022594-fx044gcd 875 26 patients patient NNS cord-022594-fx044gcd 875 27 with with IN cord-022594-fx044gcd 875 28 very very RB cord-022594-fx044gcd 875 29 active active JJ cord-022594-fx044gcd 875 30 MS MS NNP cord-022594-fx044gcd 875 31 . . . cord-022594-fx044gcd 876 1 The the DT cord-022594-fx044gcd 876 2 benefit benefit NN cord-022594-fx044gcd 876 3 for for IN cord-022594-fx044gcd 876 4 patients patient NNS cord-022594-fx044gcd 876 5 with with IN cord-022594-fx044gcd 876 6 relapse relapse NN cord-022594-fx044gcd 876 7 - - HYPH cord-022594-fx044gcd 876 8 independent independent JJ cord-022594-fx044gcd 876 9 progression progression NN cord-022594-fx044gcd 876 10 is be VBZ cord-022594-fx044gcd 876 11 uncertain uncertain JJ cord-022594-fx044gcd 876 12 at at IN cord-022594-fx044gcd 876 13 best good JJS cord-022594-fx044gcd 876 14 . . . cord-022594-fx044gcd 877 1 From from IN cord-022594-fx044gcd 877 2 the the DT cord-022594-fx044gcd 877 3 MIMS MIMS NNP cord-022594-fx044gcd 877 4 results result NNS cord-022594-fx044gcd 877 5 , , , cord-022594-fx044gcd 877 6 one one PRP cord-022594-fx044gcd 877 7 would would MD cord-022594-fx044gcd 877 8 need need VB cord-022594-fx044gcd 877 9 to to TO cord-022594-fx044gcd 877 10 treat treat VB cord-022594-fx044gcd 877 11 11 11 CD cord-022594-fx044gcd 877 12 patients patient NNS cord-022594-fx044gcd 877 13 with with IN cord-022594-fx044gcd 877 14 secondary secondary JJ cord-022594-fx044gcd 877 15 progressive progressive JJ cord-022594-fx044gcd 877 16 multiple multiple JJ cord-022594-fx044gcd 877 17 sclerosis sclerosis NN cord-022594-fx044gcd 877 18 for for IN cord-022594-fx044gcd 877 19 2 2 CD cord-022594-fx044gcd 877 20 years year NNS cord-022594-fx044gcd 877 21 to to TO cord-022594-fx044gcd 877 22 prevent prevent VB cord-022594-fx044gcd 877 23 one one CD cord-022594-fx044gcd 877 24 person person NN cord-022594-fx044gcd 877 25 from from IN cord-022594-fx044gcd 877 26 worsening worsen VBG cord-022594-fx044gcd 877 27 by by IN cord-022594-fx044gcd 877 28 1.0 1.0 CD cord-022594-fx044gcd 877 29 EDSS EDSS NNP cord-022594-fx044gcd 877 30 point point NN cord-022594-fx044gcd 877 31 . . . cord-022594-fx044gcd 878 1 This this DT cord-022594-fx044gcd 878 2 modest modest JJ cord-022594-fx044gcd 878 3 benefit benefit NN cord-022594-fx044gcd 878 4 must must MD cord-022594-fx044gcd 878 5 be be VB cord-022594-fx044gcd 878 6 carefully carefully RB cord-022594-fx044gcd 878 7 examined examine VBN cord-022594-fx044gcd 878 8 in in IN cord-022594-fx044gcd 878 9 light light NN cord-022594-fx044gcd 878 10 of of IN cord-022594-fx044gcd 878 11 the the DT cord-022594-fx044gcd 878 12 significant significant JJ cord-022594-fx044gcd 878 13 risk risk NN cord-022594-fx044gcd 878 14 for for IN cord-022594-fx044gcd 878 15 toxicity toxicity NN cord-022594-fx044gcd 878 16 . . . cord-022594-fx044gcd 879 1 Therapy therapy NN cord-022594-fx044gcd 879 2 of of IN cord-022594-fx044gcd 879 3 PPMS PPMS NNP cord-022594-fx044gcd 879 4 . . . cord-022594-fx044gcd 880 1 Unfortunately unfortunately RB cord-022594-fx044gcd 880 2 , , , cord-022594-fx044gcd 880 3 for for IN cord-022594-fx044gcd 880 4 classical classical JJ cord-022594-fx044gcd 880 5 PPMS PPMS NNP cord-022594-fx044gcd 880 6 cases case NNS cord-022594-fx044gcd 880 7 that that WDT cord-022594-fx044gcd 880 8 present present VBP cord-022594-fx044gcd 880 9 with with IN cord-022594-fx044gcd 880 10 insidious insidious JJ cord-022594-fx044gcd 880 11 progression progression NN cord-022594-fx044gcd 880 12 of of IN cord-022594-fx044gcd 880 13 usually usually RB cord-022594-fx044gcd 880 14 myelopathy myelopathy VBN cord-022594-fx044gcd 880 15 symptoms symptom NNS cord-022594-fx044gcd 880 16 , , , cord-022594-fx044gcd 880 17 none none NN cord-022594-fx044gcd 880 18 of of IN cord-022594-fx044gcd 880 19 the the DT cord-022594-fx044gcd 880 20 currently currently RB cord-022594-fx044gcd 880 21 available available JJ cord-022594-fx044gcd 880 22 treatments treatment NNS cord-022594-fx044gcd 880 23 offer offer VBP cord-022594-fx044gcd 880 24 any any DT cord-022594-fx044gcd 880 25 clear clear JJ cord-022594-fx044gcd 880 26 benefit benefit NN cord-022594-fx044gcd 880 27 . . . cord-022594-fx044gcd 881 1 The the DT cord-022594-fx044gcd 881 2 PROMISE PROMISE NNP cord-022594-fx044gcd 881 3 trial trial NN cord-022594-fx044gcd 881 4 , , , cord-022594-fx044gcd 881 5 in in IN cord-022594-fx044gcd 881 6 which which WDT cord-022594-fx044gcd 881 7 over over IN cord-022594-fx044gcd 881 8 900 900 CD cord-022594-fx044gcd 881 9 PPMS PPMS NNP cord-022594-fx044gcd 881 10 patients patient NNS cord-022594-fx044gcd 881 11 were be VBD cord-022594-fx044gcd 881 12 treated treat VBN cord-022594-fx044gcd 881 13 with with IN cord-022594-fx044gcd 881 14 GA GA NNP cord-022594-fx044gcd 881 15 , , , cord-022594-fx044gcd 881 16 was be VBD cord-022594-fx044gcd 881 17 terminated terminate VBN cord-022594-fx044gcd 881 18 early early RB cord-022594-fx044gcd 881 19 owing owe VBG cord-022594-fx044gcd 881 20 to to IN cord-022594-fx044gcd 881 21 lack lack NN cord-022594-fx044gcd 881 22 of of IN cord-022594-fx044gcd 881 23 effectiveness effectiveness NN cord-022594-fx044gcd 881 24 . . . cord-022594-fx044gcd 882 1 The the DT cord-022594-fx044gcd 882 2 results result NNS cord-022594-fx044gcd 882 3 of of IN cord-022594-fx044gcd 882 4 this this DT cord-022594-fx044gcd 882 5 trial trial NN cord-022594-fx044gcd 882 6 have have VBP cord-022594-fx044gcd 882 7 not not RB cord-022594-fx044gcd 882 8 yet yet RB cord-022594-fx044gcd 882 9 been be VBN cord-022594-fx044gcd 882 10 published publish VBN cord-022594-fx044gcd 882 11 . . . cord-022594-fx044gcd 883 1 A a DT cord-022594-fx044gcd 883 2 small small JJ cord-022594-fx044gcd 883 3 study study NN cord-022594-fx044gcd 883 4 with with IN cord-022594-fx044gcd 883 5 intramuscular intramuscular JJ cord-022594-fx044gcd 883 6 interferon interferon NN cord-022594-fx044gcd 883 7 - - HYPH cord-022594-fx044gcd 883 8 b b NN cord-022594-fx044gcd 883 9 1a 1a NN cord-022594-fx044gcd 883 10 was be VBD cord-022594-fx044gcd 883 11 also also RB cord-022594-fx044gcd 883 12 negative negative JJ cord-022594-fx044gcd 883 13 . . . cord-022594-fx044gcd 884 1 100 100 CD cord-022594-fx044gcd 885 1 Currently currently RB cord-022594-fx044gcd 885 2 a a DT cord-022594-fx044gcd 885 3 large large JJ cord-022594-fx044gcd 885 4 trial trial NN cord-022594-fx044gcd 885 5 is be VBZ cord-022594-fx044gcd 885 6 under under IN cord-022594-fx044gcd 885 7 way way NN cord-022594-fx044gcd 885 8 with with IN cord-022594-fx044gcd 885 9 rituximab rituximab NN cord-022594-fx044gcd 885 10 in in IN cord-022594-fx044gcd 885 11 CSF CSF NNP cord-022594-fx044gcd 885 12 OCB OCB NNP cord-022594-fx044gcd 885 13 - - HYPH cord-022594-fx044gcd 885 14 positive positive JJ cord-022594-fx044gcd 885 15 PPMS PPMS NNP cord-022594-fx044gcd 885 16 patients patient NNS cord-022594-fx044gcd 885 17 . . . cord-022594-fx044gcd 886 1 Until until IN cord-022594-fx044gcd 886 2 we -PRON- PRP cord-022594-fx044gcd 886 3 clearly clearly RB cord-022594-fx044gcd 886 4 understand understand VBP cord-022594-fx044gcd 886 5 the the DT cord-022594-fx044gcd 886 6 pathophysiology pathophysiology NN cord-022594-fx044gcd 886 7 of of IN cord-022594-fx044gcd 886 8 slow slow JJ cord-022594-fx044gcd 886 9 progression progression NN cord-022594-fx044gcd 886 10 in in IN cord-022594-fx044gcd 886 11 MS MS NNP cord-022594-fx044gcd 886 12 , , , cord-022594-fx044gcd 886 13 it -PRON- PRP cord-022594-fx044gcd 886 14 is be VBZ cord-022594-fx044gcd 886 15 unlikely unlikely JJ cord-022594-fx044gcd 886 16 that that IN cord-022594-fx044gcd 886 17 we -PRON- PRP cord-022594-fx044gcd 886 18 will will MD cord-022594-fx044gcd 886 19 find find VB cord-022594-fx044gcd 886 20 a a DT cord-022594-fx044gcd 886 21 treatment treatment NN cord-022594-fx044gcd 886 22 that that WDT cord-022594-fx044gcd 886 23 has have VBZ cord-022594-fx044gcd 886 24 an an DT cord-022594-fx044gcd 886 25 important important JJ cord-022594-fx044gcd 886 26 impact impact NN cord-022594-fx044gcd 886 27 on on IN cord-022594-fx044gcd 886 28 this this DT cord-022594-fx044gcd 886 29 form form NN cord-022594-fx044gcd 886 30 of of IN cord-022594-fx044gcd 886 31 MS MS NNP cord-022594-fx044gcd 886 32 . . . cord-022594-fx044gcd 887 1 Symptomatic symptomatic JJ cord-022594-fx044gcd 887 2 treatment treatment NN cord-022594-fx044gcd 887 3 modalities modality NNS cord-022594-fx044gcd 887 4 , , , cord-022594-fx044gcd 887 5 including include VBG cord-022594-fx044gcd 887 6 physical physical JJ cord-022594-fx044gcd 887 7 and and CC cord-022594-fx044gcd 887 8 occupational occupational JJ cord-022594-fx044gcd 887 9 therapy therapy NN cord-022594-fx044gcd 887 10 , , , cord-022594-fx044gcd 887 11 are be VBP cord-022594-fx044gcd 887 12 very very RB cord-022594-fx044gcd 887 13 important important JJ cord-022594-fx044gcd 887 14 , , , cord-022594-fx044gcd 887 15 yet yet CC cord-022594-fx044gcd 887 16 frequently frequently RB cord-022594-fx044gcd 887 17 overlooked overlook VBN cord-022594-fx044gcd 887 18 in in IN cord-022594-fx044gcd 887 19 this this DT cord-022594-fx044gcd 887 20 patient patient JJ cord-022594-fx044gcd 887 21 population population NN cord-022594-fx044gcd 887 22 . . . cord-022594-fx044gcd 888 1 Other other JJ cord-022594-fx044gcd 888 2 Immunomodulator Immunomodulator NNP cord-022594-fx044gcd 888 3 Therapies Therapies NNPS cord-022594-fx044gcd 888 4 . . . cord-022594-fx044gcd 889 1 Cyclophosphamide Cyclophosphamide NNP cord-022594-fx044gcd 889 2 is be VBZ cord-022594-fx044gcd 889 3 an an DT cord-022594-fx044gcd 889 4 alkylating alkylating JJ cord-022594-fx044gcd 889 5 agent agent NN cord-022594-fx044gcd 889 6 that that WDT cord-022594-fx044gcd 889 7 has have VBZ cord-022594-fx044gcd 889 8 indiscriminate indiscriminate JJ cord-022594-fx044gcd 889 9 cytotoxic cytotoxic JJ cord-022594-fx044gcd 889 10 effects effect NNS cord-022594-fx044gcd 889 11 on on IN cord-022594-fx044gcd 889 12 rapidly rapidly RB cord-022594-fx044gcd 889 13 dividing divide VBG cord-022594-fx044gcd 889 14 cells cell NNS cord-022594-fx044gcd 889 15 , , , cord-022594-fx044gcd 889 16 including include VBG cord-022594-fx044gcd 889 17 lymphocytes lymphocyte NNS cord-022594-fx044gcd 889 18 , , , cord-022594-fx044gcd 889 19 making make VBG cord-022594-fx044gcd 889 20 it -PRON- PRP cord-022594-fx044gcd 889 21 a a DT cord-022594-fx044gcd 889 22 potent potent JJ cord-022594-fx044gcd 889 23 immunosuppressant immunosuppressant NN cord-022594-fx044gcd 889 24 . . . cord-022594-fx044gcd 890 1 Several several JJ cord-022594-fx044gcd 890 2 studies study NNS cord-022594-fx044gcd 890 3 have have VBP cord-022594-fx044gcd 890 4 claimed claim VBN cord-022594-fx044gcd 890 5 a a DT cord-022594-fx044gcd 890 6 beneficial beneficial JJ cord-022594-fx044gcd 890 7 effect effect NN cord-022594-fx044gcd 890 8 in in IN cord-022594-fx044gcd 890 9 both both DT cord-022594-fx044gcd 890 10 relapsing relapsing JJ cord-022594-fx044gcd 890 11 and and CC cord-022594-fx044gcd 890 12 progressive progressive JJ cord-022594-fx044gcd 890 13 patients patient NNS cord-022594-fx044gcd 890 14 . . . cord-022594-fx044gcd 891 1 Because because IN cord-022594-fx044gcd 891 2 one one CD cord-022594-fx044gcd 891 3 of of IN cord-022594-fx044gcd 891 4 the the DT cord-022594-fx044gcd 891 5 major major JJ cord-022594-fx044gcd 891 6 studies study NNS cord-022594-fx044gcd 891 7 included include VBD cord-022594-fx044gcd 891 8 ACTH ACTH NNP cord-022594-fx044gcd 891 9 , , , cord-022594-fx044gcd 891 10 IV IV NNP cord-022594-fx044gcd 891 11 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 891 12 is be VBZ cord-022594-fx044gcd 891 13 sometimes sometimes RB cord-022594-fx044gcd 891 14 given give VBN cord-022594-fx044gcd 891 15 with with IN cord-022594-fx044gcd 891 16 the the DT cord-022594-fx044gcd 891 17 cyclophosphamide cyclophosphamide NN cord-022594-fx044gcd 891 18 . . . cord-022594-fx044gcd 892 1 Other other JJ cord-022594-fx044gcd 892 2 trials trial NNS cord-022594-fx044gcd 892 3 have have VBP cord-022594-fx044gcd 892 4 not not RB cord-022594-fx044gcd 892 5 found find VBN cord-022594-fx044gcd 892 6 a a DT cord-022594-fx044gcd 892 7 favorable favorable JJ cord-022594-fx044gcd 892 8 effect effect NN cord-022594-fx044gcd 892 9 . . . cord-022594-fx044gcd 893 1 Because because IN cord-022594-fx044gcd 893 2 of of IN cord-022594-fx044gcd 893 3 the the DT cord-022594-fx044gcd 893 4 inconsistent inconsistent JJ cord-022594-fx044gcd 893 5 results result NNS cord-022594-fx044gcd 893 6 , , , cord-022594-fx044gcd 893 7 high high JJ cord-022594-fx044gcd 893 8 potential potential NN cord-022594-fx044gcd 893 9 for for IN cord-022594-fx044gcd 893 10 serious serious JJ cord-022594-fx044gcd 893 11 side side NN cord-022594-fx044gcd 893 12 effects effect NNS cord-022594-fx044gcd 893 13 , , , cord-022594-fx044gcd 893 14 and and CC cord-022594-fx044gcd 893 15 adverse adverse JJ cord-022594-fx044gcd 893 16 reactions reaction NNS cord-022594-fx044gcd 893 17 , , , cord-022594-fx044gcd 893 18 including include VBG cord-022594-fx044gcd 893 19 hemorrhagic hemorrhagic JJ cord-022594-fx044gcd 893 20 cystitis cystitis NN cord-022594-fx044gcd 893 21 and and CC cord-022594-fx044gcd 893 22 malignancy malignancy NN cord-022594-fx044gcd 893 23 , , , cord-022594-fx044gcd 893 24 cyclophosphamide cyclophosphamide RB cord-022594-fx044gcd 893 25 is be VBZ cord-022594-fx044gcd 893 26 not not RB cord-022594-fx044gcd 893 27 widely widely RB cord-022594-fx044gcd 893 28 used use VBN cord-022594-fx044gcd 893 29 . . . cord-022594-fx044gcd 894 1 Some some DT cord-022594-fx044gcd 894 2 centers center NNS cord-022594-fx044gcd 894 3 , , , cord-022594-fx044gcd 894 4 however however RB cord-022594-fx044gcd 894 5 , , , cord-022594-fx044gcd 894 6 use use VBP cord-022594-fx044gcd 894 7 cyclophosphamide cyclophosphamide NN cord-022594-fx044gcd 894 8 in in IN cord-022594-fx044gcd 894 9 patients patient NNS cord-022594-fx044gcd 894 10 with with IN cord-022594-fx044gcd 894 11 aggressive aggressive JJ cord-022594-fx044gcd 894 12 disease disease NN cord-022594-fx044gcd 894 13 in in IN cord-022594-fx044gcd 894 14 whom whom WP cord-022594-fx044gcd 894 15 more more RBR cord-022594-fx044gcd 894 16 conventional conventional JJ cord-022594-fx044gcd 894 17 treatments treatment NNS cord-022594-fx044gcd 894 18 have have VBP cord-022594-fx044gcd 894 19 failed fail VBN cord-022594-fx044gcd 894 20 . . . cord-022594-fx044gcd 895 1 Azathioprine Azathioprine NNP cord-022594-fx044gcd 895 2 , , , cord-022594-fx044gcd 895 3 a a DT cord-022594-fx044gcd 895 4 purine purine NN cord-022594-fx044gcd 895 5 analog analog NN cord-022594-fx044gcd 895 6 antimetabolite antimetabolite NNP cord-022594-fx044gcd 895 7 , , , cord-022594-fx044gcd 895 8 has have VBZ cord-022594-fx044gcd 895 9 marginal marginal JJ cord-022594-fx044gcd 895 10 efficacy efficacy NN cord-022594-fx044gcd 895 11 in in IN cord-022594-fx044gcd 895 12 the the DT cord-022594-fx044gcd 895 13 treatment treatment NN cord-022594-fx044gcd 895 14 of of IN cord-022594-fx044gcd 895 15 MS MS NNP cord-022594-fx044gcd 895 16 . . . cord-022594-fx044gcd 896 1 A a DT cord-022594-fx044gcd 896 2 meta meta JJ cord-022594-fx044gcd 896 3 - - HYPH cord-022594-fx044gcd 896 4 analysis analysis NN cord-022594-fx044gcd 896 5 of of IN cord-022594-fx044gcd 896 6 all all DT cord-022594-fx044gcd 896 7 blinded blind VBN cord-022594-fx044gcd 896 8 , , , cord-022594-fx044gcd 896 9 placebo placebo NN cord-022594-fx044gcd 896 10 - - HYPH cord-022594-fx044gcd 896 11 controlled control VBN cord-022594-fx044gcd 896 12 studies study NNS cord-022594-fx044gcd 896 13 confirmed confirm VBD cord-022594-fx044gcd 896 14 a a DT cord-022594-fx044gcd 896 15 slight slight JJ cord-022594-fx044gcd 896 16 benefit benefit NN cord-022594-fx044gcd 896 17 of of IN cord-022594-fx044gcd 896 18 slowed slowed JJ cord-022594-fx044gcd 896 19 progression progression NN cord-022594-fx044gcd 896 20 and and CC cord-022594-fx044gcd 896 21 less less RBR cord-022594-fx044gcd 896 22 frequent frequent JJ cord-022594-fx044gcd 896 23 relapses relapse NNS cord-022594-fx044gcd 896 24 . . . cord-022594-fx044gcd 897 1 101 101 CD cord-022594-fx044gcd 898 1 The the DT cord-022594-fx044gcd 898 2 toxicity toxicity NN cord-022594-fx044gcd 898 3 of of IN cord-022594-fx044gcd 898 4 azathioprine azathioprine NN cord-022594-fx044gcd 898 5 and and CC cord-022594-fx044gcd 898 6 its -PRON- PRP$ cord-022594-fx044gcd 898 7 slow slow JJ cord-022594-fx044gcd 898 8 onset onset NN cord-022594-fx044gcd 898 9 of of IN cord-022594-fx044gcd 898 10 action action NN cord-022594-fx044gcd 898 11 have have VBP cord-022594-fx044gcd 898 12 prevented prevent VBN cord-022594-fx044gcd 898 13 its -PRON- PRP$ cord-022594-fx044gcd 898 14 widespread widespread JJ cord-022594-fx044gcd 898 15 use use NN cord-022594-fx044gcd 898 16 . . . cord-022594-fx044gcd 899 1 Besides besides IN cord-022594-fx044gcd 899 2 the the DT cord-022594-fx044gcd 899 3 liver liver NN cord-022594-fx044gcd 899 4 toxicity toxicity NN cord-022594-fx044gcd 899 5 and and CC cord-022594-fx044gcd 899 6 hematological hematological JJ cord-022594-fx044gcd 899 7 effects effect NNS cord-022594-fx044gcd 899 8 , , , cord-022594-fx044gcd 899 9 the the DT cord-022594-fx044gcd 899 10 induction induction NN cord-022594-fx044gcd 899 11 of of IN cord-022594-fx044gcd 899 12 malignancies malignancy NNS cord-022594-fx044gcd 899 13 has have VBZ cord-022594-fx044gcd 899 14 been be VBN cord-022594-fx044gcd 899 15 a a DT cord-022594-fx044gcd 899 16 concern concern NN cord-022594-fx044gcd 899 17 . . . cord-022594-fx044gcd 900 1 One one CD cord-022594-fx044gcd 900 2 retrospective retrospective JJ cord-022594-fx044gcd 900 3 study study NN cord-022594-fx044gcd 900 4 did do VBD cord-022594-fx044gcd 900 5 not not RB cord-022594-fx044gcd 900 6 find find VB cord-022594-fx044gcd 900 7 an an DT cord-022594-fx044gcd 900 8 increased increase VBN cord-022594-fx044gcd 900 9 incidence incidence NN cord-022594-fx044gcd 900 10 of of IN cord-022594-fx044gcd 900 11 cancer cancer NN cord-022594-fx044gcd 900 12 in in IN cord-022594-fx044gcd 900 13 MS MS NNP cord-022594-fx044gcd 900 14 patients patient NNS cord-022594-fx044gcd 900 15 treated treat VBN cord-022594-fx044gcd 900 16 with with IN cord-022594-fx044gcd 900 17 azathioprine azathioprine NN cord-022594-fx044gcd 900 18 , , , cord-022594-fx044gcd 900 19 but but CC cord-022594-fx044gcd 900 20 this this DT cord-022594-fx044gcd 900 21 remains remain VBZ cord-022594-fx044gcd 900 22 a a DT cord-022594-fx044gcd 900 23 potential potential JJ cord-022594-fx044gcd 900 24 risk risk NN cord-022594-fx044gcd 900 25 . . . cord-022594-fx044gcd 901 1 Methotrexate Methotrexate NNP cord-022594-fx044gcd 901 2 is be VBZ cord-022594-fx044gcd 901 3 a a DT cord-022594-fx044gcd 901 4 folate folate JJ cord-022594-fx044gcd 901 5 antagonist antagonist NN cord-022594-fx044gcd 901 6 that that WDT cord-022594-fx044gcd 901 7 is be VBZ cord-022594-fx044gcd 901 8 effective effective JJ cord-022594-fx044gcd 901 9 in in IN cord-022594-fx044gcd 901 10 rheumatoid rheumatoid JJ cord-022594-fx044gcd 901 11 arthritis arthritis NN cord-022594-fx044gcd 901 12 . . . cord-022594-fx044gcd 902 1 Weekly weekly JJ cord-022594-fx044gcd 902 2 low low JJ cord-022594-fx044gcd 902 3 - - HYPH cord-022594-fx044gcd 902 4 dose dose NN cord-022594-fx044gcd 902 5 oral oral JJ cord-022594-fx044gcd 902 6 methotrexate methotrexate NNP cord-022594-fx044gcd 902 7 was be VBD cord-022594-fx044gcd 902 8 found find VBN cord-022594-fx044gcd 902 9 to to TO cord-022594-fx044gcd 902 10 delay delay VB cord-022594-fx044gcd 902 11 upper upper JJ cord-022594-fx044gcd 902 12 extremity extremity NN cord-022594-fx044gcd 902 13 dysfunction dysfunction NN cord-022594-fx044gcd 902 14 in in IN cord-022594-fx044gcd 902 15 SPMS SPMS NNP cord-022594-fx044gcd 902 16 patients patient NNS cord-022594-fx044gcd 902 17 , , , cord-022594-fx044gcd 902 18 although although IN cord-022594-fx044gcd 902 19 it -PRON- PRP cord-022594-fx044gcd 902 20 had have VBD cord-022594-fx044gcd 902 21 no no DT cord-022594-fx044gcd 902 22 effect effect NN cord-022594-fx044gcd 902 23 on on IN cord-022594-fx044gcd 902 24 the the DT cord-022594-fx044gcd 902 25 more more RBR cord-022594-fx044gcd 902 26 traditional traditional JJ cord-022594-fx044gcd 902 27 measures measure NNS cord-022594-fx044gcd 902 28 of of IN cord-022594-fx044gcd 902 29 disability disability NN cord-022594-fx044gcd 902 30 , , , cord-022594-fx044gcd 902 31 including include VBG cord-022594-fx044gcd 902 32 the the DT cord-022594-fx044gcd 902 33 Expanded expand VBN cord-022594-fx044gcd 902 34 Disability Disability NNP cord-022594-fx044gcd 902 35 Status status NN cord-022594-fx044gcd 902 36 Scale scale NN cord-022594-fx044gcd 902 37 ( ( -LRB- cord-022594-fx044gcd 902 38 EDSS EDSS NNP cord-022594-fx044gcd 902 39 ) ) -RRB- cord-022594-fx044gcd 902 40 . . . cord-022594-fx044gcd 903 1 102 102 CD cord-022594-fx044gcd 904 1 The the DT cord-022594-fx044gcd 904 2 use use NN cord-022594-fx044gcd 904 3 of of IN cord-022594-fx044gcd 904 4 cyclosporine cyclosporine NN cord-022594-fx044gcd 904 5 in in IN cord-022594-fx044gcd 904 6 the the DT cord-022594-fx044gcd 904 7 treatment treatment NN cord-022594-fx044gcd 904 8 of of IN cord-022594-fx044gcd 904 9 MS MS NNP cord-022594-fx044gcd 904 10 has have VBZ cord-022594-fx044gcd 904 11 been be VBN cord-022594-fx044gcd 904 12 evaluated evaluate VBN cord-022594-fx044gcd 904 13 in in IN cord-022594-fx044gcd 904 14 three three CD cord-022594-fx044gcd 904 15 clinical clinical JJ cord-022594-fx044gcd 904 16 trials trial NNS cord-022594-fx044gcd 904 17 , , , cord-022594-fx044gcd 904 18 none none NN cord-022594-fx044gcd 904 19 of of IN cord-022594-fx044gcd 904 20 which which WDT cord-022594-fx044gcd 904 21 have have VBP cord-022594-fx044gcd 904 22 demonstrated demonstrate VBN cord-022594-fx044gcd 904 23 a a DT cord-022594-fx044gcd 904 24 convincing convincing JJ cord-022594-fx044gcd 904 25 benefit benefit NN cord-022594-fx044gcd 904 26 . . . cord-022594-fx044gcd 905 1 In in IN cord-022594-fx044gcd 905 2 addition addition NN cord-022594-fx044gcd 905 3 , , , cord-022594-fx044gcd 905 4 side side NN cord-022594-fx044gcd 905 5 effects effect NNS cord-022594-fx044gcd 905 6 such such JJ cord-022594-fx044gcd 905 7 as as IN cord-022594-fx044gcd 905 8 hypertension hypertension NN cord-022594-fx044gcd 905 9 and and CC cord-022594-fx044gcd 905 10 elevation elevation NN cord-022594-fx044gcd 905 11 of of IN cord-022594-fx044gcd 905 12 creatinine creatinine NN cord-022594-fx044gcd 905 13 were be VBD cord-022594-fx044gcd 905 14 common common JJ cord-022594-fx044gcd 905 15 . . . cord-022594-fx044gcd 906 1 Numerous numerous JJ cord-022594-fx044gcd 906 2 additional additional JJ cord-022594-fx044gcd 906 3 therapies therapy NNS cord-022594-fx044gcd 906 4 have have VBP cord-022594-fx044gcd 906 5 been be VBN cord-022594-fx044gcd 906 6 tested test VBN cord-022594-fx044gcd 906 7 , , , cord-022594-fx044gcd 906 8 and and CC cord-022594-fx044gcd 906 9 many many JJ cord-022594-fx044gcd 906 10 others other NNS cord-022594-fx044gcd 906 11 are be VBP cord-022594-fx044gcd 906 12 undergoing undergo VBG cord-022594-fx044gcd 906 13 evaluation evaluation NN cord-022594-fx044gcd 906 14 . . . cord-022594-fx044gcd 907 1 The the DT cord-022594-fx044gcd 907 2 antiherpesvirus antiherpesvirus NNP cord-022594-fx044gcd 907 3 drug drug NN cord-022594-fx044gcd 907 4 acyclovir acyclovir NNP cord-022594-fx044gcd 907 5 has have VBZ cord-022594-fx044gcd 907 6 been be VBN cord-022594-fx044gcd 907 7 shown show VBN cord-022594-fx044gcd 907 8 to to TO cord-022594-fx044gcd 907 9 reduce reduce VB cord-022594-fx044gcd 907 10 relapse relapse NN cord-022594-fx044gcd 907 11 frequency frequency NN cord-022594-fx044gcd 907 12 in in IN cord-022594-fx044gcd 907 13 a a DT cord-022594-fx044gcd 907 14 small small JJ cord-022594-fx044gcd 907 15 prospective prospective JJ cord-022594-fx044gcd 907 16 trial trial NN cord-022594-fx044gcd 907 17 . . . cord-022594-fx044gcd 908 1 Total total JJ cord-022594-fx044gcd 908 2 lymphoid lymphoid JJ cord-022594-fx044gcd 908 3 irradiation irradiation NN cord-022594-fx044gcd 908 4 was be VBD cord-022594-fx044gcd 908 5 found find VBN cord-022594-fx044gcd 908 6 to to TO cord-022594-fx044gcd 908 7 slow slow VB cord-022594-fx044gcd 908 8 the the DT cord-022594-fx044gcd 908 9 chronic chronic JJ cord-022594-fx044gcd 908 10 progression progression NN cord-022594-fx044gcd 908 11 of of IN cord-022594-fx044gcd 908 12 MS MS NNP cord-022594-fx044gcd 908 13 , , , cord-022594-fx044gcd 908 14 but but CC cord-022594-fx044gcd 908 15 because because IN cord-022594-fx044gcd 908 16 this this DT cord-022594-fx044gcd 908 17 approach approach NN cord-022594-fx044gcd 908 18 precludes preclude VBZ cord-022594-fx044gcd 908 19 the the DT cord-022594-fx044gcd 908 20 later later JJ cord-022594-fx044gcd 908 21 initiation initiation NN cord-022594-fx044gcd 908 22 of of IN cord-022594-fx044gcd 908 23 immunosuppressant immunosuppressant JJ cord-022594-fx044gcd 908 24 drugs drug NNS cord-022594-fx044gcd 908 25 and and CC cord-022594-fx044gcd 908 26 may may MD cord-022594-fx044gcd 908 27 be be VB cord-022594-fx044gcd 908 28 associated associate VBN cord-022594-fx044gcd 908 29 with with IN cord-022594-fx044gcd 908 30 a a DT cord-022594-fx044gcd 908 31 higher high JJR cord-022594-fx044gcd 908 32 mortality mortality NN cord-022594-fx044gcd 908 33 rate rate NN cord-022594-fx044gcd 908 34 , , , cord-022594-fx044gcd 908 35 it -PRON- PRP cord-022594-fx044gcd 908 36 is be VBZ cord-022594-fx044gcd 908 37 not not RB cord-022594-fx044gcd 908 38 widely widely RB cord-022594-fx044gcd 908 39 used use VBN cord-022594-fx044gcd 908 40 . . . cord-022594-fx044gcd 909 1 Cladribine Cladribine NNP cord-022594-fx044gcd 909 2 is be VBZ cord-022594-fx044gcd 909 3 a a DT cord-022594-fx044gcd 909 4 nucleoside nucleoside NN cord-022594-fx044gcd 909 5 derivative derivative JJ cord-022594-fx044gcd 909 6 that that WDT cord-022594-fx044gcd 909 7 was be VBD cord-022594-fx044gcd 909 8 found find VBN cord-022594-fx044gcd 909 9 to to TO cord-022594-fx044gcd 909 10 decrease decrease VB cord-022594-fx044gcd 909 11 relapse relapse NN cord-022594-fx044gcd 909 12 rate rate NN cord-022594-fx044gcd 909 13 and and CC cord-022594-fx044gcd 909 14 slow slow VB cord-022594-fx044gcd 909 15 the the DT cord-022594-fx044gcd 909 16 progression progression NN cord-022594-fx044gcd 909 17 in in IN cord-022594-fx044gcd 909 18 patients patient NNS cord-022594-fx044gcd 909 19 with with IN cord-022594-fx044gcd 909 20 SPMS SPMS NNP cord-022594-fx044gcd 909 21 in in IN cord-022594-fx044gcd 909 22 an an DT cord-022594-fx044gcd 909 23 initial initial JJ cord-022594-fx044gcd 909 24 investigation investigation NN cord-022594-fx044gcd 909 25 . . . cord-022594-fx044gcd 910 1 103 103 CD cord-022594-fx044gcd 911 1 The the DT cord-022594-fx044gcd 911 2 drug drug NN cord-022594-fx044gcd 911 3 is be VBZ cord-022594-fx044gcd 911 4 better well RBR cord-022594-fx044gcd 911 5 tolerated tolerate VBN cord-022594-fx044gcd 911 6 than than IN cord-022594-fx044gcd 911 7 other other JJ cord-022594-fx044gcd 911 8 parenteral parenteral JJ cord-022594-fx044gcd 911 9 immunosuppressants immunosuppressant NNS cord-022594-fx044gcd 911 10 , , , cord-022594-fx044gcd 911 11 although although IN cord-022594-fx044gcd 911 12 bone bone NN cord-022594-fx044gcd 911 13 marrow marrow NN cord-022594-fx044gcd 911 14 suppression suppression NN cord-022594-fx044gcd 911 15 is be VBZ cord-022594-fx044gcd 911 16 a a DT cord-022594-fx044gcd 911 17 risk risk NN cord-022594-fx044gcd 911 18 . . . cord-022594-fx044gcd 912 1 In in IN cord-022594-fx044gcd 912 2 a a DT cord-022594-fx044gcd 912 3 more more RBR cord-022594-fx044gcd 912 4 extensive extensive JJ cord-022594-fx044gcd 912 5 clinical clinical JJ cord-022594-fx044gcd 912 6 trial trial NN cord-022594-fx044gcd 912 7 , , , cord-022594-fx044gcd 912 8 104 104 CD cord-022594-fx044gcd 912 9 cladribine cladribine NN cord-022594-fx044gcd 912 10 therapy therapy NN cord-022594-fx044gcd 912 11 did do VBD cord-022594-fx044gcd 912 12 not not RB cord-022594-fx044gcd 912 13 change change VB cord-022594-fx044gcd 912 14 disability disability NN cord-022594-fx044gcd 912 15 scores score NNS cord-022594-fx044gcd 912 16 , , , cord-022594-fx044gcd 912 17 but but CC cord-022594-fx044gcd 912 18 significant significant JJ cord-022594-fx044gcd 912 19 reduction reduction NN cord-022594-fx044gcd 912 20 in in IN cord-022594-fx044gcd 912 21 enhancing enhance VBG cord-022594-fx044gcd 912 22 lesions lesion NNS cord-022594-fx044gcd 912 23 and and CC cord-022594-fx044gcd 912 24 overall overall JJ cord-022594-fx044gcd 912 25 T2 T2 NNP cord-022594-fx044gcd 912 26 lesion lesion NN cord-022594-fx044gcd 912 27 burden burden NN cord-022594-fx044gcd 912 28 was be VBD cord-022594-fx044gcd 912 29 observed observe VBN cord-022594-fx044gcd 912 30 with with IN cord-022594-fx044gcd 912 31 higher high JJR cord-022594-fx044gcd 912 32 dose dose NN cord-022594-fx044gcd 912 33 treatment treatment NN cord-022594-fx044gcd 912 34 . . . cord-022594-fx044gcd 913 1 A a DT cord-022594-fx044gcd 913 2 study study NN cord-022594-fx044gcd 913 3 of of IN cord-022594-fx044gcd 913 4 a a DT cord-022594-fx044gcd 913 5 small small JJ cord-022594-fx044gcd 913 6 number number NN cord-022594-fx044gcd 913 7 of of IN cord-022594-fx044gcd 913 8 patients patient NNS cord-022594-fx044gcd 913 9 treated treat VBN cord-022594-fx044gcd 913 10 with with IN cord-022594-fx044gcd 913 11 autologous autologous JJ cord-022594-fx044gcd 913 12 stem stem NN cord-022594-fx044gcd 913 13 cell cell NN cord-022594-fx044gcd 913 14 transplantation transplantation NN cord-022594-fx044gcd 913 15 105 105 CD cord-022594-fx044gcd 913 16 suggested suggest VBD cord-022594-fx044gcd 913 17 possible possible JJ cord-022594-fx044gcd 913 18 clinical clinical JJ cord-022594-fx044gcd 913 19 stabilization stabilization NN cord-022594-fx044gcd 913 20 or or CC cord-022594-fx044gcd 913 21 minor minor JJ cord-022594-fx044gcd 913 22 improvement improvement NN cord-022594-fx044gcd 913 23 over over IN cord-022594-fx044gcd 913 24 a a DT cord-022594-fx044gcd 913 25 15-month 15-month JJ cord-022594-fx044gcd 913 26 period period NN cord-022594-fx044gcd 913 27 of of IN cord-022594-fx044gcd 913 28 follow follow NN cord-022594-fx044gcd 913 29 - - HYPH cord-022594-fx044gcd 913 30 up up NN cord-022594-fx044gcd 913 31 in in IN cord-022594-fx044gcd 913 32 both both CC cord-022594-fx044gcd 913 33 secondary secondary JJ cord-022594-fx044gcd 913 34 and and CC cord-022594-fx044gcd 913 35 primary primary JJ cord-022594-fx044gcd 913 36 progressive progressive JJ cord-022594-fx044gcd 913 37 MS MS NNP cord-022594-fx044gcd 913 38 . . . cord-022594-fx044gcd 914 1 The the DT cord-022594-fx044gcd 914 2 induction induction NN cord-022594-fx044gcd 914 3 chemotherapy chemotherapy NN cord-022594-fx044gcd 914 4 ( ( -LRB- cord-022594-fx044gcd 914 5 BEAM BEAM NNP cord-022594-fx044gcd 914 6 regimen regimen NN cord-022594-fx044gcd 914 7 ) ) -RRB- cord-022594-fx044gcd 914 8 resulted result VBD cord-022594-fx044gcd 914 9 in in IN cord-022594-fx044gcd 914 10 one one CD cord-022594-fx044gcd 914 11 fatality fatality NN cord-022594-fx044gcd 914 12 in in IN cord-022594-fx044gcd 914 13 this this DT cord-022594-fx044gcd 914 14 trial trial NN cord-022594-fx044gcd 914 15 ; ; : cord-022594-fx044gcd 914 16 similar similar JJ cord-022594-fx044gcd 914 17 incidences incidence NNS cord-022594-fx044gcd 914 18 are be VBP cord-022594-fx044gcd 914 19 known know VBN cord-022594-fx044gcd 914 20 in in IN cord-022594-fx044gcd 914 21 patients patient NNS cord-022594-fx044gcd 914 22 undergoing undergo VBG cord-022594-fx044gcd 914 23 this this DT cord-022594-fx044gcd 914 24 procedure procedure NN cord-022594-fx044gcd 914 25 . . . cord-022594-fx044gcd 915 1 The the DT cord-022594-fx044gcd 915 2 small small JJ cord-022594-fx044gcd 915 3 number number NN cord-022594-fx044gcd 915 4 of of IN cord-022594-fx044gcd 915 5 patients patient NNS cord-022594-fx044gcd 915 6 and and CC cord-022594-fx044gcd 915 7 the the DT cord-022594-fx044gcd 915 8 different different JJ cord-022594-fx044gcd 915 9 methods method NNS cord-022594-fx044gcd 915 10 used use VBN cord-022594-fx044gcd 915 11 ( ( -LRB- cord-022594-fx044gcd 915 12 some some DT cord-022594-fx044gcd 915 13 patients patient NNS cord-022594-fx044gcd 915 14 received receive VBD cord-022594-fx044gcd 915 15 CD34 CD34 NNP cord-022594-fx044gcd 915 16 þ þ NNP cord-022594-fx044gcd 915 17 selected select VBD cord-022594-fx044gcd 915 18 graft graft NN cord-022594-fx044gcd 915 19 ) ) -RRB- cord-022594-fx044gcd 915 20 makes make VBZ cord-022594-fx044gcd 915 21 the the DT cord-022594-fx044gcd 915 22 interpretation interpretation NN cord-022594-fx044gcd 915 23 of of IN cord-022594-fx044gcd 915 24 this this DT cord-022594-fx044gcd 915 25 data datum NNS cord-022594-fx044gcd 915 26 very very RB cord-022594-fx044gcd 915 27 difficult difficult JJ cord-022594-fx044gcd 915 28 . . . cord-022594-fx044gcd 916 1 Trials trial NNS cord-022594-fx044gcd 916 2 with with IN cord-022594-fx044gcd 916 3 higher high JJR cord-022594-fx044gcd 916 4 number number NN cord-022594-fx044gcd 916 5 of of IN cord-022594-fx044gcd 916 6 patients patient NNS cord-022594-fx044gcd 916 7 under under IN cord-022594-fx044gcd 916 8 standardized standardized JJ cord-022594-fx044gcd 916 9 circumstances circumstance NNS cord-022594-fx044gcd 916 10 are be VBP cord-022594-fx044gcd 916 11 needed need VBN cord-022594-fx044gcd 916 12 to to TO cord-022594-fx044gcd 916 13 verify verify VB cord-022594-fx044gcd 916 14 the the DT cord-022594-fx044gcd 916 15 validity validity NN cord-022594-fx044gcd 916 16 of of IN cord-022594-fx044gcd 916 17 these these DT cord-022594-fx044gcd 916 18 observations observation NNS cord-022594-fx044gcd 916 19 . . . cord-022594-fx044gcd 917 1 Symptomatic symptomatic JJ cord-022594-fx044gcd 917 2 Treatment treatment NN cord-022594-fx044gcd 917 3 of of IN cord-022594-fx044gcd 917 4 Existing exist VBG cord-022594-fx044gcd 917 5 Disabilities Disabilities NNPS cord-022594-fx044gcd 917 6 Spasticity Spasticity NNP cord-022594-fx044gcd 917 7 . . . cord-022594-fx044gcd 918 1 Spasticity Spasticity NNP cord-022594-fx044gcd 918 2 is be VBZ cord-022594-fx044gcd 918 3 common common JJ cord-022594-fx044gcd 918 4 even even RB cord-022594-fx044gcd 918 5 in in IN cord-022594-fx044gcd 918 6 patients patient NNS cord-022594-fx044gcd 918 7 with with IN cord-022594-fx044gcd 918 8 only only JJ cord-022594-fx044gcd 918 9 minimal minimal JJ cord-022594-fx044gcd 918 10 weakness weakness NN cord-022594-fx044gcd 918 11 ( ( -LRB- cord-022594-fx044gcd 918 12 Video Video NNP cord-022594-fx044gcd 918 13 3 3 CD cord-022594-fx044gcd 918 14 , , , cord-022594-fx044gcd 918 15 Spastic Spastic NNP cord-022594-fx044gcd 918 16 Gait Gait NNP cord-022594-fx044gcd 918 17 ) ) -RRB- cord-022594-fx044gcd 918 18 . . . cord-022594-fx044gcd 919 1 It -PRON- PRP cord-022594-fx044gcd 919 2 is be VBZ cord-022594-fx044gcd 919 3 usually usually RB cord-022594-fx044gcd 919 4 prudent prudent JJ cord-022594-fx044gcd 919 5 to to TO cord-022594-fx044gcd 919 6 begin begin VB cord-022594-fx044gcd 919 7 treatment treatment NN cord-022594-fx044gcd 919 8 of of IN cord-022594-fx044gcd 919 9 mild mild JJ cord-022594-fx044gcd 919 10 spasticity spasticity NN cord-022594-fx044gcd 919 11 with with IN cord-022594-fx044gcd 919 12 a a DT cord-022594-fx044gcd 919 13 stretching stretch VBG cord-022594-fx044gcd 919 14 program program NN cord-022594-fx044gcd 919 15 . . . cord-022594-fx044gcd 920 1 A a DT cord-022594-fx044gcd 920 2 randomized randomized JJ cord-022594-fx044gcd 920 3 controlled control VBN cord-022594-fx044gcd 920 4 crossover crossover NN cord-022594-fx044gcd 920 5 trial trial NN cord-022594-fx044gcd 920 6 106 106 CD cord-022594-fx044gcd 920 7 of of IN cord-022594-fx044gcd 920 8 physical physical JJ cord-022594-fx044gcd 920 9 therapy therapy NN cord-022594-fx044gcd 920 10 ( ( -LRB- cord-022594-fx044gcd 920 11 8-week 8-week JJ cord-022594-fx044gcd 920 12 blocks block NNS cord-022594-fx044gcd 920 13 of of IN cord-022594-fx044gcd 920 14 therapy therapy NN cord-022594-fx044gcd 920 15 twice twice PDT cord-022594-fx044gcd 920 16 a a DT cord-022594-fx044gcd 920 17 week week NN cord-022594-fx044gcd 920 18 , , , cord-022594-fx044gcd 920 19 for for IN cord-022594-fx044gcd 920 20 45 45 CD cord-022594-fx044gcd 920 21 minutes minute NNS cord-022594-fx044gcd 920 22 per per IN cord-022594-fx044gcd 920 23 session session NN cord-022594-fx044gcd 920 24 ) ) -RRB- cord-022594-fx044gcd 920 25 showed show VBD cord-022594-fx044gcd 920 26 significant significant JJ cord-022594-fx044gcd 920 27 benefit benefit NN cord-022594-fx044gcd 920 28 on on IN cord-022594-fx044gcd 920 29 several several JJ cord-022594-fx044gcd 920 30 outcome outcome NN cord-022594-fx044gcd 920 31 measures measure NNS cord-022594-fx044gcd 920 32 related relate VBN cord-022594-fx044gcd 920 33 to to IN cord-022594-fx044gcd 920 34 improved improve VBN cord-022594-fx044gcd 920 35 mobility mobility NN cord-022594-fx044gcd 920 36 . . . cord-022594-fx044gcd 921 1 No no DT cord-022594-fx044gcd 921 2 apparent apparent JJ cord-022594-fx044gcd 921 3 differences difference NNS cord-022594-fx044gcd 921 4 were be VBD cord-022594-fx044gcd 921 5 observed observe VBN cord-022594-fx044gcd 921 6 between between IN cord-022594-fx044gcd 921 7 home home NN cord-022594-fx044gcd 921 8 - - HYPH cord-022594-fx044gcd 921 9 based base VBN cord-022594-fx044gcd 921 10 or or CC cord-022594-fx044gcd 921 11 hospital hospital NN cord-022594-fx044gcd 921 12 - - HYPH cord-022594-fx044gcd 921 13 based base VBN cord-022594-fx044gcd 921 14 therapy therapy NN cord-022594-fx044gcd 921 15 . . . cord-022594-fx044gcd 922 1 The the DT cord-022594-fx044gcd 922 2 addition addition NN cord-022594-fx044gcd 922 3 of of IN cord-022594-fx044gcd 922 4 an an DT cord-022594-fx044gcd 922 5 evening evening NN cord-022594-fx044gcd 922 6 dose dose NN cord-022594-fx044gcd 922 7 of of IN cord-022594-fx044gcd 922 8 benzodiazepine benzodiazepine NN cord-022594-fx044gcd 922 9 may may MD cord-022594-fx044gcd 922 10 help help VB cord-022594-fx044gcd 922 11 relieve relieve VB cord-022594-fx044gcd 922 12 extensor extensor JJ cord-022594-fx044gcd 922 13 spasms spasm NNS cord-022594-fx044gcd 922 14 and and CC cord-022594-fx044gcd 922 15 clonus clonus NN cord-022594-fx044gcd 922 16 that that WDT cord-022594-fx044gcd 922 17 may may MD cord-022594-fx044gcd 922 18 interfere interfere VB cord-022594-fx044gcd 922 19 with with IN cord-022594-fx044gcd 922 20 sleep sleep NN cord-022594-fx044gcd 922 21 . . . cord-022594-fx044gcd 923 1 As as IN cord-022594-fx044gcd 923 2 spasticity spasticity NN cord-022594-fx044gcd 923 3 worsens worsen VBZ cord-022594-fx044gcd 923 4 , , , cord-022594-fx044gcd 923 5 it -PRON- PRP cord-022594-fx044gcd 923 6 becomes become VBZ cord-022594-fx044gcd 923 7 necessary necessary JJ cord-022594-fx044gcd 923 8 to to TO cord-022594-fx044gcd 923 9 use use VB cord-022594-fx044gcd 923 10 baclofen baclofen NN cord-022594-fx044gcd 923 11 . . . cord-022594-fx044gcd 924 1 Doses dose NNS cord-022594-fx044gcd 924 2 should should MD cord-022594-fx044gcd 924 3 be be VB cord-022594-fx044gcd 924 4 escalated escalate VBN cord-022594-fx044gcd 924 5 slowly slowly RB cord-022594-fx044gcd 924 6 to to TO cord-022594-fx044gcd 924 7 prevent prevent VB cord-022594-fx044gcd 924 8 the the DT cord-022594-fx044gcd 924 9 occurrence occurrence NN cord-022594-fx044gcd 924 10 of of IN cord-022594-fx044gcd 924 11 overt overt JJ cord-022594-fx044gcd 924 12 side side NN cord-022594-fx044gcd 924 13 effects effect NNS cord-022594-fx044gcd 924 14 , , , cord-022594-fx044gcd 924 15 and and CC cord-022594-fx044gcd 924 16 up up IN cord-022594-fx044gcd 924 17 to to TO cord-022594-fx044gcd 924 18 120 120 CD cord-022594-fx044gcd 924 19 mg mg NNP cord-022594-fx044gcd 924 20 / / SYM cord-022594-fx044gcd 924 21 day day NN cord-022594-fx044gcd 924 22 may may MD cord-022594-fx044gcd 924 23 be be VB cord-022594-fx044gcd 924 24 required require VBN cord-022594-fx044gcd 924 25 . . . cord-022594-fx044gcd 925 1 Although although IN cord-022594-fx044gcd 925 2 baclofen baclofen NN cord-022594-fx044gcd 925 3 is be VBZ cord-022594-fx044gcd 925 4 well well RB cord-022594-fx044gcd 925 5 tolerated tolerate VBN cord-022594-fx044gcd 925 6 in in IN cord-022594-fx044gcd 925 7 most most JJS cord-022594-fx044gcd 925 8 patients patient NNS cord-022594-fx044gcd 925 9 , , , cord-022594-fx044gcd 925 10 limiting limit VBG cord-022594-fx044gcd 925 11 side side NN cord-022594-fx044gcd 925 12 effects effect NNS cord-022594-fx044gcd 925 13 such such JJ cord-022594-fx044gcd 925 14 as as IN cord-022594-fx044gcd 925 15 sedation sedation NN cord-022594-fx044gcd 925 16 and and CC cord-022594-fx044gcd 925 17 increased increase VBN cord-022594-fx044gcd 925 18 muscle muscle NN cord-022594-fx044gcd 925 19 weakness weakness NN cord-022594-fx044gcd 925 20 may may MD cord-022594-fx044gcd 925 21 occur occur VB cord-022594-fx044gcd 925 22 , , , cord-022594-fx044gcd 925 23 and and CC cord-022594-fx044gcd 925 24 rarely rarely RB cord-022594-fx044gcd 925 25 a a DT cord-022594-fx044gcd 925 26 paradoxical paradoxical JJ cord-022594-fx044gcd 925 27 increase increase NN cord-022594-fx044gcd 925 28 in in IN cord-022594-fx044gcd 925 29 spasticity spasticity NN cord-022594-fx044gcd 925 30 is be VBZ cord-022594-fx044gcd 925 31 noted note VBN cord-022594-fx044gcd 925 32 . . . cord-022594-fx044gcd 926 1 Liver liver NN cord-022594-fx044gcd 926 2 enzyme enzyme NN cord-022594-fx044gcd 926 3 elevation elevation NN cord-022594-fx044gcd 926 4 and and CC cord-022594-fx044gcd 926 5 nonconvulsive nonconvulsive JJ cord-022594-fx044gcd 926 6 status status NN cord-022594-fx044gcd 926 7 epilepticus epilepticus NN cord-022594-fx044gcd 926 8 presenting present VBG cord-022594-fx044gcd 926 9 as as IN cord-022594-fx044gcd 926 10 encephalopathy encephalopathy NN cord-022594-fx044gcd 926 11 have have VBP cord-022594-fx044gcd 926 12 also also RB cord-022594-fx044gcd 926 13 been be VBN cord-022594-fx044gcd 926 14 reported report VBN cord-022594-fx044gcd 926 15 in in IN cord-022594-fx044gcd 926 16 association association NN cord-022594-fx044gcd 926 17 with with IN cord-022594-fx044gcd 926 18 baclofen baclofen NNP cord-022594-fx044gcd 926 19 . . . cord-022594-fx044gcd 927 1 Abrupt abrupt JJ cord-022594-fx044gcd 927 2 withdrawal withdrawal NN cord-022594-fx044gcd 927 3 of of IN cord-022594-fx044gcd 927 4 baclofen baclofen NN cord-022594-fx044gcd 927 5 may may MD cord-022594-fx044gcd 927 6 result result VB cord-022594-fx044gcd 927 7 in in IN cord-022594-fx044gcd 927 8 hallucinations hallucination NNS cord-022594-fx044gcd 927 9 or or CC cord-022594-fx044gcd 927 10 seizures seizure NNS cord-022594-fx044gcd 927 11 , , , cord-022594-fx044gcd 927 12 making make VBG cord-022594-fx044gcd 927 13 it -PRON- PRP cord-022594-fx044gcd 927 14 necessary necessary JJ cord-022594-fx044gcd 927 15 to to TO cord-022594-fx044gcd 927 16 taper taper VB cord-022594-fx044gcd 927 17 doses dose NNS cord-022594-fx044gcd 927 18 . . . cord-022594-fx044gcd 928 1 Despite despite IN cord-022594-fx044gcd 928 2 symptomatic symptomatic JJ cord-022594-fx044gcd 928 3 improvement improvement NN cord-022594-fx044gcd 928 4 , , , cord-022594-fx044gcd 928 5 antispasticity antispasticity NN cord-022594-fx044gcd 928 6 measures measure NNS cord-022594-fx044gcd 928 7 may may MD cord-022594-fx044gcd 928 8 not not RB cord-022594-fx044gcd 928 9 increase increase VB cord-022594-fx044gcd 928 10 function function NN cord-022594-fx044gcd 928 11 or or CC cord-022594-fx044gcd 928 12 independence independence NN cord-022594-fx044gcd 928 13 . . . cord-022594-fx044gcd 929 1 In in IN cord-022594-fx044gcd 929 2 paraplegic paraplegic JJ cord-022594-fx044gcd 929 3 patients patient NNS cord-022594-fx044gcd 929 4 with with IN cord-022594-fx044gcd 929 5 severe severe JJ cord-022594-fx044gcd 929 6 spasticity spasticity NN cord-022594-fx044gcd 929 7 and and CC cord-022594-fx044gcd 929 8 intolerance intolerance NN cord-022594-fx044gcd 929 9 to to IN cord-022594-fx044gcd 929 10 the the DT cord-022594-fx044gcd 929 11 required require VBN cord-022594-fx044gcd 929 12 oral oral JJ cord-022594-fx044gcd 929 13 dose dose NN cord-022594-fx044gcd 929 14 , , , cord-022594-fx044gcd 929 15 intrathecal intrathecal JJ cord-022594-fx044gcd 929 16 baclofen baclofen NN cord-022594-fx044gcd 929 17 delivered deliver VBN cord-022594-fx044gcd 929 18 by by IN cord-022594-fx044gcd 929 19 a a DT cord-022594-fx044gcd 929 20 subcutaneously subcutaneously RB cord-022594-fx044gcd 929 21 implanted implant VBN cord-022594-fx044gcd 929 22 pump pump NN cord-022594-fx044gcd 929 23 allows allow VBZ cord-022594-fx044gcd 929 24 a a DT cord-022594-fx044gcd 929 25 much much RB cord-022594-fx044gcd 929 26 smaller small JJR cord-022594-fx044gcd 929 27 dose dose NN cord-022594-fx044gcd 929 28 and and CC cord-022594-fx044gcd 929 29 is be VBZ cord-022594-fx044gcd 929 30 often often RB cord-022594-fx044gcd 929 31 effective effective JJ cord-022594-fx044gcd 929 32 in in IN cord-022594-fx044gcd 929 33 alleviating alleviate VBG cord-022594-fx044gcd 929 34 intractable intractable JJ cord-022594-fx044gcd 929 35 spasticity spasticity NN cord-022594-fx044gcd 929 36 and and CC cord-022594-fx044gcd 929 37 may may MD cord-022594-fx044gcd 929 38 lessen lessen VB cord-022594-fx044gcd 929 39 urinary urinary JJ cord-022594-fx044gcd 929 40 urgency urgency NN cord-022594-fx044gcd 929 41 . . . cord-022594-fx044gcd 930 1 Tizanidine Tizanidine NNP cord-022594-fx044gcd 930 2 seems seem VBZ cord-022594-fx044gcd 930 3 to to TO cord-022594-fx044gcd 930 4 be be VB cord-022594-fx044gcd 930 5 as as RB cord-022594-fx044gcd 930 6 effective effective JJ cord-022594-fx044gcd 930 7 as as IN cord-022594-fx044gcd 930 8 baclofen baclofen NN cord-022594-fx044gcd 930 9 , , , cord-022594-fx044gcd 930 10 although although IN cord-022594-fx044gcd 930 11 it -PRON- PRP cord-022594-fx044gcd 930 12 may may MD cord-022594-fx044gcd 930 13 be be VB cord-022594-fx044gcd 930 14 associated associate VBN cord-022594-fx044gcd 930 15 with with IN cord-022594-fx044gcd 930 16 more more JJR cord-022594-fx044gcd 930 17 fatigue fatigue NN cord-022594-fx044gcd 930 18 . . . cord-022594-fx044gcd 931 1 Dantrolene Dantrolene NNP cord-022594-fx044gcd 931 2 has have VBZ cord-022594-fx044gcd 931 3 been be VBN cord-022594-fx044gcd 931 4 used use VBN cord-022594-fx044gcd 931 5 for for IN cord-022594-fx044gcd 931 6 spasticity spasticity NN cord-022594-fx044gcd 931 7 , , , cord-022594-fx044gcd 931 8 although although IN cord-022594-fx044gcd 931 9 the the DT cord-022594-fx044gcd 931 10 therapeutic therapeutic JJ cord-022594-fx044gcd 931 11 window window NN cord-022594-fx044gcd 931 12 is be VBZ cord-022594-fx044gcd 931 13 small small JJ cord-022594-fx044gcd 931 14 . . . cord-022594-fx044gcd 932 1 Fatigue fatigue NN cord-022594-fx044gcd 932 2 . . . cord-022594-fx044gcd 933 1 For for IN cord-022594-fx044gcd 933 2 treating treat VBG cord-022594-fx044gcd 933 3 fatigue fatigue NN cord-022594-fx044gcd 933 4 , , , cord-022594-fx044gcd 933 5 medications medication NNS cord-022594-fx044gcd 933 6 are be VBP cord-022594-fx044gcd 933 7 only only RB cord-022594-fx044gcd 933 8 partially partially RB cord-022594-fx044gcd 933 9 effective effective JJ cord-022594-fx044gcd 933 10 . . . cord-022594-fx044gcd 934 1 Amantadine Amantadine NNP cord-022594-fx044gcd 934 2 at at IN cord-022594-fx044gcd 934 3 100 100 CD cord-022594-fx044gcd 934 4 mg mg NNS cord-022594-fx044gcd 934 5 twice twice PDT cord-022594-fx044gcd 934 6 a a DT cord-022594-fx044gcd 934 7 day day NN cord-022594-fx044gcd 934 8 is be VBZ cord-022594-fx044gcd 934 9 the the DT cord-022594-fx044gcd 934 10 standard standard JJ cord-022594-fx044gcd 934 11 initial initial JJ cord-022594-fx044gcd 934 12 treatment treatment NN cord-022594-fx044gcd 934 13 , , , cord-022594-fx044gcd 934 14 although although IN cord-022594-fx044gcd 934 15 pemoline pemoline NNP cord-022594-fx044gcd 934 16 37.5 37.5 CD cord-022594-fx044gcd 934 17 mg mg NNP cord-022594-fx044gcd 934 18 daily daily RB cord-022594-fx044gcd 934 19 is be VBZ cord-022594-fx044gcd 934 20 also also RB cord-022594-fx044gcd 934 21 superior superior JJ cord-022594-fx044gcd 934 22 to to IN cord-022594-fx044gcd 934 23 placebo placebo NN cord-022594-fx044gcd 934 24 . . . cord-022594-fx044gcd 935 1 A a DT cord-022594-fx044gcd 935 2 recent recent JJ cord-022594-fx044gcd 935 3 , , , cord-022594-fx044gcd 935 4 small small JJ cord-022594-fx044gcd 935 5 pilot pilot NN cord-022594-fx044gcd 935 6 study study NN cord-022594-fx044gcd 935 7 by by IN cord-022594-fx044gcd 935 8 the the DT cord-022594-fx044gcd 935 9 Mayo Mayo NNP cord-022594-fx044gcd 935 10 group group NN cord-022594-fx044gcd 935 11 suggested suggest VBD cord-022594-fx044gcd 935 12 that that IN cord-022594-fx044gcd 935 13 high high JJ cord-022594-fx044gcd 935 14 - - HYPH cord-022594-fx044gcd 935 15 dose dose NN cord-022594-fx044gcd 935 16 aspirin aspirin NN cord-022594-fx044gcd 935 17 ( ( -LRB- cord-022594-fx044gcd 935 18 1300 1300 CD cord-022594-fx044gcd 935 19 mg mg NNP cord-022594-fx044gcd 935 20 / / SYM cord-022594-fx044gcd 935 21 day day NN cord-022594-fx044gcd 935 22 ) ) -RRB- cord-022594-fx044gcd 935 23 may may MD cord-022594-fx044gcd 935 24 sometimes sometimes RB cord-022594-fx044gcd 935 25 be be VB cord-022594-fx044gcd 935 26 effective effective JJ cord-022594-fx044gcd 935 27 in in IN cord-022594-fx044gcd 935 28 the the DT cord-022594-fx044gcd 935 29 treatment treatment NN cord-022594-fx044gcd 935 30 of of IN cord-022594-fx044gcd 935 31 MS MS NNP cord-022594-fx044gcd 935 32 - - HYPH cord-022594-fx044gcd 935 33 related relate VBN cord-022594-fx044gcd 935 34 fatigue fatigue NN cord-022594-fx044gcd 935 35 . . . cord-022594-fx044gcd 936 1 107 107 CD cord-022594-fx044gcd 937 1 This this DT cord-022594-fx044gcd 937 2 finding finding NN cord-022594-fx044gcd 937 3 needs need VBZ cord-022594-fx044gcd 937 4 to to TO cord-022594-fx044gcd 937 5 be be VB cord-022594-fx044gcd 937 6 confirmed confirm VBN cord-022594-fx044gcd 937 7 by by IN cord-022594-fx044gcd 937 8 a a DT cord-022594-fx044gcd 937 9 second second JJ cord-022594-fx044gcd 937 10 , , , cord-022594-fx044gcd 937 11 larger large JJR cord-022594-fx044gcd 937 12 trial trial NN cord-022594-fx044gcd 937 13 , , , cord-022594-fx044gcd 937 14 however however RB cord-022594-fx044gcd 937 15 . . . cord-022594-fx044gcd 938 1 The the DT cord-022594-fx044gcd 938 2 stimulating stimulating JJ cord-022594-fx044gcd 938 3 effects effect NNS cord-022594-fx044gcd 938 4 of of IN cord-022594-fx044gcd 938 5 the the DT cord-022594-fx044gcd 938 6 selective selective JJ cord-022594-fx044gcd 938 7 serotonin serotonin NN cord-022594-fx044gcd 938 8 reuptake reuptake NN cord-022594-fx044gcd 938 9 inhibitors inhibitor NNS cord-022594-fx044gcd 938 10 may may MD cord-022594-fx044gcd 938 11 also also RB cord-022594-fx044gcd 938 12 be be VB cord-022594-fx044gcd 938 13 somewhat somewhat RB cord-022594-fx044gcd 938 14 effective effective JJ cord-022594-fx044gcd 938 15 in in IN cord-022594-fx044gcd 938 16 combating combat VBG cord-022594-fx044gcd 938 17 MS MS NNP cord-022594-fx044gcd 938 18 - - HYPH cord-022594-fx044gcd 938 19 related relate VBN cord-022594-fx044gcd 938 20 fatigue fatigue NN cord-022594-fx044gcd 938 21 . . . cord-022594-fx044gcd 939 1 Modafinil Modafinil NNP cord-022594-fx044gcd 939 2 , , , cord-022594-fx044gcd 939 3 a a DT cord-022594-fx044gcd 939 4 medication medication NN cord-022594-fx044gcd 939 5 approved approve VBN cord-022594-fx044gcd 939 6 for for IN cord-022594-fx044gcd 939 7 the the DT cord-022594-fx044gcd 939 8 treatment treatment NN cord-022594-fx044gcd 939 9 of of IN cord-022594-fx044gcd 939 10 narcolepsy narcolepsy NN cord-022594-fx044gcd 939 11 , , , cord-022594-fx044gcd 939 12 has have VBZ cord-022594-fx044gcd 939 13 also also RB cord-022594-fx044gcd 939 14 been be VBN cord-022594-fx044gcd 939 15 used use VBN cord-022594-fx044gcd 939 16 with with IN cord-022594-fx044gcd 939 17 good good JJ cord-022594-fx044gcd 939 18 success success NN cord-022594-fx044gcd 939 19 . . . cord-022594-fx044gcd 940 1 Often often RB cord-022594-fx044gcd 940 2 , , , cord-022594-fx044gcd 940 3 however however RB cord-022594-fx044gcd 940 4 , , , cord-022594-fx044gcd 940 5 patients patient NNS cord-022594-fx044gcd 940 6 need need VBP cord-022594-fx044gcd 940 7 to to TO cord-022594-fx044gcd 940 8 limit limit VB cord-022594-fx044gcd 940 9 activities activity NNS cord-022594-fx044gcd 940 10 and and CC cord-022594-fx044gcd 940 11 schedule schedule NN cord-022594-fx044gcd 940 12 rest rest NN cord-022594-fx044gcd 940 13 periods period NNS cord-022594-fx044gcd 940 14 . . . cord-022594-fx044gcd 941 1 Paroxysmal paroxysmal JJ cord-022594-fx044gcd 941 2 Symptoms symptom NNS cord-022594-fx044gcd 941 3 of of IN cord-022594-fx044gcd 941 4 MS MS NNP cord-022594-fx044gcd 941 5 . . . cord-022594-fx044gcd 942 1 Paroxysmal paroxysmal JJ cord-022594-fx044gcd 942 2 symptoms symptom NNS cord-022594-fx044gcd 942 3 are be VBP cord-022594-fx044gcd 942 4 highly highly RB cord-022594-fx044gcd 942 5 responsive responsive JJ cord-022594-fx044gcd 942 6 to to IN cord-022594-fx044gcd 942 7 medical medical JJ cord-022594-fx044gcd 942 8 treatment treatment NN cord-022594-fx044gcd 942 9 . . . cord-022594-fx044gcd 943 1 A a DT cord-022594-fx044gcd 943 2 small small JJ cord-022594-fx044gcd 943 3 dose dose NN cord-022594-fx044gcd 943 4 of of IN cord-022594-fx044gcd 943 5 carbamazepine carbamazepine NN cord-022594-fx044gcd 943 6 is be VBZ cord-022594-fx044gcd 943 7 often often RB cord-022594-fx044gcd 943 8 very very RB cord-022594-fx044gcd 943 9 effective effective JJ cord-022594-fx044gcd 943 10 . . . cord-022594-fx044gcd 944 1 If if IN cord-022594-fx044gcd 944 2 not not RB cord-022594-fx044gcd 944 3 tolerated tolerate VBN cord-022594-fx044gcd 944 4 , , , cord-022594-fx044gcd 944 5 several several JJ cord-022594-fx044gcd 944 6 alternative alternative JJ cord-022594-fx044gcd 944 7 medications medication NNS cord-022594-fx044gcd 944 8 may may MD cord-022594-fx044gcd 944 9 be be VB cord-022594-fx044gcd 944 10 tried try VBN cord-022594-fx044gcd 944 11 , , , cord-022594-fx044gcd 944 12 including include VBG cord-022594-fx044gcd 944 13 phenytoin phenytoin NN cord-022594-fx044gcd 944 14 , , , cord-022594-fx044gcd 944 15 acetazolamide acetazolamide NN cord-022594-fx044gcd 944 16 , , , cord-022594-fx044gcd 944 17 baclofen baclofen NN cord-022594-fx044gcd 944 18 , , , cord-022594-fx044gcd 944 19 and and CC cord-022594-fx044gcd 944 20 gabapentin gabapentin NNP cord-022594-fx044gcd 944 21 . . . cord-022594-fx044gcd 945 1 In in IN cord-022594-fx044gcd 945 2 addition addition NN cord-022594-fx044gcd 945 3 , , , cord-022594-fx044gcd 945 4 misoprostol misoprostol NNP cord-022594-fx044gcd 945 5 has have VBZ cord-022594-fx044gcd 945 6 been be VBN cord-022594-fx044gcd 945 7 claimed claim VBN cord-022594-fx044gcd 945 8 to to TO cord-022594-fx044gcd 945 9 be be VB cord-022594-fx044gcd 945 10 effective effective JJ cord-022594-fx044gcd 945 11 in in IN cord-022594-fx044gcd 945 12 MS MS NNP cord-022594-fx044gcd 945 13 - - HYPH cord-022594-fx044gcd 945 14 related relate VBN cord-022594-fx044gcd 945 15 trigeminal trigeminal JJ cord-022594-fx044gcd 945 16 neuralgia neuralgia NN cord-022594-fx044gcd 945 17 . . . cord-022594-fx044gcd 946 1 After after IN cord-022594-fx044gcd 946 2 about about RB cord-022594-fx044gcd 946 3 1 1 CD cord-022594-fx044gcd 946 4 month month NN cord-022594-fx044gcd 946 5 of of IN cord-022594-fx044gcd 946 6 treatment treatment NN cord-022594-fx044gcd 946 7 , , , cord-022594-fx044gcd 946 8 a a DT cord-022594-fx044gcd 946 9 periodic periodic JJ cord-022594-fx044gcd 946 10 attempt attempt NN cord-022594-fx044gcd 946 11 at at IN cord-022594-fx044gcd 946 12 tapering taper VBG cord-022594-fx044gcd 946 13 off off RP cord-022594-fx044gcd 946 14 these these DT cord-022594-fx044gcd 946 15 medications medication NNS cord-022594-fx044gcd 946 16 is be VBZ cord-022594-fx044gcd 946 17 a a DT cord-022594-fx044gcd 946 18 reasonable reasonable JJ cord-022594-fx044gcd 946 19 approach approach NN cord-022594-fx044gcd 946 20 because because IN cord-022594-fx044gcd 946 21 these these DT cord-022594-fx044gcd 946 22 symptoms symptom NNS cord-022594-fx044gcd 946 23 usually usually RB cord-022594-fx044gcd 946 24 remit remit VBP cord-022594-fx044gcd 946 25 . . . cord-022594-fx044gcd 947 1 Seizures seizure NNS cord-022594-fx044gcd 947 2 in in IN cord-022594-fx044gcd 947 3 MS MS NNP cord-022594-fx044gcd 947 4 are be VBP cord-022594-fx044gcd 947 5 treated treat VBN cord-022594-fx044gcd 947 6 no no RB cord-022594-fx044gcd 947 7 differently differently RB cord-022594-fx044gcd 947 8 than than IN cord-022594-fx044gcd 947 9 in in IN cord-022594-fx044gcd 947 10 non non JJ cord-022594-fx044gcd 947 11 - - JJ cord-022594-fx044gcd 947 12 MS ms JJ cord-022594-fx044gcd 947 13 conditions condition NNS cord-022594-fx044gcd 947 14 . . . cord-022594-fx044gcd 948 1 Heat heat NN cord-022594-fx044gcd 948 2 Sensitivity sensitivity NN cord-022594-fx044gcd 948 3 . . . cord-022594-fx044gcd 949 1 Heat heat NN cord-022594-fx044gcd 949 2 sensitivity sensitivity NN cord-022594-fx044gcd 949 3 may may MD cord-022594-fx044gcd 949 4 require require VB cord-022594-fx044gcd 949 5 avoidance avoidance NN cord-022594-fx044gcd 949 6 of of IN cord-022594-fx044gcd 949 7 precipitating precipitate VBG cord-022594-fx044gcd 949 8 activities activity NNS cord-022594-fx044gcd 949 9 , , , cord-022594-fx044gcd 949 10 but but CC cord-022594-fx044gcd 949 11 this this DT cord-022594-fx044gcd 949 12 depends depend VBZ cord-022594-fx044gcd 949 13 on on IN cord-022594-fx044gcd 949 14 the the DT cord-022594-fx044gcd 949 15 nature nature NN cord-022594-fx044gcd 949 16 of of IN cord-022594-fx044gcd 949 17 symptoms symptom NNS cord-022594-fx044gcd 949 18 and and CC cord-022594-fx044gcd 949 19 the the DT cord-022594-fx044gcd 949 20 situation situation NN cord-022594-fx044gcd 949 21 in in IN cord-022594-fx044gcd 949 22 which which WDT cord-022594-fx044gcd 949 23 they -PRON- PRP cord-022594-fx044gcd 949 24 occur occur VBP cord-022594-fx044gcd 949 25 . . . cord-022594-fx044gcd 950 1 If if IN cord-022594-fx044gcd 950 2 the the DT cord-022594-fx044gcd 950 3 precipitating precipitate VBG cord-022594-fx044gcd 950 4 activity activity NN cord-022594-fx044gcd 950 5 can can MD cord-022594-fx044gcd 950 6 not not RB cord-022594-fx044gcd 950 7 be be VB cord-022594-fx044gcd 950 8 avoided avoid VBN cord-022594-fx044gcd 950 9 , , , cord-022594-fx044gcd 950 10 a a DT cord-022594-fx044gcd 950 11 cooling cool VBG cord-022594-fx044gcd 950 12 jacket jacket NN cord-022594-fx044gcd 950 13 may may MD cord-022594-fx044gcd 950 14 be be VB cord-022594-fx044gcd 950 15 an an DT cord-022594-fx044gcd 950 16 option option NN cord-022594-fx044gcd 950 17 . . . cord-022594-fx044gcd 951 1 A a DT cord-022594-fx044gcd 951 2 potassium potassium NN cord-022594-fx044gcd 951 3 channel channel NN cord-022594-fx044gcd 951 4 blocker blocker NN cord-022594-fx044gcd 951 5 , , , cord-022594-fx044gcd 951 6 4-aminopyridine 4-aminopyridine CD cord-022594-fx044gcd 951 7 , , , cord-022594-fx044gcd 951 8 improves improve VBZ cord-022594-fx044gcd 951 9 temperature temperature NN cord-022594-fx044gcd 951 10 sensitivity sensitivity NN cord-022594-fx044gcd 951 11 in in IN cord-022594-fx044gcd 951 12 some some DT cord-022594-fx044gcd 951 13 patients patient NNS cord-022594-fx044gcd 951 14 but but CC cord-022594-fx044gcd 951 15 occasionally occasionally RB cord-022594-fx044gcd 951 16 causes cause VBZ cord-022594-fx044gcd 951 17 seizures seizure NNS cord-022594-fx044gcd 951 18 or or CC cord-022594-fx044gcd 951 19 disturbing disturb VBG cord-022594-fx044gcd 951 20 paresthesias paresthesia NNS cord-022594-fx044gcd 951 21 . . . cord-022594-fx044gcd 952 1 Action Action NNP cord-022594-fx044gcd 952 2 Tremor Tremor NNP cord-022594-fx044gcd 952 3 . . . cord-022594-fx044gcd 953 1 Action action NN cord-022594-fx044gcd 953 2 tremor tremor NN cord-022594-fx044gcd 953 3 is be VBZ cord-022594-fx044gcd 953 4 a a DT cord-022594-fx044gcd 953 5 common common JJ cord-022594-fx044gcd 953 6 disabling disable VBG cord-022594-fx044gcd 953 7 symptom symptom NN cord-022594-fx044gcd 953 8 ( ( -LRB- cord-022594-fx044gcd 953 9 Video Video NNP cord-022594-fx044gcd 953 10 14 14 CD cord-022594-fx044gcd 953 11 , , , cord-022594-fx044gcd 953 12 Tremor Tremor NNP cord-022594-fx044gcd 953 13 with with IN cord-022594-fx044gcd 953 14 Ataxia Ataxia NNP cord-022594-fx044gcd 953 15 ) ) -RRB- cord-022594-fx044gcd 953 16 . . . cord-022594-fx044gcd 954 1 Unfortunately unfortunately RB cord-022594-fx044gcd 954 2 , , , cord-022594-fx044gcd 954 3 it -PRON- PRP cord-022594-fx044gcd 954 4 is be VBZ cord-022594-fx044gcd 954 5 often often RB cord-022594-fx044gcd 954 6 only only RB cord-022594-fx044gcd 954 7 marginally marginally RB cord-022594-fx044gcd 954 8 amenable amenable JJ cord-022594-fx044gcd 954 9 to to IN cord-022594-fx044gcd 954 10 medical medical JJ cord-022594-fx044gcd 954 11 therapy therapy NN cord-022594-fx044gcd 954 12 . . . cord-022594-fx044gcd 955 1 Clonazepam Clonazepam NNP cord-022594-fx044gcd 955 2 may may MD cord-022594-fx044gcd 955 3 offer offer VB cord-022594-fx044gcd 955 4 some some DT cord-022594-fx044gcd 955 5 relief relief NN cord-022594-fx044gcd 955 6 , , , cord-022594-fx044gcd 955 7 but but CC cord-022594-fx044gcd 955 8 tolerance tolerance NN cord-022594-fx044gcd 955 9 frequently frequently RB cord-022594-fx044gcd 955 10 develops develop VBZ cord-022594-fx044gcd 955 11 , , , cord-022594-fx044gcd 955 12 necessitating necessitate VBG cord-022594-fx044gcd 955 13 increasing increase VBG cord-022594-fx044gcd 955 14 doses dose NNS cord-022594-fx044gcd 955 15 . . . cord-022594-fx044gcd 956 1 Isoniazid Isoniazid NNP cord-022594-fx044gcd 956 2 and and CC cord-022594-fx044gcd 956 3 carbamazepine carbamazepine NN cord-022594-fx044gcd 956 4 have have VBP cord-022594-fx044gcd 956 5 also also RB cord-022594-fx044gcd 956 6 been be VBN cord-022594-fx044gcd 956 7 found find VBN cord-022594-fx044gcd 956 8 marginally marginally RB cord-022594-fx044gcd 956 9 beneficial beneficial JJ cord-022594-fx044gcd 956 10 . . . cord-022594-fx044gcd 957 1 One one CD cord-022594-fx044gcd 957 2 clinical clinical JJ cord-022594-fx044gcd 957 3 trial trial NN cord-022594-fx044gcd 957 4 showed show VBD cord-022594-fx044gcd 957 5 ondansetron ondansetron NN cord-022594-fx044gcd 957 6 to to TO cord-022594-fx044gcd 957 7 reduce reduce VB cord-022594-fx044gcd 957 8 tremor tremor NN cord-022594-fx044gcd 957 9 - - HYPH cord-022594-fx044gcd 957 10 related relate VBN cord-022594-fx044gcd 957 11 disability disability NN cord-022594-fx044gcd 957 12 . . . cord-022594-fx044gcd 958 1 Anecdotal anecdotal JJ cord-022594-fx044gcd 958 2 reports report NNS cord-022594-fx044gcd 958 3 suggest suggest VBP cord-022594-fx044gcd 958 4 that that IN cord-022594-fx044gcd 958 5 gabapentin gabapentin NNP cord-022594-fx044gcd 958 6 may may MD cord-022594-fx044gcd 958 7 be be VB cord-022594-fx044gcd 958 8 partially partially RB cord-022594-fx044gcd 958 9 effective effective JJ cord-022594-fx044gcd 958 10 . . . cord-022594-fx044gcd 959 1 Improvements improvement NNS cord-022594-fx044gcd 959 2 in in IN cord-022594-fx044gcd 959 3 stereotactic stereotactic NNP cord-022594-fx044gcd 959 4 neurosurgery neurosurgery NNP cord-022594-fx044gcd 959 5 have have VBP cord-022594-fx044gcd 959 6 made make VBN cord-022594-fx044gcd 959 7 thalamotomy thalamotomy IN cord-022594-fx044gcd 959 8 a a DT cord-022594-fx044gcd 959 9 legitimate legitimate JJ cord-022594-fx044gcd 959 10 option option NN cord-022594-fx044gcd 959 11 in in IN cord-022594-fx044gcd 959 12 those those DT cord-022594-fx044gcd 959 13 whose whose WP$ cord-022594-fx044gcd 959 14 disability disability NN cord-022594-fx044gcd 959 15 is be VBZ cord-022594-fx044gcd 959 16 mainly mainly RB cord-022594-fx044gcd 959 17 due due JJ cord-022594-fx044gcd 959 18 to to IN cord-022594-fx044gcd 959 19 tremor tremor NN cord-022594-fx044gcd 959 20 and and CC cord-022594-fx044gcd 959 21 not not RB cord-022594-fx044gcd 959 22 ataxia ataxia NN cord-022594-fx044gcd 959 23 . . . cord-022594-fx044gcd 960 1 Cognitive cognitive JJ cord-022594-fx044gcd 960 2 and and CC cord-022594-fx044gcd 960 3 Memory Memory NNP cord-022594-fx044gcd 960 4 Problems problem NNS cord-022594-fx044gcd 960 5 . . . cord-022594-fx044gcd 961 1 Cognitive cognitive JJ cord-022594-fx044gcd 961 2 problems problem NNS cord-022594-fx044gcd 961 3 can can MD cord-022594-fx044gcd 961 4 also also RB cord-022594-fx044gcd 961 5 be be VB cord-022594-fx044gcd 961 6 seen see VBN cord-022594-fx044gcd 961 7 in in IN cord-022594-fx044gcd 961 8 MS MS NNP cord-022594-fx044gcd 961 9 patients patient NNS cord-022594-fx044gcd 961 10 . . . cord-022594-fx044gcd 962 1 These these DT cord-022594-fx044gcd 962 2 symptoms symptom NNS cord-022594-fx044gcd 962 3 are be VBP cord-022594-fx044gcd 962 4 generally generally RB cord-022594-fx044gcd 962 5 not not RB cord-022594-fx044gcd 962 6 very very RB cord-022594-fx044gcd 962 7 severe severe JJ cord-022594-fx044gcd 962 8 ; ; : cord-022594-fx044gcd 962 9 however however RB cord-022594-fx044gcd 962 10 , , , cord-022594-fx044gcd 962 11 in in IN cord-022594-fx044gcd 962 12 some some DT cord-022594-fx044gcd 962 13 patients patient NNS cord-022594-fx044gcd 962 14 these these DT cord-022594-fx044gcd 962 15 may may MD cord-022594-fx044gcd 962 16 be be VB cord-022594-fx044gcd 962 17 one one CD cord-022594-fx044gcd 962 18 of of IN cord-022594-fx044gcd 962 19 their -PRON- PRP$ cord-022594-fx044gcd 962 20 subjectively subjectively RB cord-022594-fx044gcd 962 21 most most RBS cord-022594-fx044gcd 962 22 bothersome bothersome JJ cord-022594-fx044gcd 962 23 complaints complaint NNS cord-022594-fx044gcd 962 24 . . . cord-022594-fx044gcd 963 1 It -PRON- PRP cord-022594-fx044gcd 963 2 is be VBZ cord-022594-fx044gcd 963 3 important important JJ cord-022594-fx044gcd 963 4 to to TO cord-022594-fx044gcd 963 5 make make VB cord-022594-fx044gcd 963 6 sure sure JJ cord-022594-fx044gcd 963 7 that that IN cord-022594-fx044gcd 963 8 such such JJ cord-022594-fx044gcd 963 9 complaints complaint NNS cord-022594-fx044gcd 963 10 are be VBP cord-022594-fx044gcd 963 11 not not RB cord-022594-fx044gcd 963 12 depression depression NN cord-022594-fx044gcd 963 13 related relate VBN cord-022594-fx044gcd 963 14 , , , cord-022594-fx044gcd 963 15 as as IN cord-022594-fx044gcd 963 16 mood mood NN cord-022594-fx044gcd 963 17 disorders disorder NNS cord-022594-fx044gcd 963 18 are be VBP cord-022594-fx044gcd 963 19 otherwise otherwise RB cord-022594-fx044gcd 963 20 rather rather RB cord-022594-fx044gcd 963 21 common common JJ cord-022594-fx044gcd 963 22 in in IN cord-022594-fx044gcd 963 23 MS MS NNP cord-022594-fx044gcd 963 24 , , , cord-022594-fx044gcd 963 25 and and CC cord-022594-fx044gcd 963 26 may may MD cord-022594-fx044gcd 963 27 explain explain VB cord-022594-fx044gcd 963 28 the the DT cord-022594-fx044gcd 963 29 subjective subjective JJ cord-022594-fx044gcd 963 30 cognitive cognitive JJ cord-022594-fx044gcd 963 31 impairment impairment NN cord-022594-fx044gcd 963 32 . . . cord-022594-fx044gcd 964 1 While while IN cord-022594-fx044gcd 964 2 it -PRON- PRP cord-022594-fx044gcd 964 3 is be VBZ cord-022594-fx044gcd 964 4 not not RB cord-022594-fx044gcd 964 5 FDA FDA NNP cord-022594-fx044gcd 964 6 approved approve VBN cord-022594-fx044gcd 964 7 for for IN cord-022594-fx044gcd 964 8 the the DT cord-022594-fx044gcd 964 9 treatment treatment NN cord-022594-fx044gcd 964 10 of of IN cord-022594-fx044gcd 964 11 MS MS NNP cord-022594-fx044gcd 964 12 related relate VBD cord-022594-fx044gcd 964 13 cognitive cognitive JJ cord-022594-fx044gcd 964 14 dysfunction dysfunction NN cord-022594-fx044gcd 964 15 , , , cord-022594-fx044gcd 964 16 in in IN cord-022594-fx044gcd 964 17 a a DT cord-022594-fx044gcd 964 18 placebo placebo NN cord-022594-fx044gcd 964 19 controlled control VBN cord-022594-fx044gcd 964 20 , , , cord-022594-fx044gcd 964 21 randomized randomized JJ cord-022594-fx044gcd 964 22 , , , cord-022594-fx044gcd 964 23 24-week 24-week JJ cord-022594-fx044gcd 964 24 long long JJ cord-022594-fx044gcd 964 25 study study NN cord-022594-fx044gcd 964 26 of of IN cord-022594-fx044gcd 964 27 donepezil donepezil NNP cord-022594-fx044gcd 964 28 in in IN cord-022594-fx044gcd 964 29 69 69 CD cord-022594-fx044gcd 964 30 patients patient NNS cord-022594-fx044gcd 964 31 , , , cord-022594-fx044gcd 964 32 significant significant JJ cord-022594-fx044gcd 964 33 improvement improvement NN cord-022594-fx044gcd 964 34 was be VBD cord-022594-fx044gcd 964 35 found find VBN cord-022594-fx044gcd 964 36 on on IN cord-022594-fx044gcd 964 37 the the DT cord-022594-fx044gcd 964 38 Selective selective JJ cord-022594-fx044gcd 964 39 Reminding reminding NN cord-022594-fx044gcd 964 40 Test test NN cord-022594-fx044gcd 964 41 ( ( -LRB- cord-022594-fx044gcd 964 42 SRT SRT NNP cord-022594-fx044gcd 964 43 ) ) -RRB- cord-022594-fx044gcd 964 44 . . . cord-022594-fx044gcd 965 1 108 108 CD cord-022594-fx044gcd 966 1 This this DT cord-022594-fx044gcd 966 2 improvement improvement NN cord-022594-fx044gcd 966 3 was be VBD cord-022594-fx044gcd 966 4 independent independent JJ cord-022594-fx044gcd 966 5 of of IN cord-022594-fx044gcd 966 6 MS MS NNP cord-022594-fx044gcd 966 7 subtype subtype NN cord-022594-fx044gcd 966 8 , , , cord-022594-fx044gcd 966 9 gender gender NN cord-022594-fx044gcd 966 10 , , , cord-022594-fx044gcd 966 11 age age NN cord-022594-fx044gcd 966 12 , , , cord-022594-fx044gcd 966 13 reading read VBG cord-022594-fx044gcd 966 14 ability ability NN cord-022594-fx044gcd 966 15 , , , cord-022594-fx044gcd 966 16 and and CC cord-022594-fx044gcd 966 17 baseline baseline JJ cord-022594-fx044gcd 966 18 SRT SRT NNP cord-022594-fx044gcd 966 19 results result NNS cord-022594-fx044gcd 966 20 . . . cord-022594-fx044gcd 967 1 The the DT cord-022594-fx044gcd 967 2 patients patient NNS cord-022594-fx044gcd 967 3 did do VBD cord-022594-fx044gcd 967 4 not not RB cord-022594-fx044gcd 967 5 improve improve VB cord-022594-fx044gcd 967 6 on on IN cord-022594-fx044gcd 967 7 other other JJ cord-022594-fx044gcd 967 8 cognitive cognitive JJ cord-022594-fx044gcd 967 9 scales scale NNS cord-022594-fx044gcd 967 10 , , , cord-022594-fx044gcd 967 11 but but CC cord-022594-fx044gcd 967 12 they -PRON- PRP cord-022594-fx044gcd 967 13 were be VBD cord-022594-fx044gcd 967 14 twice twice RB cord-022594-fx044gcd 967 15 as as RB cord-022594-fx044gcd 967 16 likely likely JJ cord-022594-fx044gcd 967 17 to to TO cord-022594-fx044gcd 967 18 report report VB cord-022594-fx044gcd 967 19 cognitive cognitive JJ cord-022594-fx044gcd 967 20 improvement improvement NN cord-022594-fx044gcd 967 21 . . . cord-022594-fx044gcd 968 1 Dysesthetic dysesthetic JJ cord-022594-fx044gcd 968 2 Pain Pain NNP cord-022594-fx044gcd 968 3 . . . cord-022594-fx044gcd 969 1 Dysesthetic dysesthetic JJ cord-022594-fx044gcd 969 2 pains pain NNS cord-022594-fx044gcd 969 3 are be VBP cord-022594-fx044gcd 969 4 difficult difficult JJ cord-022594-fx044gcd 969 5 to to TO cord-022594-fx044gcd 969 6 control control VB cord-022594-fx044gcd 969 7 but but CC cord-022594-fx044gcd 969 8 sometimes sometimes RB cord-022594-fx044gcd 969 9 respond respond VB cord-022594-fx044gcd 969 10 to to IN cord-022594-fx044gcd 969 11 tricyclic tricyclic JJ cord-022594-fx044gcd 969 12 antidepressants antidepressant NNS cord-022594-fx044gcd 969 13 , , , cord-022594-fx044gcd 969 14 carbamazepine carbamazepine NN cord-022594-fx044gcd 969 15 , , , cord-022594-fx044gcd 969 16 or or CC cord-022594-fx044gcd 969 17 baclofen baclofen NN cord-022594-fx044gcd 969 18 . . . cord-022594-fx044gcd 970 1 Gabapentin gabapentin UH cord-022594-fx044gcd 970 2 , , , cord-022594-fx044gcd 970 3 tramadol tramadol NN cord-022594-fx044gcd 970 4 , , , cord-022594-fx044gcd 970 5 and and CC cord-022594-fx044gcd 970 6 duloxetine duloxetine NNP cord-022594-fx044gcd 970 7 may may MD cord-022594-fx044gcd 970 8 also also RB cord-022594-fx044gcd 970 9 be be VB cord-022594-fx044gcd 970 10 effective effective JJ cord-022594-fx044gcd 970 11 . . . cord-022594-fx044gcd 971 1 Standard standard JJ cord-022594-fx044gcd 971 2 analgesics analgesic NNS cord-022594-fx044gcd 971 3 are be VBP cord-022594-fx044gcd 971 4 not not RB cord-022594-fx044gcd 971 5 often often RB cord-022594-fx044gcd 971 6 useful useful JJ cord-022594-fx044gcd 971 7 in in IN cord-022594-fx044gcd 971 8 MS MS NNP cord-022594-fx044gcd 971 9 - - HYPH cord-022594-fx044gcd 971 10 associated associate VBN cord-022594-fx044gcd 971 11 pain pain NN cord-022594-fx044gcd 971 12 , , , cord-022594-fx044gcd 971 13 and and CC cord-022594-fx044gcd 971 14 narcotics narcotic NNS cord-022594-fx044gcd 971 15 should should MD cord-022594-fx044gcd 971 16 be be VB cord-022594-fx044gcd 971 17 avoided avoid VBN cord-022594-fx044gcd 971 18 in in IN cord-022594-fx044gcd 971 19 the the DT cord-022594-fx044gcd 971 20 treatment treatment NN cord-022594-fx044gcd 971 21 of of IN cord-022594-fx044gcd 971 22 chronic chronic JJ cord-022594-fx044gcd 971 23 pain pain NN cord-022594-fx044gcd 971 24 . . . cord-022594-fx044gcd 972 1 Emotional emotional JJ cord-022594-fx044gcd 972 2 incontinence incontinence NN cord-022594-fx044gcd 972 3 may may MD cord-022594-fx044gcd 972 4 be be VB cord-022594-fx044gcd 972 5 amenable amenable JJ cord-022594-fx044gcd 972 6 to to IN cord-022594-fx044gcd 972 7 a a DT cord-022594-fx044gcd 972 8 low low JJ cord-022594-fx044gcd 972 9 dose dose NN cord-022594-fx044gcd 972 10 of of IN cord-022594-fx044gcd 972 11 a a DT cord-022594-fx044gcd 972 12 tricyclic tricyclic NN cord-022594-fx044gcd 972 13 antidepressant antidepressant NN cord-022594-fx044gcd 972 14 ( ( -LRB- cord-022594-fx044gcd 972 15 Video Video NNP cord-022594-fx044gcd 972 16 10 10 CD cord-022594-fx044gcd 972 17 , , , cord-022594-fx044gcd 972 18 Dysarthria Dysarthria NNP cord-022594-fx044gcd 972 19 ) ) -RRB- cord-022594-fx044gcd 972 20 . . . cord-022594-fx044gcd 973 1 Symptoms symptom NNS cord-022594-fx044gcd 973 2 of of IN cord-022594-fx044gcd 973 3 Bladder Bladder NNP cord-022594-fx044gcd 973 4 Dysfunction Dysfunction NNP cord-022594-fx044gcd 973 5 . . . cord-022594-fx044gcd 974 1 Symptoms symptom NNS cord-022594-fx044gcd 974 2 of of IN cord-022594-fx044gcd 974 3 a a DT cord-022594-fx044gcd 974 4 hyper hyper JJ cord-022594-fx044gcd 974 5 - - NN cord-022594-fx044gcd 974 6 reflexic reflexic JJ cord-022594-fx044gcd 974 7 bladder bladder NN cord-022594-fx044gcd 974 8 ( ( -LRB- cord-022594-fx044gcd 974 9 urgency urgency NN cord-022594-fx044gcd 974 10 , , , cord-022594-fx044gcd 974 11 frequency frequency NN cord-022594-fx044gcd 974 12 , , , cord-022594-fx044gcd 974 13 and and CC cord-022594-fx044gcd 974 14 urge urge VB cord-022594-fx044gcd 974 15 incontinence incontinence NN cord-022594-fx044gcd 974 16 ) ) -RRB- cord-022594-fx044gcd 974 17 are be VBP cord-022594-fx044gcd 974 18 often often RB cord-022594-fx044gcd 974 19 manageable manageable JJ cord-022594-fx044gcd 974 20 with with IN cord-022594-fx044gcd 974 21 anticholinergics anticholinergic NNS cord-022594-fx044gcd 974 22 such such JJ cord-022594-fx044gcd 974 23 as as IN cord-022594-fx044gcd 974 24 oxybutynin oxybutynin NNP cord-022594-fx044gcd 974 25 , , , cord-022594-fx044gcd 974 26 propantheline propantheline NNP cord-022594-fx044gcd 974 27 , , , cord-022594-fx044gcd 974 28 or or CC cord-022594-fx044gcd 974 29 imipramine imipramine NN cord-022594-fx044gcd 974 30 . . . cord-022594-fx044gcd 975 1 A a DT cord-022594-fx044gcd 975 2 flaccid flaccid JJ cord-022594-fx044gcd 975 3 bladder bladder NN cord-022594-fx044gcd 975 4 can can MD cord-022594-fx044gcd 975 5 sometimes sometimes RB cord-022594-fx044gcd 975 6 be be VB cord-022594-fx044gcd 975 7 aided aid VBN cord-022594-fx044gcd 975 8 by by IN cord-022594-fx044gcd 975 9 bethanechol bethanechol NNP cord-022594-fx044gcd 975 10 , , , cord-022594-fx044gcd 975 11 although although IN cord-022594-fx044gcd 975 12 intermittent intermittent JJ cord-022594-fx044gcd 975 13 self self NN cord-022594-fx044gcd 975 14 - - HYPH cord-022594-fx044gcd 975 15 catheterization catheterization NN cord-022594-fx044gcd 975 16 is be VBZ cord-022594-fx044gcd 975 17 more more RBR cord-022594-fx044gcd 975 18 often often RB cord-022594-fx044gcd 975 19 needed need VBN cord-022594-fx044gcd 975 20 . . . cord-022594-fx044gcd 976 1 Symptoms symptom NNS cord-022594-fx044gcd 976 2 that that WDT cord-022594-fx044gcd 976 3 suggest suggest VBP cord-022594-fx044gcd 976 4 urinary urinary JJ cord-022594-fx044gcd 976 5 retention retention NN cord-022594-fx044gcd 976 6 ( ( -LRB- cord-022594-fx044gcd 976 7 a a DT cord-022594-fx044gcd 976 8 feeling feeling NN cord-022594-fx044gcd 976 9 of of IN cord-022594-fx044gcd 976 10 incomplete incomplete JJ cord-022594-fx044gcd 976 11 emptying emptying NN cord-022594-fx044gcd 976 12 , , , cord-022594-fx044gcd 976 13 frequency frequency NN cord-022594-fx044gcd 976 14 , , , cord-022594-fx044gcd 976 15 hesitancy hesitancy NN cord-022594-fx044gcd 976 16 , , , cord-022594-fx044gcd 976 17 or or CC cord-022594-fx044gcd 976 18 a a DT cord-022594-fx044gcd 976 19 need need NN cord-022594-fx044gcd 976 20 to to TO cord-022594-fx044gcd 976 21 apply apply VB cord-022594-fx044gcd 976 22 pressure pressure NN cord-022594-fx044gcd 976 23 to to IN cord-022594-fx044gcd 976 24 the the DT cord-022594-fx044gcd 976 25 lower low JJR cord-022594-fx044gcd 976 26 abdomen abdomen NN cord-022594-fx044gcd 976 27 to to TO cord-022594-fx044gcd 976 28 urinate urinate VB cord-022594-fx044gcd 976 29 ) ) -RRB- cord-022594-fx044gcd 976 30 should should MD cord-022594-fx044gcd 976 31 prompt prompt VB cord-022594-fx044gcd 976 32 evaluation evaluation NN cord-022594-fx044gcd 976 33 with with IN cord-022594-fx044gcd 976 34 urinalysis urinalysis NN cord-022594-fx044gcd 976 35 and and CC cord-022594-fx044gcd 976 36 a a DT cord-022594-fx044gcd 976 37 post post JJ cord-022594-fx044gcd 976 38 - - JJ cord-022594-fx044gcd 976 39 void void JJ cord-022594-fx044gcd 976 40 residual residual JJ cord-022594-fx044gcd 976 41 urine urine NN cord-022594-fx044gcd 976 42 measurement measurement NN cord-022594-fx044gcd 976 43 . . . cord-022594-fx044gcd 977 1 Residuals residual NNS cord-022594-fx044gcd 977 2 in in IN cord-022594-fx044gcd 977 3 excess excess NN cord-022594-fx044gcd 977 4 of of IN cord-022594-fx044gcd 977 5 15 15 CD cord-022594-fx044gcd 977 6 mL ml NN cord-022594-fx044gcd 977 7 are be VBP cord-022594-fx044gcd 977 8 abnormal abnormal JJ cord-022594-fx044gcd 977 9 ; ; : cord-022594-fx044gcd 977 10 and and CC cord-022594-fx044gcd 977 11 if if IN cord-022594-fx044gcd 977 12 they -PRON- PRP cord-022594-fx044gcd 977 13 are be VBP cord-022594-fx044gcd 977 14 above above IN cord-022594-fx044gcd 977 15 50 50 CD cord-022594-fx044gcd 977 16 mL ml NN cord-022594-fx044gcd 977 17 , , , cord-022594-fx044gcd 977 18 consideration consideration NN cord-022594-fx044gcd 977 19 should should MD cord-022594-fx044gcd 977 20 be be VB cord-022594-fx044gcd 977 21 given give VBN cord-022594-fx044gcd 977 22 to to IN cord-022594-fx044gcd 977 23 urological urological JJ cord-022594-fx044gcd 977 24 consultation consultation NN cord-022594-fx044gcd 977 25 for for IN cord-022594-fx044gcd 977 26 more more RBR cord-022594-fx044gcd 977 27 thorough thorough JJ cord-022594-fx044gcd 977 28 investigation investigation NN cord-022594-fx044gcd 977 29 and and CC cord-022594-fx044gcd 977 30 to to IN cord-022594-fx044gcd 977 31 blood blood NN cord-022594-fx044gcd 977 32 chemistries chemistry NNS cord-022594-fx044gcd 977 33 to to TO cord-022594-fx044gcd 977 34 determine determine VB cord-022594-fx044gcd 977 35 urea urea NN cord-022594-fx044gcd 977 36 and and CC cord-022594-fx044gcd 977 37 creatinine creatinine NN cord-022594-fx044gcd 977 38 levels level NNS cord-022594-fx044gcd 977 39 . . . cord-022594-fx044gcd 978 1 Detrusor Detrusor NNP cord-022594-fx044gcd 978 2 - - HYPH cord-022594-fx044gcd 978 3 sphincter sphincter NN cord-022594-fx044gcd 978 4 dyssynergia dyssynergia NN cord-022594-fx044gcd 978 5 , , , cord-022594-fx044gcd 978 6 diagnosed diagnose VBN cord-022594-fx044gcd 978 7 by by IN cord-022594-fx044gcd 978 8 cystometrography cystometrography NN cord-022594-fx044gcd 978 9 , , , cord-022594-fx044gcd 978 10 is be VBZ cord-022594-fx044gcd 978 11 treated treat VBN cord-022594-fx044gcd 978 12 with with IN cord-022594-fx044gcd 978 13 anticholinergics anticholinergic NNS cord-022594-fx044gcd 978 14 , , , cord-022594-fx044gcd 978 15 sometimes sometimes RB cord-022594-fx044gcd 978 16 with with IN cord-022594-fx044gcd 978 17 the the DT cord-022594-fx044gcd 978 18 addition addition NN cord-022594-fx044gcd 978 19 of of IN cord-022594-fx044gcd 978 20 an an DT cord-022594-fx044gcd 978 21 a-1 a-1 NNP cord-022594-fx044gcd 978 22 blocking block VBG cord-022594-fx044gcd 978 23 agent agent NN cord-022594-fx044gcd 978 24 ( ( -LRB- cord-022594-fx044gcd 978 25 terazosin terazosin NNP cord-022594-fx044gcd 978 26 ) ) -RRB- cord-022594-fx044gcd 978 27 or or CC cord-022594-fx044gcd 978 28 intermittent intermittent JJ cord-022594-fx044gcd 978 29 catheterization catheterization NN cord-022594-fx044gcd 978 30 . . . cord-022594-fx044gcd 979 1 It -PRON- PRP cord-022594-fx044gcd 979 2 is be VBZ cord-022594-fx044gcd 979 3 important important JJ cord-022594-fx044gcd 979 4 to to TO cord-022594-fx044gcd 979 5 reassess reassess VB cord-022594-fx044gcd 979 6 bladder bladder NN cord-022594-fx044gcd 979 7 function function NN cord-022594-fx044gcd 979 8 periodically periodically RB cord-022594-fx044gcd 979 9 , , , cord-022594-fx044gcd 979 10 and and CC cord-022594-fx044gcd 979 11 residual residual JJ cord-022594-fx044gcd 979 12 urine urine NN cord-022594-fx044gcd 979 13 volumes volume NNS cord-022594-fx044gcd 979 14 should should MD cord-022594-fx044gcd 979 15 be be VB cord-022594-fx044gcd 979 16 monitored monitor VBN cord-022594-fx044gcd 979 17 if if IN cord-022594-fx044gcd 979 18 there there EX cord-022594-fx044gcd 979 19 are be VBP cord-022594-fx044gcd 979 20 any any DT cord-022594-fx044gcd 979 21 persistent persistent JJ cord-022594-fx044gcd 979 22 changes change NNS cord-022594-fx044gcd 979 23 in in IN cord-022594-fx044gcd 979 24 function function NN cord-022594-fx044gcd 979 25 or or CC cord-022594-fx044gcd 979 26 symptoms symptom NNS cord-022594-fx044gcd 979 27 . . . cord-022594-fx044gcd 980 1 Intermittent intermittent JJ cord-022594-fx044gcd 980 2 catheterization catheterization NN cord-022594-fx044gcd 980 3 should should MD cord-022594-fx044gcd 980 4 be be VB cord-022594-fx044gcd 980 5 considered consider VBN cord-022594-fx044gcd 980 6 when when WRB cord-022594-fx044gcd 980 7 post post JJ cord-022594-fx044gcd 980 8 - - JJ cord-022594-fx044gcd 980 9 void void JJ cord-022594-fx044gcd 980 10 residuals residual NNS cord-022594-fx044gcd 980 11 reach reach VBP cord-022594-fx044gcd 980 12 100 100 CD cord-022594-fx044gcd 980 13 mL. mL. NNS cord-022594-fx044gcd 980 14 A a DT cord-022594-fx044gcd 980 15 chronic chronic JJ cord-022594-fx044gcd 980 16 indwelling indwell VBG cord-022594-fx044gcd 980 17 urinary urinary JJ cord-022594-fx044gcd 980 18 catheter catheter NN cord-022594-fx044gcd 980 19 should should MD cord-022594-fx044gcd 980 20 be be VB cord-022594-fx044gcd 980 21 avoided avoid VBN cord-022594-fx044gcd 980 22 if if IN cord-022594-fx044gcd 980 23 reasonably reasonably RB cord-022594-fx044gcd 980 24 possible possible JJ cord-022594-fx044gcd 980 25 . . . cord-022594-fx044gcd 981 1 It -PRON- PRP cord-022594-fx044gcd 981 2 is be VBZ cord-022594-fx044gcd 981 3 usually usually RB cord-022594-fx044gcd 981 4 not not RB cord-022594-fx044gcd 981 5 necessary necessary JJ cord-022594-fx044gcd 981 6 to to TO cord-022594-fx044gcd 981 7 use use VB cord-022594-fx044gcd 981 8 antibiotics antibiotic NNS cord-022594-fx044gcd 981 9 prophylactically prophylactically RB cord-022594-fx044gcd 981 10 in in IN cord-022594-fx044gcd 981 11 the the DT cord-022594-fx044gcd 981 12 prevention prevention NN cord-022594-fx044gcd 981 13 of of IN cord-022594-fx044gcd 981 14 urinary urinary JJ cord-022594-fx044gcd 981 15 tract tract JJ cord-022594-fx044gcd 981 16 infections infection NNS cord-022594-fx044gcd 981 17 . . . cord-022594-fx044gcd 982 1 Urinary urinary JJ cord-022594-fx044gcd 982 2 calculi calculus NNS cord-022594-fx044gcd 982 3 may may MD cord-022594-fx044gcd 982 4 be be VB cord-022594-fx044gcd 982 5 prevented prevent VBN cord-022594-fx044gcd 982 6 by by IN cord-022594-fx044gcd 982 7 acidification acidification NN cord-022594-fx044gcd 982 8 of of IN cord-022594-fx044gcd 982 9 the the DT cord-022594-fx044gcd 982 10 urine urine NN cord-022594-fx044gcd 982 11 with with IN cord-022594-fx044gcd 982 12 cranberry cranberry NN cord-022594-fx044gcd 982 13 juice juice NN cord-022594-fx044gcd 982 14 . . . cord-022594-fx044gcd 983 1 Bowel Bowel NNP cord-022594-fx044gcd 983 2 Dysfunction Dysfunction NNP cord-022594-fx044gcd 983 3 in in IN cord-022594-fx044gcd 983 4 MS MS NNP cord-022594-fx044gcd 983 5 . . . cord-022594-fx044gcd 984 1 Constipation constipation NN cord-022594-fx044gcd 984 2 can can MD cord-022594-fx044gcd 984 3 usually usually RB cord-022594-fx044gcd 984 4 be be VB cord-022594-fx044gcd 984 5 managed manage VBN cord-022594-fx044gcd 984 6 with with IN cord-022594-fx044gcd 984 7 bulk bulk JJ cord-022594-fx044gcd 984 8 laxatives laxative NNS cord-022594-fx044gcd 984 9 and and CC cord-022594-fx044gcd 984 10 stool stool NN cord-022594-fx044gcd 984 11 softeners softener NNS cord-022594-fx044gcd 984 12 . . . cord-022594-fx044gcd 985 1 More More JJR cord-022594-fx044gcd 985 2 severe severe JJ cord-022594-fx044gcd 985 3 cases case NNS cord-022594-fx044gcd 985 4 may may MD cord-022594-fx044gcd 985 5 require require VB cord-022594-fx044gcd 985 6 osmotic osmotic JJ cord-022594-fx044gcd 985 7 agents agent NNS cord-022594-fx044gcd 985 8 , , , cord-022594-fx044gcd 985 9 bowel bowel NN cord-022594-fx044gcd 985 10 stimulants stimulant NNS cord-022594-fx044gcd 985 11 , , , cord-022594-fx044gcd 985 12 anal anal JJ cord-022594-fx044gcd 985 13 stimulation stimulation NN cord-022594-fx044gcd 985 14 , , , cord-022594-fx044gcd 985 15 suppositories suppository NNS cord-022594-fx044gcd 985 16 , , , cord-022594-fx044gcd 985 17 or or CC cord-022594-fx044gcd 985 18 enemas enema NNS cord-022594-fx044gcd 985 19 . . . cord-022594-fx044gcd 986 1 Bedridden bedridden JJ cord-022594-fx044gcd 986 2 patients patient NNS cord-022594-fx044gcd 986 3 may may MD cord-022594-fx044gcd 986 4 develop develop VB cord-022594-fx044gcd 986 5 fecal fecal JJ cord-022594-fx044gcd 986 6 impaction impaction NN cord-022594-fx044gcd 986 7 unresponsive unresponsive JJ cord-022594-fx044gcd 986 8 to to IN cord-022594-fx044gcd 986 9 these these DT cord-022594-fx044gcd 986 10 measures measure NNS cord-022594-fx044gcd 986 11 and and CC cord-022594-fx044gcd 986 12 require require VB cord-022594-fx044gcd 986 13 manual manual JJ cord-022594-fx044gcd 986 14 disimpaction disimpaction NN cord-022594-fx044gcd 986 15 . . . cord-022594-fx044gcd 987 1 Fecal fecal JJ cord-022594-fx044gcd 987 2 incontinence incontinence NN cord-022594-fx044gcd 987 3 can can MD cord-022594-fx044gcd 987 4 be be VB cord-022594-fx044gcd 987 5 minimized minimize VBN cord-022594-fx044gcd 987 6 by by IN cord-022594-fx044gcd 987 7 adherence adherence NN cord-022594-fx044gcd 987 8 to to IN cord-022594-fx044gcd 987 9 a a DT cord-022594-fx044gcd 987 10 schedule schedule NN cord-022594-fx044gcd 987 11 for for IN cord-022594-fx044gcd 987 12 bowel bowel NN cord-022594-fx044gcd 987 13 movements movement NNS cord-022594-fx044gcd 987 14 . . . cord-022594-fx044gcd 988 1 Fiber fiber NN cord-022594-fx044gcd 988 2 supplementation supplementation NN cord-022594-fx044gcd 988 3 may may MD cord-022594-fx044gcd 988 4 be be VB cord-022594-fx044gcd 988 5 of of IN cord-022594-fx044gcd 988 6 some some DT cord-022594-fx044gcd 988 7 benefit benefit NN cord-022594-fx044gcd 988 8 even even RB cord-022594-fx044gcd 988 9 in in IN cord-022594-fx044gcd 988 10 these these DT cord-022594-fx044gcd 988 11 cases case NNS cord-022594-fx044gcd 988 12 . . . cord-022594-fx044gcd 989 1 Sexual Sexual NNP cord-022594-fx044gcd 989 2 Dysfunction Dysfunction NNP cord-022594-fx044gcd 989 3 in in IN cord-022594-fx044gcd 989 4 MS MS NNP cord-022594-fx044gcd 989 5 . . . cord-022594-fx044gcd 990 1 The the DT cord-022594-fx044gcd 990 2 clinician clinician NN cord-022594-fx044gcd 990 3 should should MD cord-022594-fx044gcd 990 4 determine determine VB cord-022594-fx044gcd 990 5 the the DT cord-022594-fx044gcd 990 6 precise precise JJ cord-022594-fx044gcd 990 7 nature nature NN cord-022594-fx044gcd 990 8 of of IN cord-022594-fx044gcd 990 9 any any DT cord-022594-fx044gcd 990 10 sexual sexual JJ cord-022594-fx044gcd 990 11 dysfunction dysfunction NN cord-022594-fx044gcd 990 12 in in IN cord-022594-fx044gcd 990 13 patients patient NNS cord-022594-fx044gcd 990 14 with with IN cord-022594-fx044gcd 990 15 MS MS NNP cord-022594-fx044gcd 990 16 . . . cord-022594-fx044gcd 991 1 Physical physical JJ cord-022594-fx044gcd 991 2 difficulty difficulty NN cord-022594-fx044gcd 991 3 from from IN cord-022594-fx044gcd 991 4 spasticity spasticity NN cord-022594-fx044gcd 991 5 may may MD cord-022594-fx044gcd 991 6 be be VB cord-022594-fx044gcd 991 7 alleviated alleviate VBN cord-022594-fx044gcd 991 8 by by IN cord-022594-fx044gcd 991 9 premedication premedication NN cord-022594-fx044gcd 991 10 with with IN cord-022594-fx044gcd 991 11 baclofen baclofen NN cord-022594-fx044gcd 991 12 , , , cord-022594-fx044gcd 991 13 and and CC cord-022594-fx044gcd 991 14 a a DT cord-022594-fx044gcd 991 15 fast fast RB cord-022594-fx044gcd 991 16 - - HYPH cord-022594-fx044gcd 991 17 acting act VBG cord-022594-fx044gcd 991 18 anticholinergic anticholinergic JJ cord-022594-fx044gcd 991 19 such such JJ cord-022594-fx044gcd 991 20 as as IN cord-022594-fx044gcd 991 21 oxybutynin oxybutynin NNS cord-022594-fx044gcd 991 22 may may MD cord-022594-fx044gcd 991 23 calm calm VB cord-022594-fx044gcd 991 24 urinary urinary JJ cord-022594-fx044gcd 991 25 urgency urgency NN cord-022594-fx044gcd 991 26 . . . cord-022594-fx044gcd 992 1 Sexual sexual JJ cord-022594-fx044gcd 992 2 dysfunction dysfunction NN cord-022594-fx044gcd 992 3 should should MD cord-022594-fx044gcd 992 4 not not RB cord-022594-fx044gcd 992 5 be be VB cord-022594-fx044gcd 992 6 automatically automatically RB cord-022594-fx044gcd 992 7 attributed attribute VBN cord-022594-fx044gcd 992 8 to to IN cord-022594-fx044gcd 992 9 MS MS NNP cord-022594-fx044gcd 992 10 . . . cord-022594-fx044gcd 993 1 It -PRON- PRP cord-022594-fx044gcd 993 2 may may MD cord-022594-fx044gcd 993 3 be be VB cord-022594-fx044gcd 993 4 necessary necessary JJ cord-022594-fx044gcd 993 5 to to TO cord-022594-fx044gcd 993 6 investigate investigate VB cord-022594-fx044gcd 993 7 hormonal hormonal JJ cord-022594-fx044gcd 993 8 levels level NNS cord-022594-fx044gcd 993 9 and and CC cord-022594-fx044gcd 993 10 to to TO cord-022594-fx044gcd 993 11 obtain obtain VB cord-022594-fx044gcd 993 12 urological urological JJ cord-022594-fx044gcd 993 13 or or CC cord-022594-fx044gcd 993 14 gynecological gynecological JJ cord-022594-fx044gcd 993 15 consultation consultation NN cord-022594-fx044gcd 993 16 . . . cord-022594-fx044gcd 994 1 Manual manual JJ cord-022594-fx044gcd 994 2 lubrication lubrication NN cord-022594-fx044gcd 994 3 with with IN cord-022594-fx044gcd 994 4 gel gel NN cord-022594-fx044gcd 994 5 is be VBZ cord-022594-fx044gcd 994 6 a a DT cord-022594-fx044gcd 994 7 ready ready JJ cord-022594-fx044gcd 994 8 solution solution NN cord-022594-fx044gcd 994 9 to to IN cord-022594-fx044gcd 994 10 vaginal vaginal JJ cord-022594-fx044gcd 994 11 dryness dryness NN cord-022594-fx044gcd 994 12 . . . cord-022594-fx044gcd 995 1 Erectile erectile NN cord-022594-fx044gcd 995 2 dysfunction dysfunction NN cord-022594-fx044gcd 995 3 responds respond VBZ cord-022594-fx044gcd 995 4 very very RB cord-022594-fx044gcd 995 5 well well RB cord-022594-fx044gcd 995 6 to to IN cord-022594-fx044gcd 995 7 sildenafil sildenafil NNP cord-022594-fx044gcd 995 8 . . . cord-022594-fx044gcd 996 1 Less less RBR cord-022594-fx044gcd 996 2 frequently frequently RB cord-022594-fx044gcd 996 3 , , , cord-022594-fx044gcd 996 4 vacuum vacuum NN cord-022594-fx044gcd 996 5 devices device NNS cord-022594-fx044gcd 996 6 , , , cord-022594-fx044gcd 996 7 intracavernous intracavernous JJ cord-022594-fx044gcd 996 8 injections injection NNS cord-022594-fx044gcd 996 9 of of IN cord-022594-fx044gcd 996 10 papaverine papaverine NN cord-022594-fx044gcd 996 11 ( ( -LRB- cord-022594-fx044gcd 996 12 or or CC cord-022594-fx044gcd 996 13 combinations combination NNS cord-022594-fx044gcd 996 14 of of IN cord-022594-fx044gcd 996 15 papaverine papaverine NN cord-022594-fx044gcd 996 16 , , , cord-022594-fx044gcd 996 17 prostaglandins prostaglandin NNS cord-022594-fx044gcd 996 18 , , , cord-022594-fx044gcd 996 19 and and CC cord-022594-fx044gcd 996 20 epinephrine epinephrine NN cord-022594-fx044gcd 996 21 ; ; : cord-022594-fx044gcd 996 22 triple triple JJ cord-022594-fx044gcd 996 23 agent agent NN cord-022594-fx044gcd 996 24 ) ) -RRB- cord-022594-fx044gcd 996 25 , , , cord-022594-fx044gcd 996 26 or or CC cord-022594-fx044gcd 996 27 penile penile JJ cord-022594-fx044gcd 996 28 implant implant NN cord-022594-fx044gcd 996 29 are be VBP cord-022594-fx044gcd 996 30 also also RB cord-022594-fx044gcd 996 31 used use VBN cord-022594-fx044gcd 996 32 in in IN cord-022594-fx044gcd 996 33 the the DT cord-022594-fx044gcd 996 34 treatment treatment NN cord-022594-fx044gcd 996 35 of of IN cord-022594-fx044gcd 996 36 erectile erectile NN cord-022594-fx044gcd 996 37 dysfunction dysfunction NN cord-022594-fx044gcd 996 38 . . . cord-022594-fx044gcd 997 1 Thalamotomy Thalamotomy NNP cord-022594-fx044gcd 997 2 or or CC cord-022594-fx044gcd 997 3 thalamic thalamic JJ cord-022594-fx044gcd 997 4 stimulation stimulation NN cord-022594-fx044gcd 997 5 may may MD cord-022594-fx044gcd 997 6 provide provide VB cord-022594-fx044gcd 997 7 some some DT cord-022594-fx044gcd 997 8 short short JJ cord-022594-fx044gcd 997 9 - - HYPH cord-022594-fx044gcd 997 10 term term NN cord-022594-fx044gcd 997 11 clinical clinical JJ cord-022594-fx044gcd 997 12 benefit benefit NN cord-022594-fx044gcd 997 13 to to IN cord-022594-fx044gcd 997 14 patients patient NNS cord-022594-fx044gcd 997 15 disabled disable VBN cord-022594-fx044gcd 997 16 by by IN cord-022594-fx044gcd 997 17 appendicular appendicular JJ cord-022594-fx044gcd 997 18 cerebellar cerebellar JJ cord-022594-fx044gcd 997 19 tremor tremor NN cord-022594-fx044gcd 997 20 and and CC cord-022594-fx044gcd 997 21 ataxia ataxia NN cord-022594-fx044gcd 997 22 . . . cord-022594-fx044gcd 998 1 The the DT cord-022594-fx044gcd 998 2 benefits benefit NNS cord-022594-fx044gcd 998 3 on on IN cord-022594-fx044gcd 998 4 disability disability NN cord-022594-fx044gcd 998 5 and and CC cord-022594-fx044gcd 998 6 quality quality NN cord-022594-fx044gcd 998 7 of of IN cord-022594-fx044gcd 998 8 life life NN cord-022594-fx044gcd 998 9 are be VBP cord-022594-fx044gcd 998 10 much much RB cord-022594-fx044gcd 998 11 less less RBR cord-022594-fx044gcd 998 12 clear clear JJ cord-022594-fx044gcd 998 13 , , , cord-022594-fx044gcd 998 14 however however RB cord-022594-fx044gcd 998 15 , , , cord-022594-fx044gcd 998 16 and and CC cord-022594-fx044gcd 998 17 the the DT cord-022594-fx044gcd 998 18 early early JJ cord-022594-fx044gcd 998 19 benefits benefit NNS cord-022594-fx044gcd 998 20 may may MD cord-022594-fx044gcd 998 21 wain wain VB cord-022594-fx044gcd 998 22 within within IN cord-022594-fx044gcd 998 23 1 1 CD cord-022594-fx044gcd 998 24 to to IN cord-022594-fx044gcd 998 25 3 3 CD cord-022594-fx044gcd 998 26 years year NNS cord-022594-fx044gcd 998 27 . . . cord-022594-fx044gcd 999 1 109 109 CD cord-022594-fx044gcd 999 2 , , , cord-022594-fx044gcd 999 3 110 110 CD cord-022594-fx044gcd 999 4 Further further JJ cord-022594-fx044gcd 999 5 studies study NNS cord-022594-fx044gcd 999 6 are be VBP cord-022594-fx044gcd 999 7 needed need VBN cord-022594-fx044gcd 999 8 to to TO cord-022594-fx044gcd 999 9 clarify clarify VB cord-022594-fx044gcd 999 10 how how WRB cord-022594-fx044gcd 999 11 best good JJS cord-022594-fx044gcd 999 12 to to TO cord-022594-fx044gcd 999 13 select select VB cord-022594-fx044gcd 999 14 patients patient NNS cord-022594-fx044gcd 999 15 for for IN cord-022594-fx044gcd 999 16 these these DT cord-022594-fx044gcd 999 17 ablative ablative JJ cord-022594-fx044gcd 999 18 and and CC cord-022594-fx044gcd 999 19 stimulation stimulation NN cord-022594-fx044gcd 999 20 treatment treatment NN cord-022594-fx044gcd 999 21 interventions intervention NNS cord-022594-fx044gcd 999 22 . . . cord-022594-fx044gcd 1000 1 General General NNP cord-022594-fx044gcd 1000 2 Recommendations Recommendations NNPS cord-022594-fx044gcd 1000 3 for for IN cord-022594-fx044gcd 1000 4 MS MS NNP cord-022594-fx044gcd 1000 5 Patients Patients NNP cord-022594-fx044gcd 1000 6 . . . cord-022594-fx044gcd 1001 1 It -PRON- PRP cord-022594-fx044gcd 1001 2 is be VBZ cord-022594-fx044gcd 1001 3 advisable advisable JJ cord-022594-fx044gcd 1001 4 for for IN cord-022594-fx044gcd 1001 5 MS MS NNP cord-022594-fx044gcd 1001 6 patients patient NNS cord-022594-fx044gcd 1001 7 to to TO cord-022594-fx044gcd 1001 8 attain attain VB cord-022594-fx044gcd 1001 9 good good JJ cord-022594-fx044gcd 1001 10 health health NN cord-022594-fx044gcd 1001 11 habits habit NNS cord-022594-fx044gcd 1001 12 , , , cord-022594-fx044gcd 1001 13 including include VBG cord-022594-fx044gcd 1001 14 proper proper JJ cord-022594-fx044gcd 1001 15 diet diet NN cord-022594-fx044gcd 1001 16 and and CC cord-022594-fx044gcd 1001 17 fitness fitness NN cord-022594-fx044gcd 1001 18 . . . cord-022594-fx044gcd 1002 1 Smoking smoking NN cord-022594-fx044gcd 1002 2 , , , cord-022594-fx044gcd 1002 3 excess excess JJ cord-022594-fx044gcd 1002 4 alcohol alcohol NN cord-022594-fx044gcd 1002 5 intake intake NN cord-022594-fx044gcd 1002 6 , , , cord-022594-fx044gcd 1002 7 and and CC cord-022594-fx044gcd 1002 8 obesity obesity NN cord-022594-fx044gcd 1002 9 should should MD cord-022594-fx044gcd 1002 10 be be VB cord-022594-fx044gcd 1002 11 avoided avoid VBN cord-022594-fx044gcd 1002 12 . . . cord-022594-fx044gcd 1003 1 Exercise exercise NN cord-022594-fx044gcd 1003 2 can can MD cord-022594-fx044gcd 1003 3 help help VB cord-022594-fx044gcd 1003 4 maximize maximize VB cord-022594-fx044gcd 1003 5 function function NN cord-022594-fx044gcd 1003 6 by by IN cord-022594-fx044gcd 1003 7 increasing increase VBG cord-022594-fx044gcd 1003 8 and and CC cord-022594-fx044gcd 1003 9 maintaining maintain VBG cord-022594-fx044gcd 1003 10 joint joint JJ cord-022594-fx044gcd 1003 11 mobility mobility NN cord-022594-fx044gcd 1003 12 , , , cord-022594-fx044gcd 1003 13 strength strength NN cord-022594-fx044gcd 1003 14 , , , cord-022594-fx044gcd 1003 15 and and CC cord-022594-fx044gcd 1003 16 stamina stamina NN cord-022594-fx044gcd 1003 17 ; ; : cord-022594-fx044gcd 1003 18 may may MD cord-022594-fx044gcd 1003 19 promote promote VB cord-022594-fx044gcd 1003 20 improved improved JJ cord-022594-fx044gcd 1003 21 sleep sleep NN cord-022594-fx044gcd 1003 22 hygiene hygiene NN cord-022594-fx044gcd 1003 23 ; ; : cord-022594-fx044gcd 1003 24 and and CC cord-022594-fx044gcd 1003 25 may may MD cord-022594-fx044gcd 1003 26 reduce reduce VB cord-022594-fx044gcd 1003 27 the the DT cord-022594-fx044gcd 1003 28 severity severity NN cord-022594-fx044gcd 1003 29 of of IN cord-022594-fx044gcd 1003 30 fatigue fatigue NN cord-022594-fx044gcd 1003 31 . . . cord-022594-fx044gcd 1004 1 Physical physical JJ cord-022594-fx044gcd 1004 2 and and CC cord-022594-fx044gcd 1004 3 occupational occupational JJ cord-022594-fx044gcd 1004 4 therapy therapy NN cord-022594-fx044gcd 1004 5 can can MD cord-022594-fx044gcd 1004 6 play play VB cord-022594-fx044gcd 1004 7 an an DT cord-022594-fx044gcd 1004 8 important important JJ cord-022594-fx044gcd 1004 9 role role NN cord-022594-fx044gcd 1004 10 in in IN cord-022594-fx044gcd 1004 11 regaining regain VBG cord-022594-fx044gcd 1004 12 independence independence NN cord-022594-fx044gcd 1004 13 . . . cord-022594-fx044gcd 1005 1 Canes cane NNS cord-022594-fx044gcd 1005 2 , , , cord-022594-fx044gcd 1005 3 walkers walker NNS cord-022594-fx044gcd 1005 4 , , , cord-022594-fx044gcd 1005 5 and and CC cord-022594-fx044gcd 1005 6 wheelchairs wheelchair NNS cord-022594-fx044gcd 1005 7 or or CC cord-022594-fx044gcd 1005 8 scooters scooter NNS cord-022594-fx044gcd 1005 9 may may MD cord-022594-fx044gcd 1005 10 be be VB cord-022594-fx044gcd 1005 11 needed need VBN cord-022594-fx044gcd 1005 12 to to TO cord-022594-fx044gcd 1005 13 maintain maintain VB cord-022594-fx044gcd 1005 14 safe safe JJ cord-022594-fx044gcd 1005 15 mobility mobility NN cord-022594-fx044gcd 1005 16 . . . cord-022594-fx044gcd 1006 1 Hand hand NN cord-022594-fx044gcd 1006 2 controls control NNS cord-022594-fx044gcd 1006 3 can can MD cord-022594-fx044gcd 1006 4 be be VB cord-022594-fx044gcd 1006 5 installed instal VBN cord-022594-fx044gcd 1006 6 in in IN cord-022594-fx044gcd 1006 7 automobiles automobile NNS cord-022594-fx044gcd 1006 8 for for IN cord-022594-fx044gcd 1006 9 patients patient NNS cord-022594-fx044gcd 1006 10 with with IN cord-022594-fx044gcd 1006 11 lower low JJR cord-022594-fx044gcd 1006 12 extremity extremity NN cord-022594-fx044gcd 1006 13 dysfunction dysfunction NN cord-022594-fx044gcd 1006 14 . . . cord-022594-fx044gcd 1007 1 In in IN cord-022594-fx044gcd 1007 2 debilitated debilitated JJ cord-022594-fx044gcd 1007 3 , , , cord-022594-fx044gcd 1007 4 immobilized immobilize VBN cord-022594-fx044gcd 1007 5 patients patient NNS cord-022594-fx044gcd 1007 6 , , , cord-022594-fx044gcd 1007 7 periodic periodic JJ cord-022594-fx044gcd 1007 8 shifts shift NNS cord-022594-fx044gcd 1007 9 in in IN cord-022594-fx044gcd 1007 10 posture posture NN cord-022594-fx044gcd 1007 11 to to TO cord-022594-fx044gcd 1007 12 change change VB cord-022594-fx044gcd 1007 13 weight weight NN cord-022594-fx044gcd 1007 14 - - HYPH cord-022594-fx044gcd 1007 15 bearing bear VBG cord-022594-fx044gcd 1007 16 regions region NNS cord-022594-fx044gcd 1007 17 and and CC cord-022594-fx044gcd 1007 18 air air NN cord-022594-fx044gcd 1007 19 or or CC cord-022594-fx044gcd 1007 20 water water NN cord-022594-fx044gcd 1007 21 mattresses mattress NNS cord-022594-fx044gcd 1007 22 prevent prevent VBP cord-022594-fx044gcd 1007 23 bedsores bedsore NNS cord-022594-fx044gcd 1007 24 . . . cord-022594-fx044gcd 1008 1 Passive passive JJ cord-022594-fx044gcd 1008 2 range range NN cord-022594-fx044gcd 1008 3 of of IN cord-022594-fx044gcd 1008 4 motion motion NN cord-022594-fx044gcd 1008 5 exercises exercise NNS cord-022594-fx044gcd 1008 6 prevent prevent VBP cord-022594-fx044gcd 1008 7 contractures contracture NNS cord-022594-fx044gcd 1008 8 . . . cord-022594-fx044gcd 1009 1 When when WRB cord-022594-fx044gcd 1009 2 ventilatory ventilatory JJ cord-022594-fx044gcd 1009 3 dysfunction dysfunction NN cord-022594-fx044gcd 1009 4 occurs occur VBZ cord-022594-fx044gcd 1009 5 , , , cord-022594-fx044gcd 1009 6 it -PRON- PRP cord-022594-fx044gcd 1009 7 should should MD cord-022594-fx044gcd 1009 8 be be VB cord-022594-fx044gcd 1009 9 evaluated evaluate VBN cord-022594-fx044gcd 1009 10 and and CC cord-022594-fx044gcd 1009 11 activity activity NN cord-022594-fx044gcd 1009 12 schedules schedule NNS cord-022594-fx044gcd 1009 13 should should MD cord-022594-fx044gcd 1009 14 be be VB cord-022594-fx044gcd 1009 15 appropriately appropriately RB cord-022594-fx044gcd 1009 16 modified modify VBN cord-022594-fx044gcd 1009 17 . . . cord-022594-fx044gcd 1010 1 111 111 CD cord-022594-fx044gcd 1010 2 Special Special NNP cord-022594-fx044gcd 1010 3 Considerations Considerations NNPS cord-022594-fx044gcd 1010 4 during during IN cord-022594-fx044gcd 1010 5 Pregnancy Pregnancy NNP cord-022594-fx044gcd 1010 6 . . . cord-022594-fx044gcd 1011 1 Before before IN cord-022594-fx044gcd 1011 2 initiation initiation NN cord-022594-fx044gcd 1011 3 of of IN cord-022594-fx044gcd 1011 4 any any DT cord-022594-fx044gcd 1011 5 drug drug NN cord-022594-fx044gcd 1011 6 in in IN cord-022594-fx044gcd 1011 7 a a DT cord-022594-fx044gcd 1011 8 woman woman NN cord-022594-fx044gcd 1011 9 of of IN cord-022594-fx044gcd 1011 10 reproductive reproductive JJ cord-022594-fx044gcd 1011 11 age age NN cord-022594-fx044gcd 1011 12 , , , cord-022594-fx044gcd 1011 13 the the DT cord-022594-fx044gcd 1011 14 potential potential NN cord-022594-fx044gcd 1011 15 for for IN cord-022594-fx044gcd 1011 16 teratogenicity teratogenicity NN cord-022594-fx044gcd 1011 17 must must MD cord-022594-fx044gcd 1011 18 be be VB cord-022594-fx044gcd 1011 19 discussed discuss VBN cord-022594-fx044gcd 1011 20 . . . cord-022594-fx044gcd 1012 1 In in IN cord-022594-fx044gcd 1012 2 general general JJ cord-022594-fx044gcd 1012 3 , , , cord-022594-fx044gcd 1012 4 immunomodulator immunomodulator NN cord-022594-fx044gcd 1012 5 therapy therapy NN cord-022594-fx044gcd 1012 6 should should MD cord-022594-fx044gcd 1012 7 be be VB cord-022594-fx044gcd 1012 8 avoided avoid VBN cord-022594-fx044gcd 1012 9 if if IN cord-022594-fx044gcd 1012 10 one one CD cord-022594-fx044gcd 1012 11 is be VBZ cord-022594-fx044gcd 1012 12 planning plan VBG cord-022594-fx044gcd 1012 13 a a DT cord-022594-fx044gcd 1012 14 pregnancy pregnancy NN cord-022594-fx044gcd 1012 15 . . . cord-022594-fx044gcd 1013 1 The the DT cord-022594-fx044gcd 1013 2 treatment treatment NN cord-022594-fx044gcd 1013 3 of of IN cord-022594-fx044gcd 1013 4 acute acute JJ cord-022594-fx044gcd 1013 5 exacerbations exacerbation NNS cord-022594-fx044gcd 1013 6 is be VBZ cord-022594-fx044gcd 1013 7 unchanged unchanged JJ cord-022594-fx044gcd 1013 8 during during IN cord-022594-fx044gcd 1013 9 pregnancy pregnancy NN cord-022594-fx044gcd 1013 10 , , , cord-022594-fx044gcd 1013 11 although although IN cord-022594-fx044gcd 1013 12 one one PRP cord-022594-fx044gcd 1013 13 might may MD cord-022594-fx044gcd 1013 14 have have VB cord-022594-fx044gcd 1013 15 a a DT cord-022594-fx044gcd 1013 16 higher high JJR cord-022594-fx044gcd 1013 17 threshold threshold NN cord-022594-fx044gcd 1013 18 for for IN cord-022594-fx044gcd 1013 19 treatment treatment NN cord-022594-fx044gcd 1013 20 . . . cord-022594-fx044gcd 1014 1 Both both DT cord-022594-fx044gcd 1014 2 corticosteroids corticosteroid NNS cord-022594-fx044gcd 1014 3 and and CC cord-022594-fx044gcd 1014 4 plasma plasma NN cord-022594-fx044gcd 1014 5 exchange exchange NN cord-022594-fx044gcd 1014 6 are be VBP cord-022594-fx044gcd 1014 7 relatively relatively RB cord-022594-fx044gcd 1014 8 safe safe JJ cord-022594-fx044gcd 1014 9 during during IN cord-022594-fx044gcd 1014 10 pregnancy pregnancy NN cord-022594-fx044gcd 1014 11 . . . cord-022594-fx044gcd 1015 1 None none NN cord-022594-fx044gcd 1015 2 of of IN cord-022594-fx044gcd 1015 3 the the DT cord-022594-fx044gcd 1015 4 drugs drug NNS cord-022594-fx044gcd 1015 5 used use VBN cord-022594-fx044gcd 1015 6 to to TO cord-022594-fx044gcd 1015 7 alter alter VB cord-022594-fx044gcd 1015 8 the the DT cord-022594-fx044gcd 1015 9 disease disease NN cord-022594-fx044gcd 1015 10 course course NN cord-022594-fx044gcd 1015 11 , , , cord-022594-fx044gcd 1015 12 however however RB cord-022594-fx044gcd 1015 13 , , , cord-022594-fx044gcd 1015 14 should should MD cord-022594-fx044gcd 1015 15 be be VB cord-022594-fx044gcd 1015 16 used use VBN cord-022594-fx044gcd 1015 17 during during IN cord-022594-fx044gcd 1015 18 pregnancy pregnancy NN cord-022594-fx044gcd 1015 19 . . . cord-022594-fx044gcd 1016 1 Interferon interferon NN cord-022594-fx044gcd 1016 2 - - HYPH cord-022594-fx044gcd 1016 3 b b NN cord-022594-fx044gcd 1016 4 drugs drug NNS cord-022594-fx044gcd 1016 5 should should MD cord-022594-fx044gcd 1016 6 be be VB cord-022594-fx044gcd 1016 7 stopped stop VBN cord-022594-fx044gcd 1016 8 2 2 CD cord-022594-fx044gcd 1016 9 to to TO cord-022594-fx044gcd 1016 10 3 3 CD cord-022594-fx044gcd 1016 11 months month NNS cord-022594-fx044gcd 1016 12 before before IN cord-022594-fx044gcd 1016 13 planning plan VBG cord-022594-fx044gcd 1016 14 pregnancy pregnancy NN cord-022594-fx044gcd 1016 15 . . . cord-022594-fx044gcd 1017 1 Interferons interferon NNS cord-022594-fx044gcd 1017 2 are be VBP cord-022594-fx044gcd 1017 3 associated associate VBN cord-022594-fx044gcd 1017 4 with with IN cord-022594-fx044gcd 1017 5 an an DT cord-022594-fx044gcd 1017 6 approximately approximately RB cord-022594-fx044gcd 1017 7 39 39 CD cord-022594-fx044gcd 1017 8 % % NN cord-022594-fx044gcd 1017 9 likelihood likelihood NN cord-022594-fx044gcd 1017 10 of of IN cord-022594-fx044gcd 1017 11 abortions abortion NNS cord-022594-fx044gcd 1017 12 . . . cord-022594-fx044gcd 1018 1 This this DT cord-022594-fx044gcd 1018 2 is be VBZ cord-022594-fx044gcd 1018 3 close close JJ cord-022594-fx044gcd 1018 4 to to IN cord-022594-fx044gcd 1018 5 eight eight CD cord-022594-fx044gcd 1018 6 times time NNS cord-022594-fx044gcd 1018 7 higher high JJR cord-022594-fx044gcd 1018 8 than than IN cord-022594-fx044gcd 1018 9 the the DT cord-022594-fx044gcd 1018 10 usually usually RB cord-022594-fx044gcd 1018 11 quoted quote VBN cord-022594-fx044gcd 1018 12 approximately approximately RB cord-022594-fx044gcd 1018 13 5 5 CD cord-022594-fx044gcd 1018 14 % % NN cord-022594-fx044gcd 1018 15 spontaneous spontaneous JJ cord-022594-fx044gcd 1018 16 abortion abortion NN cord-022594-fx044gcd 1018 17 rate rate NN cord-022594-fx044gcd 1018 18 in in IN cord-022594-fx044gcd 1018 19 women woman NNS cord-022594-fx044gcd 1018 20 . . . cord-022594-fx044gcd 1019 1 Interferon interferon NN cord-022594-fx044gcd 1019 2 - - HYPH cord-022594-fx044gcd 1019 3 b b NN cord-022594-fx044gcd 1019 4 use use NN cord-022594-fx044gcd 1019 5 is be VBZ cord-022594-fx044gcd 1019 6 also also RB cord-022594-fx044gcd 1019 7 associated associate VBN cord-022594-fx044gcd 1019 8 with with IN cord-022594-fx044gcd 1019 9 lower low JJR cord-022594-fx044gcd 1019 10 birth birth NN cord-022594-fx044gcd 1019 11 weight weight NN cord-022594-fx044gcd 1019 12 . . . cord-022594-fx044gcd 1020 1 112 112 CD cord-022594-fx044gcd 1021 1 The the DT cord-022594-fx044gcd 1021 2 cytotoxic cytotoxic JJ cord-022594-fx044gcd 1021 3 immunosuppressants immunosuppressant NNS cord-022594-fx044gcd 1021 4 have have VBP cord-022594-fx044gcd 1021 5 teratogenic teratogenic JJ cord-022594-fx044gcd 1021 6 effects effect NNS cord-022594-fx044gcd 1021 7 . . . cord-022594-fx044gcd 1022 1 The the DT cord-022594-fx044gcd 1022 2 effects effect NNS cord-022594-fx044gcd 1022 3 of of IN cord-022594-fx044gcd 1022 4 many many JJ cord-022594-fx044gcd 1022 5 of of IN cord-022594-fx044gcd 1022 6 the the DT cord-022594-fx044gcd 1022 7 other other JJ cord-022594-fx044gcd 1022 8 drugs drug NNS cord-022594-fx044gcd 1022 9 are be VBP cord-022594-fx044gcd 1022 10 unknown unknown JJ cord-022594-fx044gcd 1022 11 . . . cord-022594-fx044gcd 1023 1 It -PRON- PRP cord-022594-fx044gcd 1023 2 is be VBZ cord-022594-fx044gcd 1023 3 best good JJS cord-022594-fx044gcd 1023 4 if if IN cord-022594-fx044gcd 1023 5 these these DT cord-022594-fx044gcd 1023 6 drugs drug NNS cord-022594-fx044gcd 1023 7 are be VBP cord-022594-fx044gcd 1023 8 stopped stop VBN cord-022594-fx044gcd 1023 9 several several JJ cord-022594-fx044gcd 1023 10 months month NNS cord-022594-fx044gcd 1023 11 before before IN cord-022594-fx044gcd 1023 12 a a DT cord-022594-fx044gcd 1023 13 planned planned JJ cord-022594-fx044gcd 1023 14 pregnancy pregnancy NN cord-022594-fx044gcd 1023 15 . . . cord-022594-fx044gcd 1024 1 PROGNOSIS PROGNOSIS NNP cord-022594-fx044gcd 1024 2 AND and CC cord-022594-fx044gcd 1024 3 FUTURE future JJ cord-022594-fx044gcd 1024 4 PERSPECTIVES perspective NNS cord-022594-fx044gcd 1024 5 . . . cord-022594-fx044gcd 1025 1 Because because IN cord-022594-fx044gcd 1025 2 most most JJS cord-022594-fx044gcd 1025 3 information information NN cord-022594-fx044gcd 1025 4 on on IN cord-022594-fx044gcd 1025 5 the the DT cord-022594-fx044gcd 1025 6 prognosis prognosis NN cord-022594-fx044gcd 1025 7 of of IN cord-022594-fx044gcd 1025 8 MS MS NNP cord-022594-fx044gcd 1025 9 is be VBZ cord-022594-fx044gcd 1025 10 reported report VBN cord-022594-fx044gcd 1025 11 in in IN cord-022594-fx044gcd 1025 12 terms term NNS cord-022594-fx044gcd 1025 13 of of IN cord-022594-fx044gcd 1025 14 the the DT cord-022594-fx044gcd 1025 15 EDSS EDSS NNP cord-022594-fx044gcd 1025 16 , , , cord-022594-fx044gcd 1025 17 it -PRON- PRP cord-022594-fx044gcd 1025 18 is be VBZ cord-022594-fx044gcd 1025 19 important important JJ cord-022594-fx044gcd 1025 20 to to TO cord-022594-fx044gcd 1025 21 have have VB cord-022594-fx044gcd 1025 22 some some DT cord-022594-fx044gcd 1025 23 understanding understanding NN cord-022594-fx044gcd 1025 24 of of IN cord-022594-fx044gcd 1025 25 this this DT cord-022594-fx044gcd 1025 26 scale scale NN cord-022594-fx044gcd 1025 27 . . . cord-022594-fx044gcd 1026 1 The the DT cord-022594-fx044gcd 1026 2 EDSS EDSS NNP cord-022594-fx044gcd 1026 3 is be VBZ cord-022594-fx044gcd 1026 4 a a DT cord-022594-fx044gcd 1026 5 10-point 10-point JJ cord-022594-fx044gcd 1026 6 scale scale NN cord-022594-fx044gcd 1026 7 , , , cord-022594-fx044gcd 1026 8 with with IN cord-022594-fx044gcd 1026 9 each each DT cord-022594-fx044gcd 1026 10 increase increase NN cord-022594-fx044gcd 1026 11 representing represent VBG cord-022594-fx044gcd 1026 12 worsening worsen VBG cord-022594-fx044gcd 1026 13 symptoms symptom NNS cord-022594-fx044gcd 1026 14 of of IN cord-022594-fx044gcd 1026 15 function function NN cord-022594-fx044gcd 1026 16 . . . cord-022594-fx044gcd 1027 1 The the DT cord-022594-fx044gcd 1027 2 score score NN cord-022594-fx044gcd 1027 3 is be VBZ cord-022594-fx044gcd 1027 4 derived derive VBN cord-022594-fx044gcd 1027 5 from from IN cord-022594-fx044gcd 1027 6 severity severity NN cord-022594-fx044gcd 1027 7 scores score NNS cord-022594-fx044gcd 1027 8 in in IN cord-022594-fx044gcd 1027 9 each each DT cord-022594-fx044gcd 1027 10 of of IN cord-022594-fx044gcd 1027 11 six six CD cord-022594-fx044gcd 1027 12 systems system NNS cord-022594-fx044gcd 1027 13 as as RB cord-022594-fx044gcd 1027 14 well well RB cord-022594-fx044gcd 1027 15 as as IN cord-022594-fx044gcd 1027 16 ambulation ambulation NN cord-022594-fx044gcd 1027 17 and and CC cord-022594-fx044gcd 1027 18 work work NN cord-022594-fx044gcd 1027 19 ability ability NN cord-022594-fx044gcd 1027 20 . . . cord-022594-fx044gcd 1028 1 A a DT cord-022594-fx044gcd 1028 2 score score NN cord-022594-fx044gcd 1028 3 of of IN cord-022594-fx044gcd 1028 4 0 0 CD cord-022594-fx044gcd 1028 5 means mean VBZ cord-022594-fx044gcd 1028 6 no no DT cord-022594-fx044gcd 1028 7 signs sign NNS cord-022594-fx044gcd 1028 8 or or CC cord-022594-fx044gcd 1028 9 symptoms symptom NNS cord-022594-fx044gcd 1028 10 ; ; : cord-022594-fx044gcd 1028 11 1 1 CD cord-022594-fx044gcd 1028 12 to to TO cord-022594-fx044gcd 1028 13 3 3 CD cord-022594-fx044gcd 1028 14 represent represent VB cord-022594-fx044gcd 1028 15 mild mild JJ cord-022594-fx044gcd 1028 16 disability disability NN cord-022594-fx044gcd 1028 17 with with IN cord-022594-fx044gcd 1028 18 no no DT cord-022594-fx044gcd 1028 19 or or CC cord-022594-fx044gcd 1028 20 minimal minimal JJ cord-022594-fx044gcd 1028 21 impairment impairment NN cord-022594-fx044gcd 1028 22 of of IN cord-022594-fx044gcd 1028 23 ambulation ambulation NN cord-022594-fx044gcd 1028 24 ; ; : cord-022594-fx044gcd 1028 25 3.5 3.5 CD cord-022594-fx044gcd 1028 26 to to TO cord-022594-fx044gcd 1028 27 5.5 5.5 CD cord-022594-fx044gcd 1028 28 refer refer NN cord-022594-fx044gcd 1028 29 to to IN cord-022594-fx044gcd 1028 30 moderate moderate JJ cord-022594-fx044gcd 1028 31 disability disability NN cord-022594-fx044gcd 1028 32 and and CC cord-022594-fx044gcd 1028 33 impairment impairment NN cord-022594-fx044gcd 1028 34 of of IN cord-022594-fx044gcd 1028 35 gait gait NN cord-022594-fx044gcd 1028 36 ; ; : cord-022594-fx044gcd 1028 37 the the DT cord-022594-fx044gcd 1028 38 need need NN cord-022594-fx044gcd 1028 39 for for IN cord-022594-fx044gcd 1028 40 a a DT cord-022594-fx044gcd 1028 41 cane cane NN cord-022594-fx044gcd 1028 42 to to TO cord-022594-fx044gcd 1028 43 walk walk VB cord-022594-fx044gcd 1028 44 one one CD cord-022594-fx044gcd 1028 45 - - HYPH cord-022594-fx044gcd 1028 46 half half NN cord-022594-fx044gcd 1028 47 block block NN cord-022594-fx044gcd 1028 48 ( ( -LRB- cord-022594-fx044gcd 1028 49 100 100 CD cord-022594-fx044gcd 1028 50 m m NN cord-022594-fx044gcd 1028 51 ) ) -RRB- cord-022594-fx044gcd 1028 52 receives receive VBZ cord-022594-fx044gcd 1028 53 a a DT cord-022594-fx044gcd 1028 54 score score NN cord-022594-fx044gcd 1028 55 of of IN cord-022594-fx044gcd 1028 56 6 6 CD cord-022594-fx044gcd 1028 57 ; ; : cord-022594-fx044gcd 1028 58 an an DT cord-022594-fx044gcd 1028 59 EDSS EDSS NNP cord-022594-fx044gcd 1028 60 of of IN cord-022594-fx044gcd 1028 61 8 8 CD cord-022594-fx044gcd 1028 62 refers refer VBZ cord-022594-fx044gcd 1028 63 to to IN cord-022594-fx044gcd 1028 64 the the DT cord-022594-fx044gcd 1028 65 need need NN cord-022594-fx044gcd 1028 66 for for IN cord-022594-fx044gcd 1028 67 a a DT cord-022594-fx044gcd 1028 68 wheelchair wheelchair NN cord-022594-fx044gcd 1028 69 and and CC cord-022594-fx044gcd 1028 70 effective effective JJ cord-022594-fx044gcd 1028 71 upper upper JJ cord-022594-fx044gcd 1028 72 extremity extremity NN cord-022594-fx044gcd 1028 73 function function NN cord-022594-fx044gcd 1028 74 ; ; : cord-022594-fx044gcd 1028 75 an an DT cord-022594-fx044gcd 1028 76 EDSS EDSS NNP cord-022594-fx044gcd 1028 77 of of IN cord-022594-fx044gcd 1028 78 10 10 CD cord-022594-fx044gcd 1028 79 refers refer VBZ cord-022594-fx044gcd 1028 80 to to IN cord-022594-fx044gcd 1028 81 death death NN cord-022594-fx044gcd 1028 82 related relate VBN cord-022594-fx044gcd 1028 83 to to IN cord-022594-fx044gcd 1028 84 MS MS NNP cord-022594-fx044gcd 1028 85 . . . cord-022594-fx044gcd 1029 1 MS MS NNP cord-022594-fx044gcd 1029 2 has have VBZ cord-022594-fx044gcd 1029 3 a a DT cord-022594-fx044gcd 1029 4 highly highly RB cord-022594-fx044gcd 1029 5 variable variable JJ cord-022594-fx044gcd 1029 6 outcome outcome NN cord-022594-fx044gcd 1029 7 , , , cord-022594-fx044gcd 1029 8 ranging range VBG cord-022594-fx044gcd 1029 9 from from IN cord-022594-fx044gcd 1029 10 asymptomatic asymptomatic JJ cord-022594-fx044gcd 1029 11 to to TO cord-022594-fx044gcd 1029 12 fulminant fulminant VB cord-022594-fx044gcd 1029 13 with with IN cord-022594-fx044gcd 1029 14 death death NN cord-022594-fx044gcd 1029 15 ensuing ensue VBG cord-022594-fx044gcd 1029 16 in in IN cord-022594-fx044gcd 1029 17 a a DT cord-022594-fx044gcd 1029 18 matter matter NN cord-022594-fx044gcd 1029 19 of of IN cord-022594-fx044gcd 1029 20 months month NNS cord-022594-fx044gcd 1029 21 . . . cord-022594-fx044gcd 1030 1 Autopsy autopsy JJ cord-022594-fx044gcd 1030 2 series series NN cord-022594-fx044gcd 1030 3 have have VBP cord-022594-fx044gcd 1030 4 estimated estimate VBN cord-022594-fx044gcd 1030 5 that that IN cord-022594-fx044gcd 1030 6 unsuspected unsuspected JJ cord-022594-fx044gcd 1030 7 MS MS NNP cord-022594-fx044gcd 1030 8 may may MD cord-022594-fx044gcd 1030 9 occur occur VB cord-022594-fx044gcd 1030 10 in in IN cord-022594-fx044gcd 1030 11 as as RB cord-022594-fx044gcd 1030 12 many many JJ cord-022594-fx044gcd 1030 13 as as IN cord-022594-fx044gcd 1030 14 0.2 0.2 CD cord-022594-fx044gcd 1030 15 % % NN cord-022594-fx044gcd 1030 16 of of IN cord-022594-fx044gcd 1030 17 the the DT cord-022594-fx044gcd 1030 18 population population NN cord-022594-fx044gcd 1030 19 . . . cord-022594-fx044gcd 1031 1 Even even RB cord-022594-fx044gcd 1031 2 when when WRB cord-022594-fx044gcd 1031 3 symptomatic symptomatic JJ cord-022594-fx044gcd 1031 4 , , , cord-022594-fx044gcd 1031 5 MS MS NNP cord-022594-fx044gcd 1031 6 may may MD cord-022594-fx044gcd 1031 7 cause cause VB cord-022594-fx044gcd 1031 8 only only JJ cord-022594-fx044gcd 1031 9 nuisance nuisance NN cord-022594-fx044gcd 1031 10 symptoms symptom NNS cord-022594-fx044gcd 1031 11 . . . cord-022594-fx044gcd 1032 1 Benign benign JJ cord-022594-fx044gcd 1032 2 MS MS NNP cord-022594-fx044gcd 1032 3 , , , cord-022594-fx044gcd 1032 4 when when WRB cord-022594-fx044gcd 1032 5 defined define VBN cord-022594-fx044gcd 1032 6 as as IN cord-022594-fx044gcd 1032 7 unrestricted unrestricted JJ cord-022594-fx044gcd 1032 8 ambulation ambulation NN cord-022594-fx044gcd 1032 9 or or CC cord-022594-fx044gcd 1032 10 EDSS EDSS NNP cord-022594-fx044gcd 1032 11 of of IN cord-022594-fx044gcd 1032 12 3 3 CD cord-022594-fx044gcd 1032 13 or or CC cord-022594-fx044gcd 1032 14 less less JJR cord-022594-fx044gcd 1032 15 10 10 CD cord-022594-fx044gcd 1032 16 years year NNS cord-022594-fx044gcd 1032 17 after after IN cord-022594-fx044gcd 1032 18 onset onset NN cord-022594-fx044gcd 1032 19 , , , cord-022594-fx044gcd 1032 20 accounts account VBZ cord-022594-fx044gcd 1032 21 for for IN cord-022594-fx044gcd 1032 22 about about RB cord-022594-fx044gcd 1032 23 one one CD cord-022594-fx044gcd 1032 24 third third NN cord-022594-fx044gcd 1032 25 of of IN cord-022594-fx044gcd 1032 26 cases case NNS cord-022594-fx044gcd 1032 27 . . . cord-022594-fx044gcd 1033 1 However however RB cord-022594-fx044gcd 1033 2 , , , cord-022594-fx044gcd 1033 3 many many JJ cord-022594-fx044gcd 1033 4 of of IN cord-022594-fx044gcd 1033 5 these these DT cord-022594-fx044gcd 1033 6 patients patient NNS cord-022594-fx044gcd 1033 7 acquire acquire VBP cord-022594-fx044gcd 1033 8 more more JJR cord-022594-fx044gcd 1033 9 disability disability NN cord-022594-fx044gcd 1033 10 later later RB cord-022594-fx044gcd 1033 11 . . . cord-022594-fx044gcd 1034 1 When when WRB cord-022594-fx044gcd 1034 2 considering consider VBG cord-022594-fx044gcd 1034 3 all all DT cord-022594-fx044gcd 1034 4 patients patient NNS cord-022594-fx044gcd 1034 5 with with IN cord-022594-fx044gcd 1034 6 MS MS NNP cord-022594-fx044gcd 1034 7 , , , cord-022594-fx044gcd 1034 8 Weinshenker Weinshenker NNP cord-022594-fx044gcd 1034 9 found find VBD cord-022594-fx044gcd 1034 10 that that IN cord-022594-fx044gcd 1034 11 15 15 CD cord-022594-fx044gcd 1034 12 years year NNS cord-022594-fx044gcd 1034 13 after after IN cord-022594-fx044gcd 1034 14 onset onset NN cord-022594-fx044gcd 1034 15 , , , cord-022594-fx044gcd 1034 16 80 80 CD cord-022594-fx044gcd 1034 17 % % NN cord-022594-fx044gcd 1034 18 had have VBD cord-022594-fx044gcd 1034 19 EDSS eds VBN cord-022594-fx044gcd 1034 20 worse bad JJR cord-022594-fx044gcd 1034 21 than than IN cord-022594-fx044gcd 1034 22 3 3 CD cord-022594-fx044gcd 1034 23 , , , cord-022594-fx044gcd 1034 24 50 50 CD cord-022594-fx044gcd 1034 25 % % NN cord-022594-fx044gcd 1034 26 had have VBD cord-022594-fx044gcd 1034 27 reached reach VBN cord-022594-fx044gcd 1034 28 EDSS EDSS NNP cord-022594-fx044gcd 1034 29 of of IN cord-022594-fx044gcd 1034 30 6 6 CD cord-022594-fx044gcd 1034 31 or or CC cord-022594-fx044gcd 1034 32 more more JJR cord-022594-fx044gcd 1034 33 , , , cord-022594-fx044gcd 1034 34 10 10 CD cord-022594-fx044gcd 1034 35 % % NN cord-022594-fx044gcd 1034 36 were be VBD cord-022594-fx044gcd 1034 37 at at IN cord-022594-fx044gcd 1034 38 EDSS EDSS NNP cord-022594-fx044gcd 1034 39 8 8 CD cord-022594-fx044gcd 1034 40 , , , cord-022594-fx044gcd 1034 41 and and CC cord-022594-fx044gcd 1034 42 2 2 CD cord-022594-fx044gcd 1034 43 % % NN cord-022594-fx044gcd 1034 44 had have VBD cord-022594-fx044gcd 1034 45 died die VBN cord-022594-fx044gcd 1034 46 . . . cord-022594-fx044gcd 1035 1 The the DT cord-022594-fx044gcd 1035 2 percentage percentage NN cord-022594-fx044gcd 1035 3 of of IN cord-022594-fx044gcd 1035 4 patients patient NNS cord-022594-fx044gcd 1035 5 with with IN cord-022594-fx044gcd 1035 6 initially initially RB cord-022594-fx044gcd 1035 7 RRMS RRMS NNP cord-022594-fx044gcd 1035 8 who who WP cord-022594-fx044gcd 1035 9 develop develop VBP cord-022594-fx044gcd 1035 10 SPMS SPMS NNP cord-022594-fx044gcd 1035 11 increases increase NNS cord-022594-fx044gcd 1035 12 steadily steadily RB cord-022594-fx044gcd 1035 13 with with IN cord-022594-fx044gcd 1035 14 disease disease NN cord-022594-fx044gcd 1035 15 duration duration NN cord-022594-fx044gcd 1035 16 . . . cord-022594-fx044gcd 1036 1 113 113 CD cord-022594-fx044gcd 1037 1 At at IN cord-022594-fx044gcd 1037 2 10 10 CD cord-022594-fx044gcd 1037 3 years year NNS cord-022594-fx044gcd 1037 4 , , , cord-022594-fx044gcd 1037 5 40 40 CD cord-022594-fx044gcd 1037 6 % % NN cord-022594-fx044gcd 1037 7 to to IN cord-022594-fx044gcd 1037 8 50 50 CD cord-022594-fx044gcd 1037 9 % % NN cord-022594-fx044gcd 1037 10 have have VBP cord-022594-fx044gcd 1037 11 continual continual JJ cord-022594-fx044gcd 1037 12 deterioration deterioration NN cord-022594-fx044gcd 1037 13 ; ; : cord-022594-fx044gcd 1037 14 after after IN cord-022594-fx044gcd 1037 15 25 25 CD cord-022594-fx044gcd 1037 16 years year NNS cord-022594-fx044gcd 1037 17 , , , cord-022594-fx044gcd 1037 18 approximately approximately RB cord-022594-fx044gcd 1037 19 80 80 CD cord-022594-fx044gcd 1037 20 % % NN cord-022594-fx044gcd 1037 21 have have VBP cord-022594-fx044gcd 1037 22 slow slow JJ cord-022594-fx044gcd 1037 23 progression progression NN cord-022594-fx044gcd 1037 24 . . . cord-022594-fx044gcd 1038 1 In in IN cord-022594-fx044gcd 1038 2 the the DT cord-022594-fx044gcd 1038 3 most most RBS cord-022594-fx044gcd 1038 4 recent recent JJ cord-022594-fx044gcd 1038 5 study study NN cord-022594-fx044gcd 1038 6 published publish VBN cord-022594-fx044gcd 1038 7 about about IN cord-022594-fx044gcd 1038 8 the the DT cord-022594-fx044gcd 1038 9 Olmsted Olmsted NNP cord-022594-fx044gcd 1038 10 County County NNP cord-022594-fx044gcd 1038 11 MS MS NNP cord-022594-fx044gcd 1038 12 prevalence prevalence NN cord-022594-fx044gcd 1038 13 cohort cohort NN cord-022594-fx044gcd 1038 14 consisting consist VBG cord-022594-fx044gcd 1038 15 of of IN cord-022594-fx044gcd 1038 16 161 161 CD cord-022594-fx044gcd 1038 17 patients patient NNS cord-022594-fx044gcd 1038 18 , , , cord-022594-fx044gcd 1038 19 the the DT cord-022594-fx044gcd 1038 20 mean mean JJ cord-022594-fx044gcd 1038 21 change change NN cord-022594-fx044gcd 1038 22 in in IN cord-022594-fx044gcd 1038 23 EDSS EDSS NNP cord-022594-fx044gcd 1038 24 over over IN cord-022594-fx044gcd 1038 25 10 10 CD cord-022594-fx044gcd 1038 26 years year NNS cord-022594-fx044gcd 1038 27 was be VBD cord-022594-fx044gcd 1038 28 1 1 CD cord-022594-fx044gcd 1038 29 point point NN cord-022594-fx044gcd 1038 30 , , , cord-022594-fx044gcd 1038 31 and and CC cord-022594-fx044gcd 1038 32 only only RB cord-022594-fx044gcd 1038 33 20 20 CD cord-022594-fx044gcd 1038 34 % % NN cord-022594-fx044gcd 1038 35 of of IN cord-022594-fx044gcd 1038 36 patients patient NNS cord-022594-fx044gcd 1038 37 had have VBD cord-022594-fx044gcd 1038 38 a a DT cord-022594-fx044gcd 1038 39 change change NN cord-022594-fx044gcd 1038 40 larger large JJR cord-022594-fx044gcd 1038 41 than than IN cord-022594-fx044gcd 1038 42 2.0 2.0 CD cord-022594-fx044gcd 1038 43 points point NNS cord-022594-fx044gcd 1038 44 . . . cord-022594-fx044gcd 1039 1 114 114 CD cord-022594-fx044gcd 1039 2 Eighty eighty CD cord-022594-fx044gcd 1039 3 - - HYPH cord-022594-fx044gcd 1039 4 three three CD cord-022594-fx044gcd 1039 5 percent percent NN cord-022594-fx044gcd 1039 6 of of IN cord-022594-fx044gcd 1039 7 the the DT cord-022594-fx044gcd 1039 8 patients patient NNS cord-022594-fx044gcd 1039 9 with with IN cord-022594-fx044gcd 1039 10 mild mild JJ cord-022594-fx044gcd 1039 11 symptoms symptom NNS cord-022594-fx044gcd 1039 12 ( ( -LRB- cord-022594-fx044gcd 1039 13 EDSS EDSS NNP cord-022594-fx044gcd 1039 14 < < XX cord-022594-fx044gcd 1039 15 3.0 3.0 CD cord-022594-fx044gcd 1039 16 ) ) -RRB- cord-022594-fx044gcd 1039 17 were be VBD cord-022594-fx044gcd 1039 18 still still RB cord-022594-fx044gcd 1039 19 ambulatory ambulatory JJ cord-022594-fx044gcd 1039 20 without without IN cord-022594-fx044gcd 1039 21 cane cane NN cord-022594-fx044gcd 1039 22 10 10 CD cord-022594-fx044gcd 1039 23 years year NNS cord-022594-fx044gcd 1039 24 later later RB cord-022594-fx044gcd 1039 25 . . . cord-022594-fx044gcd 1040 1 Among among IN cord-022594-fx044gcd 1040 2 the the DT cord-022594-fx044gcd 1040 3 patients patient NNS cord-022594-fx044gcd 1040 4 with with IN cord-022594-fx044gcd 1040 5 an an DT cord-022594-fx044gcd 1040 6 EDSS EDSS NNP cord-022594-fx044gcd 1040 7 of of IN cord-022594-fx044gcd 1040 8 3 3 CD cord-022594-fx044gcd 1040 9 to to IN cord-022594-fx044gcd 1040 10 5 5 CD cord-022594-fx044gcd 1040 11 , , , cord-022594-fx044gcd 1040 12 51 51 CD cord-022594-fx044gcd 1040 13 % % NN cord-022594-fx044gcd 1040 14 were be VBD cord-022594-fx044gcd 1040 15 using use VBG cord-022594-fx044gcd 1040 16 a a DT cord-022594-fx044gcd 1040 17 cane cane NN cord-022594-fx044gcd 1040 18 ; ; : cord-022594-fx044gcd 1040 19 in in IN cord-022594-fx044gcd 1040 20 the the DT cord-022594-fx044gcd 1040 21 6 6 CD cord-022594-fx044gcd 1040 22 to to TO cord-022594-fx044gcd 1040 23 7 7 CD cord-022594-fx044gcd 1040 24 EDDS EDDS NNP cord-022594-fx044gcd 1040 25 range range NN cord-022594-fx044gcd 1040 26 , , , cord-022594-fx044gcd 1040 27 51 51 CD cord-022594-fx044gcd 1040 28 % % NN cord-022594-fx044gcd 1040 29 were be VBD cord-022594-fx044gcd 1040 30 wheelchair wheelchair NN cord-022594-fx044gcd 1040 31 bound bound JJ cord-022594-fx044gcd 1040 32 . . . cord-022594-fx044gcd 1041 1 Strong strong JJ cord-022594-fx044gcd 1041 2 predictors predictor NNS cord-022594-fx044gcd 1041 3 for for IN cord-022594-fx044gcd 1041 4 the the DT cord-022594-fx044gcd 1041 5 outcome outcome NN cord-022594-fx044gcd 1041 6 were be VBD cord-022594-fx044gcd 1041 7 not not RB cord-022594-fx044gcd 1041 8 identified identify VBN cord-022594-fx044gcd 1041 9 in in IN cord-022594-fx044gcd 1041 10 this this DT cord-022594-fx044gcd 1041 11 study study NN cord-022594-fx044gcd 1041 12 . . . cord-022594-fx044gcd 1042 1 Population population NN cord-022594-fx044gcd 1042 2 - - HYPH cord-022594-fx044gcd 1042 3 based base VBN cord-022594-fx044gcd 1042 4 studies study NNS cord-022594-fx044gcd 1042 5 with with IN cord-022594-fx044gcd 1042 6 complete complete JJ cord-022594-fx044gcd 1042 7 ascertainment ascertainment NN cord-022594-fx044gcd 1042 8 can can MD cord-022594-fx044gcd 1042 9 effectively effectively RB cord-022594-fx044gcd 1042 10 remove remove VB cord-022594-fx044gcd 1042 11 the the DT cord-022594-fx044gcd 1042 12 bias bias NN cord-022594-fx044gcd 1042 13 of of IN cord-022594-fx044gcd 1042 14 a a DT cord-022594-fx044gcd 1042 15 referral referral JJ cord-022594-fx044gcd 1042 16 practice practice NN cord-022594-fx044gcd 1042 17 , , , cord-022594-fx044gcd 1042 18 which which WDT cord-022594-fx044gcd 1042 19 is be VBZ cord-022594-fx044gcd 1042 20 inherently inherently RB cord-022594-fx044gcd 1042 21 biased biased JJ cord-022594-fx044gcd 1042 22 towards towards IN cord-022594-fx044gcd 1042 23 the the DT cord-022594-fx044gcd 1042 24 more more RBR cord-022594-fx044gcd 1042 25 active active JJ cord-022594-fx044gcd 1042 26 and and CC cord-022594-fx044gcd 1042 27 more more RBR cord-022594-fx044gcd 1042 28 serious serious JJ cord-022594-fx044gcd 1042 29 cases case NNS cord-022594-fx044gcd 1042 30 . . . cord-022594-fx044gcd 1043 1 These these DT cord-022594-fx044gcd 1043 2 studies study NNS cord-022594-fx044gcd 1043 3 also also RB cord-022594-fx044gcd 1043 4 provide provide VBP cord-022594-fx044gcd 1043 5 some some DT cord-022594-fx044gcd 1043 6 much much JJ cord-022594-fx044gcd 1043 7 needed need VBN cord-022594-fx044gcd 1043 8 balance balance NN cord-022594-fx044gcd 1043 9 to to IN cord-022594-fx044gcd 1043 10 the the DT cord-022594-fx044gcd 1043 11 " " `` cord-022594-fx044gcd 1043 12 heavily heavily RB cord-022594-fx044gcd 1043 13 skewed skewed JJ cord-022594-fx044gcd 1043 14 for for IN cord-022594-fx044gcd 1043 15 recent recent JJ cord-022594-fx044gcd 1043 16 disease disease NN cord-022594-fx044gcd 1043 17 activity activity NN cord-022594-fx044gcd 1043 18 " " '' cord-022594-fx044gcd 1043 19 clinical clinical JJ cord-022594-fx044gcd 1043 20 trial trial NN cord-022594-fx044gcd 1043 21 experience experience NN cord-022594-fx044gcd 1043 22 . . . cord-022594-fx044gcd 1044 1 From from IN cord-022594-fx044gcd 1044 2 the the DT cord-022594-fx044gcd 1044 3 most most RBS cord-022594-fx044gcd 1044 4 recent recent JJ cord-022594-fx044gcd 1044 5 extensions extension NNS cord-022594-fx044gcd 1044 6 to to IN cord-022594-fx044gcd 1044 7 the the DT cord-022594-fx044gcd 1044 8 Olmsted Olmsted NNP cord-022594-fx044gcd 1044 9 County County NNP cord-022594-fx044gcd 1044 10 MS MS NNP cord-022594-fx044gcd 1044 11 cohort cohort NN cord-022594-fx044gcd 1044 12 studies study NNS cord-022594-fx044gcd 1044 13 conducted conduct VBN cord-022594-fx044gcd 1044 14 by by IN cord-022594-fx044gcd 1044 15 the the DT cord-022594-fx044gcd 1044 16 Mayo Mayo NNP cord-022594-fx044gcd 1044 17 group group NN cord-022594-fx044gcd 1044 18 , , , cord-022594-fx044gcd 1044 19 several several JJ cord-022594-fx044gcd 1044 20 conclusions conclusion NNS cord-022594-fx044gcd 1044 21 can can MD cord-022594-fx044gcd 1044 22 be be VB cord-022594-fx044gcd 1044 23 drawn draw VBN cord-022594-fx044gcd 1044 24 . . . cord-022594-fx044gcd 1045 1 The the DT cord-022594-fx044gcd 1045 2 number number NN cord-022594-fx044gcd 1045 3 of of IN cord-022594-fx044gcd 1045 4 relapses relapse NNS cord-022594-fx044gcd 1045 5 in in IN cord-022594-fx044gcd 1045 6 the the DT cord-022594-fx044gcd 1045 7 first first JJ cord-022594-fx044gcd 1045 8 year year NN cord-022594-fx044gcd 1045 9 of of IN cord-022594-fx044gcd 1045 10 the the DT cord-022594-fx044gcd 1045 11 disease disease NN cord-022594-fx044gcd 1045 12 do do VBP cord-022594-fx044gcd 1045 13 not not RB cord-022594-fx044gcd 1045 14 predict predict VB cord-022594-fx044gcd 1045 15 long long JJ cord-022594-fx044gcd 1045 16 term term NN cord-022594-fx044gcd 1045 17 outcome outcome NN cord-022594-fx044gcd 1045 18 . . . cord-022594-fx044gcd 1046 1 The the DT cord-022594-fx044gcd 1046 2 time time NN cord-022594-fx044gcd 1046 3 to to IN cord-022594-fx044gcd 1046 4 disability disability NN cord-022594-fx044gcd 1046 5 is be VBZ cord-022594-fx044gcd 1046 6 not not RB cord-022594-fx044gcd 1046 7 influenced influence VBN cord-022594-fx044gcd 1046 8 by by IN cord-022594-fx044gcd 1046 9 ongoing ongoing JJ cord-022594-fx044gcd 1046 10 relapses relapse NNS cord-022594-fx044gcd 1046 11 once once IN cord-022594-fx044gcd 1046 12 patients patient NNS cord-022594-fx044gcd 1046 13 achieve achieve VBP cord-022594-fx044gcd 1046 14 an an DT cord-022594-fx044gcd 1046 15 apparently apparently RB cord-022594-fx044gcd 1046 16 permanent permanent JJ cord-022594-fx044gcd 1046 17 degree degree NN cord-022594-fx044gcd 1046 18 of of IN cord-022594-fx044gcd 1046 19 moderate moderate JJ cord-022594-fx044gcd 1046 20 disability disability NN cord-022594-fx044gcd 1046 21 ( ( -LRB- cord-022594-fx044gcd 1046 22 EDSS EDSS NNP cord-022594-fx044gcd 1046 23 3.5 3.5 CD cord-022594-fx044gcd 1046 24 ) ) -RRB- cord-022594-fx044gcd 1046 25 . . . cord-022594-fx044gcd 1047 1 Overall overall RB cord-022594-fx044gcd 1047 2 , , , cord-022594-fx044gcd 1047 3 80 80 CD cord-022594-fx044gcd 1047 4 % % NN cord-022594-fx044gcd 1047 5 patients patient NNS cord-022594-fx044gcd 1047 6 who who WP cord-022594-fx044gcd 1047 7 are be VBP cord-022594-fx044gcd 1047 8 still still RB cord-022594-fx044gcd 1047 9 classified classify VBN cord-022594-fx044gcd 1047 10 as as IN cord-022594-fx044gcd 1047 11 RRMS RRMS NNP cord-022594-fx044gcd 1047 12 into into IN cord-022594-fx044gcd 1047 13 their -PRON- PRP$ cord-022594-fx044gcd 1047 14 second second JJ cord-022594-fx044gcd 1047 15 decade decade NN cord-022594-fx044gcd 1047 16 of of IN cord-022594-fx044gcd 1047 17 disease disease NN cord-022594-fx044gcd 1047 18 continue continue VBP cord-022594-fx044gcd 1047 19 to to TO cord-022594-fx044gcd 1047 20 do do VB cord-022594-fx044gcd 1047 21 well well RB cord-022594-fx044gcd 1047 22 for for IN cord-022594-fx044gcd 1047 23 15 15 CD cord-022594-fx044gcd 1047 24 to to TO cord-022594-fx044gcd 1047 25 20 20 CD cord-022594-fx044gcd 1047 26 years year NNS cord-022594-fx044gcd 1047 27 with with IN cord-022594-fx044gcd 1047 28 limited limited JJ cord-022594-fx044gcd 1047 29 permanent permanent JJ cord-022594-fx044gcd 1047 30 disability disability NN cord-022594-fx044gcd 1047 31 . . . cord-022594-fx044gcd 1048 1 Patients patient NNS cord-022594-fx044gcd 1048 2 doing do VBG cord-022594-fx044gcd 1048 3 extremely extremely RB cord-022594-fx044gcd 1048 4 well well RB cord-022594-fx044gcd 1048 5 ( ( -LRB- cord-022594-fx044gcd 1048 6 EDSS EDSS NNP cord-022594-fx044gcd 1048 7 2.0 2.0 CD cord-022594-fx044gcd 1048 8 ) ) -RRB- cord-022594-fx044gcd 1048 9 after after IN cord-022594-fx044gcd 1048 10 10 10 CD cord-022594-fx044gcd 1048 11 years year NNS cord-022594-fx044gcd 1048 12 of of IN cord-022594-fx044gcd 1048 13 MS MS NNP cord-022594-fx044gcd 1048 14 generally generally RB cord-022594-fx044gcd 1048 15 do do VBP cord-022594-fx044gcd 1048 16 well well RB cord-022594-fx044gcd 1048 17 in in IN cord-022594-fx044gcd 1048 18 the the DT cord-022594-fx044gcd 1048 19 next next JJ cord-022594-fx044gcd 1048 20 decade decade NN cord-022594-fx044gcd 1048 21 . . . cord-022594-fx044gcd 1049 1 However however RB cord-022594-fx044gcd 1049 2 , , , cord-022594-fx044gcd 1049 3 very very RB cord-022594-fx044gcd 1049 4 rarely rarely RB cord-022594-fx044gcd 1049 5 patients patient NNS cord-022594-fx044gcd 1049 6 doing do VBG cord-022594-fx044gcd 1049 7 well well RB cord-022594-fx044gcd 1049 8 even even RB cord-022594-fx044gcd 1049 9 for for IN cord-022594-fx044gcd 1049 10 2 2 CD cord-022594-fx044gcd 1049 11 to to TO cord-022594-fx044gcd 1049 12 3 3 CD cord-022594-fx044gcd 1049 13 decades decade NNS cord-022594-fx044gcd 1049 14 may may MD cord-022594-fx044gcd 1049 15 develop develop VB cord-022594-fx044gcd 1049 16 severe severe JJ cord-022594-fx044gcd 1049 17 late late JJ cord-022594-fx044gcd 1049 18 disability disability NN cord-022594-fx044gcd 1049 19 . . . cord-022594-fx044gcd 1050 1 We -PRON- PRP cord-022594-fx044gcd 1050 2 advise advise VBP cord-022594-fx044gcd 1050 3 that that IN cord-022594-fx044gcd 1050 4 neurologists neurologist NNS cord-022594-fx044gcd 1050 5 share share VBP cord-022594-fx044gcd 1050 6 these these DT cord-022594-fx044gcd 1050 7 findings finding NNS cord-022594-fx044gcd 1050 8 with with IN cord-022594-fx044gcd 1050 9 patients patient NNS cord-022594-fx044gcd 1050 10 who who WP cord-022594-fx044gcd 1050 11 are be VBP cord-022594-fx044gcd 1050 12 in in IN cord-022594-fx044gcd 1050 13 periods period NNS cord-022594-fx044gcd 1050 14 of of IN cord-022594-fx044gcd 1050 15 prolonged prolong VBN cord-022594-fx044gcd 1050 16 remission remission NN cord-022594-fx044gcd 1050 17 during during IN cord-022594-fx044gcd 1050 18 the the DT cord-022594-fx044gcd 1050 19 discussions discussion NNS cord-022594-fx044gcd 1050 20 about about IN cord-022594-fx044gcd 1050 21 the the DT cord-022594-fx044gcd 1050 22 merits merit NNS cord-022594-fx044gcd 1050 23 of of IN cord-022594-fx044gcd 1050 24 beginning begin VBG cord-022594-fx044gcd 1050 25 disease disease NN cord-022594-fx044gcd 1050 26 - - HYPH cord-022594-fx044gcd 1050 27 modifying modify VBG cord-022594-fx044gcd 1050 28 agents agent NNS cord-022594-fx044gcd 1050 29 . . . cord-022594-fx044gcd 1051 1 Natural natural JJ cord-022594-fx044gcd 1051 2 history history NN cord-022594-fx044gcd 1051 3 studies study NNS cord-022594-fx044gcd 1051 4 have have VBP cord-022594-fx044gcd 1051 5 identified identify VBN cord-022594-fx044gcd 1051 6 several several JJ cord-022594-fx044gcd 1051 7 prognostic prognostic JJ cord-022594-fx044gcd 1051 8 indicators indicator NNS cord-022594-fx044gcd 1051 9 that that WDT cord-022594-fx044gcd 1051 10 predict predict VBP cord-022594-fx044gcd 1051 11 outcome outcome NN cord-022594-fx044gcd 1051 12 to to IN cord-022594-fx044gcd 1051 13 a a DT cord-022594-fx044gcd 1051 14 limited limited JJ cord-022594-fx044gcd 1051 15 extent extent NN cord-022594-fx044gcd 1051 16 . . . cord-022594-fx044gcd 1052 1 Factors factor NNS cord-022594-fx044gcd 1052 2 associated associate VBN cord-022594-fx044gcd 1052 3 with with IN cord-022594-fx044gcd 1052 4 a a DT cord-022594-fx044gcd 1052 5 better well JJR cord-022594-fx044gcd 1052 6 prognosis prognosis NN cord-022594-fx044gcd 1052 7 ( ( -LRB- cord-022594-fx044gcd 1052 8 slower slow JJR cord-022594-fx044gcd 1052 9 accumulation accumulation NN cord-022594-fx044gcd 1052 10 of of IN cord-022594-fx044gcd 1052 11 disability disability NN cord-022594-fx044gcd 1052 12 , , , cord-022594-fx044gcd 1052 13 longer long JJR cord-022594-fx044gcd 1052 14 time time NN cord-022594-fx044gcd 1052 15 before before IN cord-022594-fx044gcd 1052 16 chronic chronic JJ cord-022594-fx044gcd 1052 17 progression progression NN cord-022594-fx044gcd 1052 18 ) ) -RRB- cord-022594-fx044gcd 1052 19 include include VBP cord-022594-fx044gcd 1052 20 young young JJ cord-022594-fx044gcd 1052 21 age age NN cord-022594-fx044gcd 1052 22 at at IN cord-022594-fx044gcd 1052 23 onset onset NN cord-022594-fx044gcd 1052 24 , , , cord-022594-fx044gcd 1052 25 female female JJ cord-022594-fx044gcd 1052 26 gender gender NN cord-022594-fx044gcd 1052 27 , , , cord-022594-fx044gcd 1052 28 RR rr NN cord-022594-fx044gcd 1052 29 course course NN cord-022594-fx044gcd 1052 30 ( ( -LRB- cord-022594-fx044gcd 1052 31 as as IN cord-022594-fx044gcd 1052 32 opposed oppose VBN cord-022594-fx044gcd 1052 33 to to IN cord-022594-fx044gcd 1052 34 PPMS PPMS NNP cord-022594-fx044gcd 1052 35 ) ) -RRB- cord-022594-fx044gcd 1052 36 , , , cord-022594-fx044gcd 1052 37 initial initial JJ cord-022594-fx044gcd 1052 38 symptoms symptom NNS cord-022594-fx044gcd 1052 39 of of IN cord-022594-fx044gcd 1052 40 sensory sensory JJ cord-022594-fx044gcd 1052 41 impairment impairment NN cord-022594-fx044gcd 1052 42 or or CC cord-022594-fx044gcd 1052 43 ON on RB cord-022594-fx044gcd 1052 44 , , , cord-022594-fx044gcd 1052 45 first first JJ cord-022594-fx044gcd 1052 46 manifestations manifestation NNS cord-022594-fx044gcd 1052 47 affecting affect VBG cord-022594-fx044gcd 1052 48 only only RB cord-022594-fx044gcd 1052 49 one one CD cord-022594-fx044gcd 1052 50 CNS CNS NNP cord-022594-fx044gcd 1052 51 region region NN cord-022594-fx044gcd 1052 52 , , , cord-022594-fx044gcd 1052 53 high high JJ cord-022594-fx044gcd 1052 54 degree degree NN cord-022594-fx044gcd 1052 55 of of IN cord-022594-fx044gcd 1052 56 recovery recovery NN cord-022594-fx044gcd 1052 57 from from IN cord-022594-fx044gcd 1052 58 initial initial JJ cord-022594-fx044gcd 1052 59 bout bout NN cord-022594-fx044gcd 1052 60 , , , cord-022594-fx044gcd 1052 61 longer long JJR cord-022594-fx044gcd 1052 62 interval interval NN cord-022594-fx044gcd 1052 63 between between IN cord-022594-fx044gcd 1052 64 first first JJ cord-022594-fx044gcd 1052 65 and and CC cord-022594-fx044gcd 1052 66 second second JJ cord-022594-fx044gcd 1052 67 relapses relapse NNS cord-022594-fx044gcd 1052 68 , , , cord-022594-fx044gcd 1052 69 low low JJ cord-022594-fx044gcd 1052 70 number number NN cord-022594-fx044gcd 1052 71 of of IN cord-022594-fx044gcd 1052 72 relapses relapse NNS cord-022594-fx044gcd 1052 73 in in IN cord-022594-fx044gcd 1052 74 the the DT cord-022594-fx044gcd 1052 75 first first JJ cord-022594-fx044gcd 1052 76 2 2 CD cord-022594-fx044gcd 1052 77 years year NNS cord-022594-fx044gcd 1052 78 , , , cord-022594-fx044gcd 1052 79 and and CC cord-022594-fx044gcd 1052 80 less less JJR cord-022594-fx044gcd 1052 81 disability disability NN cord-022594-fx044gcd 1052 82 at at IN cord-022594-fx044gcd 1052 83 5 5 CD cord-022594-fx044gcd 1052 84 years year NNS cord-022594-fx044gcd 1052 85 after after IN cord-022594-fx044gcd 1052 86 onset onset NN cord-022594-fx044gcd 1052 87 ( ( -LRB- cord-022594-fx044gcd 1052 88 both both DT cord-022594-fx044gcd 1052 89 EDSS eds NNS cord-022594-fx044gcd 1052 90 and and CC cord-022594-fx044gcd 1052 91 number number NN cord-022594-fx044gcd 1052 92 of of IN cord-022594-fx044gcd 1052 93 systems system NNS cord-022594-fx044gcd 1052 94 affected affect VBN cord-022594-fx044gcd 1052 95 - - HYPH cord-022594-fx044gcd 1052 96 sensory sensory JJ cord-022594-fx044gcd 1052 97 , , , cord-022594-fx044gcd 1052 98 motor motor NN cord-022594-fx044gcd 1052 99 , , , cord-022594-fx044gcd 1052 100 sphincter sphincter NN cord-022594-fx044gcd 1052 101 , , , cord-022594-fx044gcd 1052 102 brain brain NN cord-022594-fx044gcd 1052 103 stem stem NN cord-022594-fx044gcd 1052 104 , , , cord-022594-fx044gcd 1052 105 vision vision NN cord-022594-fx044gcd 1052 106 , , , cord-022594-fx044gcd 1052 107 cerebral cerebral JJ cord-022594-fx044gcd 1052 108 ) ) -RRB- cord-022594-fx044gcd 1052 109 . . . cord-022594-fx044gcd 1053 1 Despite despite IN cord-022594-fx044gcd 1053 2 the the DT cord-022594-fx044gcd 1053 3 indolent indolent JJ cord-022594-fx044gcd 1053 4 nature nature NN cord-022594-fx044gcd 1053 5 , , , cord-022594-fx044gcd 1053 6 a a DT cord-022594-fx044gcd 1053 7 PP pp NN cord-022594-fx044gcd 1053 8 course course NN cord-022594-fx044gcd 1053 9 is be VBZ cord-022594-fx044gcd 1053 10 the the DT cord-022594-fx044gcd 1053 11 worst bad JJS cord-022594-fx044gcd 1053 12 prognostic prognostic JJ cord-022594-fx044gcd 1053 13 factor factor NN cord-022594-fx044gcd 1053 14 , , , cord-022594-fx044gcd 1053 15 with with IN cord-022594-fx044gcd 1053 16 the the DT cord-022594-fx044gcd 1053 17 median median JJ cord-022594-fx044gcd 1053 18 time time NN cord-022594-fx044gcd 1053 19 to to TO cord-022594-fx044gcd 1053 20 reach reach VB cord-022594-fx044gcd 1053 21 EDSS EDSS NNP cord-022594-fx044gcd 1053 22 6 6 CD cord-022594-fx044gcd 1053 23 of of IN cord-022594-fx044gcd 1053 24 only only RB cord-022594-fx044gcd 1053 25 6 6 CD cord-022594-fx044gcd 1053 26 years year NNS cord-022594-fx044gcd 1053 27 , , , cord-022594-fx044gcd 1053 28 compared compare VBN cord-022594-fx044gcd 1053 29 with with IN cord-022594-fx044gcd 1053 30 approximately approximately RB cord-022594-fx044gcd 1053 31 20 20 CD cord-022594-fx044gcd 1053 32 years year NNS cord-022594-fx044gcd 1053 33 in in IN cord-022594-fx044gcd 1053 34 RR rr NN cord-022594-fx044gcd 1053 35 patients patient NNS cord-022594-fx044gcd 1053 36 . . . cord-022594-fx044gcd 1054 1 Men man NNS cord-022594-fx044gcd 1054 2 and and CC cord-022594-fx044gcd 1054 3 patients patient NNS cord-022594-fx044gcd 1054 4 with with IN cord-022594-fx044gcd 1054 5 an an DT cord-022594-fx044gcd 1054 6 older old JJR cord-022594-fx044gcd 1054 7 age age NN cord-022594-fx044gcd 1054 8 at at IN cord-022594-fx044gcd 1054 9 onset onset NN cord-022594-fx044gcd 1054 10 are be VBP cord-022594-fx044gcd 1054 11 more more RBR cord-022594-fx044gcd 1054 12 likely likely JJ cord-022594-fx044gcd 1054 13 to to TO cord-022594-fx044gcd 1054 14 have have VB cord-022594-fx044gcd 1054 15 PPMS PPMS NNP cord-022594-fx044gcd 1054 16 . . . cord-022594-fx044gcd 1055 1 The the DT cord-022594-fx044gcd 1055 2 survival survival NN cord-022594-fx044gcd 1055 3 of of IN cord-022594-fx044gcd 1055 4 MS MS NNP cord-022594-fx044gcd 1055 5 patients patient NNS cord-022594-fx044gcd 1055 6 is be VBZ cord-022594-fx044gcd 1055 7 only only RB cord-022594-fx044gcd 1055 8 slightly slightly RB cord-022594-fx044gcd 1055 9 below below IN cord-022594-fx044gcd 1055 10 expected expect VBN cord-022594-fx044gcd 1055 11 . . . cord-022594-fx044gcd 1056 1 Seventy seventy CD cord-022594-fx044gcd 1056 2 - - HYPH cord-022594-fx044gcd 1056 3 six six CD cord-022594-fx044gcd 1056 4 percent percent NN cord-022594-fx044gcd 1056 5 of of IN cord-022594-fx044gcd 1056 6 patients patient NNS cord-022594-fx044gcd 1056 7 are be VBP cord-022594-fx044gcd 1056 8 alive alive JJ cord-022594-fx044gcd 1056 9 25 25 CD cord-022594-fx044gcd 1056 10 years year NNS cord-022594-fx044gcd 1056 11 after after IN cord-022594-fx044gcd 1056 12 onset onset NN cord-022594-fx044gcd 1056 13 , , , cord-022594-fx044gcd 1056 14 which which WDT cord-022594-fx044gcd 1056 15 is be VBZ cord-022594-fx044gcd 1056 16 85 85 CD cord-022594-fx044gcd 1056 17 % % NN cord-022594-fx044gcd 1056 18 of of IN cord-022594-fx044gcd 1056 19 that that DT cord-022594-fx044gcd 1056 20 seen see VBN cord-022594-fx044gcd 1056 21 in in IN cord-022594-fx044gcd 1056 22 age age NN cord-022594-fx044gcd 1056 23 - - HYPH cord-022594-fx044gcd 1056 24 and and CC cord-022594-fx044gcd 1056 25 sexmatched sexmatched JJ cord-022594-fx044gcd 1056 26 control control NN cord-022594-fx044gcd 1056 27 subjects subject NNS cord-022594-fx044gcd 1056 28 . . . cord-022594-fx044gcd 1057 1 35 35 CD cord-022594-fx044gcd 1057 2 MS MS NNP cord-022594-fx044gcd 1057 3 is be VBZ cord-022594-fx044gcd 1057 4 rarely rarely RB cord-022594-fx044gcd 1057 5 the the DT cord-022594-fx044gcd 1057 6 direct direct JJ cord-022594-fx044gcd 1057 7 cause cause NN cord-022594-fx044gcd 1057 8 of of IN cord-022594-fx044gcd 1057 9 death death NN cord-022594-fx044gcd 1057 10 . . . cord-022594-fx044gcd 1058 1 Complications complication NNS cord-022594-fx044gcd 1058 2 of of IN cord-022594-fx044gcd 1058 3 MS MS NNP cord-022594-fx044gcd 1058 4 such such JJ cord-022594-fx044gcd 1058 5 as as IN cord-022594-fx044gcd 1058 6 pneumonia pneumonia NN cord-022594-fx044gcd 1058 7 , , , cord-022594-fx044gcd 1058 8 pulmonary pulmonary JJ cord-022594-fx044gcd 1058 9 emboli emboli NN cord-022594-fx044gcd 1058 10 , , , cord-022594-fx044gcd 1058 11 aspiration aspiration NN cord-022594-fx044gcd 1058 12 , , , cord-022594-fx044gcd 1058 13 urosepsis urosepsis NN cord-022594-fx044gcd 1058 14 , , , cord-022594-fx044gcd 1058 15 and and CC cord-022594-fx044gcd 1058 16 decubiti decubiti NNP cord-022594-fx044gcd 1058 17 are be VBP cord-022594-fx044gcd 1058 18 responsible responsible JJ cord-022594-fx044gcd 1058 19 for for IN cord-022594-fx044gcd 1058 20 50 50 CD cord-022594-fx044gcd 1058 21 % % NN cord-022594-fx044gcd 1058 22 of of IN cord-022594-fx044gcd 1058 23 deaths death NNS cord-022594-fx044gcd 1058 24 . . . cord-022594-fx044gcd 1059 1 Most Most JJS cord-022594-fx044gcd 1059 2 of of IN cord-022594-fx044gcd 1059 3 the the DT cord-022594-fx044gcd 1059 4 other other JJ cord-022594-fx044gcd 1059 5 deaths death NNS cord-022594-fx044gcd 1059 6 are be VBP cord-022594-fx044gcd 1059 7 from from IN cord-022594-fx044gcd 1059 8 heart heart NN cord-022594-fx044gcd 1059 9 disease disease NN cord-022594-fx044gcd 1059 10 , , , cord-022594-fx044gcd 1059 11 cancer cancer NN cord-022594-fx044gcd 1059 12 , , , cord-022594-fx044gcd 1059 13 cerebrovascular cerebrovascular JJ cord-022594-fx044gcd 1059 14 disease disease NN cord-022594-fx044gcd 1059 15 , , , cord-022594-fx044gcd 1059 16 and and CC cord-022594-fx044gcd 1059 17 trauma trauma NN cord-022594-fx044gcd 1059 18 . . . cord-022594-fx044gcd 1060 1 Suicide suicide NN cord-022594-fx044gcd 1060 2 is be VBZ cord-022594-fx044gcd 1060 3 the the DT cord-022594-fx044gcd 1060 4 only only JJ cord-022594-fx044gcd 1060 5 cause cause NN cord-022594-fx044gcd 1060 6 of of IN cord-022594-fx044gcd 1060 7 death death NN cord-022594-fx044gcd 1060 8 that that WDT cord-022594-fx044gcd 1060 9 is be VBZ cord-022594-fx044gcd 1060 10 overrepresented overrepresente VBN cord-022594-fx044gcd 1060 11 among among IN cord-022594-fx044gcd 1060 12 these these DT cord-022594-fx044gcd 1060 13 cases case NNS cord-022594-fx044gcd 1060 14 . . . cord-022594-fx044gcd 1061 1 The the DT cord-022594-fx044gcd 1061 2 suicide suicide NN cord-022594-fx044gcd 1061 3 rate rate NN cord-022594-fx044gcd 1061 4 among among IN cord-022594-fx044gcd 1061 5 MS MS NNP cord-022594-fx044gcd 1061 6 patients patient NNS cord-022594-fx044gcd 1061 7 may may MD cord-022594-fx044gcd 1061 8 be be VB cord-022594-fx044gcd 1061 9 as as RB cord-022594-fx044gcd 1061 10 high high JJ cord-022594-fx044gcd 1061 11 as as IN cord-022594-fx044gcd 1061 12 two two CD cord-022594-fx044gcd 1061 13 to to TO cord-022594-fx044gcd 1061 14 seven seven CD cord-022594-fx044gcd 1061 15 times time NNS cord-022594-fx044gcd 1061 16 that that DT cord-022594-fx044gcd 1061 17 of of IN cord-022594-fx044gcd 1061 18 non non JJ cord-022594-fx044gcd 1061 19 - - JJ cord-022594-fx044gcd 1061 20 MS MS NNP cord-022594-fx044gcd 1061 21 persons person NNS cord-022594-fx044gcd 1061 22 . . . cord-022594-fx044gcd 1062 1 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 1062 2 optica optica NN cord-022594-fx044gcd 1062 3 ( ( -LRB- cord-022594-fx044gcd 1062 4 NMO NMO NNP cord-022594-fx044gcd 1062 5 ) ) -RRB- cord-022594-fx044gcd 1062 6 is be VBZ cord-022594-fx044gcd 1062 7 an an DT cord-022594-fx044gcd 1062 8 uncommon uncommon JJ cord-022594-fx044gcd 1062 9 neurological neurological JJ cord-022594-fx044gcd 1062 10 illness illness NN cord-022594-fx044gcd 1062 11 characterized characterize VBN cord-022594-fx044gcd 1062 12 by by IN cord-022594-fx044gcd 1062 13 the the DT cord-022594-fx044gcd 1062 14 occurrence occurrence NN cord-022594-fx044gcd 1062 15 of of IN cord-022594-fx044gcd 1062 16 optic optic JJ cord-022594-fx044gcd 1062 17 neuritis neuritis NN cord-022594-fx044gcd 1062 18 and and CC cord-022594-fx044gcd 1062 19 myelitis myelitis NNP cord-022594-fx044gcd 1062 20 . . . cord-022594-fx044gcd 1063 1 The the DT cord-022594-fx044gcd 1063 2 names name NNS cord-022594-fx044gcd 1063 3 Devic Devic NNP cord-022594-fx044gcd 1063 4 's 's POS cord-022594-fx044gcd 1063 5 syndrome syndrome NN cord-022594-fx044gcd 1063 6 , , , cord-022594-fx044gcd 1063 7 Devic Devic NNP cord-022594-fx044gcd 1063 8 's 's POS cord-022594-fx044gcd 1063 9 disease disease NN cord-022594-fx044gcd 1063 10 , , , cord-022594-fx044gcd 1063 11 and and CC cord-022594-fx044gcd 1063 12 NMO NMO NNP cord-022594-fx044gcd 1063 13 are be VBP cord-022594-fx044gcd 1063 14 often often RB cord-022594-fx044gcd 1063 15 used use VBN cord-022594-fx044gcd 1063 16 interchangeably interchangeably RB cord-022594-fx044gcd 1063 17 , , , cord-022594-fx044gcd 1063 18 although although IN cord-022594-fx044gcd 1063 19 the the DT cord-022594-fx044gcd 1063 20 first first JJ cord-022594-fx044gcd 1063 21 name name NN cord-022594-fx044gcd 1063 22 encompasses encompass VBZ cord-022594-fx044gcd 1063 23 all all DT cord-022594-fx044gcd 1063 24 patients patient NNS cord-022594-fx044gcd 1063 25 who who WP cord-022594-fx044gcd 1063 26 fit fit VBP cord-022594-fx044gcd 1063 27 the the DT cord-022594-fx044gcd 1063 28 preceding precede VBG cord-022594-fx044gcd 1063 29 definition definition NN cord-022594-fx044gcd 1063 30 and and CC cord-022594-fx044gcd 1063 31 the the DT cord-022594-fx044gcd 1063 32 second second JJ cord-022594-fx044gcd 1063 33 and and CC cord-022594-fx044gcd 1063 34 third third RB cord-022594-fx044gcd 1063 35 should should MD cord-022594-fx044gcd 1063 36 only only RB cord-022594-fx044gcd 1063 37 be be VB cord-022594-fx044gcd 1063 38 used use VBN cord-022594-fx044gcd 1063 39 to to TO cord-022594-fx044gcd 1063 40 refer refer VB cord-022594-fx044gcd 1063 41 to to IN cord-022594-fx044gcd 1063 42 those those DT cord-022594-fx044gcd 1063 43 patients patient NNS cord-022594-fx044gcd 1063 44 presumed presume VBN cord-022594-fx044gcd 1063 45 to to TO cord-022594-fx044gcd 1063 46 have have VB cord-022594-fx044gcd 1063 47 a a DT cord-022594-fx044gcd 1063 48 distinct distinct JJ cord-022594-fx044gcd 1063 49 disorder disorder NN cord-022594-fx044gcd 1063 50 . . . cord-022594-fx044gcd 1064 1 The the DT cord-022594-fx044gcd 1064 2 term term NN cord-022594-fx044gcd 1064 3 opticospinal opticospinal JJ cord-022594-fx044gcd 1064 4 MS MS NNP cord-022594-fx044gcd 1064 5 is be VBZ cord-022594-fx044gcd 1064 6 often often RB cord-022594-fx044gcd 1064 7 used use VBN cord-022594-fx044gcd 1064 8 in in IN cord-022594-fx044gcd 1064 9 the the DT cord-022594-fx044gcd 1064 10 Far Far NNP cord-022594-fx044gcd 1064 11 East East NNP cord-022594-fx044gcd 1064 12 to to TO cord-022594-fx044gcd 1064 13 denote denote VB cord-022594-fx044gcd 1064 14 patients patient NNS cord-022594-fx044gcd 1064 15 with with IN cord-022594-fx044gcd 1064 16 exclusive exclusive JJ cord-022594-fx044gcd 1064 17 or or CC cord-022594-fx044gcd 1064 18 predominant predominant JJ cord-022594-fx044gcd 1064 19 involvement involvement NN cord-022594-fx044gcd 1064 20 of of IN cord-022594-fx044gcd 1064 21 optic optic JJ cord-022594-fx044gcd 1064 22 nerves nerve NNS cord-022594-fx044gcd 1064 23 and and CC cord-022594-fx044gcd 1064 24 spinal spinal JJ cord-022594-fx044gcd 1064 25 cord cord NN cord-022594-fx044gcd 1064 26 , , , cord-022594-fx044gcd 1064 27 encompassing encompass VBG cord-022594-fx044gcd 1064 28 most most JJS cord-022594-fx044gcd 1064 29 patients patient NNS cord-022594-fx044gcd 1064 30 with with IN cord-022594-fx044gcd 1064 31 Devic Devic NNP cord-022594-fx044gcd 1064 32 's 's POS cord-022594-fx044gcd 1064 33 syndrome syndrome NN cord-022594-fx044gcd 1064 34 . . . cord-022594-fx044gcd 1065 1 Devic Devic NNP cord-022594-fx044gcd 1065 2 's 's POS cord-022594-fx044gcd 1065 3 disease disease NN cord-022594-fx044gcd 1065 4 ( ( -LRB- cord-022594-fx044gcd 1065 5 NMO NMO NNP cord-022594-fx044gcd 1065 6 ) ) -RRB- cord-022594-fx044gcd 1065 7 may may MD cord-022594-fx044gcd 1065 8 be be VB cord-022594-fx044gcd 1065 9 a a DT cord-022594-fx044gcd 1065 10 monophasic monophasic JJ cord-022594-fx044gcd 1065 11 illness illness NN cord-022594-fx044gcd 1065 12 , , , cord-022594-fx044gcd 1065 13 or or CC cord-022594-fx044gcd 1065 14 may may MD cord-022594-fx044gcd 1065 15 show show VB cord-022594-fx044gcd 1065 16 a a DT cord-022594-fx044gcd 1065 17 relapsingremitting relapsingremitting NN cord-022594-fx044gcd 1065 18 course course NN cord-022594-fx044gcd 1065 19 . . . cord-022594-fx044gcd 1066 1 115 115 CD cord-022594-fx044gcd 1067 1 It -PRON- PRP cord-022594-fx044gcd 1067 2 is be VBZ cord-022594-fx044gcd 1067 3 the the DT cord-022594-fx044gcd 1067 4 first first JJ cord-022594-fx044gcd 1067 5 inflammatory inflammatory JJ cord-022594-fx044gcd 1067 6 demyelinating demyelinating NN cord-022594-fx044gcd 1067 7 disease disease NN cord-022594-fx044gcd 1067 8 with with IN cord-022594-fx044gcd 1067 9 a a DT cord-022594-fx044gcd 1067 10 known know VBN cord-022594-fx044gcd 1067 11 serum serum NN cord-022594-fx044gcd 1067 12 marker marker NN cord-022594-fx044gcd 1067 13 , , , cord-022594-fx044gcd 1067 14 the the DT cord-022594-fx044gcd 1067 15 NMO NMO NNP cord-022594-fx044gcd 1067 16 - - HYPH cord-022594-fx044gcd 1067 17 IgG IgG NNP cord-022594-fx044gcd 1067 18 antibody antibody NN cord-022594-fx044gcd 1067 19 . . . cord-022594-fx044gcd 1068 1 PATHOGENESIS PATHOGENESIS NNP cord-022594-fx044gcd 1068 2 AND and CC cord-022594-fx044gcd 1068 3 PATHOPHYSIOLOGY PATHOPHYSIOLOGY NNP cord-022594-fx044gcd 1068 4 . . . cord-022594-fx044gcd 1069 1 Devic Devic NNP cord-022594-fx044gcd 1069 2 's 's POS cord-022594-fx044gcd 1069 3 syndrome syndrome NN cord-022594-fx044gcd 1069 4 may may MD cord-022594-fx044gcd 1069 5 occur occur VB cord-022594-fx044gcd 1069 6 with with IN cord-022594-fx044gcd 1069 7 ADEM ADEM NNP cord-022594-fx044gcd 1069 8 , , , cord-022594-fx044gcd 1069 9 autoimmune autoimmune JJ cord-022594-fx044gcd 1069 10 disorders disorder NNS cord-022594-fx044gcd 1069 11 ( ( -LRB- cord-022594-fx044gcd 1069 12 e.g. e.g. RB cord-022594-fx044gcd 1069 13 , , , cord-022594-fx044gcd 1069 14 systemic systemic JJ cord-022594-fx044gcd 1069 15 lupus lupus NN cord-022594-fx044gcd 1069 16 erythematosus erythematosus NN cord-022594-fx044gcd 1069 17 ) ) -RRB- cord-022594-fx044gcd 1069 18 , , , cord-022594-fx044gcd 1069 19 MS MS NNP cord-022594-fx044gcd 1069 20 , , , cord-022594-fx044gcd 1069 21 and and CC cord-022594-fx044gcd 1069 22 possibly possibly RB cord-022594-fx044gcd 1069 23 viral viral JJ cord-022594-fx044gcd 1069 24 infections infection NNS cord-022594-fx044gcd 1069 25 . . . cord-022594-fx044gcd 1070 1 Also also RB cord-022594-fx044gcd 1070 2 , , , cord-022594-fx044gcd 1070 3 patients patient NNS cord-022594-fx044gcd 1070 4 with with IN cord-022594-fx044gcd 1070 5 Devic Devic NNP cord-022594-fx044gcd 1070 6 's 's POS cord-022594-fx044gcd 1070 7 disease disease NN cord-022594-fx044gcd 1070 8 may may MD cord-022594-fx044gcd 1070 9 have have VB cord-022594-fx044gcd 1070 10 other other JJ cord-022594-fx044gcd 1070 11 coexisting coexist VBG cord-022594-fx044gcd 1070 12 autoimmune autoimmune JJ cord-022594-fx044gcd 1070 13 conditions condition NNS cord-022594-fx044gcd 1070 14 . . . cord-022594-fx044gcd 1071 1 Classically classically RB cord-022594-fx044gcd 1071 2 , , , cord-022594-fx044gcd 1071 3 acute acute JJ cord-022594-fx044gcd 1071 4 spinal spinal JJ cord-022594-fx044gcd 1071 5 cord cord NN cord-022594-fx044gcd 1071 6 lesions lesion NNS cord-022594-fx044gcd 1071 7 demonstrate demonstrate VBP cord-022594-fx044gcd 1071 8 diffuse diffuse JJ cord-022594-fx044gcd 1071 9 swelling swelling NN cord-022594-fx044gcd 1071 10 that that WDT cord-022594-fx044gcd 1071 11 extend extend VBP cord-022594-fx044gcd 1071 12 over over IN cord-022594-fx044gcd 1071 13 several several JJ cord-022594-fx044gcd 1071 14 levels level NNS cord-022594-fx044gcd 1071 15 or or CC cord-022594-fx044gcd 1071 16 involve involve VBP cord-022594-fx044gcd 1071 17 nearly nearly RB cord-022594-fx044gcd 1071 18 the the DT cord-022594-fx044gcd 1071 19 entire entire JJ cord-022594-fx044gcd 1071 20 cross cross NN cord-022594-fx044gcd 1071 21 section section NN cord-022594-fx044gcd 1071 22 of of IN cord-022594-fx044gcd 1071 23 the the DT cord-022594-fx044gcd 1071 24 cord cord NN cord-022594-fx044gcd 1071 25 . . . cord-022594-fx044gcd 1072 1 Acutely acutely RB cord-022594-fx044gcd 1072 2 , , , cord-022594-fx044gcd 1072 3 there there EX cord-022594-fx044gcd 1072 4 is be VBZ cord-022594-fx044gcd 1072 5 destruction destruction NN cord-022594-fx044gcd 1072 6 with with IN cord-022594-fx044gcd 1072 7 dense dense JJ cord-022594-fx044gcd 1072 8 macrophage macrophage NN cord-022594-fx044gcd 1072 9 infiltration infiltration NN cord-022594-fx044gcd 1072 10 involving involve VBG cord-022594-fx044gcd 1072 11 white white JJ cord-022594-fx044gcd 1072 12 and and CC cord-022594-fx044gcd 1072 13 gray gray JJ cord-022594-fx044gcd 1072 14 matter matter NN cord-022594-fx044gcd 1072 15 , , , cord-022594-fx044gcd 1072 16 loss loss NN cord-022594-fx044gcd 1072 17 of of IN cord-022594-fx044gcd 1072 18 myelin myelin NN cord-022594-fx044gcd 1072 19 and and CC cord-022594-fx044gcd 1072 20 axons axon NNS cord-022594-fx044gcd 1072 21 , , , cord-022594-fx044gcd 1072 22 and and CC cord-022594-fx044gcd 1072 23 lymphocytic lymphocytic JJ cord-022594-fx044gcd 1072 24 cuffing cuffing NN cord-022594-fx044gcd 1072 25 of of IN cord-022594-fx044gcd 1072 26 vessels vessel NNS cord-022594-fx044gcd 1072 27 . . . cord-022594-fx044gcd 1073 1 In in IN cord-022594-fx044gcd 1073 2 chronic chronic JJ cord-022594-fx044gcd 1073 3 lesions lesion NNS cord-022594-fx044gcd 1073 4 , , , cord-022594-fx044gcd 1073 5 the the DT cord-022594-fx044gcd 1073 6 cord cord NN cord-022594-fx044gcd 1073 7 is be VBZ cord-022594-fx044gcd 1073 8 atrophic atrophic JJ cord-022594-fx044gcd 1073 9 and and CC cord-022594-fx044gcd 1073 10 necrotic necrotic JJ cord-022594-fx044gcd 1073 11 , , , cord-022594-fx044gcd 1073 12 occasionally occasionally RB cord-022594-fx044gcd 1073 13 with with IN cord-022594-fx044gcd 1073 14 cystic cystic JJ cord-022594-fx044gcd 1073 15 degeneration degeneration NN cord-022594-fx044gcd 1073 16 and and CC cord-022594-fx044gcd 1073 17 gliosis gliosis NNP cord-022594-fx044gcd 1073 18 . . . cord-022594-fx044gcd 1074 1 In in IN cord-022594-fx044gcd 1074 2 the the DT cord-022594-fx044gcd 1074 3 absence absence NN cord-022594-fx044gcd 1074 4 of of IN cord-022594-fx044gcd 1074 5 perivascular perivascular JJ cord-022594-fx044gcd 1074 6 cuffing cuffing NN cord-022594-fx044gcd 1074 7 , , , cord-022594-fx044gcd 1074 8 these these DT cord-022594-fx044gcd 1074 9 extensive extensive JJ cord-022594-fx044gcd 1074 10 lesions lesion NNS cord-022594-fx044gcd 1074 11 resemble resemble VBP cord-022594-fx044gcd 1074 12 infarctions infarction NNS cord-022594-fx044gcd 1074 13 . . . cord-022594-fx044gcd 1075 1 The the DT cord-022594-fx044gcd 1075 2 prominent prominent JJ cord-022594-fx044gcd 1075 3 spinal spinal JJ cord-022594-fx044gcd 1075 4 cord cord NN cord-022594-fx044gcd 1075 5 swelling swell VBG cord-022594-fx044gcd 1075 6 in in IN cord-022594-fx044gcd 1075 7 the the DT cord-022594-fx044gcd 1075 8 confines confine NNS cord-022594-fx044gcd 1075 9 of of IN cord-022594-fx044gcd 1075 10 the the DT cord-022594-fx044gcd 1075 11 restrictive restrictive JJ cord-022594-fx044gcd 1075 12 pia pia NN cord-022594-fx044gcd 1075 13 presumably presumably RB cord-022594-fx044gcd 1075 14 may may MD cord-022594-fx044gcd 1075 15 raise raise VB cord-022594-fx044gcd 1075 16 intramedullary intramedullary JJ cord-022594-fx044gcd 1075 17 pressure pressure NN cord-022594-fx044gcd 1075 18 , , , cord-022594-fx044gcd 1075 19 leading lead VBG cord-022594-fx044gcd 1075 20 to to IN cord-022594-fx044gcd 1075 21 the the DT cord-022594-fx044gcd 1075 22 collapse collapse NN cord-022594-fx044gcd 1075 23 of of IN cord-022594-fx044gcd 1075 24 small small JJ cord-022594-fx044gcd 1075 25 parenchymal parenchymal JJ cord-022594-fx044gcd 1075 26 vessels vessel NNS cord-022594-fx044gcd 1075 27 , , , cord-022594-fx044gcd 1075 28 further further RB cord-022594-fx044gcd 1075 29 propagating propagate VBG cord-022594-fx044gcd 1075 30 tissue tissue NN cord-022594-fx044gcd 1075 31 injury injury NN cord-022594-fx044gcd 1075 32 . . . cord-022594-fx044gcd 1076 1 Proliferation proliferation NN cord-022594-fx044gcd 1076 2 of of IN cord-022594-fx044gcd 1076 3 vessels vessel NNS cord-022594-fx044gcd 1076 4 with with IN cord-022594-fx044gcd 1076 5 thickened thickened JJ cord-022594-fx044gcd 1076 6 and and CC cord-022594-fx044gcd 1076 7 hyalinized hyalinize VBN cord-022594-fx044gcd 1076 8 walls wall NNS cord-022594-fx044gcd 1076 9 similar similar JJ cord-022594-fx044gcd 1076 10 to to IN cord-022594-fx044gcd 1076 11 that that DT cord-022594-fx044gcd 1076 12 seen see VBN cord-022594-fx044gcd 1076 13 after after IN cord-022594-fx044gcd 1076 14 infarction infarction NN cord-022594-fx044gcd 1076 15 or or CC cord-022594-fx044gcd 1076 16 other other JJ cord-022594-fx044gcd 1076 17 extensive extensive JJ cord-022594-fx044gcd 1076 18 injury injury NN cord-022594-fx044gcd 1076 19 may may MD cord-022594-fx044gcd 1076 20 occur occur VB cord-022594-fx044gcd 1076 21 . . . cord-022594-fx044gcd 1077 1 116 116 CD cord-022594-fx044gcd 1077 2 Less less RBR cord-022594-fx044gcd 1077 3 fulminant fulminant JJ cord-022594-fx044gcd 1077 4 lesions lesion NNS cord-022594-fx044gcd 1077 5 may may MD cord-022594-fx044gcd 1077 6 coexist coexist VB cord-022594-fx044gcd 1077 7 and and CC cord-022594-fx044gcd 1077 8 are be VBP cord-022594-fx044gcd 1077 9 much much RB cord-022594-fx044gcd 1077 10 more more RBR cord-022594-fx044gcd 1077 11 typical typical JJ cord-022594-fx044gcd 1077 12 of of IN cord-022594-fx044gcd 1077 13 inflammatory inflammatory JJ cord-022594-fx044gcd 1077 14 demyelination demyelination NN cord-022594-fx044gcd 1077 15 . . . cord-022594-fx044gcd 1078 1 The the DT cord-022594-fx044gcd 1078 2 optic optic JJ cord-022594-fx044gcd 1078 3 nerve nerve NN cord-022594-fx044gcd 1078 4 lesions lesion NNS cord-022594-fx044gcd 1078 5 often often RB cord-022594-fx044gcd 1078 6 involve involve VBP cord-022594-fx044gcd 1078 7 the the DT cord-022594-fx044gcd 1078 8 chiasm chiasm NN cord-022594-fx044gcd 1078 9 . . . cord-022594-fx044gcd 1079 1 Even even RB cord-022594-fx044gcd 1079 2 though though IN cord-022594-fx044gcd 1079 3 NMO NMO NNP cord-022594-fx044gcd 1079 4 is be VBZ cord-022594-fx044gcd 1079 5 usually usually RB cord-022594-fx044gcd 1079 6 restricted restrict VBN cord-022594-fx044gcd 1079 7 to to IN cord-022594-fx044gcd 1079 8 the the DT cord-022594-fx044gcd 1079 9 optic optic JJ cord-022594-fx044gcd 1079 10 nerves nerve NNS cord-022594-fx044gcd 1079 11 and and CC cord-022594-fx044gcd 1079 12 spinal spinal JJ cord-022594-fx044gcd 1079 13 cord cord NN cord-022594-fx044gcd 1079 14 , , , cord-022594-fx044gcd 1079 15 one one PRP cord-022594-fx044gcd 1079 16 may may MD cord-022594-fx044gcd 1079 17 see see VB cord-022594-fx044gcd 1079 18 classic classic JJ cord-022594-fx044gcd 1079 19 MS MS NNP cord-022594-fx044gcd 1079 20 like like IN cord-022594-fx044gcd 1079 21 lesions lesion NNS cord-022594-fx044gcd 1079 22 in in IN cord-022594-fx044gcd 1079 23 up up IN cord-022594-fx044gcd 1079 24 to to TO cord-022594-fx044gcd 1079 25 10 10 CD cord-022594-fx044gcd 1079 26 % % NN cord-022594-fx044gcd 1079 27 of of IN cord-022594-fx044gcd 1079 28 cases case NNS cord-022594-fx044gcd 1079 29 , , , cord-022594-fx044gcd 1079 30 and and CC cord-022594-fx044gcd 1079 31 hypothalamic hypothalamic JJ cord-022594-fx044gcd 1079 32 lesions lesion NNS cord-022594-fx044gcd 1079 33 have have VBP cord-022594-fx044gcd 1079 34 also also RB cord-022594-fx044gcd 1079 35 been be VBN cord-022594-fx044gcd 1079 36 described describe VBN cord-022594-fx044gcd 1079 37 in in IN cord-022594-fx044gcd 1079 38 approximately approximately RB cord-022594-fx044gcd 1079 39 10 10 CD cord-022594-fx044gcd 1079 40 % % NN cord-022594-fx044gcd 1079 41 . . . cord-022594-fx044gcd 1080 1 The the DT cord-022594-fx044gcd 1080 2 newly newly RB cord-022594-fx044gcd 1080 3 discovered discover VBN cord-022594-fx044gcd 1080 4 serum serum NN cord-022594-fx044gcd 1080 5 marker marker NN cord-022594-fx044gcd 1080 6 , , , cord-022594-fx044gcd 1080 7 NMO NMO NNP cord-022594-fx044gcd 1080 8 - - HYPH cord-022594-fx044gcd 1080 9 IgG IgG NNP cord-022594-fx044gcd 1080 10 has have VBZ cord-022594-fx044gcd 1080 11 a a DT cord-022594-fx044gcd 1080 12 sensitivity sensitivity NN cord-022594-fx044gcd 1080 13 of of IN cord-022594-fx044gcd 1080 14 73 73 CD cord-022594-fx044gcd 1080 15 % % NN cord-022594-fx044gcd 1080 16 and and CC cord-022594-fx044gcd 1080 17 specificity specificity NN cord-022594-fx044gcd 1080 18 of of IN cord-022594-fx044gcd 1080 19 91 91 CD cord-022594-fx044gcd 1080 20 % % NN cord-022594-fx044gcd 1080 21 . . . cord-022594-fx044gcd 1081 1 117 117 CD cord-022594-fx044gcd 1082 1 The the DT cord-022594-fx044gcd 1082 2 discovery discovery NN cord-022594-fx044gcd 1082 3 of of IN cord-022594-fx044gcd 1082 4 this this DT cord-022594-fx044gcd 1082 5 novel novel JJ cord-022594-fx044gcd 1082 6 immune immune NN cord-022594-fx044gcd 1082 7 marker marker NN cord-022594-fx044gcd 1082 8 also also RB cord-022594-fx044gcd 1082 9 clarified clarify VBD cord-022594-fx044gcd 1082 10 that that IN cord-022594-fx044gcd 1082 11 most most JJS cord-022594-fx044gcd 1082 12 if if IN cord-022594-fx044gcd 1082 13 not not RB cord-022594-fx044gcd 1082 14 all all DT cord-022594-fx044gcd 1082 15 cases case NNS cord-022594-fx044gcd 1082 16 of of IN cord-022594-fx044gcd 1082 17 " " `` cord-022594-fx044gcd 1082 18 opticospinal opticospinal JJ cord-022594-fx044gcd 1082 19 MS MS NNP cord-022594-fx044gcd 1082 20 " " '' cord-022594-fx044gcd 1082 21 reported report VBN cord-022594-fx044gcd 1082 22 in in IN cord-022594-fx044gcd 1082 23 the the DT cord-022594-fx044gcd 1082 24 Japanese japanese JJ cord-022594-fx044gcd 1082 25 literature literature NN cord-022594-fx044gcd 1082 26 are be VBP cord-022594-fx044gcd 1082 27 also also RB cord-022594-fx044gcd 1082 28 cases case NNS cord-022594-fx044gcd 1082 29 of of IN cord-022594-fx044gcd 1082 30 NMO NMO NNP cord-022594-fx044gcd 1082 31 . . . cord-022594-fx044gcd 1083 1 To to IN cord-022594-fx044gcd 1083 2 the the DT cord-022594-fx044gcd 1083 3 surprise surprise NN cord-022594-fx044gcd 1083 4 of of IN cord-022594-fx044gcd 1083 5 the the DT cord-022594-fx044gcd 1083 6 MS MS NNP cord-022594-fx044gcd 1083 7 research research NN cord-022594-fx044gcd 1083 8 community community NN cord-022594-fx044gcd 1083 9 , , , cord-022594-fx044gcd 1083 10 the the DT cord-022594-fx044gcd 1083 11 antigen antigen NN cord-022594-fx044gcd 1083 12 is be VBZ cord-022594-fx044gcd 1083 13 neither neither CC cord-022594-fx044gcd 1083 14 myelin myelin JJ cord-022594-fx044gcd 1083 15 nor nor CC cord-022594-fx044gcd 1083 16 neuron neuron NN cord-022594-fx044gcd 1083 17 related relate VBN cord-022594-fx044gcd 1083 18 : : : cord-022594-fx044gcd 1083 19 it -PRON- PRP cord-022594-fx044gcd 1083 20 is be VBZ cord-022594-fx044gcd 1083 21 the the DT cord-022594-fx044gcd 1083 22 aquaporin-4 aquaporin-4 NNP cord-022594-fx044gcd 1083 23 water water NN cord-022594-fx044gcd 1083 24 channel channel NNP cord-022594-fx044gcd 1083 25 , , , cord-022594-fx044gcd 1083 26 a a DT cord-022594-fx044gcd 1083 27 component component NN cord-022594-fx044gcd 1083 28 of of IN cord-022594-fx044gcd 1083 29 the the DT cord-022594-fx044gcd 1083 30 dystroglycan dystroglycan NNP cord-022594-fx044gcd 1083 31 protein protein NNP cord-022594-fx044gcd 1083 32 complex complex NN cord-022594-fx044gcd 1083 33 located locate VBN cord-022594-fx044gcd 1083 34 in in IN cord-022594-fx044gcd 1083 35 astrocytic astrocytic JJ cord-022594-fx044gcd 1083 36 foot foot NN cord-022594-fx044gcd 1083 37 processes process NNS cord-022594-fx044gcd 1083 38 at at IN cord-022594-fx044gcd 1083 39 the the DT cord-022594-fx044gcd 1083 40 bloodbrain bloodbrain NN cord-022594-fx044gcd 1083 41 barrier barrier NN cord-022594-fx044gcd 1083 42 . . . cord-022594-fx044gcd 1084 1 11 11 CD cord-022594-fx044gcd 1084 2 NMO NMO NNP cord-022594-fx044gcd 1084 3 thus thus RB cord-022594-fx044gcd 1084 4 may may MD cord-022594-fx044gcd 1084 5 represent represent VB cord-022594-fx044gcd 1084 6 the the DT cord-022594-fx044gcd 1084 7 first first JJ cord-022594-fx044gcd 1084 8 example example NN cord-022594-fx044gcd 1084 9 of of IN cord-022594-fx044gcd 1084 10 a a DT cord-022594-fx044gcd 1084 11 novel novel JJ cord-022594-fx044gcd 1084 12 class class NN cord-022594-fx044gcd 1084 13 of of IN cord-022594-fx044gcd 1084 14 autoimmune autoimmune JJ cord-022594-fx044gcd 1084 15 channelopathies channelopathie NNS cord-022594-fx044gcd 1084 16 . . . cord-022594-fx044gcd 1085 1 EPIDEMIOLOGY EPIDEMIOLOGY NNP cord-022594-fx044gcd 1085 2 AND and CC cord-022594-fx044gcd 1085 3 RISK risk NN cord-022594-fx044gcd 1085 4 FACTORS factors NN cord-022594-fx044gcd 1085 5 . . . cord-022594-fx044gcd 1086 1 Devic Devic NNP cord-022594-fx044gcd 1086 2 's 's POS cord-022594-fx044gcd 1086 3 syndrome syndrome NN cord-022594-fx044gcd 1086 4 occurs occur VBZ cord-022594-fx044gcd 1086 5 in in IN cord-022594-fx044gcd 1086 6 patients patient NNS cord-022594-fx044gcd 1086 7 of of IN cord-022594-fx044gcd 1086 8 varied varied JJ cord-022594-fx044gcd 1086 9 ages age NNS cord-022594-fx044gcd 1086 10 ( ( -LRB- cord-022594-fx044gcd 1086 11 range range NN cord-022594-fx044gcd 1086 12 , , , cord-022594-fx044gcd 1086 13 1 1 CD cord-022594-fx044gcd 1086 14 to to IN cord-022594-fx044gcd 1086 15 73 73 CD cord-022594-fx044gcd 1086 16 years year NNS cord-022594-fx044gcd 1086 17 ) ) -RRB- cord-022594-fx044gcd 1086 18 . . . cord-022594-fx044gcd 1087 1 The the DT cord-022594-fx044gcd 1087 2 mean mean JJ cord-022594-fx044gcd 1087 3 age age NN cord-022594-fx044gcd 1087 4 at at IN cord-022594-fx044gcd 1087 5 onset onset NN cord-022594-fx044gcd 1087 6 of of IN cord-022594-fx044gcd 1087 7 monophasic monophasic JJ cord-022594-fx044gcd 1087 8 Devic Devic NNP cord-022594-fx044gcd 1087 9 's 's POS cord-022594-fx044gcd 1087 10 syndrome syndrome NN cord-022594-fx044gcd 1087 11 is be VBZ cord-022594-fx044gcd 1087 12 27 27 CD cord-022594-fx044gcd 1087 13 , , , cord-022594-fx044gcd 1087 14 whereas whereas IN cord-022594-fx044gcd 1087 15 relapsing relapse VBG cord-022594-fx044gcd 1087 16 NMO NMO NNP cord-022594-fx044gcd 1087 17 ( ( -LRB- cord-022594-fx044gcd 1087 18 see see VB cord-022594-fx044gcd 1087 19 later later RBR cord-022594-fx044gcd 1087 20 ) ) -RRB- cord-022594-fx044gcd 1087 21 tends tend VBZ cord-022594-fx044gcd 1087 22 to to TO cord-022594-fx044gcd 1087 23 occur occur VB cord-022594-fx044gcd 1087 24 in in IN cord-022594-fx044gcd 1087 25 an an DT cord-022594-fx044gcd 1087 26 older old JJR cord-022594-fx044gcd 1087 27 age age NN cord-022594-fx044gcd 1087 28 group group NN cord-022594-fx044gcd 1087 29 ( ( -LRB- cord-022594-fx044gcd 1087 30 mean mean JJ cord-022594-fx044gcd 1087 31 age age NN cord-022594-fx044gcd 1087 32 at at IN cord-022594-fx044gcd 1087 33 onset onset NN cord-022594-fx044gcd 1087 34 of of IN cord-022594-fx044gcd 1087 35 43 43 CD cord-022594-fx044gcd 1087 36 ) ) -RRB- cord-022594-fx044gcd 1087 37 . . . cord-022594-fx044gcd 1088 1 Monophasic Monophasic NNP cord-022594-fx044gcd 1088 2 Devic Devic NNP cord-022594-fx044gcd 1088 3 's 's POS cord-022594-fx044gcd 1088 4 syndrome syndrome NN cord-022594-fx044gcd 1088 5 affects affect VBZ cord-022594-fx044gcd 1088 6 males male NNS cord-022594-fx044gcd 1088 7 and and CC cord-022594-fx044gcd 1088 8 females female NNS cord-022594-fx044gcd 1088 9 equally equally RB cord-022594-fx044gcd 1088 10 , , , cord-022594-fx044gcd 1088 11 whereas whereas IN cord-022594-fx044gcd 1088 12 relapsing relapse VBG cord-022594-fx044gcd 1088 13 NMO NMO NNP cord-022594-fx044gcd 1088 14 affects affect VBZ cord-022594-fx044gcd 1088 15 females female NNS cord-022594-fx044gcd 1088 16 predominantly predominantly RB cord-022594-fx044gcd 1088 17 ( ( -LRB- cord-022594-fx044gcd 1088 18 F f NN cord-022594-fx044gcd 1088 19 : : : cord-022594-fx044gcd 1088 20 M M NNP cord-022594-fx044gcd 1088 21 , , , cord-022594-fx044gcd 1088 22 3.8:1 3.8:1 CD cord-022594-fx044gcd 1088 23 ) ) -RRB- cord-022594-fx044gcd 1088 24 . . . cord-022594-fx044gcd 1089 1 One one CD cord-022594-fx044gcd 1089 2 third third NN cord-022594-fx044gcd 1089 3 of of IN cord-022594-fx044gcd 1089 4 patients patient NNS cord-022594-fx044gcd 1089 5 have have VBP cord-022594-fx044gcd 1089 6 a a DT cord-022594-fx044gcd 1089 7 preceding precede VBG cord-022594-fx044gcd 1089 8 infection infection NN cord-022594-fx044gcd 1089 9 within within IN cord-022594-fx044gcd 1089 10 a a DT cord-022594-fx044gcd 1089 11 few few JJ cord-022594-fx044gcd 1089 12 weeks week NNS cord-022594-fx044gcd 1089 13 of of IN cord-022594-fx044gcd 1089 14 neurological neurological JJ cord-022594-fx044gcd 1089 15 symptom symptom NN cord-022594-fx044gcd 1089 16 onset onset NN cord-022594-fx044gcd 1089 17 . . . cord-022594-fx044gcd 1090 1 Most most RBS cord-022594-fx044gcd 1090 2 commonly commonly RB cord-022594-fx044gcd 1090 3 this this DT cord-022594-fx044gcd 1090 4 is be VBZ cord-022594-fx044gcd 1090 5 a a DT cord-022594-fx044gcd 1090 6 nonspecific nonspecific JJ cord-022594-fx044gcd 1090 7 upper upper JJ cord-022594-fx044gcd 1090 8 respiratory respiratory JJ cord-022594-fx044gcd 1090 9 tract tract NN cord-022594-fx044gcd 1090 10 infection infection NN cord-022594-fx044gcd 1090 11 , , , cord-022594-fx044gcd 1090 12 flu flu NN cord-022594-fx044gcd 1090 13 , , , cord-022594-fx044gcd 1090 14 or or CC cord-022594-fx044gcd 1090 15 gastroenteritis gastroenteritis NN cord-022594-fx044gcd 1090 16 . . . cord-022594-fx044gcd 1091 1 The the DT cord-022594-fx044gcd 1091 2 most most RBS cord-022594-fx044gcd 1091 3 common common JJ cord-022594-fx044gcd 1091 4 specific specific JJ cord-022594-fx044gcd 1091 5 infections infection NNS cord-022594-fx044gcd 1091 6 preceding precede VBG cord-022594-fx044gcd 1091 7 the the DT cord-022594-fx044gcd 1091 8 development development NN cord-022594-fx044gcd 1091 9 of of IN cord-022594-fx044gcd 1091 10 Devic Devic NNP cord-022594-fx044gcd 1091 11 's 's POS cord-022594-fx044gcd 1091 12 syndrome syndrome NN cord-022594-fx044gcd 1091 13 are be VBP cord-022594-fx044gcd 1091 14 chickenpox chickenpox NN cord-022594-fx044gcd 1091 15 and and CC cord-022594-fx044gcd 1091 16 pulmonary pulmonary JJ cord-022594-fx044gcd 1091 17 tuberculosis tuberculosis NN cord-022594-fx044gcd 1091 18 . . . cord-022594-fx044gcd 1092 1 Devic Devic NNP cord-022594-fx044gcd 1092 2 's 's POS cord-022594-fx044gcd 1092 3 syndrome syndrome NN cord-022594-fx044gcd 1092 4 has have VBZ cord-022594-fx044gcd 1092 5 also also RB cord-022594-fx044gcd 1092 6 followed follow VBN cord-022594-fx044gcd 1092 7 vaccination vaccination NN cord-022594-fx044gcd 1092 8 for for IN cord-022594-fx044gcd 1092 9 swine swine NN cord-022594-fx044gcd 1092 10 flu flu NN cord-022594-fx044gcd 1092 11 and and CC cord-022594-fx044gcd 1092 12 mumps mumps NN cord-022594-fx044gcd 1092 13 . . . cord-022594-fx044gcd 1093 1 Only only RB cord-022594-fx044gcd 1093 2 a a DT cord-022594-fx044gcd 1093 3 few few JJ cord-022594-fx044gcd 1093 4 instances instance NNS cord-022594-fx044gcd 1093 5 of of IN cord-022594-fx044gcd 1093 6 a a DT cord-022594-fx044gcd 1093 7 possible possible JJ cord-022594-fx044gcd 1093 8 familial familial JJ cord-022594-fx044gcd 1093 9 occurrence occurrence NN cord-022594-fx044gcd 1093 10 of of IN cord-022594-fx044gcd 1093 11 Devic Devic NNP cord-022594-fx044gcd 1093 12 's 's POS cord-022594-fx044gcd 1093 13 syndrome syndrome NN cord-022594-fx044gcd 1093 14 have have VBP cord-022594-fx044gcd 1093 15 been be VBN cord-022594-fx044gcd 1093 16 reported report VBN cord-022594-fx044gcd 1093 17 , , , cord-022594-fx044gcd 1093 18 and and CC cord-022594-fx044gcd 1093 19 in in IN cord-022594-fx044gcd 1093 20 one one CD cord-022594-fx044gcd 1093 21 of of IN cord-022594-fx044gcd 1093 22 these these DT cord-022594-fx044gcd 1093 23 families family NNS cord-022594-fx044gcd 1093 24 , , , cord-022594-fx044gcd 1093 25 a a DT cord-022594-fx044gcd 1093 26 unique unique JJ cord-022594-fx044gcd 1093 27 mitochondrial mitochondrial JJ cord-022594-fx044gcd 1093 28 mutation mutation NN cord-022594-fx044gcd 1093 29 was be VBD cord-022594-fx044gcd 1093 30 found find VBN cord-022594-fx044gcd 1093 31 . . . cord-022594-fx044gcd 1094 1 Devic Devic NNP cord-022594-fx044gcd 1094 2 's 's POS cord-022594-fx044gcd 1094 3 syndrome syndrome NN cord-022594-fx044gcd 1094 4 is be VBZ cord-022594-fx044gcd 1094 5 said say VBN cord-022594-fx044gcd 1094 6 to to TO cord-022594-fx044gcd 1094 7 be be VB cord-022594-fx044gcd 1094 8 more more RBR cord-022594-fx044gcd 1094 9 common common JJ cord-022594-fx044gcd 1094 10 in in IN cord-022594-fx044gcd 1094 11 Japan Japan NNP cord-022594-fx044gcd 1094 12 and and CC cord-022594-fx044gcd 1094 13 East East NNP cord-022594-fx044gcd 1094 14 Asia Asia NNP cord-022594-fx044gcd 1094 15 , , , cord-022594-fx044gcd 1094 16 although although IN cord-022594-fx044gcd 1094 17 even even RB cord-022594-fx044gcd 1094 18 there there EX cord-022594-fx044gcd 1094 19 it -PRON- PRP cord-022594-fx044gcd 1094 20 is be VBZ cord-022594-fx044gcd 1094 21 uncommon uncommon JJ cord-022594-fx044gcd 1094 22 ( ( -LRB- cord-022594-fx044gcd 1094 23 less less JJR cord-022594-fx044gcd 1094 24 than than IN cord-022594-fx044gcd 1094 25 5 5 CD cord-022594-fx044gcd 1094 26 per per IN cord-022594-fx044gcd 1094 27 100,000 100,000 CD cord-022594-fx044gcd 1094 28 ) ) -RRB- cord-022594-fx044gcd 1094 29 . . . cord-022594-fx044gcd 1095 1 Three three CD cord-022594-fx044gcd 1095 2 cases case NNS cord-022594-fx044gcd 1095 3 have have VBP cord-022594-fx044gcd 1095 4 been be VBN cord-022594-fx044gcd 1095 5 described describe VBN cord-022594-fx044gcd 1095 6 in in IN cord-022594-fx044gcd 1095 7 the the DT cord-022594-fx044gcd 1095 8 literature literature NN cord-022594-fx044gcd 1095 9 with with IN cord-022594-fx044gcd 1095 10 familial familial JJ cord-022594-fx044gcd 1095 11 occurrence occurrence NN cord-022594-fx044gcd 1095 12 of of IN cord-022594-fx044gcd 1095 13 Devic Devic NNP cord-022594-fx044gcd 1095 14 's 's POS cord-022594-fx044gcd 1095 15 disease disease NN cord-022594-fx044gcd 1095 16 in in IN cord-022594-fx044gcd 1095 17 the the DT cord-022594-fx044gcd 1095 18 Far Far NNP cord-022594-fx044gcd 1095 19 East East NNP cord-022594-fx044gcd 1095 20 . . . cord-022594-fx044gcd 1096 1 In in IN cord-022594-fx044gcd 1096 2 a a DT cord-022594-fx044gcd 1096 3 genetic genetic JJ cord-022594-fx044gcd 1096 4 study study NN cord-022594-fx044gcd 1096 5 , , , cord-022594-fx044gcd 1096 6 HLA HLA NNP cord-022594-fx044gcd 1096 7 - - HYPH cord-022594-fx044gcd 1096 8 DPB1 DPB1 NNP cord-022594-fx044gcd 1096 9 * * NFP cord-022594-fx044gcd 1096 10 0501 0501 CD cord-022594-fx044gcd 1096 11 was be VBD cord-022594-fx044gcd 1096 12 more more RBR cord-022594-fx044gcd 1096 13 frequently frequently RB cord-022594-fx044gcd 1096 14 associated associate VBN cord-022594-fx044gcd 1096 15 with with IN cord-022594-fx044gcd 1096 16 " " `` cord-022594-fx044gcd 1096 17 opticospinal opticospinal JJ cord-022594-fx044gcd 1096 18 MS MS NNP cord-022594-fx044gcd 1096 19 , , , cord-022594-fx044gcd 1096 20 " " '' cord-022594-fx044gcd 1096 21 whereas whereas IN cord-022594-fx044gcd 1096 22 HLA HLA NNP cord-022594-fx044gcd 1096 23 - - HYPH cord-022594-fx044gcd 1096 24 DPB1 DPB1 NNP cord-022594-fx044gcd 1096 25 * * NFP cord-022594-fx044gcd 1096 26 0301 0301 CD cord-022594-fx044gcd 1096 27 is be VBZ cord-022594-fx044gcd 1096 28 the the DT cord-022594-fx044gcd 1096 29 most most RBS cord-022594-fx044gcd 1096 30 strongly strongly RB cord-022594-fx044gcd 1096 31 associated associate VBN cord-022594-fx044gcd 1096 32 allele allele NN cord-022594-fx044gcd 1096 33 with with IN cord-022594-fx044gcd 1096 34 conventional conventional JJ cord-022594-fx044gcd 1096 35 MS MS NNP cord-022594-fx044gcd 1096 36 in in IN cord-022594-fx044gcd 1096 37 the the DT cord-022594-fx044gcd 1096 38 Japanese Japanese NNPS cord-022594-fx044gcd 1096 39 . . . cord-022594-fx044gcd 1097 1 Symptoms symptom NNS cord-022594-fx044gcd 1097 2 of of IN cord-022594-fx044gcd 1097 3 ON ON NNP cord-022594-fx044gcd 1097 4 and and CC cord-022594-fx044gcd 1097 5 myelitis myelitis NNP cord-022594-fx044gcd 1097 6 develop develop VBP cord-022594-fx044gcd 1097 7 over over IN cord-022594-fx044gcd 1097 8 hours hour NNS cord-022594-fx044gcd 1097 9 to to IN cord-022594-fx044gcd 1097 10 days day NNS cord-022594-fx044gcd 1097 11 and and CC cord-022594-fx044gcd 1097 12 are be VBP cord-022594-fx044gcd 1097 13 often often RB cord-022594-fx044gcd 1097 14 preceded precede VBN cord-022594-fx044gcd 1097 15 or or CC cord-022594-fx044gcd 1097 16 accompanied accompany VBN cord-022594-fx044gcd 1097 17 by by IN cord-022594-fx044gcd 1097 18 headache headache NN cord-022594-fx044gcd 1097 19 , , , cord-022594-fx044gcd 1097 20 nausea nausea NN cord-022594-fx044gcd 1097 21 , , , cord-022594-fx044gcd 1097 22 somnolence somnolence NN cord-022594-fx044gcd 1097 23 , , , cord-022594-fx044gcd 1097 24 fever fever NN cord-022594-fx044gcd 1097 25 , , , cord-022594-fx044gcd 1097 26 or or CC cord-022594-fx044gcd 1097 27 myalgias myalgias NNP cord-022594-fx044gcd 1097 28 . . . cord-022594-fx044gcd 1098 1 Continued continued JJ cord-022594-fx044gcd 1098 2 progression progression NN cord-022594-fx044gcd 1098 3 of of IN cord-022594-fx044gcd 1098 4 symptoms symptom NNS cord-022594-fx044gcd 1098 5 over over IN cord-022594-fx044gcd 1098 6 weeks week NNS cord-022594-fx044gcd 1098 7 or or CC cord-022594-fx044gcd 1098 8 months month NNS cord-022594-fx044gcd 1098 9 occasionally occasionally RB cord-022594-fx044gcd 1098 10 occurs occur VBZ cord-022594-fx044gcd 1098 11 . . . cord-022594-fx044gcd 1099 1 Most Most JJS cord-022594-fx044gcd 1099 2 patients patient NNS cord-022594-fx044gcd 1099 3 ( ( -LRB- cord-022594-fx044gcd 1099 4 greater great JJR cord-022594-fx044gcd 1099 5 than than IN cord-022594-fx044gcd 1099 6 80 80 CD cord-022594-fx044gcd 1099 7 % % NN cord-022594-fx044gcd 1099 8 ) ) -RRB- cord-022594-fx044gcd 1099 9 develop develop VB cord-022594-fx044gcd 1099 10 bilateral bilateral JJ cord-022594-fx044gcd 1099 11 optic optic JJ cord-022594-fx044gcd 1099 12 neuritis neuritis NN cord-022594-fx044gcd 1099 13 . . . cord-022594-fx044gcd 1100 1 Bitemporal Bitemporal NNP cord-022594-fx044gcd 1100 2 or or CC cord-022594-fx044gcd 1100 3 junctional junctional JJ cord-022594-fx044gcd 1100 4 field field NN cord-022594-fx044gcd 1100 5 deficits deficit NNS cord-022594-fx044gcd 1100 6 , , , cord-022594-fx044gcd 1100 7 indicating indicate VBG cord-022594-fx044gcd 1100 8 chiasm chiasm NN cord-022594-fx044gcd 1100 9 involvement involvement NN cord-022594-fx044gcd 1100 10 , , , cord-022594-fx044gcd 1100 11 are be VBP cord-022594-fx044gcd 1100 12 sometimes sometimes RB cord-022594-fx044gcd 1100 13 present present JJ cord-022594-fx044gcd 1100 14 early early RB cord-022594-fx044gcd 1100 15 in in IN cord-022594-fx044gcd 1100 16 the the DT cord-022594-fx044gcd 1100 17 course course NN cord-022594-fx044gcd 1100 18 of of IN cord-022594-fx044gcd 1100 19 the the DT cord-022594-fx044gcd 1100 20 ON on NN cord-022594-fx044gcd 1100 21 . . . cord-022594-fx044gcd 1101 1 Visual visual JJ cord-022594-fx044gcd 1101 2 loss loss NN cord-022594-fx044gcd 1101 3 is be VBZ cord-022594-fx044gcd 1101 4 often often RB cord-022594-fx044gcd 1101 5 accompanied accompany VBN cord-022594-fx044gcd 1101 6 by by IN cord-022594-fx044gcd 1101 7 periocular periocular NNP cord-022594-fx044gcd 1101 8 pain pain NN cord-022594-fx044gcd 1101 9 , , , cord-022594-fx044gcd 1101 10 and and CC cord-022594-fx044gcd 1101 11 myelitis myelitis NNP cord-022594-fx044gcd 1101 12 onset onset NN cord-022594-fx044gcd 1101 13 is be VBZ cord-022594-fx044gcd 1101 14 sometimes sometimes RB cord-022594-fx044gcd 1101 15 heralded herald VBN cord-022594-fx044gcd 1101 16 by by IN cord-022594-fx044gcd 1101 17 localized localize VBN cord-022594-fx044gcd 1101 18 back back RP cord-022594-fx044gcd 1101 19 or or CC cord-022594-fx044gcd 1101 20 radicular radicular JJ cord-022594-fx044gcd 1101 21 pain pain NN cord-022594-fx044gcd 1101 22 . . . cord-022594-fx044gcd 1102 1 Lhermitte Lhermitte NNP cord-022594-fx044gcd 1102 2 's 's POS cord-022594-fx044gcd 1102 3 sign sign NN cord-022594-fx044gcd 1102 4 is be VBZ cord-022594-fx044gcd 1102 5 common common JJ cord-022594-fx044gcd 1102 6 . . . cord-022594-fx044gcd 1103 1 Severe severe JJ cord-022594-fx044gcd 1103 2 degrees degree NNS cord-022594-fx044gcd 1103 3 of of IN cord-022594-fx044gcd 1103 4 neurological neurological JJ cord-022594-fx044gcd 1103 5 deficits deficit NNS cord-022594-fx044gcd 1103 6 are be VBP cord-022594-fx044gcd 1103 7 usual usual JJ cord-022594-fx044gcd 1103 8 , , , cord-022594-fx044gcd 1103 9 and and CC cord-022594-fx044gcd 1103 10 the the DT cord-022594-fx044gcd 1103 11 degree degree NN cord-022594-fx044gcd 1103 12 of of IN cord-022594-fx044gcd 1103 13 recovery recovery NN cord-022594-fx044gcd 1103 14 is be VBZ cord-022594-fx044gcd 1103 15 variable variable JJ cord-022594-fx044gcd 1103 16 . . . cord-022594-fx044gcd 1104 1 Approximately approximately RB cord-022594-fx044gcd 1104 2 35 35 CD cord-022594-fx044gcd 1104 3 % % NN cord-022594-fx044gcd 1104 4 of of IN cord-022594-fx044gcd 1104 5 NMO NMO NNP cord-022594-fx044gcd 1104 6 patients patient NNS cord-022594-fx044gcd 1104 7 have have VBP cord-022594-fx044gcd 1104 8 a a DT cord-022594-fx044gcd 1104 9 monophasic monophasic JJ cord-022594-fx044gcd 1104 10 illness illness NN cord-022594-fx044gcd 1104 11 , , , cord-022594-fx044gcd 1104 12 55 55 CD cord-022594-fx044gcd 1104 13 % % NN cord-022594-fx044gcd 1104 14 develop develop VBP cord-022594-fx044gcd 1104 15 relapses relapse NNS cord-022594-fx044gcd 1104 16 usually usually RB cord-022594-fx044gcd 1104 17 limited limit VBN cord-022594-fx044gcd 1104 18 to to IN cord-022594-fx044gcd 1104 19 the the DT cord-022594-fx044gcd 1104 20 optic optic JJ cord-022594-fx044gcd 1104 21 nerves nerve NNS cord-022594-fx044gcd 1104 22 and and CC cord-022594-fx044gcd 1104 23 spinal spinal JJ cord-022594-fx044gcd 1104 24 cord cord NN cord-022594-fx044gcd 1104 25 ( ( -LRB- cord-022594-fx044gcd 1104 26 relapsing relapse VBG cord-022594-fx044gcd 1104 27 NMO NMO NNP cord-022594-fx044gcd 1104 28 or or CC cord-022594-fx044gcd 1104 29 opticospinal opticospinal JJ cord-022594-fx044gcd 1104 30 MS MS NNP cord-022594-fx044gcd 1104 31 ) ) -RRB- cord-022594-fx044gcd 1104 32 , , , cord-022594-fx044gcd 1104 33 and and CC cord-022594-fx044gcd 1104 34 rarely rarely RB cord-022594-fx044gcd 1104 35 patients patient NNS cord-022594-fx044gcd 1104 36 have have VBP cord-022594-fx044gcd 1104 37 a a DT cord-022594-fx044gcd 1104 38 fulminantly fulminantly RB cord-022594-fx044gcd 1104 39 progressive progressive JJ cord-022594-fx044gcd 1104 40 course course NN cord-022594-fx044gcd 1104 41 without without IN cord-022594-fx044gcd 1104 42 relapses relapse NNS cord-022594-fx044gcd 1104 43 or or CC cord-022594-fx044gcd 1104 44 a a DT cord-022594-fx044gcd 1104 45 course course NN cord-022594-fx044gcd 1104 46 typical typical JJ cord-022594-fx044gcd 1104 47 of of IN cord-022594-fx044gcd 1104 48 MS MS NNP cord-022594-fx044gcd 1104 49 . . . cord-022594-fx044gcd 1105 1 115 115 CD cord-022594-fx044gcd 1106 1 According accord VBG cord-022594-fx044gcd 1106 2 to to IN cord-022594-fx044gcd 1106 3 a a DT cord-022594-fx044gcd 1106 4 study study NN cord-022594-fx044gcd 1106 5 conducted conduct VBN cord-022594-fx044gcd 1106 6 at at IN cord-022594-fx044gcd 1106 7 the the DT cord-022594-fx044gcd 1106 8 Mayo Mayo NNP cord-022594-fx044gcd 1106 9 Clinic Clinic NNP cord-022594-fx044gcd 1106 10 , , , cord-022594-fx044gcd 1106 11 115 115 CD cord-022594-fx044gcd 1106 12 patients patient NNS cord-022594-fx044gcd 1106 13 with with IN cord-022594-fx044gcd 1106 14 a a DT cord-022594-fx044gcd 1106 15 monophasic monophasic JJ cord-022594-fx044gcd 1106 16 course course NN cord-022594-fx044gcd 1106 17 usually usually RB cord-022594-fx044gcd 1106 18 presented present VBN cord-022594-fx044gcd 1106 19 with with IN cord-022594-fx044gcd 1106 20 rapidly rapidly RB cord-022594-fx044gcd 1106 21 sequential sequential JJ cord-022594-fx044gcd 1106 22 events event NNS cord-022594-fx044gcd 1106 23 ( ( -LRB- cord-022594-fx044gcd 1106 24 median median NN cord-022594-fx044gcd 1106 25 , , , cord-022594-fx044gcd 1106 26 5 5 CD cord-022594-fx044gcd 1106 27 days day NNS cord-022594-fx044gcd 1106 28 ) ) -RRB- cord-022594-fx044gcd 1106 29 with with IN cord-022594-fx044gcd 1106 30 only only JJ cord-022594-fx044gcd 1106 31 moderate moderate JJ cord-022594-fx044gcd 1106 32 recovery recovery NN cord-022594-fx044gcd 1106 33 . . . cord-022594-fx044gcd 1107 1 Patients patient NNS cord-022594-fx044gcd 1107 2 showing show VBG cord-022594-fx044gcd 1107 3 characteristics characteristic NNS cord-022594-fx044gcd 1107 4 of of IN cord-022594-fx044gcd 1107 5 the the DT cord-022594-fx044gcd 1107 6 relapsing relapse VBG cord-022594-fx044gcd 1107 7 form form NN cord-022594-fx044gcd 1107 8 of of IN cord-022594-fx044gcd 1107 9 Devic Devic NNP cord-022594-fx044gcd 1107 10 's 's POS cord-022594-fx044gcd 1107 11 had have VBD cord-022594-fx044gcd 1107 12 a a DT cord-022594-fx044gcd 1107 13 median median JJ cord-022594-fx044gcd 1107 14 interval interval NN cord-022594-fx044gcd 1107 15 of of IN cord-022594-fx044gcd 1107 16 166 166 CD cord-022594-fx044gcd 1107 17 days day NNS cord-022594-fx044gcd 1107 18 between between IN cord-022594-fx044gcd 1107 19 index index NN cord-022594-fx044gcd 1107 20 events event NNS cord-022594-fx044gcd 1107 21 , , , cord-022594-fx044gcd 1107 22 followed follow VBD cord-022594-fx044gcd 1107 23 within within IN cord-022594-fx044gcd 1107 24 3 3 CD cord-022594-fx044gcd 1107 25 years year NNS cord-022594-fx044gcd 1107 26 by by IN cord-022594-fx044gcd 1107 27 clusters cluster NNS cord-022594-fx044gcd 1107 28 of of IN cord-022594-fx044gcd 1107 29 severe severe JJ cord-022594-fx044gcd 1107 30 relapses relapse NNS cord-022594-fx044gcd 1107 31 isolated isolate VBN cord-022594-fx044gcd 1107 32 to to IN cord-022594-fx044gcd 1107 33 the the DT cord-022594-fx044gcd 1107 34 optic optic JJ cord-022594-fx044gcd 1107 35 nerves nerve NNS cord-022594-fx044gcd 1107 36 and and CC cord-022594-fx044gcd 1107 37 spinal spinal JJ cord-022594-fx044gcd 1107 38 cord cord NN cord-022594-fx044gcd 1107 39 . . . cord-022594-fx044gcd 1108 1 Most Most JJS cord-022594-fx044gcd 1108 2 relapsing relapse VBG cord-022594-fx044gcd 1108 3 patients patient NNS cord-022594-fx044gcd 1108 4 developed develop VBD cord-022594-fx044gcd 1108 5 severe severe JJ cord-022594-fx044gcd 1108 6 disability disability NN cord-022594-fx044gcd 1108 7 in in IN cord-022594-fx044gcd 1108 8 a a DT cord-022594-fx044gcd 1108 9 stepwise stepwise JJ cord-022594-fx044gcd 1108 10 manner manner NN cord-022594-fx044gcd 1108 11 . . . cord-022594-fx044gcd 1109 1 Approximately approximately RB cord-022594-fx044gcd 1109 2 one one CD cord-022594-fx044gcd 1109 3 third third NN cord-022594-fx044gcd 1109 4 died die VBD cord-022594-fx044gcd 1109 5 from from IN cord-022594-fx044gcd 1109 6 respiratory respiratory JJ cord-022594-fx044gcd 1109 7 failure failure NN cord-022594-fx044gcd 1109 8 . . . cord-022594-fx044gcd 1110 1 Predictors predictor NNS cord-022594-fx044gcd 1110 2 of of IN cord-022594-fx044gcd 1110 3 a a DT cord-022594-fx044gcd 1110 4 relapsing relapse VBG cord-022594-fx044gcd 1110 5 course course NN cord-022594-fx044gcd 1110 6 in in IN cord-022594-fx044gcd 1110 7 NMO NMO NNP cord-022594-fx044gcd 1110 8 118 118 CD cord-022594-fx044gcd 1110 9 include include VBP cord-022594-fx044gcd 1110 10 longer long RBR cord-022594-fx044gcd 1110 11 inter inter JJ cord-022594-fx044gcd 1110 12 - - JJ cord-022594-fx044gcd 1110 13 attack attack JJ cord-022594-fx044gcd 1110 14 intervals interval NNS cord-022594-fx044gcd 1110 15 ( ( -LRB- cord-022594-fx044gcd 1110 16 relative relative JJ cord-022594-fx044gcd 1110 17 risk risk NN cord-022594-fx044gcd 1110 18 [ [ -LRB- cord-022594-fx044gcd 1110 19 RR rr NN cord-022594-fx044gcd 1110 20 ] ] -RRB- cord-022594-fx044gcd 1110 21 : : : cord-022594-fx044gcd 1110 22 2.16 2.16 CD cord-022594-fx044gcd 1110 23 per per IN cord-022594-fx044gcd 1110 24 month month NN cord-022594-fx044gcd 1110 25 increase increase NN cord-022594-fx044gcd 1110 26 ) ) -RRB- cord-022594-fx044gcd 1110 27 , , , cord-022594-fx044gcd 1110 28 older old JJR cord-022594-fx044gcd 1110 29 age age NN cord-022594-fx044gcd 1110 30 at at IN cord-022594-fx044gcd 1110 31 onset onset NN cord-022594-fx044gcd 1110 32 ( ( -LRB- cord-022594-fx044gcd 1110 33 RR RR NNP cord-022594-fx044gcd 1110 34 ¼ ¼ NNP cord-022594-fx044gcd 1110 35 1.08 1.08 CD cord-022594-fx044gcd 1110 36 per per IN cord-022594-fx044gcd 1110 37 year year NN cord-022594-fx044gcd 1110 38 increase increase NN cord-022594-fx044gcd 1110 39 ) ) -RRB- cord-022594-fx044gcd 1110 40 , , , cord-022594-fx044gcd 1110 41 female female JJ cord-022594-fx044gcd 1110 42 sex sex NN cord-022594-fx044gcd 1110 43 ( ( -LRB- cord-022594-fx044gcd 1110 44 RR RR NNP cord-022594-fx044gcd 1110 45 ¼ ¼ NNP cord-022594-fx044gcd 1110 46 10.0 10.0 CD cord-022594-fx044gcd 1110 47 ) ) -RRB- cord-022594-fx044gcd 1110 48 , , , cord-022594-fx044gcd 1110 49 and and CC cord-022594-fx044gcd 1110 50 less less RBR cord-022594-fx044gcd 1110 51 severe severe JJ cord-022594-fx044gcd 1110 52 motor motor NN cord-022594-fx044gcd 1110 53 impairment impairment NN cord-022594-fx044gcd 1110 54 with with IN cord-022594-fx044gcd 1110 55 sentinel sentinel JJ cord-022594-fx044gcd 1110 56 myelitis myelitis NNP cord-022594-fx044gcd 1110 57 event event NN cord-022594-fx044gcd 1110 58 ( ( -LRB- cord-022594-fx044gcd 1110 59 RR RR NNP cord-022594-fx044gcd 1110 60 ¼ ¼ CD cord-022594-fx044gcd 1110 61 0.48 0.48 CD cord-022594-fx044gcd 1110 62 per per IN cord-022594-fx044gcd 1110 63 severity severity NN cord-022594-fx044gcd 1110 64 scale scale NN cord-022594-fx044gcd 1110 65 point point NN cord-022594-fx044gcd 1110 66 increase increase NN cord-022594-fx044gcd 1110 67 ) ) -RRB- cord-022594-fx044gcd 1110 68 . . . cord-022594-fx044gcd 1111 1 Autoimmune autoimmune JJ cord-022594-fx044gcd 1111 2 disease disease NN cord-022594-fx044gcd 1111 3 history history NN cord-022594-fx044gcd 1111 4 ( ( -LRB- cord-022594-fx044gcd 1111 5 RR RR NNP cord-022594-fx044gcd 1111 6 ¼ ¼ NNP cord-022594-fx044gcd 1111 7 4.15 4.15 CD cord-022594-fx044gcd 1111 8 ) ) -RRB- cord-022594-fx044gcd 1111 9 , , , cord-022594-fx044gcd 1111 10 higher high JJR cord-022594-fx044gcd 1111 11 attack attack NN cord-022594-fx044gcd 1111 12 frequency frequency NN cord-022594-fx044gcd 1111 13 in in IN cord-022594-fx044gcd 1111 14 first first JJ cord-022594-fx044gcd 1111 15 2 2 CD cord-022594-fx044gcd 1111 16 years year NNS cord-022594-fx044gcd 1112 1 ( ( -LRB- cord-022594-fx044gcd 1112 2 RR RR NNP cord-022594-fx044gcd 1112 3 ¼ ¼ NNP cord-022594-fx044gcd 1112 4 1.21 1.21 CD cord-022594-fx044gcd 1112 5 per per IN cord-022594-fx044gcd 1112 6 attack attack NN cord-022594-fx044gcd 1112 7 ) ) -RRB- cord-022594-fx044gcd 1112 8 , , , cord-022594-fx044gcd 1112 9 and and CC cord-022594-fx044gcd 1112 10 better well JJR cord-022594-fx044gcd 1112 11 recovery recovery NN cord-022594-fx044gcd 1112 12 following follow VBG cord-022594-fx044gcd 1112 13 index index NN cord-022594-fx044gcd 1112 14 myelitis myelitis NNP cord-022594-fx044gcd 1112 15 ( ( -LRB- cord-022594-fx044gcd 1112 16 RR RR NNP cord-022594-fx044gcd 1112 17 ¼ ¼ CD cord-022594-fx044gcd 1112 18 1.84 1.84 CD cord-022594-fx044gcd 1112 19 per per IN cord-022594-fx044gcd 1112 20 point point NN cord-022594-fx044gcd 1112 21 ) ) -RRB- cord-022594-fx044gcd 1112 22 are be VBP cord-022594-fx044gcd 1112 23 associated associate VBN cord-022594-fx044gcd 1112 24 with with IN cord-022594-fx044gcd 1112 25 increased increase VBN cord-022594-fx044gcd 1112 26 mortality mortality NN cord-022594-fx044gcd 1112 27 rate rate NN cord-022594-fx044gcd 1112 28 . . . cord-022594-fx044gcd 1113 1 Features feature NNS cord-022594-fx044gcd 1113 2 of of IN cord-022594-fx044gcd 1113 3 NMO NMO NNP cord-022594-fx044gcd 1113 4 distinct distinct JJ cord-022594-fx044gcd 1113 5 from from IN cord-022594-fx044gcd 1113 6 " " `` cord-022594-fx044gcd 1113 7 typical typical JJ cord-022594-fx044gcd 1113 8 " " '' cord-022594-fx044gcd 1113 9 MS MS NNP cord-022594-fx044gcd 1113 10 included include VBD cord-022594-fx044gcd 1113 11 normal normal JJ cord-022594-fx044gcd 1113 12 initial initial JJ cord-022594-fx044gcd 1113 13 brain brain NN cord-022594-fx044gcd 1113 14 MRI MRI NNP cord-022594-fx044gcd 1113 15 , , , cord-022594-fx044gcd 1113 16 more more JJR cord-022594-fx044gcd 1113 17 than than IN cord-022594-fx044gcd 1113 18 50 50 CD cord-022594-fx044gcd 1113 19 cells cell NNS cord-022594-fx044gcd 1113 20 / / SYM cord-022594-fx044gcd 1113 21 mL ml NN cord-022594-fx044gcd 1113 22 in in IN cord-022594-fx044gcd 1113 23 CSF CSF NNP cord-022594-fx044gcd 1113 24 with with IN cord-022594-fx044gcd 1113 25 polymorphonuclear polymorphonuclear JJ cord-022594-fx044gcd 1113 26 predominance predominance NN cord-022594-fx044gcd 1113 27 , , , cord-022594-fx044gcd 1113 28 and and CC cord-022594-fx044gcd 1113 29 lesions lesion NNS cord-022594-fx044gcd 1113 30 extending extend VBG cord-022594-fx044gcd 1113 31 over over IN cord-022594-fx044gcd 1113 32 three three CD cord-022594-fx044gcd 1113 33 or or CC cord-022594-fx044gcd 1113 34 more more JJR cord-022594-fx044gcd 1113 35 vertebral vertebral JJ cord-022594-fx044gcd 1113 36 segments segment NNS cord-022594-fx044gcd 1113 37 on on IN cord-022594-fx044gcd 1113 38 spinal spinal JJ cord-022594-fx044gcd 1113 39 cord cord NN cord-022594-fx044gcd 1113 40 MRI MRI NNP cord-022594-fx044gcd 1113 41 . . . cord-022594-fx044gcd 1114 1 Relapsing relapse VBG cord-022594-fx044gcd 1114 2 NMO NMO NNP cord-022594-fx044gcd 1114 3 is be VBZ cord-022594-fx044gcd 1114 4 often often RB cord-022594-fx044gcd 1114 5 associated associate VBN cord-022594-fx044gcd 1114 6 with with IN cord-022594-fx044gcd 1114 7 autoimmune autoimmune JJ cord-022594-fx044gcd 1114 8 disorders disorder NNS cord-022594-fx044gcd 1114 9 , , , cord-022594-fx044gcd 1114 10 most most RBS cord-022594-fx044gcd 1114 11 commonly commonly RB cord-022594-fx044gcd 1114 12 systemic systemic JJ cord-022594-fx044gcd 1114 13 lupus lupus NN cord-022594-fx044gcd 1114 14 erythematosus erythematosus NN cord-022594-fx044gcd 1114 15 . . . cord-022594-fx044gcd 1115 1 These these DT cord-022594-fx044gcd 1115 2 patients patient NNS cord-022594-fx044gcd 1115 3 also also RB cord-022594-fx044gcd 1115 4 frequently frequently RB cord-022594-fx044gcd 1115 5 have have VBP cord-022594-fx044gcd 1115 6 an an DT cord-022594-fx044gcd 1115 7 elevated elevated JJ cord-022594-fx044gcd 1115 8 erythrocyte erythrocyte NN cord-022594-fx044gcd 1115 9 sedimentation sedimentation NN cord-022594-fx044gcd 1115 10 rate rate NN cord-022594-fx044gcd 1115 11 and and CC cord-022594-fx044gcd 1115 12 nonspecific nonspecific JJ cord-022594-fx044gcd 1115 13 elevation elevation NN cord-022594-fx044gcd 1115 14 of of IN cord-022594-fx044gcd 1115 15 autoantibodies autoantibody NNS cord-022594-fx044gcd 1115 16 , , , cord-022594-fx044gcd 1115 17 including include VBG cord-022594-fx044gcd 1115 18 antinuclear antinuclear JJ cord-022594-fx044gcd 1115 19 antibodies antibody NNS cord-022594-fx044gcd 1115 20 , , , cord-022594-fx044gcd 1115 21 anti anti JJ cord-022594-fx044gcd 1115 22 - - JJ cord-022594-fx044gcd 1115 23 ds ds JJ cord-022594-fx044gcd 1115 24 - - HYPH cord-022594-fx044gcd 1115 25 DNA DNA NNP cord-022594-fx044gcd 1115 26 , , , cord-022594-fx044gcd 1115 27 and and CC cord-022594-fx044gcd 1115 28 antiphospholipid antiphospholipid NNP cord-022594-fx044gcd 1115 29 antibodies antibody NNS cord-022594-fx044gcd 1115 30 . . . cord-022594-fx044gcd 1116 1 Tonic tonic NN cord-022594-fx044gcd 1116 2 spasms spasm NNS cord-022594-fx044gcd 1116 3 and and CC cord-022594-fx044gcd 1116 4 neuropathic neuropathic JJ cord-022594-fx044gcd 1116 5 lower low JJR cord-022594-fx044gcd 1116 6 extremity extremity NN cord-022594-fx044gcd 1116 7 pain pain NN cord-022594-fx044gcd 1116 8 are be VBP cord-022594-fx044gcd 1116 9 common common JJ cord-022594-fx044gcd 1116 10 sequelae sequela NNS cord-022594-fx044gcd 1116 11 to to IN cord-022594-fx044gcd 1116 12 the the DT cord-022594-fx044gcd 1116 13 spinal spinal JJ cord-022594-fx044gcd 1116 14 cord cord NN cord-022594-fx044gcd 1116 15 damage damage NN cord-022594-fx044gcd 1116 16 . . . cord-022594-fx044gcd 1117 1 Symptoms symptom NNS cord-022594-fx044gcd 1117 2 referable referable JJ cord-022594-fx044gcd 1117 3 to to IN cord-022594-fx044gcd 1117 4 brain brain NN cord-022594-fx044gcd 1117 5 stem stem NN cord-022594-fx044gcd 1117 6 lesions lesion NNS cord-022594-fx044gcd 1117 7 ( ( -LRB- cord-022594-fx044gcd 1117 8 nystagmus nystagmus NN cord-022594-fx044gcd 1117 9 , , , cord-022594-fx044gcd 1117 10 ophthalmoparesis ophthalmoparesis NN cord-022594-fx044gcd 1117 11 , , , cord-022594-fx044gcd 1117 12 and and CC cord-022594-fx044gcd 1117 13 vertigo vertigo NNP cord-022594-fx044gcd 1117 14 ) ) -RRB- cord-022594-fx044gcd 1117 15 can can MD cord-022594-fx044gcd 1117 16 occur occur VB cord-022594-fx044gcd 1117 17 in in IN cord-022594-fx044gcd 1117 18 these these DT cord-022594-fx044gcd 1117 19 patients patient NNS cord-022594-fx044gcd 1117 20 as as RB cord-022594-fx044gcd 1117 21 well well RB cord-022594-fx044gcd 1117 22 . . . cord-022594-fx044gcd 1118 1 DIFFERENTIAL differential JJ cord-022594-fx044gcd 1118 2 DIAGNOSIS diagnosis NN cord-022594-fx044gcd 1118 3 . . . cord-022594-fx044gcd 1119 1 The the DT cord-022594-fx044gcd 1119 2 differential differential JJ cord-022594-fx044gcd 1119 3 diagnoses diagnosis NNS cord-022594-fx044gcd 1119 4 for for IN cord-022594-fx044gcd 1119 5 Devic Devic NNP cord-022594-fx044gcd 1119 6 's 's POS cord-022594-fx044gcd 1119 7 syndrome syndrome NN cord-022594-fx044gcd 1119 8 includes include VBZ cord-022594-fx044gcd 1119 9 MS MS NNP cord-022594-fx044gcd 1119 10 , , , cord-022594-fx044gcd 1119 11 ADEM ADEM NNP cord-022594-fx044gcd 1119 12 , , , cord-022594-fx044gcd 1119 13 pulmonary pulmonary JJ cord-022594-fx044gcd 1119 14 tuberculosis tuberculosis NN cord-022594-fx044gcd 1119 15 , , , cord-022594-fx044gcd 1119 16 and and CC cord-022594-fx044gcd 1119 17 viral viral JJ cord-022594-fx044gcd 1119 18 infection infection NN cord-022594-fx044gcd 1119 19 ( ( -LRB- cord-022594-fx044gcd 1119 20 especially especially RB cord-022594-fx044gcd 1119 21 in in IN cord-022594-fx044gcd 1119 22 the the DT cord-022594-fx044gcd 1119 23 immunocompromised immunocompromised JJ cord-022594-fx044gcd 1119 24 patient patient NN cord-022594-fx044gcd 1119 25 ) ) -RRB- cord-022594-fx044gcd 1119 26 . . . cord-022594-fx044gcd 1120 1 In in IN cord-022594-fx044gcd 1120 2 patients patient NNS cord-022594-fx044gcd 1120 3 with with IN cord-022594-fx044gcd 1120 4 an an DT cord-022594-fx044gcd 1120 5 apparent apparent JJ cord-022594-fx044gcd 1120 6 affected affected JJ cord-022594-fx044gcd 1120 7 family family NN cord-022594-fx044gcd 1120 8 member member NN cord-022594-fx044gcd 1120 9 , , , cord-022594-fx044gcd 1120 10 consideration consideration NN cord-022594-fx044gcd 1120 11 should should MD cord-022594-fx044gcd 1120 12 be be VB cord-022594-fx044gcd 1120 13 given give VBN cord-022594-fx044gcd 1120 14 to to IN cord-022594-fx044gcd 1120 15 mitochondrial mitochondrial JJ cord-022594-fx044gcd 1120 16 disease disease NN cord-022594-fx044gcd 1120 17 . . . cord-022594-fx044gcd 1121 1 Relapsing relapse VBG cord-022594-fx044gcd 1121 2 NMO NMO NNP cord-022594-fx044gcd 1121 3 should should MD cord-022594-fx044gcd 1121 4 raise raise VB cord-022594-fx044gcd 1121 5 the the DT cord-022594-fx044gcd 1121 6 suspicion suspicion NN cord-022594-fx044gcd 1121 7 for for IN cord-022594-fx044gcd 1121 8 associated associated JJ cord-022594-fx044gcd 1121 9 autoimmune autoimmune JJ cord-022594-fx044gcd 1121 10 disorders disorder NNS cord-022594-fx044gcd 1121 11 . . . cord-022594-fx044gcd 1122 1 Because because IN cord-022594-fx044gcd 1122 2 Devic Devic NNP cord-022594-fx044gcd 1122 3 's 's POS cord-022594-fx044gcd 1122 4 syndrome syndrome NN cord-022594-fx044gcd 1122 5 can can MD cord-022594-fx044gcd 1122 6 occur occur VB cord-022594-fx044gcd 1122 7 in in IN cord-022594-fx044gcd 1122 8 persons person NNS cord-022594-fx044gcd 1122 9 older old JJR cord-022594-fx044gcd 1122 10 than than IN cord-022594-fx044gcd 1122 11 age age NN cord-022594-fx044gcd 1122 12 60 60 CD cord-022594-fx044gcd 1122 13 , , , cord-022594-fx044gcd 1122 14 when when WRB cord-022594-fx044gcd 1122 15 an an DT cord-022594-fx044gcd 1122 16 unrelated unrelated JJ cord-022594-fx044gcd 1122 17 ischemic ischemic JJ cord-022594-fx044gcd 1122 18 optic optic JJ cord-022594-fx044gcd 1122 19 neuropathy neuropathy NN cord-022594-fx044gcd 1122 20 could could MD cord-022594-fx044gcd 1122 21 occur occur VB cord-022594-fx044gcd 1122 22 , , , cord-022594-fx044gcd 1122 23 and and CC cord-022594-fx044gcd 1122 24 because because IN cord-022594-fx044gcd 1122 25 isolated isolated JJ cord-022594-fx044gcd 1122 26 or or CC cord-022594-fx044gcd 1122 27 recurrent recurrent JJ cord-022594-fx044gcd 1122 28 myelopathy myelopathy NN cord-022594-fx044gcd 1122 29 may may MD cord-022594-fx044gcd 1122 30 precede precede VB cord-022594-fx044gcd 1122 31 the the DT cord-022594-fx044gcd 1122 32 ON on JJ cord-022594-fx044gcd 1122 33 , , , cord-022594-fx044gcd 1122 34 additional additional JJ cord-022594-fx044gcd 1122 35 consideration consideration NN cord-022594-fx044gcd 1122 36 must must MD cord-022594-fx044gcd 1122 37 be be VB cord-022594-fx044gcd 1122 38 given give VBN cord-022594-fx044gcd 1122 39 to to IN cord-022594-fx044gcd 1122 40 spinal spinal JJ cord-022594-fx044gcd 1122 41 cord cord NN cord-022594-fx044gcd 1122 42 compression compression NN cord-022594-fx044gcd 1122 43 , , , cord-022594-fx044gcd 1122 44 spinal spinal JJ cord-022594-fx044gcd 1122 45 cord cord NN cord-022594-fx044gcd 1122 46 tumor tumor NN cord-022594-fx044gcd 1122 47 , , , cord-022594-fx044gcd 1122 48 and and CC cord-022594-fx044gcd 1122 49 spinal spinal JJ cord-022594-fx044gcd 1122 50 arteriovenous arteriovenous JJ cord-022594-fx044gcd 1122 51 malformation malformation NN cord-022594-fx044gcd 1122 52 ( ( -LRB- cord-022594-fx044gcd 1122 53 AVM AVM NNP cord-022594-fx044gcd 1122 54 ) ) -RRB- cord-022594-fx044gcd 1122 55 or or CC cord-022594-fx044gcd 1122 56 dural dural JJ cord-022594-fx044gcd 1122 57 fistula fistula NN cord-022594-fx044gcd 1122 58 . . . cord-022594-fx044gcd 1123 1 EVALUATION EVALUATION NNP cord-022594-fx044gcd 1123 2 . . . cord-022594-fx044gcd 1124 1 Imaging imaging NN cord-022594-fx044gcd 1124 2 is be VBZ cord-022594-fx044gcd 1124 3 needed need VBN cord-022594-fx044gcd 1124 4 to to TO cord-022594-fx044gcd 1124 5 exclude exclude VB cord-022594-fx044gcd 1124 6 structural structural JJ cord-022594-fx044gcd 1124 7 lesions lesion NNS cord-022594-fx044gcd 1124 8 and and CC cord-022594-fx044gcd 1124 9 provide provide VB cord-022594-fx044gcd 1124 10 information information NN cord-022594-fx044gcd 1124 11 on on IN cord-022594-fx044gcd 1124 12 the the DT cord-022594-fx044gcd 1124 13 pathological pathological JJ cord-022594-fx044gcd 1124 14 process process NN cord-022594-fx044gcd 1124 15 . . . cord-022594-fx044gcd 1125 1 Optic optic JJ cord-022594-fx044gcd 1125 2 nerve nerve NN cord-022594-fx044gcd 1125 3 or or CC cord-022594-fx044gcd 1125 4 chiasm chiasm NN cord-022594-fx044gcd 1125 5 enlargement enlargement NN cord-022594-fx044gcd 1125 6 , , , cord-022594-fx044gcd 1126 1 T2-weighted t2-weighte VBN cord-022594-fx044gcd 1126 2 signal signal NN cord-022594-fx044gcd 1126 3 changes change NNS cord-022594-fx044gcd 1126 4 , , , cord-022594-fx044gcd 1126 5 and and CC cord-022594-fx044gcd 1126 6 enhancement enhancement NN cord-022594-fx044gcd 1126 7 may may MD cord-022594-fx044gcd 1126 8 be be VB cord-022594-fx044gcd 1126 9 seen see VBN cord-022594-fx044gcd 1126 10 on on IN cord-022594-fx044gcd 1126 11 head head NN cord-022594-fx044gcd 1126 12 MRI MRI NNP cord-022594-fx044gcd 1126 13 during during IN cord-022594-fx044gcd 1126 14 the the DT cord-022594-fx044gcd 1126 15 acute acute JJ cord-022594-fx044gcd 1126 16 phase phase NN cord-022594-fx044gcd 1126 17 . . . cord-022594-fx044gcd 1127 1 Increased increase VBN cord-022594-fx044gcd 1127 2 T2-weighted t2-weighted JJ cord-022594-fx044gcd 1127 3 signal signal NN cord-022594-fx044gcd 1127 4 in in IN cord-022594-fx044gcd 1127 5 the the DT cord-022594-fx044gcd 1127 6 medulla medulla NN cord-022594-fx044gcd 1127 7 is be VBZ cord-022594-fx044gcd 1127 8 not not RB cord-022594-fx044gcd 1127 9 uncommon uncommon JJ cord-022594-fx044gcd 1127 10 and and CC cord-022594-fx044gcd 1127 11 usually usually RB cord-022594-fx044gcd 1127 12 represents represent VBZ cord-022594-fx044gcd 1127 13 extension extension NN cord-022594-fx044gcd 1127 14 of of IN cord-022594-fx044gcd 1127 15 high high JJ cord-022594-fx044gcd 1127 16 cervical cervical JJ cord-022594-fx044gcd 1127 17 lesions lesion NNS cord-022594-fx044gcd 1127 18 . . . cord-022594-fx044gcd 1128 1 Spine Spine NNP cord-022594-fx044gcd 1128 2 MRI MRI NNP cord-022594-fx044gcd 1128 3 characteristically characteristically RB cord-022594-fx044gcd 1128 4 shows show VBZ cord-022594-fx044gcd 1128 5 cord cord NN cord-022594-fx044gcd 1128 6 swelling swelling NN cord-022594-fx044gcd 1128 7 , , , cord-022594-fx044gcd 1128 8 signal signal NN cord-022594-fx044gcd 1128 9 changes change NNS cord-022594-fx044gcd 1128 10 , , , cord-022594-fx044gcd 1128 11 and and CC cord-022594-fx044gcd 1128 12 enhancement enhancement NN cord-022594-fx044gcd 1128 13 extending extend VBG cord-022594-fx044gcd 1128 14 over over RP cord-022594-fx044gcd 1128 15 at at RB cord-022594-fx044gcd 1128 16 least least RBS cord-022594-fx044gcd 1128 17 three three CD cord-022594-fx044gcd 1128 18 levels level NNS cord-022594-fx044gcd 1128 19 ( ( -LRB- cord-022594-fx044gcd 1128 20 Fig Fig NNP cord-022594-fx044gcd 1128 21 . . . cord-022594-fx044gcd 1128 22 48 48 CD cord-022594-fx044gcd 1128 23 - - SYM cord-022594-fx044gcd 1128 24 4 4 CD cord-022594-fx044gcd 1128 25 ) ) -RRB- cord-022594-fx044gcd 1128 26 . . . cord-022594-fx044gcd 1129 1 This this DT cord-022594-fx044gcd 1129 2 appearance appearance NN cord-022594-fx044gcd 1129 3 may may MD cord-022594-fx044gcd 1129 4 resemble resemble VB cord-022594-fx044gcd 1129 5 a a DT cord-022594-fx044gcd 1129 6 spinal spinal JJ cord-022594-fx044gcd 1129 7 cord cord NN cord-022594-fx044gcd 1129 8 tumor tumor NN cord-022594-fx044gcd 1129 9 , , , cord-022594-fx044gcd 1129 10 prompting prompt VBG cord-022594-fx044gcd 1129 11 consideration consideration NN cord-022594-fx044gcd 1129 12 for for IN cord-022594-fx044gcd 1129 13 biopsy biopsy NN cord-022594-fx044gcd 1129 14 . . . cord-022594-fx044gcd 1130 1 On on IN cord-022594-fx044gcd 1130 2 magnetization magnetization NN cord-022594-fx044gcd 1130 3 transfer transfer NN cord-022594-fx044gcd 1130 4 ( ( -LRB- cord-022594-fx044gcd 1130 5 MT MT NNP cord-022594-fx044gcd 1130 6 ) ) -RRB- cord-022594-fx044gcd 1130 7 MRI MRI NNP cord-022594-fx044gcd 1130 8 , , , cord-022594-fx044gcd 1131 1 no no DT cord-022594-fx044gcd 1131 2 significant significant JJ cord-022594-fx044gcd 1131 3 difference difference NN cord-022594-fx044gcd 1131 4 was be VBD cord-022594-fx044gcd 1131 5 found find VBN cord-022594-fx044gcd 1131 6 on on IN cord-022594-fx044gcd 1131 7 normal normal RB cord-022594-fx044gcd 1131 8 - - HYPH cord-022594-fx044gcd 1131 9 appearing appear VBG cord-022594-fx044gcd 1131 10 white white JJ cord-022594-fx044gcd 1131 11 matter matter NN cord-022594-fx044gcd 1131 12 of of IN cord-022594-fx044gcd 1131 13 Devic Devic NNP cord-022594-fx044gcd 1131 14 's 's POS cord-022594-fx044gcd 1131 15 patients patient NNS cord-022594-fx044gcd 1131 16 and and CC cord-022594-fx044gcd 1131 17 control control NN cord-022594-fx044gcd 1131 18 subjects subject NNS cord-022594-fx044gcd 1131 19 , , , cord-022594-fx044gcd 1131 20 whereas whereas IN cord-022594-fx044gcd 1131 21 MS MS NNP cord-022594-fx044gcd 1131 22 patients patient NNS cord-022594-fx044gcd 1131 23 had have VBD cord-022594-fx044gcd 1131 24 a a DT cord-022594-fx044gcd 1131 25 significantly significantly RB cord-022594-fx044gcd 1131 26 lower low JJR cord-022594-fx044gcd 1131 27 MT MT NNP cord-022594-fx044gcd 1131 28 ratio ratio NN cord-022594-fx044gcd 1131 29 peak peak NN cord-022594-fx044gcd 1131 30 and and CC cord-022594-fx044gcd 1131 31 histogram histogram NN cord-022594-fx044gcd 1131 32 average average NN cord-022594-fx044gcd 1131 33 . . . cord-022594-fx044gcd 1132 1 119 119 CD cord-022594-fx044gcd 1132 2 T1 T1 NNP cord-022594-fx044gcd 1132 3 hypointense hypointense NN cord-022594-fx044gcd 1132 4 lesions lesion NNS cord-022594-fx044gcd 1132 5 in in IN cord-022594-fx044gcd 1132 6 the the DT cord-022594-fx044gcd 1132 7 cord cord NN cord-022594-fx044gcd 1132 8 and and CC cord-022594-fx044gcd 1132 9 linear linear JJ cord-022594-fx044gcd 1132 10 lesions lesion NNS cord-022594-fx044gcd 1132 11 that that WDT cord-022594-fx044gcd 1132 12 cross cross VBP cord-022594-fx044gcd 1132 13 over over RP cord-022594-fx044gcd 1132 14 more more JJR cord-022594-fx044gcd 1132 15 than than IN cord-022594-fx044gcd 1132 16 two two CD cord-022594-fx044gcd 1132 17 segments segment NNS cord-022594-fx044gcd 1132 18 are be VBP cord-022594-fx044gcd 1132 19 more more RBR cord-022594-fx044gcd 1132 20 suggestive suggestive JJ cord-022594-fx044gcd 1132 21 of of IN cord-022594-fx044gcd 1132 22 Devic Devic NNP cord-022594-fx044gcd 1132 23 's 's POS cord-022594-fx044gcd 1132 24 disease disease NN cord-022594-fx044gcd 1132 25 . . . cord-022594-fx044gcd 1133 1 An an DT cord-022594-fx044gcd 1133 2 occasional occasional JJ cord-022594-fx044gcd 1133 3 patient patient NN cord-022594-fx044gcd 1133 4 may may MD cord-022594-fx044gcd 1133 5 need need VB cord-022594-fx044gcd 1133 6 prone prone JJ cord-022594-fx044gcd 1133 7 and and CC cord-022594-fx044gcd 1133 8 supine supine JJ cord-022594-fx044gcd 1133 9 myelography myelography NN cord-022594-fx044gcd 1133 10 to to TO cord-022594-fx044gcd 1133 11 exclude exclude VB cord-022594-fx044gcd 1133 12 a a DT cord-022594-fx044gcd 1133 13 spinal spinal JJ cord-022594-fx044gcd 1133 14 dural dural NN cord-022594-fx044gcd 1133 15 - - HYPH cord-022594-fx044gcd 1133 16 based base VBN cord-022594-fx044gcd 1133 17 AVM AVM NNP cord-022594-fx044gcd 1133 18 . . . cord-022594-fx044gcd 1134 1 Laboratory laboratory NN cord-022594-fx044gcd 1134 2 investigations investigation NNS cord-022594-fx044gcd 1134 3 reveal reveal VBP cord-022594-fx044gcd 1134 4 an an DT cord-022594-fx044gcd 1134 5 elevated elevated JJ cord-022594-fx044gcd 1134 6 erythrocyte erythrocyte NN cord-022594-fx044gcd 1134 7 sedimentation sedimentation NN cord-022594-fx044gcd 1134 8 rate rate NN cord-022594-fx044gcd 1134 9 in in IN cord-022594-fx044gcd 1134 10 one one CD cord-022594-fx044gcd 1134 11 third third JJ cord-022594-fx044gcd 1134 12 , , , cord-022594-fx044gcd 1134 13 positive positive JJ cord-022594-fx044gcd 1134 14 antinuclear antinuclear JJ cord-022594-fx044gcd 1134 15 antibodies antibody NNS cord-022594-fx044gcd 1134 16 in in IN cord-022594-fx044gcd 1134 17 nearly nearly RB cord-022594-fx044gcd 1134 18 one one CD cord-022594-fx044gcd 1134 19 half half NN cord-022594-fx044gcd 1134 20 , , , cord-022594-fx044gcd 1134 21 and and CC cord-022594-fx044gcd 1134 22 occasionally occasionally RB cord-022594-fx044gcd 1134 23 other other JJ cord-022594-fx044gcd 1134 24 autoantibodies autoantibody NNS cord-022594-fx044gcd 1134 25 ( ( -LRB- cord-022594-fx044gcd 1134 26 e.g. e.g. RB cord-022594-fx044gcd 1134 27 , , , cord-022594-fx044gcd 1134 28 thyroperoxidase thyroperoxidase NN cord-022594-fx044gcd 1134 29 antibodies antibody NNS cord-022594-fx044gcd 1134 30 ) ) -RRB- cord-022594-fx044gcd 1134 31 . . . cord-022594-fx044gcd 1135 1 39 39 CD cord-022594-fx044gcd 1136 1 It -PRON- PRP cord-022594-fx044gcd 1136 2 is be VBZ cord-022594-fx044gcd 1136 3 reasonable reasonable JJ cord-022594-fx044gcd 1136 4 to to TO cord-022594-fx044gcd 1136 5 exclude exclude VB cord-022594-fx044gcd 1136 6 syphilis syphili NNS cord-022594-fx044gcd 1136 7 , , , cord-022594-fx044gcd 1136 8 Lyme Lyme NNP cord-022594-fx044gcd 1136 9 disease disease NN cord-022594-fx044gcd 1136 10 , , , cord-022594-fx044gcd 1136 11 and and CC cord-022594-fx044gcd 1136 12 human human JJ cord-022594-fx044gcd 1136 13 immunodeficiency immunodeficiency NN cord-022594-fx044gcd 1136 14 virus virus NN cord-022594-fx044gcd 1136 15 by by IN cord-022594-fx044gcd 1136 16 laboratory laboratory NN cord-022594-fx044gcd 1136 17 testing testing NN cord-022594-fx044gcd 1136 18 . . . cord-022594-fx044gcd 1137 1 In in IN cord-022594-fx044gcd 1137 2 a a DT cord-022594-fx044gcd 1137 3 few few JJ cord-022594-fx044gcd 1137 4 patients patient NNS cord-022594-fx044gcd 1137 5 with with IN cord-022594-fx044gcd 1137 6 the the DT cord-022594-fx044gcd 1137 7 Far Far NNP cord-022594-fx044gcd 1137 8 East East NNP cord-022594-fx044gcd 1137 9 variety variety NN cord-022594-fx044gcd 1137 10 of of IN cord-022594-fx044gcd 1137 11 Devic Devic NNP cord-022594-fx044gcd 1137 12 's 's POS cord-022594-fx044gcd 1137 13 disease disease NN cord-022594-fx044gcd 1137 14 , , , cord-022594-fx044gcd 1137 15 hyperprolactinemia hyperprolactinemia NNP cord-022594-fx044gcd 1137 16 was be VBD cord-022594-fx044gcd 1137 17 described describe VBN cord-022594-fx044gcd 1137 18 predominantly predominantly RB cord-022594-fx044gcd 1137 19 with with IN cord-022594-fx044gcd 1137 20 optic optic JJ cord-022594-fx044gcd 1137 21 nerve nerve NN cord-022594-fx044gcd 1137 22 involvement involvement NN cord-022594-fx044gcd 1137 23 . . . cord-022594-fx044gcd 1138 1 A a DT cord-022594-fx044gcd 1138 2 chest chest NN cord-022594-fx044gcd 1138 3 x x NN cord-022594-fx044gcd 1138 4 - - NN cord-022594-fx044gcd 1138 5 ray ray NN cord-022594-fx044gcd 1138 6 helps help VBZ cord-022594-fx044gcd 1138 7 to to TO cord-022594-fx044gcd 1138 8 exclude exclude VB cord-022594-fx044gcd 1138 9 pulmonary pulmonary JJ cord-022594-fx044gcd 1138 10 tuberculosis tuberculosis NN cord-022594-fx044gcd 1138 11 and and CC cord-022594-fx044gcd 1138 12 sarcoidosis sarcoidosis NN cord-022594-fx044gcd 1138 13 . . . cord-022594-fx044gcd 1139 1 CSF csf NN cord-022594-fx044gcd 1139 2 examination examination NN cord-022594-fx044gcd 1139 3 is be VBZ cord-022594-fx044gcd 1139 4 an an DT cord-022594-fx044gcd 1139 5 essential essential JJ cord-022594-fx044gcd 1139 6 part part NN cord-022594-fx044gcd 1139 7 of of IN cord-022594-fx044gcd 1139 8 the the DT cord-022594-fx044gcd 1139 9 evaluation evaluation NN cord-022594-fx044gcd 1139 10 for for IN cord-022594-fx044gcd 1139 11 Devic Devic NNP cord-022594-fx044gcd 1139 12 's 's POS cord-022594-fx044gcd 1139 13 syndrome syndrome NN cord-022594-fx044gcd 1139 14 , , , cord-022594-fx044gcd 1139 15 and and CC cord-022594-fx044gcd 1139 16 repeated repeat VBN cord-022594-fx044gcd 1139 17 studies study NNS cord-022594-fx044gcd 1139 18 are be VBP cord-022594-fx044gcd 1139 19 sometimes sometimes RB cord-022594-fx044gcd 1139 20 necessary necessary JJ cord-022594-fx044gcd 1139 21 to to TO cord-022594-fx044gcd 1139 22 ensure ensure VB cord-022594-fx044gcd 1139 23 that that IN cord-022594-fx044gcd 1139 24 there there EX cord-022594-fx044gcd 1139 25 is be VBZ cord-022594-fx044gcd 1139 26 no no DT cord-022594-fx044gcd 1139 27 infection infection NN cord-022594-fx044gcd 1139 28 in in IN cord-022594-fx044gcd 1139 29 that that IN cord-022594-fx044gcd 1139 30 the the DT cord-022594-fx044gcd 1139 31 CSF CSF NNP cord-022594-fx044gcd 1139 32 findings finding NNS cord-022594-fx044gcd 1139 33 are be VBP cord-022594-fx044gcd 1139 34 sometimes sometimes RB cord-022594-fx044gcd 1139 35 atypical atypical JJ cord-022594-fx044gcd 1139 36 for for IN cord-022594-fx044gcd 1139 37 inflammatory inflammatory JJ cord-022594-fx044gcd 1139 38 demyelination demyelination NN cord-022594-fx044gcd 1139 39 . . . cord-022594-fx044gcd 1140 1 A a DT cord-022594-fx044gcd 1140 2 marked marked JJ cord-022594-fx044gcd 1140 3 pleocytosis pleocytosis NN cord-022594-fx044gcd 1140 4 is be VBZ cord-022594-fx044gcd 1140 5 often often RB cord-022594-fx044gcd 1140 6 present present JJ cord-022594-fx044gcd 1140 7 , , , cord-022594-fx044gcd 1140 8 sometimes sometimes RB cord-022594-fx044gcd 1140 9 exceeding exceed VBG cord-022594-fx044gcd 1140 10 100 100 CD cord-022594-fx044gcd 1140 11 cells cell NNS cord-022594-fx044gcd 1140 12 . . . cord-022594-fx044gcd 1141 1 Moreover moreover RB cord-022594-fx044gcd 1141 2 , , , cord-022594-fx044gcd 1141 3 neutrophils neutrophil NNS cord-022594-fx044gcd 1141 4 are be VBP cord-022594-fx044gcd 1141 5 commonly commonly RB cord-022594-fx044gcd 1141 6 seen see VBN cord-022594-fx044gcd 1141 7 in in IN cord-022594-fx044gcd 1141 8 CSF CSF NNP cord-022594-fx044gcd 1141 9 and and CC cord-022594-fx044gcd 1141 10 may may MD cord-022594-fx044gcd 1141 11 predominate predominate VB cord-022594-fx044gcd 1141 12 , , , cord-022594-fx044gcd 1141 13 a a DT cord-022594-fx044gcd 1141 14 situation situation NN cord-022594-fx044gcd 1141 15 virtually virtually RB cord-022594-fx044gcd 1141 16 unknown unknown JJ cord-022594-fx044gcd 1141 17 in in IN cord-022594-fx044gcd 1141 18 MS MS NNP cord-022594-fx044gcd 1141 19 . . . cord-022594-fx044gcd 1142 1 120 120 CD cord-022594-fx044gcd 1143 1 The the DT cord-022594-fx044gcd 1143 2 protein protein NN cord-022594-fx044gcd 1143 3 concentration concentration NN cord-022594-fx044gcd 1143 4 is be VBZ cord-022594-fx044gcd 1143 5 often often RB cord-022594-fx044gcd 1143 6 very very RB cord-022594-fx044gcd 1143 7 high high JJ cord-022594-fx044gcd 1143 8 and and CC cord-022594-fx044gcd 1143 9 in in IN cord-022594-fx044gcd 1143 10 41 41 CD cord-022594-fx044gcd 1143 11 % % NN cord-022594-fx044gcd 1143 12 exceeds exceed VBZ cord-022594-fx044gcd 1143 13 100 100 CD cord-022594-fx044gcd 1143 14 mg mg NNP cord-022594-fx044gcd 1143 15 / / SYM cord-022594-fx044gcd 1143 16 dL. dl. JJ cord-022594-fx044gcd 1143 17 Anti Anti NNP cord-022594-fx044gcd 1143 18 - - NNP cord-022594-fx044gcd 1143 19 MOG MOG NNP cord-022594-fx044gcd 1143 20 antibodies antibody NNS cord-022594-fx044gcd 1143 21 are be VBP cord-022594-fx044gcd 1143 22 the the DT cord-022594-fx044gcd 1143 23 predominant predominant JJ cord-022594-fx044gcd 1143 24 autoantibody autoantibody NN cord-022594-fx044gcd 1143 25 detected detect VBD cord-022594-fx044gcd 1143 26 in in IN cord-022594-fx044gcd 1143 27 CSF CSF NNP cord-022594-fx044gcd 1143 28 ; ; : cord-022594-fx044gcd 1143 29 anti anti JJ cord-022594-fx044gcd 1143 30 - - JJ cord-022594-fx044gcd 1143 31 MBP mbp JJ cord-022594-fx044gcd 1143 32 or or CC cord-022594-fx044gcd 1143 33 anti anti JJ cord-022594-fx044gcd 1143 34 - - JJ cord-022594-fx044gcd 1143 35 S100b s100b JJ cord-022594-fx044gcd 1143 36 antibodies antibody NNS cord-022594-fx044gcd 1143 37 are be VBP cord-022594-fx044gcd 1143 38 less less RBR cord-022594-fx044gcd 1143 39 frequently frequently RB cord-022594-fx044gcd 1143 40 seen see VBN cord-022594-fx044gcd 1143 41 . . . cord-022594-fx044gcd 1144 1 Despite despite IN cord-022594-fx044gcd 1144 2 the the DT cord-022594-fx044gcd 1144 3 intense intense JJ cord-022594-fx044gcd 1144 4 inflammatory inflammatory JJ cord-022594-fx044gcd 1144 5 response response NN cord-022594-fx044gcd 1144 6 , , , cord-022594-fx044gcd 1144 7 OCBs ocb NNS cord-022594-fx044gcd 1144 8 are be VBP cord-022594-fx044gcd 1144 9 conspicuously conspicuously RB cord-022594-fx044gcd 1144 10 absent absent JJ cord-022594-fx044gcd 1144 11 in in IN cord-022594-fx044gcd 1144 12 the the DT cord-022594-fx044gcd 1144 13 majority majority NN cord-022594-fx044gcd 1144 14 , , , cord-022594-fx044gcd 1144 15 being be VBG cord-022594-fx044gcd 1144 16 present present JJ cord-022594-fx044gcd 1144 17 in in IN cord-022594-fx044gcd 1144 18 fewer few JJR cord-022594-fx044gcd 1144 19 than than IN cord-022594-fx044gcd 1144 20 20 20 CD cord-022594-fx044gcd 1144 21 % % NN cord-022594-fx044gcd 1144 22 of of IN cord-022594-fx044gcd 1144 23 patients patient NNS cord-022594-fx044gcd 1144 24 . . . cord-022594-fx044gcd 1145 1 CSF CSF NNP cord-022594-fx044gcd 1145 2 serology serology NN cord-022594-fx044gcd 1145 3 for for IN cord-022594-fx044gcd 1145 4 the the DT cord-022594-fx044gcd 1145 5 herpesvirus herpesvirus NN cord-022594-fx044gcd 1145 6 family family NN cord-022594-fx044gcd 1145 7 ( ( -LRB- cord-022594-fx044gcd 1145 8 HSV HSV NNP cord-022594-fx044gcd 1145 9 types type NNS cord-022594-fx044gcd 1145 10 1 1 CD cord-022594-fx044gcd 1145 11 and and CC cord-022594-fx044gcd 1145 12 2 2 CD cord-022594-fx044gcd 1145 13 , , , cord-022594-fx044gcd 1145 14 VZV VZV NNP cord-022594-fx044gcd 1145 15 , , , cord-022594-fx044gcd 1145 16 EBV EBV NNP cord-022594-fx044gcd 1145 17 , , , cord-022594-fx044gcd 1145 18 and and CC cord-022594-fx044gcd 1145 19 CMV CMV NNP cord-022594-fx044gcd 1145 20 ) ) -RRB- cord-022594-fx044gcd 1145 21 is be VBZ cord-022594-fx044gcd 1145 22 important important JJ cord-022594-fx044gcd 1145 23 , , , cord-022594-fx044gcd 1145 24 and and CC cord-022594-fx044gcd 1145 25 polymerase polymerase NN cord-022594-fx044gcd 1145 26 chain chain NN cord-022594-fx044gcd 1145 27 reaction reaction NN cord-022594-fx044gcd 1145 28 testing testing NN cord-022594-fx044gcd 1145 29 should should MD cord-022594-fx044gcd 1145 30 be be VB cord-022594-fx044gcd 1145 31 done do VBN cord-022594-fx044gcd 1145 32 in in IN cord-022594-fx044gcd 1145 33 cases case NNS cord-022594-fx044gcd 1145 34 suggestive suggestive JJ cord-022594-fx044gcd 1145 35 of of IN cord-022594-fx044gcd 1145 36 viral viral JJ cord-022594-fx044gcd 1145 37 infection infection NN cord-022594-fx044gcd 1145 38 ( ( -LRB- cord-022594-fx044gcd 1145 39 immunocompromised immunocompromised JJ cord-022594-fx044gcd 1145 40 patients patient NNS cord-022594-fx044gcd 1145 41 ) ) -RRB- cord-022594-fx044gcd 1145 42 . . . cord-022594-fx044gcd 1146 1 MANAGEMENT management NN cord-022594-fx044gcd 1146 2 . . . cord-022594-fx044gcd 1147 1 Patients patient NNS cord-022594-fx044gcd 1147 2 with with IN cord-022594-fx044gcd 1147 3 acute acute JJ cord-022594-fx044gcd 1147 4 or or CC cord-022594-fx044gcd 1147 5 subacute subacute JJ cord-022594-fx044gcd 1147 6 Devic Devic NNP cord-022594-fx044gcd 1147 7 's 's POS cord-022594-fx044gcd 1147 8 syndrome syndrome NN cord-022594-fx044gcd 1147 9 may may MD cord-022594-fx044gcd 1147 10 respond respond VB cord-022594-fx044gcd 1147 11 to to IN cord-022594-fx044gcd 1147 12 corticosteroids corticosteroid NNS cord-022594-fx044gcd 1147 13 ( ( -LRB- cord-022594-fx044gcd 1147 14 e.g. e.g. RB cord-022594-fx044gcd 1147 15 , , , cord-022594-fx044gcd 1147 16 intravenous intravenous JJ cord-022594-fx044gcd 1147 17 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 1147 18 ) ) -RRB- cord-022594-fx044gcd 1147 19 . . . cord-022594-fx044gcd 1148 1 They -PRON- PRP cord-022594-fx044gcd 1148 2 may may MD cord-022594-fx044gcd 1148 3 respond respond VB cord-022594-fx044gcd 1148 4 to to IN cord-022594-fx044gcd 1148 5 plasma plasma NN cord-022594-fx044gcd 1148 6 exchange exchange NN cord-022594-fx044gcd 1148 7 even even RB cord-022594-fx044gcd 1148 8 when when WRB cord-022594-fx044gcd 1148 9 intravenous intravenous JJ cord-022594-fx044gcd 1148 10 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 1148 11 does do VBZ cord-022594-fx044gcd 1148 12 not not RB cord-022594-fx044gcd 1148 13 produce produce VB cord-022594-fx044gcd 1148 14 significant significant JJ cord-022594-fx044gcd 1148 15 improvement improvement NN cord-022594-fx044gcd 1148 16 . . . cord-022594-fx044gcd 1149 1 Attempts attempt NNS cord-022594-fx044gcd 1149 2 at at IN cord-022594-fx044gcd 1149 3 preventing prevent VBG cord-022594-fx044gcd 1149 4 relapses relapse NNS cord-022594-fx044gcd 1149 5 and and CC cord-022594-fx044gcd 1149 6 the the DT cord-022594-fx044gcd 1149 7 subsequent subsequent JJ cord-022594-fx044gcd 1149 8 disability disability NN cord-022594-fx044gcd 1149 9 are be VBP cord-022594-fx044gcd 1149 10 often often RB cord-022594-fx044gcd 1149 11 disappointing disappoint VBG cord-022594-fx044gcd 1149 12 even even RB cord-022594-fx044gcd 1149 13 with with IN cord-022594-fx044gcd 1149 14 the the DT cord-022594-fx044gcd 1149 15 use use NN cord-022594-fx044gcd 1149 16 of of IN cord-022594-fx044gcd 1149 17 immunosuppressive immunosuppressive JJ cord-022594-fx044gcd 1149 18 agents agent NNS cord-022594-fx044gcd 1149 19 . . . cord-022594-fx044gcd 1150 1 The the DT cord-022594-fx044gcd 1150 2 classic classic JJ cord-022594-fx044gcd 1150 3 injectable injectable JJ cord-022594-fx044gcd 1150 4 immunomodulators immunomodulator NNS cord-022594-fx044gcd 1150 5 used use VBN cord-022594-fx044gcd 1150 6 in in IN cord-022594-fx044gcd 1150 7 MS MS NNP cord-022594-fx044gcd 1150 8 are be VBP cord-022594-fx044gcd 1150 9 insufficient insufficient JJ cord-022594-fx044gcd 1150 10 to to TO cord-022594-fx044gcd 1150 11 reduce reduce VB cord-022594-fx044gcd 1150 12 the the DT cord-022594-fx044gcd 1150 13 relapse relapse NN cord-022594-fx044gcd 1150 14 rate rate NN cord-022594-fx044gcd 1150 15 in in IN cord-022594-fx044gcd 1150 16 relapsing relapse VBG cord-022594-fx044gcd 1150 17 NMO NMO NNP cord-022594-fx044gcd 1150 18 . . . cord-022594-fx044gcd 1151 1 Most most RBS cord-022594-fx044gcd 1151 2 commonly commonly RB cord-022594-fx044gcd 1151 3 , , , cord-022594-fx044gcd 1151 4 a a DT cord-022594-fx044gcd 1151 5 combination combination NN cord-022594-fx044gcd 1151 6 of of IN cord-022594-fx044gcd 1151 7 azathioprine azathioprine NN cord-022594-fx044gcd 1151 8 and and CC cord-022594-fx044gcd 1151 9 prednisone prednisone NN cord-022594-fx044gcd 1151 10 is be VBZ cord-022594-fx044gcd 1151 11 used use VBN cord-022594-fx044gcd 1151 12 for for IN cord-022594-fx044gcd 1151 13 secondary secondary JJ cord-022594-fx044gcd 1151 14 prevention prevention NN cord-022594-fx044gcd 1151 15 . . . cord-022594-fx044gcd 1152 1 Other other JJ cord-022594-fx044gcd 1152 2 agents agent NNS cord-022594-fx044gcd 1152 3 including include VBG cord-022594-fx044gcd 1152 4 mycophenolate mycophenolate NNP cord-022594-fx044gcd 1152 5 mofetil mofetil NNP cord-022594-fx044gcd 1152 6 , , , cord-022594-fx044gcd 1152 7 IVIG IVIG NNP cord-022594-fx044gcd 1152 8 , , , cord-022594-fx044gcd 1152 9 and and CC cord-022594-fx044gcd 1152 10 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 1152 11 have have VBP cord-022594-fx044gcd 1152 12 been be VBN cord-022594-fx044gcd 1152 13 described describe VBN cord-022594-fx044gcd 1152 14 to to TO cord-022594-fx044gcd 1152 15 be be VB cord-022594-fx044gcd 1152 16 effective effective JJ cord-022594-fx044gcd 1152 17 in in IN cord-022594-fx044gcd 1152 18 some some DT cord-022594-fx044gcd 1152 19 cases case NNS cord-022594-fx044gcd 1152 20 . . . cord-022594-fx044gcd 1153 1 A a DT cord-022594-fx044gcd 1153 2 small small JJ cord-022594-fx044gcd 1153 3 study study NN cord-022594-fx044gcd 1153 4 of of IN cord-022594-fx044gcd 1153 5 rituximab rituximab NN cord-022594-fx044gcd 1153 6 , , , cord-022594-fx044gcd 1153 7 a a DT cord-022594-fx044gcd 1153 8 humanized humanize VBN cord-022594-fx044gcd 1153 9 anti anti JJ cord-022594-fx044gcd 1153 10 - - JJ cord-022594-fx044gcd 1153 11 CD20 CD20 NNP cord-022594-fx044gcd 1153 12 antibody antibody NN cord-022594-fx044gcd 1153 13 showed show VBD cord-022594-fx044gcd 1153 14 a a DT cord-022594-fx044gcd 1153 15 siginifcant siginifcant JJ cord-022594-fx044gcd 1153 16 reduction reduction NN cord-022594-fx044gcd 1153 17 in in IN cord-022594-fx044gcd 1153 18 the the DT cord-022594-fx044gcd 1153 19 relapse relapse NN cord-022594-fx044gcd 1153 20 rate rate NN cord-022594-fx044gcd 1153 21 of of IN cord-022594-fx044gcd 1153 22 8 8 CD cord-022594-fx044gcd 1153 23 patients patient NNS cord-022594-fx044gcd 1153 24 , , , cord-022594-fx044gcd 1153 25 making make VBG cord-022594-fx044gcd 1153 26 6 6 CD cord-022594-fx044gcd 1153 27 of of IN cord-022594-fx044gcd 1153 28 8 8 CD cord-022594-fx044gcd 1153 29 relapse relapse NN cord-022594-fx044gcd 1153 30 free free JJ cord-022594-fx044gcd 1153 31 . . . cord-022594-fx044gcd 1154 1 121 121 CD cord-022594-fx044gcd 1155 1 A a DT cord-022594-fx044gcd 1155 2 large large JJ cord-022594-fx044gcd 1155 3 multicenter multicenter JJ cord-022594-fx044gcd 1155 4 study study NN cord-022594-fx044gcd 1155 5 of of IN cord-022594-fx044gcd 1155 6 rituximab rituximab NN cord-022594-fx044gcd 1155 7 in in IN cord-022594-fx044gcd 1155 8 NMO NMO NNP cord-022594-fx044gcd 1155 9 is be VBZ cord-022594-fx044gcd 1155 10 in in IN cord-022594-fx044gcd 1155 11 the the DT cord-022594-fx044gcd 1155 12 planning planning NN cord-022594-fx044gcd 1155 13 stages stage NNS cord-022594-fx044gcd 1155 14 . . . cord-022594-fx044gcd 1156 1 Supportive supportive JJ cord-022594-fx044gcd 1156 2 care care NN cord-022594-fx044gcd 1156 3 is be VBZ cord-022594-fx044gcd 1156 4 important important JJ cord-022594-fx044gcd 1156 5 in in IN cord-022594-fx044gcd 1156 6 the the DT cord-022594-fx044gcd 1156 7 management management NN cord-022594-fx044gcd 1156 8 of of IN cord-022594-fx044gcd 1156 9 NMO NMO NNP cord-022594-fx044gcd 1156 10 . . . cord-022594-fx044gcd 1157 1 These these DT cord-022594-fx044gcd 1157 2 patients patient NNS cord-022594-fx044gcd 1157 3 are be VBP cord-022594-fx044gcd 1157 4 prone prone JJ cord-022594-fx044gcd 1157 5 to to IN cord-022594-fx044gcd 1157 6 many many JJ cord-022594-fx044gcd 1157 7 complications complication NNS cord-022594-fx044gcd 1157 8 and and CC cord-022594-fx044gcd 1157 9 require require VB cord-022594-fx044gcd 1157 10 measures measure NNS cord-022594-fx044gcd 1157 11 to to TO cord-022594-fx044gcd 1157 12 prevent prevent VB cord-022594-fx044gcd 1157 13 deep deep JJ cord-022594-fx044gcd 1157 14 venous venous JJ cord-022594-fx044gcd 1157 15 thrombosis thrombosis NN cord-022594-fx044gcd 1157 16 and and CC cord-022594-fx044gcd 1157 17 pulmonary pulmonary JJ cord-022594-fx044gcd 1157 18 embolism embolism NN cord-022594-fx044gcd 1157 19 , , , cord-022594-fx044gcd 1157 20 urinary urinary JJ cord-022594-fx044gcd 1157 21 tract tract NN cord-022594-fx044gcd 1157 22 infection infection NN cord-022594-fx044gcd 1157 23 , , , cord-022594-fx044gcd 1157 24 decubiti decubiti NNP cord-022594-fx044gcd 1157 25 , , , cord-022594-fx044gcd 1157 26 and and CC cord-022594-fx044gcd 1157 27 contractures contracture NNS cord-022594-fx044gcd 1157 28 . . . cord-022594-fx044gcd 1158 1 Mechanical mechanical JJ cord-022594-fx044gcd 1158 2 ventilation ventilation NN cord-022594-fx044gcd 1158 3 may may MD cord-022594-fx044gcd 1158 4 be be VB cord-022594-fx044gcd 1158 5 needed need VBN cord-022594-fx044gcd 1158 6 either either CC cord-022594-fx044gcd 1158 7 temporarily temporarily RB cord-022594-fx044gcd 1158 8 or or CC cord-022594-fx044gcd 1158 9 permanently permanently RB cord-022594-fx044gcd 1158 10 . . . cord-022594-fx044gcd 1159 1 Patients patient NNS cord-022594-fx044gcd 1159 2 with with IN cord-022594-fx044gcd 1159 3 monophasic monophasic JJ cord-022594-fx044gcd 1159 4 Devic Devic NNP cord-022594-fx044gcd 1159 5 's 's POS cord-022594-fx044gcd 1159 6 syndrome syndrome NN cord-022594-fx044gcd 1159 7 generally generally RB cord-022594-fx044gcd 1159 8 have have VBP cord-022594-fx044gcd 1159 9 simultaneous simultaneous JJ cord-022594-fx044gcd 1159 10 or or CC cord-022594-fx044gcd 1159 11 rapid rapid JJ cord-022594-fx044gcd 1159 12 onset onset NN cord-022594-fx044gcd 1159 13 of of IN cord-022594-fx044gcd 1159 14 the the DT cord-022594-fx044gcd 1159 15 ON ON NNP cord-022594-fx044gcd 1159 16 and and CC cord-022594-fx044gcd 1159 17 myelitis myelitis NNP cord-022594-fx044gcd 1159 18 ( ( -LRB- cord-022594-fx044gcd 1159 19 interval interval NN cord-022594-fx044gcd 1159 20 usually usually RB cord-022594-fx044gcd 1159 21 less less JJR cord-022594-fx044gcd 1159 22 than than IN cord-022594-fx044gcd 1159 23 1 1 CD cord-022594-fx044gcd 1159 24 month month NN cord-022594-fx044gcd 1159 25 ) ) -RRB- cord-022594-fx044gcd 1159 26 . . . cord-022594-fx044gcd 1160 1 Although although IN cord-022594-fx044gcd 1160 2 some some DT cord-022594-fx044gcd 1160 3 have have VBP cord-022594-fx044gcd 1160 4 significant significant JJ cord-022594-fx044gcd 1160 5 residual residual JJ cord-022594-fx044gcd 1160 6 disability disability NN cord-022594-fx044gcd 1160 7 , , , cord-022594-fx044gcd 1160 8 many many JJ cord-022594-fx044gcd 1160 9 recover recover VBP cord-022594-fx044gcd 1160 10 remarkably remarkably RB cord-022594-fx044gcd 1160 11 and and CC cord-022594-fx044gcd 1160 12 have have VBP cord-022594-fx044gcd 1160 13 little little JJ cord-022594-fx044gcd 1160 14 or or CC cord-022594-fx044gcd 1160 15 no no DT cord-022594-fx044gcd 1160 16 permanent permanent JJ cord-022594-fx044gcd 1160 17 deficits deficit NNS cord-022594-fx044gcd 1160 18 . . . cord-022594-fx044gcd 1161 1 A a DT cord-022594-fx044gcd 1161 2 history history NN cord-022594-fx044gcd 1161 3 of of IN cord-022594-fx044gcd 1161 4 previous previous JJ cord-022594-fx044gcd 1161 5 vague vague JJ cord-022594-fx044gcd 1161 6 neurological neurological JJ cord-022594-fx044gcd 1161 7 symptoms symptom NNS cord-022594-fx044gcd 1161 8 or or CC cord-022594-fx044gcd 1161 9 definite definite JJ cord-022594-fx044gcd 1161 10 demyelinating demyelinating JJ cord-022594-fx044gcd 1161 11 events event NNS cord-022594-fx044gcd 1161 12 is be VBZ cord-022594-fx044gcd 1161 13 predictive predictive JJ cord-022594-fx044gcd 1161 14 of of IN cord-022594-fx044gcd 1161 15 future future JJ cord-022594-fx044gcd 1161 16 relapses relapse NNS cord-022594-fx044gcd 1161 17 , , , cord-022594-fx044gcd 1161 18 either either CC cord-022594-fx044gcd 1161 19 typical typical JJ cord-022594-fx044gcd 1161 20 of of IN cord-022594-fx044gcd 1161 21 MS MS NNP cord-022594-fx044gcd 1161 22 or or CC cord-022594-fx044gcd 1161 23 relapsing relapse VBG cord-022594-fx044gcd 1161 24 NMO NMO NNP cord-022594-fx044gcd 1161 25 . . . cord-022594-fx044gcd 1162 1 Those those DT cord-022594-fx044gcd 1162 2 patients patient NNS cord-022594-fx044gcd 1162 3 destined destine VBN cord-022594-fx044gcd 1162 4 for for IN cord-022594-fx044gcd 1162 5 recurrent recurrent JJ cord-022594-fx044gcd 1162 6 myelitis myelitis NN cord-022594-fx044gcd 1162 7 and and CC cord-022594-fx044gcd 1162 8 ON ON NNP cord-022594-fx044gcd 1162 9 have have VBP cord-022594-fx044gcd 1162 10 a a DT cord-022594-fx044gcd 1162 11 longer long JJR cord-022594-fx044gcd 1162 12 interval interval NN cord-022594-fx044gcd 1162 13 between between IN cord-022594-fx044gcd 1162 14 the the DT cord-022594-fx044gcd 1162 15 onsets onset NNS cord-022594-fx044gcd 1162 16 of of IN cord-022594-fx044gcd 1162 17 myelitis myelitis NNP cord-022594-fx044gcd 1162 18 and and CC cord-022594-fx044gcd 1162 19 ON ON NNP cord-022594-fx044gcd 1162 20 . . . cord-022594-fx044gcd 1163 1 The the DT cord-022594-fx044gcd 1163 2 vast vast JJ cord-022594-fx044gcd 1163 3 majority majority NN cord-022594-fx044gcd 1163 4 of of IN cord-022594-fx044gcd 1163 5 patients patient NNS cord-022594-fx044gcd 1163 6 with with IN cord-022594-fx044gcd 1163 7 relapsing relapse VBG cord-022594-fx044gcd 1163 8 NMO NMO NNP cord-022594-fx044gcd 1163 9 have have VBP cord-022594-fx044gcd 1163 10 very very RB cord-022594-fx044gcd 1163 11 aggressive aggressive JJ cord-022594-fx044gcd 1163 12 disease disease NN cord-022594-fx044gcd 1163 13 with with IN cord-022594-fx044gcd 1163 14 frequent frequent JJ cord-022594-fx044gcd 1163 15 and and CC cord-022594-fx044gcd 1163 16 severe severe JJ cord-022594-fx044gcd 1163 17 exacerbations exacerbation NNS cord-022594-fx044gcd 1163 18 and and CC cord-022594-fx044gcd 1163 19 a a DT cord-022594-fx044gcd 1163 20 poor poor JJ cord-022594-fx044gcd 1163 21 prognosis prognosis NN cord-022594-fx044gcd 1163 22 . . . cord-022594-fx044gcd 1163 23 _SP cord-022594-fx044gcd 1164 1 ADEM ADEM NNP cord-022594-fx044gcd 1164 2 is be VBZ cord-022594-fx044gcd 1164 3 a a DT cord-022594-fx044gcd 1164 4 monophasic monophasic JJ cord-022594-fx044gcd 1164 5 inflammatory inflammatory JJ cord-022594-fx044gcd 1164 6 demyelinating demyelinating JJ cord-022594-fx044gcd 1164 7 disorder disorder NN cord-022594-fx044gcd 1164 8 that that WDT cord-022594-fx044gcd 1164 9 characteristically characteristically RB cord-022594-fx044gcd 1164 10 begins begin VBZ cord-022594-fx044gcd 1164 11 within within IN cord-022594-fx044gcd 1164 12 6 6 CD cord-022594-fx044gcd 1164 13 weeks week NNS cord-022594-fx044gcd 1164 14 of of IN cord-022594-fx044gcd 1164 15 an an DT cord-022594-fx044gcd 1164 16 antigenic antigenic JJ cord-022594-fx044gcd 1164 17 challenge challenge NN cord-022594-fx044gcd 1164 18 such such JJ cord-022594-fx044gcd 1164 19 as as IN cord-022594-fx044gcd 1164 20 infection infection NN cord-022594-fx044gcd 1164 21 or or CC cord-022594-fx044gcd 1164 22 immunization immunization NN cord-022594-fx044gcd 1164 23 . . . cord-022594-fx044gcd 1165 1 It -PRON- PRP cord-022594-fx044gcd 1165 2 occurs occur VBZ cord-022594-fx044gcd 1165 3 more more RBR cord-022594-fx044gcd 1165 4 often often RB cord-022594-fx044gcd 1165 5 in in IN cord-022594-fx044gcd 1165 6 the the DT cord-022594-fx044gcd 1165 7 young young JJ cord-022594-fx044gcd 1165 8 and and CC cord-022594-fx044gcd 1165 9 causes cause VBZ cord-022594-fx044gcd 1165 10 the the DT cord-022594-fx044gcd 1165 11 rapid rapid JJ cord-022594-fx044gcd 1165 12 development development NN cord-022594-fx044gcd 1165 13 of of IN cord-022594-fx044gcd 1165 14 multifocal multifocal JJ cord-022594-fx044gcd 1165 15 or or CC cord-022594-fx044gcd 1165 16 focal focal JJ cord-022594-fx044gcd 1165 17 neurological neurological JJ cord-022594-fx044gcd 1165 18 deficits deficit NNS cord-022594-fx044gcd 1165 19 . . . cord-022594-fx044gcd 1166 1 Perivenous Perivenous NNP cord-022594-fx044gcd 1166 2 inflammation inflammation NN cord-022594-fx044gcd 1166 3 , , , cord-022594-fx044gcd 1166 4 edema edema NN cord-022594-fx044gcd 1166 5 , , , cord-022594-fx044gcd 1166 6 and and CC cord-022594-fx044gcd 1166 7 demyelination demyelination NN cord-022594-fx044gcd 1166 8 are be VBP cord-022594-fx044gcd 1166 9 the the DT cord-022594-fx044gcd 1166 10 pathological pathological JJ cord-022594-fx044gcd 1166 11 hallmarks hallmark NNS cord-022594-fx044gcd 1166 12 of of IN cord-022594-fx044gcd 1166 13 ADEM ADEM NNP cord-022594-fx044gcd 1166 14 , , , cord-022594-fx044gcd 1166 15 although although IN cord-022594-fx044gcd 1166 16 these these DT cord-022594-fx044gcd 1166 17 lesions lesion NNS cord-022594-fx044gcd 1166 18 commonly commonly RB cord-022594-fx044gcd 1166 19 enlarge enlarge VBP cord-022594-fx044gcd 1166 20 and and CC cord-022594-fx044gcd 1166 21 coalesce coalesce VBP cord-022594-fx044gcd 1166 22 , , , cord-022594-fx044gcd 1166 23 forming form VBG cord-022594-fx044gcd 1166 24 lesions lesion NNS cord-022594-fx044gcd 1166 25 pathologically pathologically RB cord-022594-fx044gcd 1166 26 indistinguishable indistinguishable JJ cord-022594-fx044gcd 1166 27 from from IN cord-022594-fx044gcd 1166 28 MS MS NNP cord-022594-fx044gcd 1166 29 . . . cord-022594-fx044gcd 1167 1 Moreover moreover RB cord-022594-fx044gcd 1167 2 , , , cord-022594-fx044gcd 1167 3 perivascular perivascular NNP cord-022594-fx044gcd 1167 4 changes change VBZ cord-022594-fx044gcd 1167 5 typical typical JJ cord-022594-fx044gcd 1167 6 of of IN cord-022594-fx044gcd 1167 7 ADEM ADEM NNP cord-022594-fx044gcd 1167 8 are be VBP cord-022594-fx044gcd 1167 9 common common JJ cord-022594-fx044gcd 1167 10 in in IN cord-022594-fx044gcd 1167 11 patients patient NNS cord-022594-fx044gcd 1167 12 with with IN cord-022594-fx044gcd 1167 13 MS MS NNP cord-022594-fx044gcd 1167 14 . . . cord-022594-fx044gcd 1168 1 There there EX cord-022594-fx044gcd 1168 2 is be VBZ cord-022594-fx044gcd 1168 3 considerable considerable JJ cord-022594-fx044gcd 1168 4 overlap overlap NN cord-022594-fx044gcd 1168 5 in in IN cord-022594-fx044gcd 1168 6 the the DT cord-022594-fx044gcd 1168 7 epidemiological epidemiological JJ cord-022594-fx044gcd 1168 8 , , , cord-022594-fx044gcd 1168 9 clinical clinical JJ cord-022594-fx044gcd 1168 10 , , , cord-022594-fx044gcd 1168 11 CSF CSF NNP cord-022594-fx044gcd 1168 12 , , , cord-022594-fx044gcd 1168 13 imaging imaging NN cord-022594-fx044gcd 1168 14 , , , cord-022594-fx044gcd 1168 15 and and CC cord-022594-fx044gcd 1168 16 pathological pathological JJ cord-022594-fx044gcd 1168 17 features feature NNS cord-022594-fx044gcd 1168 18 between between IN cord-022594-fx044gcd 1168 19 ADEM ADEM NNP cord-022594-fx044gcd 1168 20 and and CC cord-022594-fx044gcd 1168 21 MS MS NNP cord-022594-fx044gcd 1168 22 , , , cord-022594-fx044gcd 1168 23 often often RB cord-022594-fx044gcd 1168 24 making make VBG cord-022594-fx044gcd 1168 25 it -PRON- PRP cord-022594-fx044gcd 1168 26 difficult difficult JJ cord-022594-fx044gcd 1168 27 to to TO cord-022594-fx044gcd 1168 28 distinguish distinguish VB cord-022594-fx044gcd 1168 29 between between IN cord-022594-fx044gcd 1168 30 the the DT cord-022594-fx044gcd 1168 31 two two CD cord-022594-fx044gcd 1168 32 with with IN cord-022594-fx044gcd 1168 33 reasonable reasonable JJ cord-022594-fx044gcd 1168 34 confidence confidence NN cord-022594-fx044gcd 1168 35 when when WRB cord-022594-fx044gcd 1168 36 encountering encounter VBG cord-022594-fx044gcd 1168 37 patients patient NNS cord-022594-fx044gcd 1168 38 with with IN cord-022594-fx044gcd 1168 39 a a DT cord-022594-fx044gcd 1168 40 single single JJ cord-022594-fx044gcd 1168 41 demyelinating demyelinating JJ cord-022594-fx044gcd 1168 42 event event NN cord-022594-fx044gcd 1168 43 . . . cord-022594-fx044gcd 1169 1 PATHOGENESIS PATHOGENESIS NNP cord-022594-fx044gcd 1169 2 AND and CC cord-022594-fx044gcd 1169 3 PATHOPHYSIOLOGY PATHOPHYSIOLOGY NNP cord-022594-fx044gcd 1169 4 . . . cord-022594-fx044gcd 1170 1 ADEM ADEM NNP cord-022594-fx044gcd 1170 2 closely closely RB cord-022594-fx044gcd 1170 3 resembles resemble VBZ cord-022594-fx044gcd 1170 4 the the DT cord-022594-fx044gcd 1170 5 experimental experimental JJ cord-022594-fx044gcd 1170 6 allergic allergic JJ cord-022594-fx044gcd 1170 7 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 1170 8 animal animal NN cord-022594-fx044gcd 1170 9 model model NN cord-022594-fx044gcd 1170 10 of of IN cord-022594-fx044gcd 1170 11 MS MS NNP cord-022594-fx044gcd 1170 12 ( ( -LRB- cord-022594-fx044gcd 1170 13 EAE EAE NNP cord-022594-fx044gcd 1170 14 ) ) -RRB- cord-022594-fx044gcd 1170 15 both both CC cord-022594-fx044gcd 1170 16 clinically clinically RB cord-022594-fx044gcd 1170 17 and and CC cord-022594-fx044gcd 1170 18 pathologically pathologically RB cord-022594-fx044gcd 1170 19 , , , cord-022594-fx044gcd 1170 20 and and CC cord-022594-fx044gcd 1170 21 is be VBZ cord-022594-fx044gcd 1170 22 most most RBS cord-022594-fx044gcd 1170 23 likely likely JJ cord-022594-fx044gcd 1170 24 due due IN cord-022594-fx044gcd 1170 25 to to IN cord-022594-fx044gcd 1170 26 a a DT cord-022594-fx044gcd 1170 27 transient transient JJ cord-022594-fx044gcd 1170 28 autoimmune autoimmune JJ cord-022594-fx044gcd 1170 29 response response NN cord-022594-fx044gcd 1170 30 toward toward IN cord-022594-fx044gcd 1170 31 myelin myelin NN cord-022594-fx044gcd 1170 32 . . . cord-022594-fx044gcd 1171 1 The the DT cord-022594-fx044gcd 1171 2 occurrence occurrence NN cord-022594-fx044gcd 1171 3 of of IN cord-022594-fx044gcd 1171 4 ADEM ADEM NNP cord-022594-fx044gcd 1171 5 after after IN cord-022594-fx044gcd 1171 6 vaccination vaccination NN cord-022594-fx044gcd 1171 7 with with IN cord-022594-fx044gcd 1171 8 the the DT cord-022594-fx044gcd 1171 9 rabbit rabbit NN cord-022594-fx044gcd 1171 10 spinal spinal JJ cord-022594-fx044gcd 1171 11 cord cord NN cord-022594-fx044gcd 1171 12 preparation preparation NN cord-022594-fx044gcd 1171 13 of of IN cord-022594-fx044gcd 1171 14 rabies rabie NNS cord-022594-fx044gcd 1171 15 virus virus NN cord-022594-fx044gcd 1171 16 led lead VBN cord-022594-fx044gcd 1171 17 to to IN cord-022594-fx044gcd 1171 18 the the DT cord-022594-fx044gcd 1171 19 discovery discovery NN cord-022594-fx044gcd 1171 20 of of IN cord-022594-fx044gcd 1171 21 EAE EAE NNP cord-022594-fx044gcd 1171 22 . . . cord-022594-fx044gcd 1172 1 Infections infection NNS cord-022594-fx044gcd 1172 2 and and CC cord-022594-fx044gcd 1172 3 non non JJ cord-022594-fx044gcd 1172 4 - - JJ cord-022594-fx044gcd 1172 5 CNScontaining cnscontaining JJ cord-022594-fx044gcd 1172 6 vaccinations vaccination NNS cord-022594-fx044gcd 1172 7 may may MD cord-022594-fx044gcd 1172 8 induce induce VB cord-022594-fx044gcd 1172 9 ADEM ADEM NNP cord-022594-fx044gcd 1172 10 by by IN cord-022594-fx044gcd 1172 11 molecular molecular JJ cord-022594-fx044gcd 1172 12 mimicry mimicry NN cord-022594-fx044gcd 1172 13 or or CC cord-022594-fx044gcd 1172 14 by by IN cord-022594-fx044gcd 1172 15 activating activate VBG cord-022594-fx044gcd 1172 16 autoreactive autoreactive JJ cord-022594-fx044gcd 1172 17 T t NN cord-022594-fx044gcd 1172 18 - - HYPH cord-022594-fx044gcd 1172 19 cell cell NN cord-022594-fx044gcd 1172 20 clones clone NNS cord-022594-fx044gcd 1172 21 in in IN cord-022594-fx044gcd 1172 22 a a DT cord-022594-fx044gcd 1172 23 nonspecific nonspecific JJ cord-022594-fx044gcd 1172 24 manner manner NN cord-022594-fx044gcd 1172 25 . . . cord-022594-fx044gcd 1173 1 Lymphocyte lymphocyte NN cord-022594-fx044gcd 1173 2 reactivity reactivity NN cord-022594-fx044gcd 1173 3 toward toward IN cord-022594-fx044gcd 1173 4 MBP MBP NNP cord-022594-fx044gcd 1173 5 has have VBZ cord-022594-fx044gcd 1173 6 been be VBN cord-022594-fx044gcd 1173 7 identified identify VBN cord-022594-fx044gcd 1173 8 in in IN cord-022594-fx044gcd 1173 9 blood blood NN cord-022594-fx044gcd 1173 10 and and CC cord-022594-fx044gcd 1173 11 CSF csf NN cord-022594-fx044gcd 1173 12 from from IN cord-022594-fx044gcd 1173 13 patients patient NNS cord-022594-fx044gcd 1173 14 with with IN cord-022594-fx044gcd 1173 15 ADEM ADEM NNP cord-022594-fx044gcd 1173 16 , , , cord-022594-fx044gcd 1173 17 but but CC cord-022594-fx044gcd 1173 18 its -PRON- PRP$ cord-022594-fx044gcd 1173 19 absence absence NN cord-022594-fx044gcd 1173 20 in in IN cord-022594-fx044gcd 1173 21 others other NNS cord-022594-fx044gcd 1173 22 indicates indicate VBZ cord-022594-fx044gcd 1173 23 a a DT cord-022594-fx044gcd 1173 24 role role NN cord-022594-fx044gcd 1173 25 for for IN cord-022594-fx044gcd 1173 26 other other JJ cord-022594-fx044gcd 1173 27 antigens antigen NNS cord-022594-fx044gcd 1173 28 . . . cord-022594-fx044gcd 1174 1 Increased increase VBN cord-022594-fx044gcd 1174 2 peripheral peripheral JJ cord-022594-fx044gcd 1174 3 blood blood NN cord-022594-fx044gcd 1174 4 g g NN cord-022594-fx044gcd 1174 5 interferon interferon NN cord-022594-fx044gcd 1174 6 - - HYPH cord-022594-fx044gcd 1174 7 producing produce VBG cord-022594-fx044gcd 1174 8 T t NN cord-022594-fx044gcd 1174 9 cells cell NNS cord-022594-fx044gcd 1174 10 have have VBP cord-022594-fx044gcd 1174 11 been be VBN cord-022594-fx044gcd 1174 12 described describe VBN cord-022594-fx044gcd 1174 13 in in IN cord-022594-fx044gcd 1174 14 ADEM ADEM NNP cord-022594-fx044gcd 1174 15 . . . cord-022594-fx044gcd 1175 1 EPIDEMIOLOGY EPIDEMIOLOGY NNP cord-022594-fx044gcd 1175 2 AND and CC cord-022594-fx044gcd 1175 3 RISK risk NN cord-022594-fx044gcd 1175 4 FACTORS factors NN cord-022594-fx044gcd 1175 5 . . . cord-022594-fx044gcd 1176 1 ADEM ADEM NNP cord-022594-fx044gcd 1176 2 can can MD cord-022594-fx044gcd 1176 3 occur occur VB cord-022594-fx044gcd 1176 4 at at IN cord-022594-fx044gcd 1176 5 any any DT cord-022594-fx044gcd 1176 6 age age NN cord-022594-fx044gcd 1176 7 but but CC cord-022594-fx044gcd 1176 8 perhaps perhaps RB cord-022594-fx044gcd 1176 9 because because IN cord-022594-fx044gcd 1176 10 of of IN cord-022594-fx044gcd 1176 11 the the DT cord-022594-fx044gcd 1176 12 higher high JJR cord-022594-fx044gcd 1176 13 frequency frequency NN cord-022594-fx044gcd 1176 14 of of IN cord-022594-fx044gcd 1176 15 immunization immunization NN cord-022594-fx044gcd 1176 16 and and CC cord-022594-fx044gcd 1176 17 exposure exposure NN cord-022594-fx044gcd 1176 18 to to IN cord-022594-fx044gcd 1176 19 new new JJ cord-022594-fx044gcd 1176 20 antigens antigen NNS cord-022594-fx044gcd 1176 21 ; ; : cord-022594-fx044gcd 1176 22 it -PRON- PRP cord-022594-fx044gcd 1176 23 is be VBZ cord-022594-fx044gcd 1176 24 most most RBS cord-022594-fx044gcd 1176 25 common common JJ cord-022594-fx044gcd 1176 26 during during IN cord-022594-fx044gcd 1176 27 childhood childhood NN cord-022594-fx044gcd 1176 28 . . . cord-022594-fx044gcd 1177 1 Unlike unlike IN cord-022594-fx044gcd 1177 2 MS MS NNP cord-022594-fx044gcd 1177 3 , , , cord-022594-fx044gcd 1177 4 both both DT cord-022594-fx044gcd 1177 5 sexes sex NNS cord-022594-fx044gcd 1177 6 are be VBP cord-022594-fx044gcd 1177 7 affected affect VBN cord-022594-fx044gcd 1177 8 with with IN cord-022594-fx044gcd 1177 9 equal equal JJ cord-022594-fx044gcd 1177 10 frequency frequency NN cord-022594-fx044gcd 1177 11 . . . cord-022594-fx044gcd 1178 1 No no DT cord-022594-fx044gcd 1178 2 association association NN cord-022594-fx044gcd 1178 3 has have VBZ cord-022594-fx044gcd 1178 4 been be VBN cord-022594-fx044gcd 1178 5 noted note VBN cord-022594-fx044gcd 1178 6 with with IN cord-022594-fx044gcd 1178 7 pregnancy pregnancy NN cord-022594-fx044gcd 1178 8 . . . cord-022594-fx044gcd 1179 1 ADEM ADEM NNP cord-022594-fx044gcd 1179 2 has have VBZ cord-022594-fx044gcd 1179 3 been be VBN cord-022594-fx044gcd 1179 4 reported report VBN cord-022594-fx044gcd 1179 5 to to TO cord-022594-fx044gcd 1179 6 follow follow VB cord-022594-fx044gcd 1179 7 a a DT cord-022594-fx044gcd 1179 8 number number NN cord-022594-fx044gcd 1179 9 of of IN cord-022594-fx044gcd 1179 10 different different JJ cord-022594-fx044gcd 1179 11 immunizations immunization NNS cord-022594-fx044gcd 1179 12 , , , cord-022594-fx044gcd 1179 13 usually usually RB cord-022594-fx044gcd 1179 14 within within IN cord-022594-fx044gcd 1179 15 6 6 CD cord-022594-fx044gcd 1179 16 weeks week NNS cord-022594-fx044gcd 1179 17 , , , cord-022594-fx044gcd 1179 18 including include VBG cord-022594-fx044gcd 1179 19 those those DT cord-022594-fx044gcd 1179 20 for for IN cord-022594-fx044gcd 1179 21 pertussis pertussis NN cord-022594-fx044gcd 1179 22 , , , cord-022594-fx044gcd 1179 23 diphtheria diphtheria NN cord-022594-fx044gcd 1179 24 , , , cord-022594-fx044gcd 1179 25 measles measle NNS cord-022594-fx044gcd 1179 26 , , , cord-022594-fx044gcd 1179 27 mumps mumps NN cord-022594-fx044gcd 1179 28 , , , cord-022594-fx044gcd 1179 29 rubella rubella NN cord-022594-fx044gcd 1179 30 , , , cord-022594-fx044gcd 1179 31 influenza influenza NN cord-022594-fx044gcd 1179 32 ( ( -LRB- cord-022594-fx044gcd 1179 33 postvaccination postvaccination NNP cord-022594-fx044gcd 1179 34 ADEM ADEM NNP cord-022594-fx044gcd 1179 35 ) ) -RRB- cord-022594-fx044gcd 1179 36 , , , cord-022594-fx044gcd 1179 37 tetanus tetanus NN cord-022594-fx044gcd 1179 38 , , , cord-022594-fx044gcd 1179 39 and and CC cord-022594-fx044gcd 1179 40 yellow yellow JJ cord-022594-fx044gcd 1179 41 fever fever NN cord-022594-fx044gcd 1179 42 . . . cord-022594-fx044gcd 1180 1 In in IN cord-022594-fx044gcd 1180 2 addition addition NN cord-022594-fx044gcd 1180 3 , , , cord-022594-fx044gcd 1180 4 there there EX cord-022594-fx044gcd 1180 5 are be VBP cord-022594-fx044gcd 1180 6 case case NN cord-022594-fx044gcd 1180 7 reports report NNS cord-022594-fx044gcd 1180 8 of of IN cord-022594-fx044gcd 1180 9 ADEM ADEM NNP cord-022594-fx044gcd 1180 10 following follow VBG cord-022594-fx044gcd 1180 11 hepatitis hepatitis NNP cord-022594-fx044gcd 1180 12 B B NNP cord-022594-fx044gcd 1180 13 vaccination vaccination NN cord-022594-fx044gcd 1180 14 . . . cord-022594-fx044gcd 1181 1 However however RB cord-022594-fx044gcd 1181 2 , , , cord-022594-fx044gcd 1181 3 the the DT cord-022594-fx044gcd 1181 4 only only JJ cord-022594-fx044gcd 1181 5 epidemiologically epidemiologically RB cord-022594-fx044gcd 1181 6 and and CC cord-022594-fx044gcd 1181 7 pathologically pathologically RB cord-022594-fx044gcd 1181 8 proved proved JJ cord-022594-fx044gcd 1181 9 association association NN cord-022594-fx044gcd 1181 10 is be VBZ cord-022594-fx044gcd 1181 11 with with IN cord-022594-fx044gcd 1181 12 rabies rabies NN cord-022594-fx044gcd 1181 13 vaccination vaccination NN cord-022594-fx044gcd 1181 14 , , , cord-022594-fx044gcd 1181 15 which which WDT cord-022594-fx044gcd 1181 16 also also RB cord-022594-fx044gcd 1181 17 causes cause VBZ cord-022594-fx044gcd 1181 18 demyelinating demyelinate VBG cord-022594-fx044gcd 1181 19 peripheral peripheral JJ cord-022594-fx044gcd 1181 20 neuropathies neuropathy NNS cord-022594-fx044gcd 1181 21 . . . cord-022594-fx044gcd 1182 1 The the DT cord-022594-fx044gcd 1182 2 original original JJ cord-022594-fx044gcd 1182 3 Pasteur Pasteur NNP cord-022594-fx044gcd 1182 4 rabies rabie NNS cord-022594-fx044gcd 1182 5 vaccine vaccine NN cord-022594-fx044gcd 1182 6 , , , cord-022594-fx044gcd 1182 7 prepared prepare VBN cord-022594-fx044gcd 1182 8 in in IN cord-022594-fx044gcd 1182 9 rabbit rabbit NN cord-022594-fx044gcd 1182 10 spinal spinal JJ cord-022594-fx044gcd 1182 11 cord cord NN cord-022594-fx044gcd 1182 12 , , , cord-022594-fx044gcd 1182 13 was be VBD cord-022594-fx044gcd 1182 14 associated associate VBN cord-022594-fx044gcd 1182 15 with with IN cord-022594-fx044gcd 1182 16 an an DT cord-022594-fx044gcd 1182 17 incidence incidence NN cord-022594-fx044gcd 1182 18 of of IN cord-022594-fx044gcd 1182 19 ADEM ADEM NNP cord-022594-fx044gcd 1182 20 of of IN cord-022594-fx044gcd 1182 21 approximately approximately RB cord-022594-fx044gcd 1182 22 1 1 CD cord-022594-fx044gcd 1182 23 per per IN cord-022594-fx044gcd 1182 24 3000 3000 CD cord-022594-fx044gcd 1182 25 to to IN cord-022594-fx044gcd 1182 26 1 1 CD cord-022594-fx044gcd 1182 27 per per IN cord-022594-fx044gcd 1182 28 35,000 35,000 CD cord-022594-fx044gcd 1182 29 vaccinations vaccination NNS cord-022594-fx044gcd 1182 30 and and CC cord-022594-fx044gcd 1182 31 is be VBZ cord-022594-fx044gcd 1182 32 no no DT cord-022594-fx044gcd 1182 33 longer long RBR cord-022594-fx044gcd 1182 34 in in IN cord-022594-fx044gcd 1182 35 use use NN cord-022594-fx044gcd 1182 36 . . . cord-022594-fx044gcd 1183 1 A a DT cord-022594-fx044gcd 1183 2 later later JJ cord-022594-fx044gcd 1183 3 vaccine vaccine NN cord-022594-fx044gcd 1183 4 , , , cord-022594-fx044gcd 1183 5 made make VBN cord-022594-fx044gcd 1183 6 in in IN cord-022594-fx044gcd 1183 7 duck duck NN cord-022594-fx044gcd 1183 8 embryo embryo NN cord-022594-fx044gcd 1183 9 , , , cord-022594-fx044gcd 1183 10 which which WDT cord-022594-fx044gcd 1183 11 contains contain VBZ cord-022594-fx044gcd 1183 12 little little JJ cord-022594-fx044gcd 1183 13 neural neural JJ cord-022594-fx044gcd 1183 14 tissue tissue NN cord-022594-fx044gcd 1183 15 , , , cord-022594-fx044gcd 1183 16 carries carry VBZ cord-022594-fx044gcd 1183 17 a a DT cord-022594-fx044gcd 1183 18 risk risk NN cord-022594-fx044gcd 1183 19 for for IN cord-022594-fx044gcd 1183 20 ADEM ADEM NNP cord-022594-fx044gcd 1183 21 of of IN cord-022594-fx044gcd 1183 22 1 1 CD cord-022594-fx044gcd 1183 23 per per IN cord-022594-fx044gcd 1183 24 25,000 25,000 CD cord-022594-fx044gcd 1183 25 vaccines vaccine NNS cord-022594-fx044gcd 1183 26 . . . cord-022594-fx044gcd 1184 1 The the DT cord-022594-fx044gcd 1184 2 use use NN cord-022594-fx044gcd 1184 3 of of IN cord-022594-fx044gcd 1184 4 human human JJ cord-022594-fx044gcd 1184 5 diploid diploid JJ cord-022594-fx044gcd 1184 6 cell cell NN cord-022594-fx044gcd 1184 7 lines line NNS cord-022594-fx044gcd 1184 8 , , , cord-022594-fx044gcd 1184 9 which which WDT cord-022594-fx044gcd 1184 10 contain contain VBP cord-022594-fx044gcd 1184 11 no no DT cord-022594-fx044gcd 1184 12 nervous nervous JJ cord-022594-fx044gcd 1184 13 system system NN cord-022594-fx044gcd 1184 14 tissue tissue NN cord-022594-fx044gcd 1184 15 , , , cord-022594-fx044gcd 1184 16 for for IN cord-022594-fx044gcd 1184 17 the the DT cord-022594-fx044gcd 1184 18 production production NN cord-022594-fx044gcd 1184 19 of of IN cord-022594-fx044gcd 1184 20 rabies rabie VBN cord-022594-fx044gcd 1184 21 vaccine vaccine NN cord-022594-fx044gcd 1184 22 has have VBZ cord-022594-fx044gcd 1184 23 virtually virtually RB cord-022594-fx044gcd 1184 24 eliminated eliminate VBN cord-022594-fx044gcd 1184 25 the the DT cord-022594-fx044gcd 1184 26 risk risk NN cord-022594-fx044gcd 1184 27 of of IN cord-022594-fx044gcd 1184 28 ADEM ADEM NNP cord-022594-fx044gcd 1184 29 . . . cord-022594-fx044gcd 1185 1 The the DT cord-022594-fx044gcd 1185 2 association association NN cord-022594-fx044gcd 1185 3 of of IN cord-022594-fx044gcd 1185 4 bee bee NNP cord-022594-fx044gcd 1185 5 stings sting VBZ cord-022594-fx044gcd 1185 6 with with IN cord-022594-fx044gcd 1185 7 ADEM ADEM NNP cord-022594-fx044gcd 1185 8 has have VBZ cord-022594-fx044gcd 1185 9 also also RB cord-022594-fx044gcd 1185 10 been be VBN cord-022594-fx044gcd 1185 11 reported report VBN cord-022594-fx044gcd 1185 12 . . . cord-022594-fx044gcd 1186 1 Parainfectious Parainfectious NNP cord-022594-fx044gcd 1186 2 ADEM ADEM NNP cord-022594-fx044gcd 1186 3 usually usually RB cord-022594-fx044gcd 1186 4 follows follow VBZ cord-022594-fx044gcd 1186 5 onset onset NN cord-022594-fx044gcd 1186 6 of of IN cord-022594-fx044gcd 1186 7 the the DT cord-022594-fx044gcd 1186 8 infectious infectious JJ cord-022594-fx044gcd 1186 9 illness illness NN cord-022594-fx044gcd 1186 10 , , , cord-022594-fx044gcd 1186 11 often often RB cord-022594-fx044gcd 1186 12 during during IN cord-022594-fx044gcd 1186 13 the the DT cord-022594-fx044gcd 1186 14 recovery recovery NN cord-022594-fx044gcd 1186 15 phase phase NN cord-022594-fx044gcd 1186 16 , , , cord-022594-fx044gcd 1186 17 but but CC cord-022594-fx044gcd 1186 18 because because IN cord-022594-fx044gcd 1186 19 of of IN cord-022594-fx044gcd 1186 20 the the DT cord-022594-fx044gcd 1186 21 latency latency NN cord-022594-fx044gcd 1186 22 between between IN cord-022594-fx044gcd 1186 23 pathogen pathogen NN cord-022594-fx044gcd 1186 24 exposure exposure NN cord-022594-fx044gcd 1186 25 and and CC cord-022594-fx044gcd 1186 26 illness illness NN cord-022594-fx044gcd 1186 27 it -PRON- PRP cord-022594-fx044gcd 1186 28 may may MD cord-022594-fx044gcd 1186 29 precede precede VB cord-022594-fx044gcd 1186 30 clinical clinical JJ cord-022594-fx044gcd 1186 31 symptoms symptom NNS cord-022594-fx044gcd 1186 32 of of IN cord-022594-fx044gcd 1186 33 infection infection NN cord-022594-fx044gcd 1186 34 or or CC cord-022594-fx044gcd 1186 35 the the DT cord-022594-fx044gcd 1186 36 two two CD cord-022594-fx044gcd 1186 37 may may MD cord-022594-fx044gcd 1186 38 occur occur VB cord-022594-fx044gcd 1186 39 simultaneously simultaneously RB cord-022594-fx044gcd 1186 40 . . . cord-022594-fx044gcd 1187 1 The the DT cord-022594-fx044gcd 1187 2 most most RBS cord-022594-fx044gcd 1187 3 commonly commonly RB cord-022594-fx044gcd 1187 4 reported report VBN cord-022594-fx044gcd 1187 5 associated associated JJ cord-022594-fx044gcd 1187 6 illness illness NN cord-022594-fx044gcd 1187 7 is be VBZ cord-022594-fx044gcd 1187 8 a a DT cord-022594-fx044gcd 1187 9 nonspecific nonspecific JJ cord-022594-fx044gcd 1187 10 upper upper JJ cord-022594-fx044gcd 1187 11 respiratory respiratory JJ cord-022594-fx044gcd 1187 12 tract tract NN cord-022594-fx044gcd 1187 13 infection infection NN cord-022594-fx044gcd 1187 14 . . . cord-022594-fx044gcd 1188 1 There there EX cord-022594-fx044gcd 1188 2 have have VBP cord-022594-fx044gcd 1188 3 been be VBN cord-022594-fx044gcd 1188 4 a a DT cord-022594-fx044gcd 1188 5 vast vast JJ cord-022594-fx044gcd 1188 6 number number NN cord-022594-fx044gcd 1188 7 of of IN cord-022594-fx044gcd 1188 8 specific specific JJ cord-022594-fx044gcd 1188 9 infections infection NNS cord-022594-fx044gcd 1188 10 associated associate VBN cord-022594-fx044gcd 1188 11 with with IN cord-022594-fx044gcd 1188 12 ADEM ADEM NNP cord-022594-fx044gcd 1188 13 , , , cord-022594-fx044gcd 1188 14 such such JJ cord-022594-fx044gcd 1188 15 as as IN cord-022594-fx044gcd 1188 16 virus virus NN cord-022594-fx044gcd 1188 17 infections infection NNS cord-022594-fx044gcd 1188 18 ( ( -LRB- cord-022594-fx044gcd 1188 19 including include VBG cord-022594-fx044gcd 1188 20 rubella rubella NN cord-022594-fx044gcd 1188 21 , , , cord-022594-fx044gcd 1188 22 mumps mumps NN cord-022594-fx044gcd 1188 23 , , , cord-022594-fx044gcd 1188 24 VZV VZV NNP cord-022594-fx044gcd 1188 25 , , , cord-022594-fx044gcd 1188 26 EBV EBV NNP cord-022594-fx044gcd 1188 27 , , , cord-022594-fx044gcd 1188 28 CMV CMV NNP cord-022594-fx044gcd 1188 29 , , , cord-022594-fx044gcd 1188 30 influenza influenza NN cord-022594-fx044gcd 1188 31 , , , cord-022594-fx044gcd 1188 32 coxsackievirus coxsackievirus NNP cord-022594-fx044gcd 1188 33 , , , cord-022594-fx044gcd 1188 34 and and CC cord-022594-fx044gcd 1188 35 hepatitis hepatitis NNP cord-022594-fx044gcd 1188 36 C C NNP cord-022594-fx044gcd 1188 37 ) ) -RRB- cord-022594-fx044gcd 1188 38 and and CC cord-022594-fx044gcd 1188 39 infection infection NN cord-022594-fx044gcd 1188 40 with with IN cord-022594-fx044gcd 1188 41 Mycoplasma Mycoplasma NNP cord-022594-fx044gcd 1188 42 , , , cord-022594-fx044gcd 1188 43 Borrelia Borrelia NNP cord-022594-fx044gcd 1188 44 burgdorferi burgdorferi NN cord-022594-fx044gcd 1188 45 , , , cord-022594-fx044gcd 1188 46 and and CC cord-022594-fx044gcd 1188 47 Leptospira Leptospira NNP cord-022594-fx044gcd 1188 48 . . . cord-022594-fx044gcd 1189 1 Measles measles NN cord-022594-fx044gcd 1189 2 carries carry VBZ cord-022594-fx044gcd 1189 3 the the DT cord-022594-fx044gcd 1189 4 highest high JJS cord-022594-fx044gcd 1189 5 risk risk NN cord-022594-fx044gcd 1189 6 for for IN cord-022594-fx044gcd 1189 7 ADEM ADEM NNP cord-022594-fx044gcd 1189 8 of of IN cord-022594-fx044gcd 1189 9 any any DT cord-022594-fx044gcd 1189 10 infection infection NN cord-022594-fx044gcd 1189 11 , , , cord-022594-fx044gcd 1189 12 occurring occur VBG cord-022594-fx044gcd 1189 13 in in IN cord-022594-fx044gcd 1189 14 1 1 CD cord-022594-fx044gcd 1189 15 per per IN cord-022594-fx044gcd 1189 16 400 400 CD cord-022594-fx044gcd 1189 17 to to TO cord-022594-fx044gcd 1189 18 1 1 CD cord-022594-fx044gcd 1189 19 per per IN cord-022594-fx044gcd 1189 20 1000 1000 CD cord-022594-fx044gcd 1189 21 cases case NNS cord-022594-fx044gcd 1189 22 . . . cord-022594-fx044gcd 1190 1 Although although IN cord-022594-fx044gcd 1190 2 ADEM ADEM NNP cord-022594-fx044gcd 1190 3 has have VBZ cord-022594-fx044gcd 1190 4 been be VBN cord-022594-fx044gcd 1190 5 reported report VBN cord-022594-fx044gcd 1190 6 in in IN cord-022594-fx044gcd 1190 7 association association NN cord-022594-fx044gcd 1190 8 with with IN cord-022594-fx044gcd 1190 9 measles measles NNP cord-022594-fx044gcd 1190 10 immunization immunization NN cord-022594-fx044gcd 1190 11 , , , cord-022594-fx044gcd 1190 12 the the DT cord-022594-fx044gcd 1190 13 risk risk NN cord-022594-fx044gcd 1190 14 is be VBZ cord-022594-fx044gcd 1190 15 far far RB cord-022594-fx044gcd 1190 16 lower low JJR cord-022594-fx044gcd 1190 17 than than IN cord-022594-fx044gcd 1190 18 the the DT cord-022594-fx044gcd 1190 19 risk risk NN cord-022594-fx044gcd 1190 20 of of IN cord-022594-fx044gcd 1190 21 acquiring acquire VBG cord-022594-fx044gcd 1190 22 measles measle NNS cord-022594-fx044gcd 1190 23 and and CC cord-022594-fx044gcd 1190 24 its -PRON- PRP$ cord-022594-fx044gcd 1190 25 neurological neurological JJ cord-022594-fx044gcd 1190 26 complications complication NNS cord-022594-fx044gcd 1190 27 . . . cord-022594-fx044gcd 1191 1 CLINICAL clinical JJ cord-022594-fx044gcd 1191 2 FEATURES features NN cord-022594-fx044gcd 1191 3 AND and CC cord-022594-fx044gcd 1191 4 ASSOCIATED ASSOCIATED NNP cord-022594-fx044gcd 1191 5 DISOR DISOR NNP cord-022594-fx044gcd 1191 6 - - HYPH cord-022594-fx044gcd 1191 7 DERS DERS NNP cord-022594-fx044gcd 1191 8 . . . cord-022594-fx044gcd 1192 1 A a DT cord-022594-fx044gcd 1192 2 prodrome prodrome NN cord-022594-fx044gcd 1192 3 of of IN cord-022594-fx044gcd 1192 4 headache headache NN cord-022594-fx044gcd 1192 5 , , , cord-022594-fx044gcd 1192 6 low low JJ cord-022594-fx044gcd 1192 7 - - HYPH cord-022594-fx044gcd 1192 8 grade grade NN cord-022594-fx044gcd 1192 9 fever fever NN cord-022594-fx044gcd 1192 10 , , , cord-022594-fx044gcd 1192 11 myalgias myalgias NNP cord-022594-fx044gcd 1192 12 , , , cord-022594-fx044gcd 1192 13 and and CC cord-022594-fx044gcd 1192 14 malaise malaise NN cord-022594-fx044gcd 1192 15 often often RB cord-022594-fx044gcd 1192 16 precedes precede VBZ cord-022594-fx044gcd 1192 17 the the DT cord-022594-fx044gcd 1192 18 onset onset NN cord-022594-fx044gcd 1192 19 of of IN cord-022594-fx044gcd 1192 20 ADEM ADEM NNP cord-022594-fx044gcd 1192 21 by by IN cord-022594-fx044gcd 1192 22 a a DT cord-022594-fx044gcd 1192 23 few few JJ cord-022594-fx044gcd 1192 24 days day NNS cord-022594-fx044gcd 1192 25 . . . cord-022594-fx044gcd 1193 1 In in IN cord-022594-fx044gcd 1193 2 a a DT cord-022594-fx044gcd 1193 3 German german JJ cord-022594-fx044gcd 1193 4 study study NN cord-022594-fx044gcd 1193 5 of of IN cord-022594-fx044gcd 1193 6 40 40 CD cord-022594-fx044gcd 1193 7 cases case NNS cord-022594-fx044gcd 1193 8 , , , cord-022594-fx044gcd 1193 9 122 122 CD cord-022594-fx044gcd 1193 10 the the DT cord-022594-fx044gcd 1193 11 most most RBS cord-022594-fx044gcd 1193 12 frequent frequent JJ cord-022594-fx044gcd 1193 13 clinical clinical JJ cord-022594-fx044gcd 1193 14 signs sign NNS cord-022594-fx044gcd 1193 15 were be VBD cord-022594-fx044gcd 1193 16 motor motor NN cord-022594-fx044gcd 1193 17 deficit deficit NN cord-022594-fx044gcd 1193 18 ( ( -LRB- cord-022594-fx044gcd 1193 19 80 80 CD cord-022594-fx044gcd 1193 20 % % NN cord-022594-fx044gcd 1193 21 ) ) -RRB- cord-022594-fx044gcd 1193 22 , , , cord-022594-fx044gcd 1193 23 followed follow VBN cord-022594-fx044gcd 1193 24 by by IN cord-022594-fx044gcd 1193 25 sensory sensory JJ cord-022594-fx044gcd 1193 26 deficits deficit NNS cord-022594-fx044gcd 1193 27 , , , cord-022594-fx044gcd 1193 28 brain brain NN cord-022594-fx044gcd 1193 29 stem stem NN cord-022594-fx044gcd 1193 30 signs sign NNS cord-022594-fx044gcd 1193 31 , , , cord-022594-fx044gcd 1193 32 and and CC cord-022594-fx044gcd 1193 33 cerebellar cerebellar JJ cord-022594-fx044gcd 1193 34 signs sign NNS cord-022594-fx044gcd 1193 35 . . . cord-022594-fx044gcd 1194 1 CSF CSF NNP cord-022594-fx044gcd 1194 2 findings finding NNS cord-022594-fx044gcd 1194 3 were be VBD cord-022594-fx044gcd 1194 4 variable variable JJ cord-022594-fx044gcd 1194 5 ; ; : cord-022594-fx044gcd 1194 6 normal normal JJ cord-022594-fx044gcd 1194 7 results result NNS cord-022594-fx044gcd 1194 8 were be VBD cord-022594-fx044gcd 1194 9 present present JJ cord-022594-fx044gcd 1194 10 in in IN cord-022594-fx044gcd 1194 11 up up IN cord-022594-fx044gcd 1194 12 to to TO cord-022594-fx044gcd 1194 13 20 20 CD cord-022594-fx044gcd 1194 14 % % NN cord-022594-fx044gcd 1194 15 of of IN cord-022594-fx044gcd 1194 16 patients patient NNS cord-022594-fx044gcd 1194 17 . . . cord-022594-fx044gcd 1195 1 Oligoclonal oligoclonal JJ cord-022594-fx044gcd 1195 2 bands band NNS cord-022594-fx044gcd 1195 3 were be VBD cord-022594-fx044gcd 1195 4 positive positive JJ cord-022594-fx044gcd 1195 5 in in IN cord-022594-fx044gcd 1195 6 over over IN cord-022594-fx044gcd 1195 7 60 60 CD cord-022594-fx044gcd 1195 8 % % NN cord-022594-fx044gcd 1195 9 . . . cord-022594-fx044gcd 1196 1 Almost almost RB cord-022594-fx044gcd 1196 2 all all DT cord-022594-fx044gcd 1196 3 patients patient NNS cord-022594-fx044gcd 1196 4 improved improve VBD cord-022594-fx044gcd 1196 5 during during IN cord-022594-fx044gcd 1196 6 the the DT cord-022594-fx044gcd 1196 7 acute acute JJ cord-022594-fx044gcd 1196 8 phase phase NN cord-022594-fx044gcd 1196 9 of of IN cord-022594-fx044gcd 1196 10 the the DT cord-022594-fx044gcd 1196 11 disease disease NN cord-022594-fx044gcd 1196 12 . . . cord-022594-fx044gcd 1197 1 Of of IN cord-022594-fx044gcd 1197 2 the the DT cord-022594-fx044gcd 1197 3 26 26 CD cord-022594-fx044gcd 1197 4 patients patient NNS cord-022594-fx044gcd 1197 5 with with IN cord-022594-fx044gcd 1197 6 the the DT cord-022594-fx044gcd 1197 7 final final JJ cord-022594-fx044gcd 1197 8 diagnosis diagnosis NN cord-022594-fx044gcd 1197 9 of of IN cord-022594-fx044gcd 1197 10 ADEM ADEM NNP cord-022594-fx044gcd 1197 11 , , , cord-022594-fx044gcd 1197 12 21 21 CD cord-022594-fx044gcd 1197 13 had have VBD cord-022594-fx044gcd 1197 14 minor minor JJ cord-022594-fx044gcd 1197 15 or or CC cord-022594-fx044gcd 1197 16 no no DT cord-022594-fx044gcd 1197 17 symptoms symptom NNS cord-022594-fx044gcd 1197 18 , , , cord-022594-fx044gcd 1197 19 2 2 CD cord-022594-fx044gcd 1197 20 died die VBD cord-022594-fx044gcd 1197 21 , , , cord-022594-fx044gcd 1197 22 the the DT cord-022594-fx044gcd 1197 23 rest rest NN cord-022594-fx044gcd 1197 24 had have VBD cord-022594-fx044gcd 1197 25 moderate moderate JJ cord-022594-fx044gcd 1197 26 symptoms symptom NNS cord-022594-fx044gcd 1197 27 . . . cord-022594-fx044gcd 1198 1 Compared compare VBN cord-022594-fx044gcd 1198 2 to to IN cord-022594-fx044gcd 1198 3 MS MS NNP cord-022594-fx044gcd 1198 4 patients patient NNS cord-022594-fx044gcd 1198 5 , , , cord-022594-fx044gcd 1198 6 the the DT cord-022594-fx044gcd 1198 7 ADEM ADEM NNP cord-022594-fx044gcd 1198 8 patients patient NNS cord-022594-fx044gcd 1198 9 were be VBD cord-022594-fx044gcd 1198 10 older old JJR cord-022594-fx044gcd 1198 11 , , , cord-022594-fx044gcd 1198 12 and and CC cord-022594-fx044gcd 1198 13 more more RBR cord-022594-fx044gcd 1198 14 often often RB cord-022594-fx044gcd 1198 15 had have VBD cord-022594-fx044gcd 1198 16 a a DT cord-022594-fx044gcd 1198 17 preceding precede VBG cord-022594-fx044gcd 1198 18 infection infection NN cord-022594-fx044gcd 1198 19 , , , cord-022594-fx044gcd 1198 20 clinical clinical JJ cord-022594-fx044gcd 1198 21 signs sign NNS cord-022594-fx044gcd 1198 22 of of IN cord-022594-fx044gcd 1198 23 brain brain NN cord-022594-fx044gcd 1198 24 stem stem NN cord-022594-fx044gcd 1198 25 involvement involvement NN cord-022594-fx044gcd 1198 26 , , , cord-022594-fx044gcd 1198 27 a a DT cord-022594-fx044gcd 1198 28 higher high JJR cord-022594-fx044gcd 1198 29 CSF CSF NNP cord-022594-fx044gcd 1198 30 albumin albumin NN cord-022594-fx044gcd 1198 31 fraction fraction NN cord-022594-fx044gcd 1198 32 , , , cord-022594-fx044gcd 1198 33 and and CC cord-022594-fx044gcd 1198 34 infratentorial infratentorial JJ cord-022594-fx044gcd 1198 35 lesions lesion NNS cord-022594-fx044gcd 1198 36 . . . cord-022594-fx044gcd 1199 1 Neurological neurological JJ cord-022594-fx044gcd 1199 2 symptoms symptom NNS cord-022594-fx044gcd 1199 3 develop develop VBP cord-022594-fx044gcd 1199 4 rapidly rapidly RB cord-022594-fx044gcd 1199 5 in in IN cord-022594-fx044gcd 1199 6 the the DT cord-022594-fx044gcd 1199 7 acute acute JJ cord-022594-fx044gcd 1199 8 phase phase NN cord-022594-fx044gcd 1199 9 and and CC cord-022594-fx044gcd 1199 10 are be VBP cord-022594-fx044gcd 1199 11 commonly commonly RB cord-022594-fx044gcd 1199 12 associated associate VBN cord-022594-fx044gcd 1199 13 with with IN cord-022594-fx044gcd 1199 14 encephalopathy encephalopathy NN cord-022594-fx044gcd 1199 15 , , , cord-022594-fx044gcd 1199 16 stupor stupor NN cord-022594-fx044gcd 1199 17 , , , cord-022594-fx044gcd 1199 18 coma coma NN cord-022594-fx044gcd 1199 19 , , , cord-022594-fx044gcd 1199 20 meningismus meningismus NNP cord-022594-fx044gcd 1199 21 , , , cord-022594-fx044gcd 1199 22 and and CC cord-022594-fx044gcd 1199 23 seizures seizure NNS cord-022594-fx044gcd 1199 24 . . . cord-022594-fx044gcd 1200 1 Peak peak NN cord-022594-fx044gcd 1200 2 severity severity NN cord-022594-fx044gcd 1200 3 occurs occur VBZ cord-022594-fx044gcd 1200 4 within within IN cord-022594-fx044gcd 1200 5 several several JJ cord-022594-fx044gcd 1200 6 days day NNS cord-022594-fx044gcd 1200 7 , , , cord-022594-fx044gcd 1200 8 and and CC cord-022594-fx044gcd 1200 9 recovery recovery NN cord-022594-fx044gcd 1200 10 may may MD cord-022594-fx044gcd 1200 11 begin begin VB cord-022594-fx044gcd 1200 12 soon soon RB cord-022594-fx044gcd 1200 13 afterward afterward RB cord-022594-fx044gcd 1200 14 . . . cord-022594-fx044gcd 1201 1 Occasionally occasionally RB cord-022594-fx044gcd 1201 2 , , , cord-022594-fx044gcd 1201 3 ADEM ADEM NNP cord-022594-fx044gcd 1201 4 may may MD cord-022594-fx044gcd 1201 5 evolve evolve VB cord-022594-fx044gcd 1201 6 over over IN cord-022594-fx044gcd 1201 7 a a DT cord-022594-fx044gcd 1201 8 few few JJ cord-022594-fx044gcd 1201 9 months month NNS cord-022594-fx044gcd 1201 10 and and CC cord-022594-fx044gcd 1201 11 there there EX cord-022594-fx044gcd 1201 12 may may MD cord-022594-fx044gcd 1201 13 be be VB cord-022594-fx044gcd 1201 14 a a DT cord-022594-fx044gcd 1201 15 second second JJ cord-022594-fx044gcd 1201 16 clinical clinical JJ cord-022594-fx044gcd 1201 17 deterioration deterioration NN cord-022594-fx044gcd 1201 18 or or CC cord-022594-fx044gcd 1201 19 subacute subacute JJ cord-022594-fx044gcd 1201 20 progression progression NN cord-022594-fx044gcd 1201 21 for for IN cord-022594-fx044gcd 1201 22 a a DT cord-022594-fx044gcd 1201 23 time time NN cord-022594-fx044gcd 1201 24 . . . cord-022594-fx044gcd 1202 1 In in IN cord-022594-fx044gcd 1202 2 these these DT cord-022594-fx044gcd 1202 3 unusual unusual JJ cord-022594-fx044gcd 1202 4 cases case NNS cord-022594-fx044gcd 1202 5 , , , cord-022594-fx044gcd 1202 6 the the DT cord-022594-fx044gcd 1202 7 distinction distinction NN cord-022594-fx044gcd 1202 8 from from IN cord-022594-fx044gcd 1202 9 MS MS NNP cord-022594-fx044gcd 1202 10 is be VBZ cord-022594-fx044gcd 1202 11 difficult difficult JJ cord-022594-fx044gcd 1202 12 . . . cord-022594-fx044gcd 1203 1 Three three CD cord-022594-fx044gcd 1203 2 recent recent JJ cord-022594-fx044gcd 1203 3 large large JJ cord-022594-fx044gcd 1203 4 retrospective retrospective JJ cord-022594-fx044gcd 1203 5 series series NN cord-022594-fx044gcd 1203 6 and and CC cord-022594-fx044gcd 1203 7 an an DT cord-022594-fx044gcd 1203 8 accompanying accompany VBG cord-022594-fx044gcd 1203 9 editorial editorial NN cord-022594-fx044gcd 1203 10 have have VBP cord-022594-fx044gcd 1203 11 highlighted highlight VBN cord-022594-fx044gcd 1203 12 that that IN cord-022594-fx044gcd 1203 13 there there EX cord-022594-fx044gcd 1203 14 remain remain VBP cord-022594-fx044gcd 1203 15 no no DT cord-022594-fx044gcd 1203 16 clinical clinical JJ cord-022594-fx044gcd 1203 17 or or CC cord-022594-fx044gcd 1203 18 laboratory laboratory NN cord-022594-fx044gcd 1203 19 features feature NNS cord-022594-fx044gcd 1203 20 that that WDT cord-022594-fx044gcd 1203 21 accurately accurately RB cord-022594-fx044gcd 1203 22 allow allow VBP cord-022594-fx044gcd 1203 23 one one CD cord-022594-fx044gcd 1203 24 to to TO cord-022594-fx044gcd 1203 25 predict predict VB cord-022594-fx044gcd 1203 26 which which WDT cord-022594-fx044gcd 1203 27 adult adult NN cord-022594-fx044gcd 1203 28 or or CC cord-022594-fx044gcd 1203 29 pediatric pediatric JJ cord-022594-fx044gcd 1203 30 ADEM ADEM NNP cord-022594-fx044gcd 1203 31 patients patient NNS cord-022594-fx044gcd 1203 32 will will MD cord-022594-fx044gcd 1203 33 develop develop VB cord-022594-fx044gcd 1203 34 . . . cord-022594-fx044gcd 1204 1 [ [ -LRB- cord-022594-fx044gcd 1204 2 122 122 CD cord-022594-fx044gcd 1204 3 ] ] -RRB- cord-022594-fx044gcd 1204 4 [ [ -LRB- cord-022594-fx044gcd 1204 5 123 123 CD cord-022594-fx044gcd 1204 6 ] ] -RRB- cord-022594-fx044gcd 1204 7 [ [ -LRB- cord-022594-fx044gcd 1204 8 124 124 CD cord-022594-fx044gcd 1204 9 ] ] -RRB- cord-022594-fx044gcd 1205 1 [ [ -LRB- cord-022594-fx044gcd 1205 2 125 125 CD cord-022594-fx044gcd 1205 3 ] ] -RRB- cord-022594-fx044gcd 1205 4 DIFFERENTIAL differential NN cord-022594-fx044gcd 1205 5 DIAGNOSIS diagnosis NN cord-022594-fx044gcd 1205 6 . . . cord-022594-fx044gcd 1206 1 One one CD cord-022594-fx044gcd 1206 2 of of IN cord-022594-fx044gcd 1206 3 the the DT cord-022594-fx044gcd 1206 4 primary primary JJ cord-022594-fx044gcd 1206 5 concerns concern NNS cord-022594-fx044gcd 1206 6 after after IN cord-022594-fx044gcd 1206 7 a a DT cord-022594-fx044gcd 1206 8 single single JJ cord-022594-fx044gcd 1206 9 demyelinating demyelinating NN cord-022594-fx044gcd 1206 10 episode episode NN cord-022594-fx044gcd 1206 11 is be VBZ cord-022594-fx044gcd 1206 12 whether whether IN cord-022594-fx044gcd 1206 13 other other JJ cord-022594-fx044gcd 1206 14 bouts bout NNS cord-022594-fx044gcd 1206 15 can can MD cord-022594-fx044gcd 1206 16 be be VB cord-022594-fx044gcd 1206 17 expected expect VBN cord-022594-fx044gcd 1206 18 ( ( -LRB- cord-022594-fx044gcd 1206 19 e.g. e.g. RB cord-022594-fx044gcd 1206 20 , , , cord-022594-fx044gcd 1206 21 MS MS NNP cord-022594-fx044gcd 1206 22 ) ) -RRB- cord-022594-fx044gcd 1206 23 . . . cord-022594-fx044gcd 1207 1 Several several JJ cord-022594-fx044gcd 1207 2 features feature NNS cord-022594-fx044gcd 1207 3 may may MD cord-022594-fx044gcd 1207 4 tip tip VB cord-022594-fx044gcd 1207 5 the the DT cord-022594-fx044gcd 1207 6 balance balance NN cord-022594-fx044gcd 1207 7 toward toward IN cord-022594-fx044gcd 1207 8 one one CD cord-022594-fx044gcd 1207 9 or or CC cord-022594-fx044gcd 1207 10 the the DT cord-022594-fx044gcd 1207 11 other other JJ cord-022594-fx044gcd 1207 12 , , , cord-022594-fx044gcd 1207 13 but but CC cord-022594-fx044gcd 1207 14 the the DT cord-022594-fx044gcd 1207 15 proper proper JJ cord-022594-fx044gcd 1207 16 diagnosis diagnosis NN cord-022594-fx044gcd 1207 17 becomes become VBZ cord-022594-fx044gcd 1207 18 apparent apparent JJ cord-022594-fx044gcd 1207 19 only only RB cord-022594-fx044gcd 1207 20 with with IN cord-022594-fx044gcd 1207 21 time time NN cord-022594-fx044gcd 1207 22 . . . cord-022594-fx044gcd 1208 1 Classically classically RB cord-022594-fx044gcd 1208 2 , , , cord-022594-fx044gcd 1208 3 ADEM ADEM NNP cord-022594-fx044gcd 1208 4 is be VBZ cord-022594-fx044gcd 1208 5 characterized characterize VBN cord-022594-fx044gcd 1208 6 by by IN cord-022594-fx044gcd 1208 7 the the DT cord-022594-fx044gcd 1208 8 multifocal multifocal JJ cord-022594-fx044gcd 1208 9 involvement involvement NN cord-022594-fx044gcd 1208 10 at at IN cord-022594-fx044gcd 1208 11 onset onset NN cord-022594-fx044gcd 1208 12 whereas whereas IN cord-022594-fx044gcd 1208 13 MS MS NNP cord-022594-fx044gcd 1208 14 often often RB cord-022594-fx044gcd 1208 15 presents present VBZ cord-022594-fx044gcd 1208 16 with with IN cord-022594-fx044gcd 1208 17 monosymptomatic monosymptomatic JJ cord-022594-fx044gcd 1208 18 deficits deficit NNS cord-022594-fx044gcd 1208 19 such such JJ cord-022594-fx044gcd 1208 20 as as IN cord-022594-fx044gcd 1208 21 ON ON NNP cord-022594-fx044gcd 1208 22 . . . cord-022594-fx044gcd 1209 1 However however RB cord-022594-fx044gcd 1209 2 , , , cord-022594-fx044gcd 1209 3 ADEM ADEM NNP cord-022594-fx044gcd 1209 4 may may MD cord-022594-fx044gcd 1209 5 cause cause VB cord-022594-fx044gcd 1209 6 unifocal unifocal JJ cord-022594-fx044gcd 1209 7 symptoms symptom NNS cord-022594-fx044gcd 1209 8 and and CC cord-022594-fx044gcd 1209 9 MS MS NNP cord-022594-fx044gcd 1209 10 may may MD cord-022594-fx044gcd 1209 11 present present VB cord-022594-fx044gcd 1209 12 with with IN cord-022594-fx044gcd 1209 13 multifocal multifocal JJ cord-022594-fx044gcd 1209 14 CNS CNS NNP cord-022594-fx044gcd 1209 15 involvement involvement NN cord-022594-fx044gcd 1209 16 , , , cord-022594-fx044gcd 1209 17 especially especially RB cord-022594-fx044gcd 1209 18 in in IN cord-022594-fx044gcd 1209 19 children child NNS cord-022594-fx044gcd 1209 20 . . . cord-022594-fx044gcd 1210 1 The the DT cord-022594-fx044gcd 1210 2 monosymptomatic monosymptomatic JJ cord-022594-fx044gcd 1210 3 deficits deficit NNS cord-022594-fx044gcd 1210 4 caused cause VBN cord-022594-fx044gcd 1210 5 by by IN cord-022594-fx044gcd 1210 6 ADEM ADEM NNP cord-022594-fx044gcd 1210 7 are be VBP cord-022594-fx044gcd 1210 8 more more RBR cord-022594-fx044gcd 1210 9 commonly commonly RB cord-022594-fx044gcd 1210 10 severe severe JJ cord-022594-fx044gcd 1210 11 , , , cord-022594-fx044gcd 1210 12 such such JJ cord-022594-fx044gcd 1210 13 as as IN cord-022594-fx044gcd 1210 14 bilateral bilateral JJ cord-022594-fx044gcd 1210 15 ON on NN cord-022594-fx044gcd 1210 16 and and CC cord-022594-fx044gcd 1210 17 complete complete JJ cord-022594-fx044gcd 1210 18 transverse transverse JJ cord-022594-fx044gcd 1210 19 myelitis myelitis NN cord-022594-fx044gcd 1210 20 . . . cord-022594-fx044gcd 1211 1 Although although IN cord-022594-fx044gcd 1211 2 OCBs ocb NNS cord-022594-fx044gcd 1211 3 occur occur VBP cord-022594-fx044gcd 1211 4 transiently transiently RB cord-022594-fx044gcd 1211 5 in in IN cord-022594-fx044gcd 1211 6 about about RB cord-022594-fx044gcd 1211 7 one one CD cord-022594-fx044gcd 1211 8 third third NN cord-022594-fx044gcd 1211 9 of of IN cord-022594-fx044gcd 1211 10 ADEM ADEM NNP cord-022594-fx044gcd 1211 11 cases case NNS cord-022594-fx044gcd 1211 12 , , , cord-022594-fx044gcd 1211 13 their -PRON- PRP$ cord-022594-fx044gcd 1211 14 persistence persistence NN cord-022594-fx044gcd 1211 15 implies imply VBZ cord-022594-fx044gcd 1211 16 a a DT cord-022594-fx044gcd 1211 17 diagnosis diagnosis NN cord-022594-fx044gcd 1211 18 of of IN cord-022594-fx044gcd 1211 19 MS MS NNP cord-022594-fx044gcd 1211 20 . . . cord-022594-fx044gcd 1212 1 The the DT cord-022594-fx044gcd 1212 2 subsequent subsequent JJ cord-022594-fx044gcd 1212 3 disappearance disappearance NN cord-022594-fx044gcd 1212 4 of of IN cord-022594-fx044gcd 1212 5 OCBs OCBs NNP cord-022594-fx044gcd 1212 6 , , , cord-022594-fx044gcd 1212 7 when when WRB cord-022594-fx044gcd 1212 8 performed perform VBN cord-022594-fx044gcd 1212 9 by by IN cord-022594-fx044gcd 1212 10 consistent consistent JJ cord-022594-fx044gcd 1212 11 techniques technique NNS cord-022594-fx044gcd 1212 12 , , , cord-022594-fx044gcd 1212 13 is be VBZ cord-022594-fx044gcd 1212 14 evidence evidence NN cord-022594-fx044gcd 1212 15 against against IN cord-022594-fx044gcd 1212 16 MS MS NNP cord-022594-fx044gcd 1212 17 . . . cord-022594-fx044gcd 1213 1 The the DT cord-022594-fx044gcd 1213 2 MRI MRI NNP cord-022594-fx044gcd 1213 3 appearance appearance NN cord-022594-fx044gcd 1213 4 of of IN cord-022594-fx044gcd 1213 5 these these DT cord-022594-fx044gcd 1213 6 two two CD cord-022594-fx044gcd 1213 7 disorders disorder NNS cord-022594-fx044gcd 1213 8 is be VBZ cord-022594-fx044gcd 1213 9 often often RB cord-022594-fx044gcd 1213 10 identical identical JJ cord-022594-fx044gcd 1213 11 , , , cord-022594-fx044gcd 1213 12 125 125 CD cord-022594-fx044gcd 1213 13 but but CC cord-022594-fx044gcd 1213 14 the the DT cord-022594-fx044gcd 1213 15 presence presence NN cord-022594-fx044gcd 1213 16 of of IN cord-022594-fx044gcd 1213 17 basal basal NN cord-022594-fx044gcd 1213 18 ganglia ganglion NNS cord-022594-fx044gcd 1213 19 or or CC cord-022594-fx044gcd 1213 20 cortical cortical JJ cord-022594-fx044gcd 1213 21 lesions lesion NNS cord-022594-fx044gcd 1213 22 , , , cord-022594-fx044gcd 1213 23 or or CC cord-022594-fx044gcd 1213 24 large large JJ cord-022594-fx044gcd 1213 25 globular globular JJ cord-022594-fx044gcd 1213 26 white white JJ cord-022594-fx044gcd 1213 27 matter matter NN cord-022594-fx044gcd 1213 28 lesions lesion NNS cord-022594-fx044gcd 1213 29 , , , cord-022594-fx044gcd 1213 30 is be VBZ cord-022594-fx044gcd 1213 31 more more RBR cord-022594-fx044gcd 1213 32 frequent frequent JJ cord-022594-fx044gcd 1213 33 in in IN cord-022594-fx044gcd 1213 34 ADEM ADEM NNP cord-022594-fx044gcd 1213 35 . . . cord-022594-fx044gcd 1214 1 The the DT cord-022594-fx044gcd 1214 2 fulminant fulminant JJ cord-022594-fx044gcd 1214 3 development development NN cord-022594-fx044gcd 1214 4 of of IN cord-022594-fx044gcd 1214 5 ADEM ADEM NNP cord-022594-fx044gcd 1214 6 is be VBZ cord-022594-fx044gcd 1214 7 distinctive distinctive JJ cord-022594-fx044gcd 1214 8 but but CC cord-022594-fx044gcd 1214 9 not not RB cord-022594-fx044gcd 1214 10 pathognomonic pathognomonic JJ cord-022594-fx044gcd 1214 11 , , , cord-022594-fx044gcd 1214 12 because because IN cord-022594-fx044gcd 1214 13 a a DT cord-022594-fx044gcd 1214 14 rare rare JJ cord-022594-fx044gcd 1214 15 form form NN cord-022594-fx044gcd 1214 16 of of IN cord-022594-fx044gcd 1214 17 MS MS NNP cord-022594-fx044gcd 1214 18 known know VBN cord-022594-fx044gcd 1214 19 as as IN cord-022594-fx044gcd 1214 20 Marburg Marburg NNP cord-022594-fx044gcd 1214 21 's 's POS cord-022594-fx044gcd 1214 22 MS MS NNP cord-022594-fx044gcd 1214 23 is be VBZ cord-022594-fx044gcd 1214 24 also also RB cord-022594-fx044gcd 1214 25 rapid rapid JJ cord-022594-fx044gcd 1214 26 in in IN cord-022594-fx044gcd 1214 27 onset onset NN cord-022594-fx044gcd 1214 28 and and CC cord-022594-fx044gcd 1214 29 often often RB cord-022594-fx044gcd 1214 30 deadly deadly JJ cord-022594-fx044gcd 1214 31 . . . cord-022594-fx044gcd 1215 1 The the DT cord-022594-fx044gcd 1215 2 appearance appearance NN cord-022594-fx044gcd 1215 3 of of IN cord-022594-fx044gcd 1215 4 brain brain NN cord-022594-fx044gcd 1215 5 stem stem NN cord-022594-fx044gcd 1215 6 , , , cord-022594-fx044gcd 1215 7 periventricular periventricular NNP cord-022594-fx044gcd 1215 8 , , , cord-022594-fx044gcd 1215 9 and and CC cord-022594-fx044gcd 1215 10 multiple multiple JJ cord-022594-fx044gcd 1215 11 , , , cord-022594-fx044gcd 1215 12 large large JJ cord-022594-fx044gcd 1215 13 cerebral cerebral JJ cord-022594-fx044gcd 1215 14 white white JJ cord-022594-fx044gcd 1215 15 matter matter NN cord-022594-fx044gcd 1215 16 lesions lesion NNS cord-022594-fx044gcd 1215 17 and and CC cord-022594-fx044gcd 1215 18 the the DT cord-022594-fx044gcd 1215 19 presence presence NN cord-022594-fx044gcd 1215 20 of of IN cord-022594-fx044gcd 1215 21 OCBs OCBs NNP cord-022594-fx044gcd 1215 22 may may MD cord-022594-fx044gcd 1215 23 distinguish distinguish VB cord-022594-fx044gcd 1215 24 Marburg Marburg NNP cord-022594-fx044gcd 1215 25 's 's POS cord-022594-fx044gcd 1215 26 variant variant NN cord-022594-fx044gcd 1215 27 from from IN cord-022594-fx044gcd 1215 28 ADEM ADEM NNP cord-022594-fx044gcd 1215 29 . . . cord-022594-fx044gcd 1216 1 On on IN cord-022594-fx044gcd 1216 2 rare rare JJ cord-022594-fx044gcd 1216 3 occasions occasion NNS cord-022594-fx044gcd 1216 4 , , , cord-022594-fx044gcd 1216 5 inflammatory inflammatory JJ cord-022594-fx044gcd 1216 6 demyelinating demyelinating JJ cord-022594-fx044gcd 1216 7 lesions lesion NNS cord-022594-fx044gcd 1216 8 may may MD cord-022594-fx044gcd 1216 9 reach reach VB cord-022594-fx044gcd 1216 10 a a DT cord-022594-fx044gcd 1216 11 large large JJ cord-022594-fx044gcd 1216 12 size size NN cord-022594-fx044gcd 1216 13 and and CC cord-022594-fx044gcd 1216 14 resemble resemble JJ cord-022594-fx044gcd 1216 15 tumors tumor NNS cord-022594-fx044gcd 1216 16 ( ( -LRB- cord-022594-fx044gcd 1216 17 especially especially RB cord-022594-fx044gcd 1216 18 lymphoma lymphoma NN cord-022594-fx044gcd 1216 19 ) ) -RRB- cord-022594-fx044gcd 1216 20 on on IN cord-022594-fx044gcd 1216 21 MRI MRI NNP cord-022594-fx044gcd 1216 22 , , , cord-022594-fx044gcd 1216 23 necessitating necessitate VBG cord-022594-fx044gcd 1216 24 biopsy biopsy NN cord-022594-fx044gcd 1216 25 for for IN cord-022594-fx044gcd 1216 26 clarification clarification NN cord-022594-fx044gcd 1216 27 . . . cord-022594-fx044gcd 1217 1 There there EX cord-022594-fx044gcd 1217 2 is be VBZ cord-022594-fx044gcd 1217 3 usually usually RB cord-022594-fx044gcd 1217 4 one one CD cord-022594-fx044gcd 1217 5 dominant dominant JJ cord-022594-fx044gcd 1217 6 lesion lesion NN cord-022594-fx044gcd 1217 7 , , , cord-022594-fx044gcd 1217 8 but but CC cord-022594-fx044gcd 1217 9 smaller small JJR cord-022594-fx044gcd 1217 10 separate separate JJ cord-022594-fx044gcd 1217 11 lesions lesion NNS cord-022594-fx044gcd 1217 12 may may MD cord-022594-fx044gcd 1217 13 be be VB cord-022594-fx044gcd 1217 14 identifiable identifiable JJ cord-022594-fx044gcd 1217 15 . . . cord-022594-fx044gcd 1218 1 These these DT cord-022594-fx044gcd 1218 2 have have VBP cord-022594-fx044gcd 1218 3 been be VBN cord-022594-fx044gcd 1218 4 referred refer VBN cord-022594-fx044gcd 1218 5 to to IN cord-022594-fx044gcd 1218 6 as as IN cord-022594-fx044gcd 1218 7 both both CC cord-022594-fx044gcd 1218 8 ADEM ADEM NNP cord-022594-fx044gcd 1218 9 and and CC cord-022594-fx044gcd 1218 10 MS MS NNP cord-022594-fx044gcd 1218 11 in in IN cord-022594-fx044gcd 1218 12 the the DT cord-022594-fx044gcd 1218 13 literature literature NN cord-022594-fx044gcd 1218 14 . . . cord-022594-fx044gcd 1219 1 The the DT cord-022594-fx044gcd 1219 2 prognosis prognosis NN cord-022594-fx044gcd 1219 3 for for IN cord-022594-fx044gcd 1219 4 recovery recovery NN cord-022594-fx044gcd 1219 5 is be VBZ cord-022594-fx044gcd 1219 6 often often RB cord-022594-fx044gcd 1219 7 quite quite RB cord-022594-fx044gcd 1219 8 good good JJ cord-022594-fx044gcd 1219 9 , , , cord-022594-fx044gcd 1219 10 although although IN cord-022594-fx044gcd 1219 11 approximately approximately RB cord-022594-fx044gcd 1219 12 one one CD cord-022594-fx044gcd 1219 13 third third JJ cord-022594-fx044gcd 1219 14 suffer suffer VB cord-022594-fx044gcd 1219 15 subsequent subsequent JJ cord-022594-fx044gcd 1219 16 attacks attack NNS cord-022594-fx044gcd 1219 17 . . . cord-022594-fx044gcd 1220 1 Some some DT cord-022594-fx044gcd 1220 2 develop develop VBP cord-022594-fx044gcd 1220 3 typical typical JJ cord-022594-fx044gcd 1220 4 MS MS NNP cord-022594-fx044gcd 1220 5 , , , cord-022594-fx044gcd 1220 6 whereas whereas IN cord-022594-fx044gcd 1220 7 others other NNS cord-022594-fx044gcd 1220 8 have have VBP cord-022594-fx044gcd 1220 9 recurring recur VBG cord-022594-fx044gcd 1220 10 tumor tumor NN cord-022594-fx044gcd 1220 11 - - HYPH cord-022594-fx044gcd 1220 12 like like JJ cord-022594-fx044gcd 1220 13 lesions lesion NNS cord-022594-fx044gcd 1220 14 . . . cord-022594-fx044gcd 1221 1 The the DT cord-022594-fx044gcd 1221 2 term term NN cord-022594-fx044gcd 1221 3 multiphasic multiphasic JJ cord-022594-fx044gcd 1221 4 ADEM ADEM NNP cord-022594-fx044gcd 1221 5 has have VBZ cord-022594-fx044gcd 1221 6 been be VBN cord-022594-fx044gcd 1221 7 used use VBN cord-022594-fx044gcd 1221 8 when when WRB cord-022594-fx044gcd 1221 9 patients patient NNS cord-022594-fx044gcd 1221 10 have have VBP cord-022594-fx044gcd 1221 11 large large JJ cord-022594-fx044gcd 1221 12 recurrences recurrence NNS cord-022594-fx044gcd 1221 13 in in IN cord-022594-fx044gcd 1221 14 the the DT cord-022594-fx044gcd 1221 15 same same JJ cord-022594-fx044gcd 1221 16 location location NN cord-022594-fx044gcd 1221 17 , , , cord-022594-fx044gcd 1221 18 and and CC cord-022594-fx044gcd 1221 19 relapsing relapse VBG cord-022594-fx044gcd 1221 20 ADEM ADEM NNP cord-022594-fx044gcd 1221 21 refers refer VBZ cord-022594-fx044gcd 1221 22 to to IN cord-022594-fx044gcd 1221 23 recurrences recurrence NNS cord-022594-fx044gcd 1221 24 at at IN cord-022594-fx044gcd 1221 25 different different JJ cord-022594-fx044gcd 1221 26 sites site NNS cord-022594-fx044gcd 1221 27 . . . cord-022594-fx044gcd 1222 1 The the DT cord-022594-fx044gcd 1222 2 relationship relationship NN cord-022594-fx044gcd 1222 3 of of IN cord-022594-fx044gcd 1222 4 these these DT cord-022594-fx044gcd 1222 5 entities entity NNS cord-022594-fx044gcd 1222 6 with with IN cord-022594-fx044gcd 1222 7 MS MS NNP cord-022594-fx044gcd 1222 8 is be VBZ cord-022594-fx044gcd 1222 9 unclear unclear JJ cord-022594-fx044gcd 1222 10 . . . cord-022594-fx044gcd 1223 1 Balo Balo NNP cord-022594-fx044gcd 1223 2 's 's POS cord-022594-fx044gcd 1223 3 concentric concentric JJ cord-022594-fx044gcd 1223 4 sclerosis sclerosis NN cord-022594-fx044gcd 1223 5 refers refer VBZ cord-022594-fx044gcd 1223 6 to to IN cord-022594-fx044gcd 1223 7 the the DT cord-022594-fx044gcd 1223 8 pathological pathological JJ cord-022594-fx044gcd 1223 9 finding finding NN cord-022594-fx044gcd 1223 10 of of IN cord-022594-fx044gcd 1223 11 alternating alternate VBG cord-022594-fx044gcd 1223 12 bands band NNS cord-022594-fx044gcd 1223 13 of of IN cord-022594-fx044gcd 1223 14 demyelination demyelination NN cord-022594-fx044gcd 1223 15 and and CC cord-022594-fx044gcd 1223 16 remyelination remyelination NN cord-022594-fx044gcd 1223 17 . . . cord-022594-fx044gcd 1224 1 These these DT cord-022594-fx044gcd 1224 2 patients patient NNS cord-022594-fx044gcd 1224 3 typically typically RB cord-022594-fx044gcd 1224 4 have have VBP cord-022594-fx044gcd 1224 5 large large JJ cord-022594-fx044gcd 1224 6 lesions lesion NNS cord-022594-fx044gcd 1224 7 and and CC cord-022594-fx044gcd 1224 8 subacute subacute JJ cord-022594-fx044gcd 1224 9 deficits deficit NNS cord-022594-fx044gcd 1224 10 similar similar JJ cord-022594-fx044gcd 1224 11 to to IN cord-022594-fx044gcd 1224 12 those those DT cord-022594-fx044gcd 1224 13 described describe VBN cord-022594-fx044gcd 1224 14 earlier early RBR cord-022594-fx044gcd 1224 15 . . . cord-022594-fx044gcd 1225 1 Typical typical JJ cord-022594-fx044gcd 1225 2 demyelinating demyelinating JJ cord-022594-fx044gcd 1225 3 lesions lesion NNS cord-022594-fx044gcd 1225 4 commonly commonly RB cord-022594-fx044gcd 1225 5 coexist coexist VBP cord-022594-fx044gcd 1225 6 , , , cord-022594-fx044gcd 1225 7 and and CC cord-022594-fx044gcd 1225 8 rarely rarely RB cord-022594-fx044gcd 1225 9 CDMS CDMS NNP cord-022594-fx044gcd 1225 10 patients patient NNS cord-022594-fx044gcd 1225 11 are be VBP cord-022594-fx044gcd 1225 12 noted note VBN cord-022594-fx044gcd 1225 13 to to TO cord-022594-fx044gcd 1225 14 have have VB cord-022594-fx044gcd 1225 15 similar similar JJ cord-022594-fx044gcd 1225 16 - - HYPH cord-022594-fx044gcd 1225 17 appearing appearing JJ cord-022594-fx044gcd 1225 18 lesions lesion NNS cord-022594-fx044gcd 1225 19 . . . cord-022594-fx044gcd 1226 1 The the DT cord-022594-fx044gcd 1226 2 reason reason NN cord-022594-fx044gcd 1226 3 for for IN cord-022594-fx044gcd 1226 4 this this DT cord-022594-fx044gcd 1226 5 peculiar peculiar JJ cord-022594-fx044gcd 1226 6 alternating alternate VBG cord-022594-fx044gcd 1226 7 pattern pattern NN cord-022594-fx044gcd 1226 8 is be VBZ cord-022594-fx044gcd 1226 9 unknown unknown JJ cord-022594-fx044gcd 1226 10 . . . cord-022594-fx044gcd 1227 1 Schilder Schilder NNP cord-022594-fx044gcd 1227 2 's 's POS cord-022594-fx044gcd 1227 3 myelinoclastic myelinoclastic JJ cord-022594-fx044gcd 1227 4 diffuse diffuse JJ cord-022594-fx044gcd 1227 5 sclerosis sclerosis NN cord-022594-fx044gcd 1227 6 is be VBZ cord-022594-fx044gcd 1227 7 another another DT cord-022594-fx044gcd 1227 8 rare rare JJ cord-022594-fx044gcd 1227 9 condition condition NN cord-022594-fx044gcd 1227 10 that that WDT cord-022594-fx044gcd 1227 11 may may MD cord-022594-fx044gcd 1227 12 be be VB cord-022594-fx044gcd 1227 13 confused confuse VBN cord-022594-fx044gcd 1227 14 with with IN cord-022594-fx044gcd 1227 15 ADEM ADEM NNP cord-022594-fx044gcd 1227 16 or or CC cord-022594-fx044gcd 1227 17 other other JJ cord-022594-fx044gcd 1227 18 demyelinating demyelinating JJ cord-022594-fx044gcd 1227 19 conditions condition NNS cord-022594-fx044gcd 1227 20 . . . cord-022594-fx044gcd 1228 1 This this DT cord-022594-fx044gcd 1228 2 progressive progressive JJ cord-022594-fx044gcd 1228 3 demyelinating demyelinating JJ cord-022594-fx044gcd 1228 4 disorder disorder NN cord-022594-fx044gcd 1228 5 usually usually RB cord-022594-fx044gcd 1228 6 begins begin VBZ cord-022594-fx044gcd 1228 7 in in IN cord-022594-fx044gcd 1228 8 childhood childhood NN cord-022594-fx044gcd 1228 9 . . . cord-022594-fx044gcd 1229 1 The the DT cord-022594-fx044gcd 1229 2 features feature NNS cord-022594-fx044gcd 1229 3 are be VBP cord-022594-fx044gcd 1229 4 often often RB cord-022594-fx044gcd 1229 5 atypical atypical JJ cord-022594-fx044gcd 1229 6 and and CC cord-022594-fx044gcd 1229 7 include include VBP cord-022594-fx044gcd 1229 8 dementia dementia NN cord-022594-fx044gcd 1229 9 , , , cord-022594-fx044gcd 1229 10 aphasia aphasia NNP cord-022594-fx044gcd 1229 11 , , , cord-022594-fx044gcd 1229 12 homonymous homonymous JJ cord-022594-fx044gcd 1229 13 hemianopia hemianopia NNP cord-022594-fx044gcd 1229 14 , , , cord-022594-fx044gcd 1229 15 seizures seizure NNS cord-022594-fx044gcd 1229 16 , , , cord-022594-fx044gcd 1229 17 psychosis psychosis NN cord-022594-fx044gcd 1229 18 , , , cord-022594-fx044gcd 1229 19 elevated elevated JJ cord-022594-fx044gcd 1229 20 intracranial intracranial JJ cord-022594-fx044gcd 1229 21 pressure pressure NN cord-022594-fx044gcd 1229 22 , , , cord-022594-fx044gcd 1229 23 and and CC cord-022594-fx044gcd 1229 24 the the DT cord-022594-fx044gcd 1229 25 absence absence NN cord-022594-fx044gcd 1229 26 of of IN cord-022594-fx044gcd 1229 27 OCBs ocb NNS cord-022594-fx044gcd 1229 28 . . . cord-022594-fx044gcd 1230 1 The the DT cord-022594-fx044gcd 1230 2 most most RBS cord-022594-fx044gcd 1230 3 characteristic characteristic JJ cord-022594-fx044gcd 1230 4 finding finding NN cord-022594-fx044gcd 1230 5 is be VBZ cord-022594-fx044gcd 1230 6 the the DT cord-022594-fx044gcd 1230 7 presence presence NN cord-022594-fx044gcd 1230 8 of of IN cord-022594-fx044gcd 1230 9 two two CD cord-022594-fx044gcd 1230 10 large large JJ cord-022594-fx044gcd 1230 11 , , , cord-022594-fx044gcd 1230 12 roughly roughly RB cord-022594-fx044gcd 1230 13 symmetrical symmetrical JJ cord-022594-fx044gcd 1230 14 lesions lesion NNS cord-022594-fx044gcd 1230 15 on on IN cord-022594-fx044gcd 1230 16 MRI MRI NNP cord-022594-fx044gcd 1230 17 , , , cord-022594-fx044gcd 1230 18 one one CD cord-022594-fx044gcd 1230 19 in in IN cord-022594-fx044gcd 1230 20 each each DT cord-022594-fx044gcd 1230 21 hemisphere hemisphere NN cord-022594-fx044gcd 1230 22 . . . cord-022594-fx044gcd 1231 1 The the DT cord-022594-fx044gcd 1231 2 diagnosis diagnosis NN cord-022594-fx044gcd 1231 3 is be VBZ cord-022594-fx044gcd 1231 4 made make VBN cord-022594-fx044gcd 1231 5 by by IN cord-022594-fx044gcd 1231 6 excluding exclude VBG cord-022594-fx044gcd 1231 7 the the DT cord-022594-fx044gcd 1231 8 known know VBN cord-022594-fx044gcd 1231 9 inherited inherit VBN cord-022594-fx044gcd 1231 10 leukodystrophies leukodystrophie NNS cord-022594-fx044gcd 1231 11 , , , cord-022594-fx044gcd 1231 12 especially especially RB cord-022594-fx044gcd 1231 13 adrenoleukodystrophy adrenoleukodystrophy NN cord-022594-fx044gcd 1231 14 . . . cord-022594-fx044gcd 1232 1 MANAGEMENT management NN cord-022594-fx044gcd 1232 2 . . . cord-022594-fx044gcd 1233 1 Treatment treatment NN cord-022594-fx044gcd 1233 2 with with IN cord-022594-fx044gcd 1233 3 intravenous intravenous JJ cord-022594-fx044gcd 1233 4 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 1233 5 seems seem VBZ cord-022594-fx044gcd 1233 6 to to TO cord-022594-fx044gcd 1233 7 halt halt VB cord-022594-fx044gcd 1233 8 progression progression NN cord-022594-fx044gcd 1233 9 and and CC cord-022594-fx044gcd 1233 10 allow allow VB cord-022594-fx044gcd 1233 11 recovery recovery NN cord-022594-fx044gcd 1233 12 to to TO cord-022594-fx044gcd 1233 13 begin begin VB cord-022594-fx044gcd 1233 14 sooner soon RBR cord-022594-fx044gcd 1233 15 , , , cord-022594-fx044gcd 1233 16 just just RB cord-022594-fx044gcd 1233 17 as as IN cord-022594-fx044gcd 1233 18 with with IN cord-022594-fx044gcd 1233 19 MS MS NNP cord-022594-fx044gcd 1233 20 . . . cord-022594-fx044gcd 1234 1 Plasma plasma NN cord-022594-fx044gcd 1234 2 exchange exchange NN cord-022594-fx044gcd 1234 3 can can MD cord-022594-fx044gcd 1234 4 be be VB cord-022594-fx044gcd 1234 5 tried try VBN cord-022594-fx044gcd 1234 6 in in IN cord-022594-fx044gcd 1234 7 those those DT cord-022594-fx044gcd 1234 8 with with IN cord-022594-fx044gcd 1234 9 severe severe JJ cord-022594-fx044gcd 1234 10 deficits deficit NNS cord-022594-fx044gcd 1234 11 and and CC cord-022594-fx044gcd 1234 12 little little JJ cord-022594-fx044gcd 1234 13 response response NN cord-022594-fx044gcd 1234 14 to to IN cord-022594-fx044gcd 1234 15 corticosteroids corticosteroid NNS cord-022594-fx044gcd 1234 16 . . . cord-022594-fx044gcd 1235 1 IVIG IVIG NNP cord-022594-fx044gcd 1235 2 has have VBZ cord-022594-fx044gcd 1235 3 also also RB cord-022594-fx044gcd 1235 4 been be VBN cord-022594-fx044gcd 1235 5 used use VBN cord-022594-fx044gcd 1235 6 successfully successfully RB cord-022594-fx044gcd 1235 7 according accord VBG cord-022594-fx044gcd 1235 8 to to IN cord-022594-fx044gcd 1235 9 case case NN cord-022594-fx044gcd 1235 10 reports report NNS cord-022594-fx044gcd 1235 11 in in IN cord-022594-fx044gcd 1235 12 the the DT cord-022594-fx044gcd 1235 13 literature literature NN cord-022594-fx044gcd 1235 14 . . . cord-022594-fx044gcd 1236 1 One one CD cord-022594-fx044gcd 1236 2 fulminant fulminant JJ cord-022594-fx044gcd 1236 3 case case NN cord-022594-fx044gcd 1236 4 responded respond VBD cord-022594-fx044gcd 1236 5 to to IN cord-022594-fx044gcd 1236 6 hypothermia hypothermia NN cord-022594-fx044gcd 1236 7 only only RB cord-022594-fx044gcd 1236 8 . . . cord-022594-fx044gcd 1237 1 Genetics genetic NNS cord-022594-fx044gcd 1237 2 of of IN cord-022594-fx044gcd 1237 3 multiple multiple JJ cord-022594-fx044gcd 1237 4 sclerosis sclerosis NN cord-022594-fx044gcd 1237 5 Utility utility NN cord-022594-fx044gcd 1237 6 of of IN cord-022594-fx044gcd 1237 7 MRI MRI NNP cord-022594-fx044gcd 1237 8 in in IN cord-022594-fx044gcd 1237 9 suspected suspect VBN cord-022594-fx044gcd 1237 10 MS MS NNP cord-022594-fx044gcd 1238 1 The the DT cord-022594-fx044gcd 1238 2 use use NN cord-022594-fx044gcd 1238 3 of of IN cord-022594-fx044gcd 1238 4 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 1238 5 ( ( -LRB- cord-022594-fx044gcd 1238 6 Novantrone Novantrone NNP cord-022594-fx044gcd 1238 7 ) ) -RRB- cord-022594-fx044gcd 1238 8 for for IN cord-022594-fx044gcd 1238 9 the the DT cord-022594-fx044gcd 1238 10 treatment treatment NN cord-022594-fx044gcd 1238 11 of of IN cord-022594-fx044gcd 1238 12 multiple multiple JJ cord-022594-fx044gcd 1238 13 sclerosis sclerosis NN cord-022594-fx044gcd 1238 14 Disease Disease NNP cord-022594-fx044gcd 1238 15 modifying modify VBG cord-022594-fx044gcd 1238 16 therapies therapy NNS cord-022594-fx044gcd 1238 17 in in IN cord-022594-fx044gcd 1238 18 multiple multiple JJ cord-022594-fx044gcd 1238 19 sclerosis sclerosis NN cord-022594-fx044gcd 1238 20 Natural natural JJ cord-022594-fx044gcd 1238 21 history history NN cord-022594-fx044gcd 1238 22 of of IN cord-022594-fx044gcd 1238 23 multiple multiple JJ cord-022594-fx044gcd 1238 24 sclerosis sclerosis NN cord-022594-fx044gcd 1239 1 A a DT cord-022594-fx044gcd 1239 2 randomized randomized JJ cord-022594-fx044gcd 1239 3 study study NN cord-022594-fx044gcd 1239 4 of of IN cord-022594-fx044gcd 1239 5 two two CD cord-022594-fx044gcd 1239 6 interferon interferon NN cord-022594-fx044gcd 1239 7 - - HYPH cord-022594-fx044gcd 1239 8 beta beta NN cord-022594-fx044gcd 1239 9 treatments treatment NNS cord-022594-fx044gcd 1239 10 in in IN cord-022594-fx044gcd 1239 11 relapsing relapse VBG cord-022594-fx044gcd 1239 12 - - HYPH cord-022594-fx044gcd 1239 13 remitting remit VBG cord-022594-fx044gcd 1239 14 multiple multiple JJ cord-022594-fx044gcd 1239 15 sclerosis sclerosis NN cord-022594-fx044gcd 1239 16 Cortical cortical JJ cord-022594-fx044gcd 1239 17 lesions lesion NNS cord-022594-fx044gcd 1239 18 and and CC cord-022594-fx044gcd 1239 19 brain brain NN cord-022594-fx044gcd 1239 20 atrophy atrophy NN cord-022594-fx044gcd 1239 21 in in IN cord-022594-fx044gcd 1239 22 MS MS NNP cord-022594-fx044gcd 1240 1 The the DT cord-022594-fx044gcd 1240 2 pathology pathology NN cord-022594-fx044gcd 1240 3 of of IN cord-022594-fx044gcd 1240 4 multiple multiple JJ cord-022594-fx044gcd 1240 5 sclerosis sclerosis NN cord-022594-fx044gcd 1240 6 Management Management NNP cord-022594-fx044gcd 1240 7 of of IN cord-022594-fx044gcd 1240 8 multiple multiple JJ cord-022594-fx044gcd 1240 9 sclerosis sclerosis NN cord-022594-fx044gcd 1240 10 : : : cord-022594-fx044gcd 1240 11 current current JJ cord-022594-fx044gcd 1240 12 trials trial NNS cord-022594-fx044gcd 1240 13 and and CC cord-022594-fx044gcd 1240 14 future future JJ cord-022594-fx044gcd 1240 15 options option NNS cord-022594-fx044gcd 1241 1 Competing compete VBG cord-022594-fx044gcd 1241 2 interests interest NNS cord-022594-fx044gcd 1241 3 in in IN cord-022594-fx044gcd 1241 4 multiple multiple JJ cord-022594-fx044gcd 1241 5 sclerosis sclerosis NN cord-022594-fx044gcd 1241 6 research research NN cord-022594-fx044gcd 1241 7 Diagnostic diagnostic JJ cord-022594-fx044gcd 1241 8 criteria criterion NNS cord-022594-fx044gcd 1241 9 for for IN cord-022594-fx044gcd 1241 10 multiple multiple JJ cord-022594-fx044gcd 1241 11 sclerosis sclerosis NN cord-022594-fx044gcd 1241 12 : : : cord-022594-fx044gcd 1242 1 2005 2005 CD cord-022594-fx044gcd 1242 2 revisions revision NNS cord-022594-fx044gcd 1242 3 to to IN cord-022594-fx044gcd 1242 4 the the DT cord-022594-fx044gcd 1242 5 " " `` cord-022594-fx044gcd 1242 6 McDonald McDonald NNP cord-022594-fx044gcd 1242 7 Criteria Criteria NNP cord-022594-fx044gcd 1242 8 Immunization Immunization NNP cord-022594-fx044gcd 1242 9 and and CC cord-022594-fx044gcd 1242 10 multiple multiple JJ cord-022594-fx044gcd 1242 11 sclerosis sclerosis NN cord-022594-fx044gcd 1242 12 : : : cord-022594-fx044gcd 1242 13 A a DT cord-022594-fx044gcd 1242 14 summary summary NN cord-022594-fx044gcd 1242 15 of of IN cord-022594-fx044gcd 1242 16 published publish VBN cord-022594-fx044gcd 1242 17 evidence evidence NN cord-022594-fx044gcd 1242 18 and and CC cord-022594-fx044gcd 1242 19 recommendations recommendation NNS cord-022594-fx044gcd 1242 20 Revised revise VBD cord-022594-fx044gcd 1242 21 diagnostic diagnostic JJ cord-022594-fx044gcd 1242 22 criteria criterion NNS cord-022594-fx044gcd 1242 23 for for IN cord-022594-fx044gcd 1242 24 neuromyelitisi neuromyelitisi NNP cord-022594-fx044gcd 1243 1 optica optica NNP cord-022594-fx044gcd 1243 2 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 1244 1 optica optica NNP cord-022594-fx044gcd 1244 2 Randomized Randomized NNP cord-022594-fx044gcd 1244 3 controlled control VBN cord-022594-fx044gcd 1244 4 trials trial NNS cord-022594-fx044gcd 1244 5 to to TO cord-022594-fx044gcd 1244 6 assess assess VB cord-022594-fx044gcd 1244 7 therapies therapy NNS cord-022594-fx044gcd 1244 8 for for IN cord-022594-fx044gcd 1244 9 multiple multiple JJ cord-022594-fx044gcd 1244 10 sclerosis sclerosis NN cord-022594-fx044gcd 1245 1 Does do VBZ cord-022594-fx044gcd 1245 2 the the DT cord-022594-fx044gcd 1245 3 history history NN cord-022594-fx044gcd 1245 4 of of IN cord-022594-fx044gcd 1245 5 multiple multiple JJ cord-022594-fx044gcd 1245 6 sclerosis sclerosis NN cord-022594-fx044gcd 1245 7 go go VBP cord-022594-fx044gcd 1245 8 back back RB cord-022594-fx044gcd 1245 9 as as RB cord-022594-fx044gcd 1245 10 far far RB cord-022594-fx044gcd 1245 11 as as IN cord-022594-fx044gcd 1245 12 the the DT cord-022594-fx044gcd 1245 13 14th 14th JJ cord-022594-fx044gcd 1245 14 century century NN cord-022594-fx044gcd 1245 15 ? ? . cord-022594-fx044gcd 1246 1 The the DT cord-022594-fx044gcd 1246 2 150-year 150-year CD cord-022594-fx044gcd 1246 3 anniversary anniversary NN cord-022594-fx044gcd 1246 4 of of IN cord-022594-fx044gcd 1246 5 multiple multiple JJ cord-022594-fx044gcd 1246 6 sclerosis sclerosis NN cord-022594-fx044gcd 1246 7 : : : cord-022594-fx044gcd 1246 8 Does do VBZ cord-022594-fx044gcd 1246 9 its -PRON- PRP$ cord-022594-fx044gcd 1246 10 early early JJ cord-022594-fx044gcd 1246 11 history history NN cord-022594-fx044gcd 1246 12 give give VBP cord-022594-fx044gcd 1246 13 an an DT cord-022594-fx044gcd 1246 14 etiological etiological JJ cord-022594-fx044gcd 1246 15 clue clue NN cord-022594-fx044gcd 1246 16 ? ? . cord-022594-fx044gcd 1247 1 Encephalomyelitis Encephalomyelitis NNP cord-022594-fx044gcd 1247 2 accompanied accompany VBN cord-022594-fx044gcd 1247 3 by by IN cord-022594-fx044gcd 1247 4 myelin myelin JJ cord-022594-fx044gcd 1247 5 destruction destruction NN cord-022594-fx044gcd 1247 6 experimentally experimentally RB cord-022594-fx044gcd 1247 7 produced produce VBN cord-022594-fx044gcd 1247 8 in in IN cord-022594-fx044gcd 1247 9 monkeys monkey NNS cord-022594-fx044gcd 1247 10 Morphological morphological JJ cord-022594-fx044gcd 1247 11 aspects aspect NNS cord-022594-fx044gcd 1247 12 of of IN cord-022594-fx044gcd 1247 13 myelin myelin NN cord-022594-fx044gcd 1247 14 and and CC cord-022594-fx044gcd 1247 15 myelination myelination NN cord-022594-fx044gcd 1247 16 T t NN cord-022594-fx044gcd 1247 17 - - HYPH cord-022594-fx044gcd 1247 18 cell cell NN cord-022594-fx044gcd 1247 19 subsets subset NNS cord-022594-fx044gcd 1247 20 in in IN cord-022594-fx044gcd 1247 21 multiple multiple JJ cord-022594-fx044gcd 1247 22 sclerosis sclerosis NN cord-022594-fx044gcd 1247 23 : : : cord-022594-fx044gcd 1247 24 A a DT cord-022594-fx044gcd 1247 25 comparative comparative JJ cord-022594-fx044gcd 1247 26 study study NN cord-022594-fx044gcd 1247 27 between between IN cord-022594-fx044gcd 1247 28 cell cell NN cord-022594-fx044gcd 1247 29 surface surface NN cord-022594-fx044gcd 1247 30 antigens antigen NNS cord-022594-fx044gcd 1247 31 and and CC cord-022594-fx044gcd 1247 32 function function VB cord-022594-fx044gcd 1247 33 Molecular molecular JJ cord-022594-fx044gcd 1247 34 mimicry mimicry NN cord-022594-fx044gcd 1247 35 in in IN cord-022594-fx044gcd 1247 36 T T NNP cord-022594-fx044gcd 1247 37 cellmediated cellmediate VBN cord-022594-fx044gcd 1247 38 autoimmunity autoimmunity NN cord-022594-fx044gcd 1247 39 : : : cord-022594-fx044gcd 1247 40 Viral viral JJ cord-022594-fx044gcd 1247 41 peptides peptide NNS cord-022594-fx044gcd 1247 42 activate activate VBP cord-022594-fx044gcd 1247 43 human human JJ cord-022594-fx044gcd 1247 44 T t NN cord-022594-fx044gcd 1247 45 cell cell NN cord-022594-fx044gcd 1247 46 clones clone NNS cord-022594-fx044gcd 1247 47 specific specific JJ cord-022594-fx044gcd 1247 48 for for IN cord-022594-fx044gcd 1247 49 myelin myelin JJ cord-022594-fx044gcd 1247 50 basic basic JJ cord-022594-fx044gcd 1247 51 protein protein NN cord-022594-fx044gcd 1247 52 T T NNP cord-022594-fx044gcd 1247 53 cells cell NNS cord-022594-fx044gcd 1247 54 responsive responsive JJ cord-022594-fx044gcd 1247 55 to to IN cord-022594-fx044gcd 1247 56 myelin myelin JJ cord-022594-fx044gcd 1247 57 basic basic JJ cord-022594-fx044gcd 1247 58 protein protein NN cord-022594-fx044gcd 1247 59 in in IN cord-022594-fx044gcd 1247 60 patients patient NNS cord-022594-fx044gcd 1247 61 with with IN cord-022594-fx044gcd 1247 62 multiple multiple JJ cord-022594-fx044gcd 1247 63 sclerosis sclerosis NN cord-022594-fx044gcd 1248 1 The the DT cord-022594-fx044gcd 1248 2 CD4-Th1 CD4-Th1 NNP cord-022594-fx044gcd 1248 3 model model NN cord-022594-fx044gcd 1248 4 for for IN cord-022594-fx044gcd 1248 5 multiple multiple JJ cord-022594-fx044gcd 1248 6 sclerosis sclerosis NN cord-022594-fx044gcd 1248 7 : : : cord-022594-fx044gcd 1249 1 A a DT cord-022594-fx044gcd 1249 2 critical critical JJ cord-022594-fx044gcd 1249 3 Experimental experimental JJ cord-022594-fx044gcd 1249 4 allergic allergic JJ cord-022594-fx044gcd 1249 5 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 1249 6 : : : cord-022594-fx044gcd 1249 7 A a DT cord-022594-fx044gcd 1249 8 misleading misleading JJ cord-022594-fx044gcd 1249 9 model model NN cord-022594-fx044gcd 1249 10 of of IN cord-022594-fx044gcd 1249 11 multiple multiple JJ cord-022594-fx044gcd 1249 12 sclerosis sclerosis NN cord-022594-fx044gcd 1249 13 IgG IgG NNP cord-022594-fx044gcd 1249 14 marker marker NN cord-022594-fx044gcd 1249 15 of of IN cord-022594-fx044gcd 1249 16 optic optic JJ cord-022594-fx044gcd 1249 17 - - HYPH cord-022594-fx044gcd 1249 18 spinal spinal JJ cord-022594-fx044gcd 1249 19 multiple multiple JJ cord-022594-fx044gcd 1249 20 sclerosis sclerosis NN cord-022594-fx044gcd 1249 21 binds bind VBZ cord-022594-fx044gcd 1249 22 to to IN cord-022594-fx044gcd 1249 23 the the DT cord-022594-fx044gcd 1249 24 aquaporin-4 aquaporin-4 NNP cord-022594-fx044gcd 1249 25 water water NN cord-022594-fx044gcd 1249 26 channel channel NN cord-022594-fx044gcd 1249 27 Isolation isolation NN cord-022594-fx044gcd 1249 28 of of IN cord-022594-fx044gcd 1249 29 herpes herpes NNP cord-022594-fx044gcd 1249 30 simplex simplex NNP cord-022594-fx044gcd 1249 31 virus virus NN cord-022594-fx044gcd 1249 32 type type NN cord-022594-fx044gcd 1249 33 1 1 CD cord-022594-fx044gcd 1249 34 during during IN cord-022594-fx044gcd 1249 35 first first JJ cord-022594-fx044gcd 1249 36 attack attack NN cord-022594-fx044gcd 1249 37 of of IN cord-022594-fx044gcd 1249 38 multiple multiple JJ cord-022594-fx044gcd 1249 39 sclerosis sclerosis NN cord-022594-fx044gcd 1249 40 Isolation isolation NN cord-022594-fx044gcd 1249 41 of of IN cord-022594-fx044gcd 1249 42 virus virus NN cord-022594-fx044gcd 1249 43 from from IN cord-022594-fx044gcd 1249 44 the the DT cord-022594-fx044gcd 1249 45 spinal spinal JJ cord-022594-fx044gcd 1249 46 fluid fluid NN cord-022594-fx044gcd 1249 47 of of IN cord-022594-fx044gcd 1249 48 three three CD cord-022594-fx044gcd 1249 49 patients patient NNS cord-022594-fx044gcd 1249 50 with with IN cord-022594-fx044gcd 1249 51 multiple multiple JJ cord-022594-fx044gcd 1249 52 sclerosis sclerosis NN cord-022594-fx044gcd 1249 53 and and CC cord-022594-fx044gcd 1249 54 one one CD cord-022594-fx044gcd 1249 55 with with IN cord-022594-fx044gcd 1249 56 amyotrophic amyotrophic JJ cord-022594-fx044gcd 1249 57 lateral lateral JJ cord-022594-fx044gcd 1249 58 sclerosis sclerosis NN cord-022594-fx044gcd 1249 59 Plaque Plaque NNP cord-022594-fx044gcd 1249 60 - - HYPH cord-022594-fx044gcd 1249 61 associated associate VBN cord-022594-fx044gcd 1249 62 expression expression NN cord-022594-fx044gcd 1249 63 of of IN cord-022594-fx044gcd 1249 64 human human JJ cord-022594-fx044gcd 1249 65 herpesvirus herpesvirus NN cord-022594-fx044gcd 1249 66 6 6 CD cord-022594-fx044gcd 1249 67 in in IN cord-022594-fx044gcd 1249 68 multiple multiple JJ cord-022594-fx044gcd 1249 69 sclerosis sclerosis NN cord-022594-fx044gcd 1249 70 Oligodendrocytes Oligodendrocytes NNPS cord-022594-fx044gcd 1249 71 and and CC cord-022594-fx044gcd 1249 72 oligodendrocyte oligodendrocyte NNP cord-022594-fx044gcd 1249 73 / / SYM cord-022594-fx044gcd 1249 74 type-2 type-2 NNP cord-022594-fx044gcd 1249 75 astrocyte astrocyte NNP cord-022594-fx044gcd 1249 76 progenitor progenitor NN cord-022594-fx044gcd 1249 77 cells cell NNS cord-022594-fx044gcd 1249 78 of of IN cord-022594-fx044gcd 1249 79 adult adult NN cord-022594-fx044gcd 1249 80 rats rat NNS cord-022594-fx044gcd 1249 81 are be VBP cord-022594-fx044gcd 1249 82 specifically specifically RB cord-022594-fx044gcd 1249 83 susceptible susceptible JJ cord-022594-fx044gcd 1249 84 to to IN cord-022594-fx044gcd 1249 85 the the DT cord-022594-fx044gcd 1249 86 lytic lytic JJ cord-022594-fx044gcd 1249 87 effects effect NNS cord-022594-fx044gcd 1249 88 of of IN cord-022594-fx044gcd 1249 89 complement complement NN cord-022594-fx044gcd 1249 90 in in IN cord-022594-fx044gcd 1249 91 absence absence NN cord-022594-fx044gcd 1249 92 of of IN cord-022594-fx044gcd 1249 93 antibody antibody NN cord-022594-fx044gcd 1249 94 Experimental experimental JJ cord-022594-fx044gcd 1249 95 autoimmune autoimmune JJ cord-022594-fx044gcd 1249 96 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 1249 97 : : : cord-022594-fx044gcd 1250 1 immunotherapy immunotherapy NN cord-022594-fx044gcd 1250 2 with with IN cord-022594-fx044gcd 1250 3 anti anti JJ cord-022594-fx044gcd 1250 4 - - JJ cord-022594-fx044gcd 1250 5 tumor tumor JJ cord-022594-fx044gcd 1250 6 necrosis necrosis NN cord-022594-fx044gcd 1250 7 factor factor NN cord-022594-fx044gcd 1250 8 antibodies antibody NNS cord-022594-fx044gcd 1250 9 and and CC cord-022594-fx044gcd 1250 10 soluble soluble JJ cord-022594-fx044gcd 1250 11 tumor tumor NN cord-022594-fx044gcd 1250 12 necrosis necrosis NN cord-022594-fx044gcd 1250 13 factor factor NN cord-022594-fx044gcd 1250 14 receptors receptor NNS cord-022594-fx044gcd 1250 15 Evidence evidence NN cord-022594-fx044gcd 1250 16 for for IN cord-022594-fx044gcd 1250 17 pathogenic pathogenic JJ cord-022594-fx044gcd 1250 18 heterogeneity heterogeneity NN cord-022594-fx044gcd 1250 19 in in IN cord-022594-fx044gcd 1250 20 multiple multiple JJ cord-022594-fx044gcd 1250 21 sclerosis sclerosis NN cord-022594-fx044gcd 1250 22 Transected transect VBN cord-022594-fx044gcd 1250 23 neurites neurite NNS cord-022594-fx044gcd 1250 24 , , , cord-022594-fx044gcd 1250 25 apoptotic apoptotic JJ cord-022594-fx044gcd 1250 26 neurons neuron NNS cord-022594-fx044gcd 1250 27 , , , cord-022594-fx044gcd 1250 28 and and CC cord-022594-fx044gcd 1250 29 reduced reduce VBN cord-022594-fx044gcd 1250 30 inflammation inflammation NN cord-022594-fx044gcd 1250 31 in in IN cord-022594-fx044gcd 1250 32 cortical cortical JJ cord-022594-fx044gcd 1250 33 multiple multiple JJ cord-022594-fx044gcd 1250 34 sclerosis sclerosis NN cord-022594-fx044gcd 1250 35 lesions lesion NNS cord-022594-fx044gcd 1250 36 Cortical cortical JJ cord-022594-fx044gcd 1250 37 demyelination demyelination NN cord-022594-fx044gcd 1250 38 and and CC cord-022594-fx044gcd 1250 39 diffuse diffuse VB cord-022594-fx044gcd 1250 40 white white JJ cord-022594-fx044gcd 1250 41 matter matter NN cord-022594-fx044gcd 1250 42 injury injury NN cord-022594-fx044gcd 1250 43 in in IN cord-022594-fx044gcd 1250 44 multiple multiple JJ cord-022594-fx044gcd 1250 45 sclerosis sclerosis NN cord-022594-fx044gcd 1251 1 A a DT cord-022594-fx044gcd 1251 2 genetic genetic JJ cord-022594-fx044gcd 1251 3 basis basis NN cord-022594-fx044gcd 1251 4 for for IN cord-022594-fx044gcd 1251 5 familial familial JJ cord-022594-fx044gcd 1251 6 aggregation aggregation NN cord-022594-fx044gcd 1251 7 in in IN cord-022594-fx044gcd 1251 8 multiple multiple JJ cord-022594-fx044gcd 1251 9 sclerosis sclerosis NN cord-022594-fx044gcd 1251 10 . . . cord-022594-fx044gcd 1252 1 Canadian Canadian NNP cord-022594-fx044gcd 1252 2 Collaborative Collaborative NNP cord-022594-fx044gcd 1252 3 Study Study NNP cord-022594-fx044gcd 1252 4 Group Group NNP cord-022594-fx044gcd 1252 5 Genetics Genetics NNP cord-022594-fx044gcd 1252 6 of of IN cord-022594-fx044gcd 1252 7 multiple multiple JJ cord-022594-fx044gcd 1252 8 sclerosis sclerosis NN cord-022594-fx044gcd 1252 9 Multiple multiple JJ cord-022594-fx044gcd 1252 10 sclerosis sclerosis NN cord-022594-fx044gcd 1252 11 : : : cord-022594-fx044gcd 1252 12 Changing change VBG cord-022594-fx044gcd 1252 13 times time NNS cord-022594-fx044gcd 1252 14 Epidemiology Epidemiology NNP cord-022594-fx044gcd 1252 15 of of IN cord-022594-fx044gcd 1252 16 multiple multiple JJ cord-022594-fx044gcd 1252 17 sclerosis sclerosis NN cord-022594-fx044gcd 1252 18 in in IN cord-022594-fx044gcd 1252 19 U.S. U.S. NNP cord-022594-fx044gcd 1252 20 veterans veteran NNS cord-022594-fx044gcd 1252 21 : : : cord-022594-fx044gcd 1252 22 V. V. NNP cord-022594-fx044gcd 1252 23 Ancestry Ancestry NNP cord-022594-fx044gcd 1252 24 and and CC cord-022594-fx044gcd 1252 25 the the DT cord-022594-fx044gcd 1252 26 risk risk NN cord-022594-fx044gcd 1252 27 of of IN cord-022594-fx044gcd 1252 28 multiple multiple JJ cord-022594-fx044gcd 1252 29 sclerosis sclerosis NN cord-022594-fx044gcd 1252 30 Unusual unusual JJ cord-022594-fx044gcd 1252 31 occurrence occurrence NN cord-022594-fx044gcd 1252 32 on on IN cord-022594-fx044gcd 1252 33 a a DT cord-022594-fx044gcd 1252 34 tropical tropical JJ cord-022594-fx044gcd 1252 35 island island NN cord-022594-fx044gcd 1252 36 of of IN cord-022594-fx044gcd 1252 37 multiple multiple JJ cord-022594-fx044gcd 1252 38 sclerosis sclerosis NN cord-022594-fx044gcd 1253 1 When when WRB cord-022594-fx044gcd 1253 2 is be VBZ cord-022594-fx044gcd 1253 3 an an DT cord-022594-fx044gcd 1253 4 apparent apparent JJ cord-022594-fx044gcd 1253 5 excess excess NN cord-022594-fx044gcd 1253 6 of of IN cord-022594-fx044gcd 1253 7 neurologic neurologic JJ cord-022594-fx044gcd 1253 8 cases case NNS cord-022594-fx044gcd 1253 9 epidemiologically epidemiologically RB cord-022594-fx044gcd 1253 10 significant significant JJ cord-022594-fx044gcd 1253 11 Smoking smoking NN cord-022594-fx044gcd 1253 12 is be VBZ cord-022594-fx044gcd 1253 13 a a DT cord-022594-fx044gcd 1253 14 risk risk NN cord-022594-fx044gcd 1253 15 factor factor NN cord-022594-fx044gcd 1253 16 for for IN cord-022594-fx044gcd 1253 17 multiple multiple JJ cord-022594-fx044gcd 1253 18 sclerosis sclerosis NN cord-022594-fx044gcd 1253 19 Environmental environmental JJ cord-022594-fx044gcd 1253 20 risk risk NN cord-022594-fx044gcd 1253 21 factors factor NNS cord-022594-fx044gcd 1253 22 in in IN cord-022594-fx044gcd 1253 23 multiple multiple JJ cord-022594-fx044gcd 1253 24 sclerosis sclerosis NN cord-022594-fx044gcd 1253 25 : : : cord-022594-fx044gcd 1253 26 Causes cause NNS cord-022594-fx044gcd 1253 27 , , , cord-022594-fx044gcd 1253 28 triggers trigger NNS cord-022594-fx044gcd 1253 29 , , , cord-022594-fx044gcd 1253 30 and and CC cord-022594-fx044gcd 1253 31 patient patient JJ cord-022594-fx044gcd 1253 32 autonomy autonomy NN cord-022594-fx044gcd 1253 33 Pregnancy pregnancy NN cord-022594-fx044gcd 1253 34 is be VBZ cord-022594-fx044gcd 1253 35 associated associate VBN cord-022594-fx044gcd 1253 36 with with IN cord-022594-fx044gcd 1253 37 a a DT cord-022594-fx044gcd 1253 38 lower low JJR cord-022594-fx044gcd 1253 39 risk risk NN cord-022594-fx044gcd 1253 40 of of IN cord-022594-fx044gcd 1253 41 onset onset NN cord-022594-fx044gcd 1253 42 and and CC cord-022594-fx044gcd 1253 43 a a DT cord-022594-fx044gcd 1253 44 better well JJR cord-022594-fx044gcd 1253 45 prognosis prognosis NN cord-022594-fx044gcd 1253 46 in in IN cord-022594-fx044gcd 1253 47 multiple multiple JJ cord-022594-fx044gcd 1253 48 sclerosis sclerosis NN cord-022594-fx044gcd 1253 49 Diagnosis Diagnosis NNP cord-022594-fx044gcd 1253 50 of of IN cord-022594-fx044gcd 1253 51 MS MS NNP cord-022594-fx044gcd 1254 1 The the DT cord-022594-fx044gcd 1254 2 natural natural JJ cord-022594-fx044gcd 1254 3 history history NN cord-022594-fx044gcd 1254 4 of of IN cord-022594-fx044gcd 1254 5 recurrent recurrent JJ cord-022594-fx044gcd 1254 6 optic optic JJ cord-022594-fx044gcd 1254 7 neuritis neuritis NN cord-022594-fx044gcd 1255 1 The the DT cord-022594-fx044gcd 1255 2 prevalence prevalence NN cord-022594-fx044gcd 1255 3 of of IN cord-022594-fx044gcd 1255 4 cognitive cognitive JJ cord-022594-fx044gcd 1255 5 impairment impairment NN cord-022594-fx044gcd 1255 6 in in IN cord-022594-fx044gcd 1255 7 a a DT cord-022594-fx044gcd 1255 8 community community NN cord-022594-fx044gcd 1255 9 survey survey NN cord-022594-fx044gcd 1255 10 of of IN cord-022594-fx044gcd 1255 11 multiple multiple JJ cord-022594-fx044gcd 1255 12 sclerosis sclerosis NN cord-022594-fx044gcd 1255 13 Defining define VBG cord-022594-fx044gcd 1255 14 the the DT cord-022594-fx044gcd 1255 15 clinical clinical JJ cord-022594-fx044gcd 1255 16 course course NN cord-022594-fx044gcd 1255 17 of of IN cord-022594-fx044gcd 1255 18 multiple multiple JJ cord-022594-fx044gcd 1255 19 sclerosis sclerosis NN cord-022594-fx044gcd 1255 20 : : : cord-022594-fx044gcd 1255 21 results result NNS cord-022594-fx044gcd 1255 22 of of IN cord-022594-fx044gcd 1255 23 an an DT cord-022594-fx044gcd 1255 24 international international JJ cord-022594-fx044gcd 1255 25 survey survey NN cord-022594-fx044gcd 1255 26 . . . cord-022594-fx044gcd 1256 1 National National NNP cord-022594-fx044gcd 1256 2 Multiple Multiple NNP cord-022594-fx044gcd 1256 3 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1256 4 Society Society NNP cord-022594-fx044gcd 1256 5 ( ( -LRB- cord-022594-fx044gcd 1256 6 USA USA NNP cord-022594-fx044gcd 1256 7 ) ) -RRB- cord-022594-fx044gcd 1256 8 Advisory Advisory NNP cord-022594-fx044gcd 1256 9 Committee Committee NNP cord-022594-fx044gcd 1256 10 on on IN cord-022594-fx044gcd 1256 11 Clinical Clinical NNP cord-022594-fx044gcd 1256 12 Trials Trials NNPS cord-022594-fx044gcd 1256 13 of of IN cord-022594-fx044gcd 1256 14 New New NNP cord-022594-fx044gcd 1256 15 Agents Agents NNPS cord-022594-fx044gcd 1256 16 in in IN cord-022594-fx044gcd 1256 17 Multiple Multiple NNP cord-022594-fx044gcd 1256 18 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1256 19 Epilepsy Epilepsy NNP cord-022594-fx044gcd 1256 20 and and CC cord-022594-fx044gcd 1257 1 multiple multiple JJ cord-022594-fx044gcd 1257 2 sclerosis sclerosis NN cord-022594-fx044gcd 1257 3 Multiple multiple JJ cord-022594-fx044gcd 1257 4 sclerosis sclerosis NN cord-022594-fx044gcd 1257 5 - - HYPH cord-022594-fx044gcd 1257 6 associated associate VBN cord-022594-fx044gcd 1257 7 uveitis uveitis NN cord-022594-fx044gcd 1257 8 A a DT cord-022594-fx044gcd 1257 9 reappraisal reappraisal NN cord-022594-fx044gcd 1257 10 of of IN cord-022594-fx044gcd 1257 11 the the DT cord-022594-fx044gcd 1257 12 epidemiology epidemiology NN cord-022594-fx044gcd 1257 13 of of IN cord-022594-fx044gcd 1257 14 multiple multiple JJ cord-022594-fx044gcd 1257 15 sclerosis sclerosis NN cord-022594-fx044gcd 1257 16 in in IN cord-022594-fx044gcd 1257 17 Olmsted Olmsted NNP cord-022594-fx044gcd 1257 18 County County NNP cord-022594-fx044gcd 1257 19 Optic Optic NNP cord-022594-fx044gcd 1257 20 neuritis neuritis NN cord-022594-fx044gcd 1257 21 : : : cord-022594-fx044gcd 1257 22 A a DT cord-022594-fx044gcd 1257 23 population population NN cord-022594-fx044gcd 1257 24 - - HYPH cord-022594-fx044gcd 1257 25 based base VBN cord-022594-fx044gcd 1257 26 study study NN cord-022594-fx044gcd 1257 27 in in IN cord-022594-fx044gcd 1257 28 Olmsted Olmsted NNP cord-022594-fx044gcd 1257 29 County County NNP cord-022594-fx044gcd 1258 1 The the DT cord-022594-fx044gcd 1258 2 significance significance NN cord-022594-fx044gcd 1258 3 of of IN cord-022594-fx044gcd 1258 4 brain brain NN cord-022594-fx044gcd 1258 5 magnetic magnetic JJ cord-022594-fx044gcd 1258 6 resonance resonance NN cord-022594-fx044gcd 1258 7 imaging imaging NN cord-022594-fx044gcd 1258 8 abnormalities abnormality NNS cord-022594-fx044gcd 1258 9 at at IN cord-022594-fx044gcd 1258 10 presentation presentation NN cord-022594-fx044gcd 1258 11 with with IN cord-022594-fx044gcd 1258 12 clinically clinically RB cord-022594-fx044gcd 1258 13 isolated isolate VBN cord-022594-fx044gcd 1258 14 syndromes syndrome NNS cord-022594-fx044gcd 1258 15 suggestive suggestive JJ cord-022594-fx044gcd 1258 16 of of IN cord-022594-fx044gcd 1258 17 multiple multiple JJ cord-022594-fx044gcd 1258 18 sclerosis sclerosis NN cord-022594-fx044gcd 1258 19 . . . cord-022594-fx044gcd 1259 1 A a DT cord-022594-fx044gcd 1259 2 5-year 5-year CD cord-022594-fx044gcd 1259 3 follow follow NN cord-022594-fx044gcd 1259 4 - - HYPH cord-022594-fx044gcd 1259 5 up up NN cord-022594-fx044gcd 1259 6 study study NN cord-022594-fx044gcd 1259 7 Interscanner Interscanner NNP cord-022594-fx044gcd 1259 8 variation variation NN cord-022594-fx044gcd 1259 9 in in IN cord-022594-fx044gcd 1259 10 brain brain NN cord-022594-fx044gcd 1259 11 MRI MRI NNP cord-022594-fx044gcd 1259 12 lesion lesion NN cord-022594-fx044gcd 1259 13 load load NN cord-022594-fx044gcd 1259 14 measurements measurement NNS cord-022594-fx044gcd 1259 15 in in IN cord-022594-fx044gcd 1259 16 MS MS NNP cord-022594-fx044gcd 1259 17 : : : cord-022594-fx044gcd 1259 18 Implications implication NNS cord-022594-fx044gcd 1259 19 for for IN cord-022594-fx044gcd 1259 20 clinical clinical JJ cord-022594-fx044gcd 1259 21 trials trial NNS cord-022594-fx044gcd 1260 1 The the DT cord-022594-fx044gcd 1260 2 prognostic prognostic JJ cord-022594-fx044gcd 1260 3 value value NN cord-022594-fx044gcd 1260 4 of of IN cord-022594-fx044gcd 1260 5 brain brain NN cord-022594-fx044gcd 1260 6 MRI MRI NNP cord-022594-fx044gcd 1260 7 in in IN cord-022594-fx044gcd 1260 8 clinically clinically RB cord-022594-fx044gcd 1260 9 isolated isolate VBN cord-022594-fx044gcd 1260 10 syndromes syndrome NNS cord-022594-fx044gcd 1260 11 of of IN cord-022594-fx044gcd 1260 12 the the DT cord-022594-fx044gcd 1260 13 CNS CNS NNP cord-022594-fx044gcd 1260 14 . . . cord-022594-fx044gcd 1261 1 A a DT cord-022594-fx044gcd 1261 2 10-year 10-year CD cord-022594-fx044gcd 1261 3 follow follow NN cord-022594-fx044gcd 1261 4 - - HYPH cord-022594-fx044gcd 1261 5 up up NN cord-022594-fx044gcd 1262 1 A a DT cord-022594-fx044gcd 1262 2 longitudinal longitudinal JJ cord-022594-fx044gcd 1262 3 study study NN cord-022594-fx044gcd 1262 4 of of IN cord-022594-fx044gcd 1262 5 abnormalities abnormality NNS cord-022594-fx044gcd 1262 6 on on IN cord-022594-fx044gcd 1262 7 MRI MRI NNP cord-022594-fx044gcd 1262 8 and and CC cord-022594-fx044gcd 1262 9 disability disability NN cord-022594-fx044gcd 1262 10 from from IN cord-022594-fx044gcd 1262 11 multiple multiple JJ cord-022594-fx044gcd 1262 12 sclerosis sclerosis NN cord-022594-fx044gcd 1262 13 Occurrence occurrence NN cord-022594-fx044gcd 1262 14 of of IN cord-022594-fx044gcd 1262 15 a a DT cord-022594-fx044gcd 1262 16 multiple multiple JJ cord-022594-fx044gcd 1262 17 sclerosis sclerosis NN cord-022594-fx044gcd 1262 18 - - HYPH cord-022594-fx044gcd 1262 19 like like JJ cord-022594-fx044gcd 1262 20 illness illness NN cord-022594-fx044gcd 1262 21 in in IN cord-022594-fx044gcd 1262 22 women woman NNS cord-022594-fx044gcd 1262 23 who who WP cord-022594-fx044gcd 1262 24 have have VBP cord-022594-fx044gcd 1262 25 a a DT cord-022594-fx044gcd 1262 26 Leber Leber NNP cord-022594-fx044gcd 1262 27 's 's POS cord-022594-fx044gcd 1262 28 hereditary hereditary JJ cord-022594-fx044gcd 1262 29 optic optic JJ cord-022594-fx044gcd 1262 30 neuropathy neuropathy NN cord-022594-fx044gcd 1262 31 mitochondrial mitochondrial NN cord-022594-fx044gcd 1262 32 DNA DNA NNP cord-022594-fx044gcd 1262 33 mutation mutation NN cord-022594-fx044gcd 1262 34 Genetic genetic JJ cord-022594-fx044gcd 1262 35 disorders disorder NNS cord-022594-fx044gcd 1262 36 that that WDT cord-022594-fx044gcd 1262 37 masquerade masquerade VBP cord-022594-fx044gcd 1262 38 as as IN cord-022594-fx044gcd 1262 39 multiple multiple JJ cord-022594-fx044gcd 1262 40 sclerosis sclerosis NN cord-022594-fx044gcd 1262 41 New new JJ cord-022594-fx044gcd 1262 42 diagnostic diagnostic JJ cord-022594-fx044gcd 1262 43 criteria criterion NNS cord-022594-fx044gcd 1262 44 for for IN cord-022594-fx044gcd 1262 45 multiple multiple JJ cord-022594-fx044gcd 1262 46 sclerosis sclerosis NN cord-022594-fx044gcd 1262 47 : : : cord-022594-fx044gcd 1262 48 guidelines guideline NNS cord-022594-fx044gcd 1262 49 for for IN cord-022594-fx044gcd 1262 50 research research NN cord-022594-fx044gcd 1262 51 protocols protocol NNS cord-022594-fx044gcd 1263 1 Recommended recommend VBN cord-022594-fx044gcd 1263 2 diagnostic diagnostic JJ cord-022594-fx044gcd 1263 3 criteria criterion NNS cord-022594-fx044gcd 1263 4 for for IN cord-022594-fx044gcd 1263 5 multiple multiple JJ cord-022594-fx044gcd 1263 6 sclerosis sclerosis NN cord-022594-fx044gcd 1263 7 : : : cord-022594-fx044gcd 1263 8 Guidelines guideline NNS cord-022594-fx044gcd 1263 9 from from IN cord-022594-fx044gcd 1263 10 the the DT cord-022594-fx044gcd 1263 11 International International NNP cord-022594-fx044gcd 1263 12 Panel Panel NNP cord-022594-fx044gcd 1263 13 on on IN cord-022594-fx044gcd 1263 14 the the DT cord-022594-fx044gcd 1263 15 diagnosis diagnosis NN cord-022594-fx044gcd 1263 16 of of IN cord-022594-fx044gcd 1263 17 multiple multiple JJ cord-022594-fx044gcd 1263 18 sclerosis sclerosis NN cord-022594-fx044gcd 1263 19 Assessment Assessment NNP cord-022594-fx044gcd 1263 20 of of IN cord-022594-fx044gcd 1263 21 MRI MRI NNP cord-022594-fx044gcd 1263 22 criteria criterion NNS cord-022594-fx044gcd 1263 23 for for IN cord-022594-fx044gcd 1263 24 a a DT cord-022594-fx044gcd 1263 25 diagnosis diagnosis NN cord-022594-fx044gcd 1263 26 of of IN cord-022594-fx044gcd 1263 27 MS MS NNP cord-022594-fx044gcd 1263 28 Neuroimaging Neuroimaging NNP cord-022594-fx044gcd 1263 29 in in IN cord-022594-fx044gcd 1263 30 multiple multiple JJ cord-022594-fx044gcd 1263 31 sclerosis sclerosis NN cord-022594-fx044gcd 1264 1 The the DT cord-022594-fx044gcd 1264 2 relationship relationship NN cord-022594-fx044gcd 1264 3 between between IN cord-022594-fx044gcd 1264 4 whole whole JJ cord-022594-fx044gcd 1264 5 brain brain NN cord-022594-fx044gcd 1264 6 volume volume NN cord-022594-fx044gcd 1264 7 and and CC cord-022594-fx044gcd 1264 8 disability disability NN cord-022594-fx044gcd 1264 9 in in IN cord-022594-fx044gcd 1264 10 multiple multiple JJ cord-022594-fx044gcd 1264 11 sclerosis sclerosis NN cord-022594-fx044gcd 1264 12 : : : cord-022594-fx044gcd 1264 13 a a DT cord-022594-fx044gcd 1264 14 comparison comparison NN cord-022594-fx044gcd 1264 15 of of IN cord-022594-fx044gcd 1264 16 normalized normalized JJ cord-022594-fx044gcd 1264 17 gray gray JJ cord-022594-fx044gcd 1264 18 vs. vs. FW cord-022594-fx044gcd 1264 19 white white JJ cord-022594-fx044gcd 1264 20 matter matter NN cord-022594-fx044gcd 1264 21 with with IN cord-022594-fx044gcd 1264 22 misclassification misclassification NN cord-022594-fx044gcd 1264 23 correction correction NN cord-022594-fx044gcd 1264 24 Magnetization magnetization NN cord-022594-fx044gcd 1264 25 transfer transfer NN cord-022594-fx044gcd 1264 26 ratio ratio NN cord-022594-fx044gcd 1264 27 histogram histogram NN cord-022594-fx044gcd 1264 28 analysis analysis NN cord-022594-fx044gcd 1264 29 of of IN cord-022594-fx044gcd 1264 30 normal normal RB cord-022594-fx044gcd 1264 31 - - HYPH cord-022594-fx044gcd 1264 32 appearing appear VBG cord-022594-fx044gcd 1264 33 gray gray JJ cord-022594-fx044gcd 1264 34 matter matter NN cord-022594-fx044gcd 1264 35 and and CC cord-022594-fx044gcd 1264 36 normalappearing normalappeare VBG cord-022594-fx044gcd 1264 37 white white JJ cord-022594-fx044gcd 1264 38 matter matter NN cord-022594-fx044gcd 1264 39 in in IN cord-022594-fx044gcd 1264 40 multiple multiple JJ cord-022594-fx044gcd 1264 41 sclerosis sclerosis NN cord-022594-fx044gcd 1264 42 MRI MRI NNP cord-022594-fx044gcd 1264 43 T2 T2 NNP cord-022594-fx044gcd 1264 44 hypointensity hypointensity NN cord-022594-fx044gcd 1264 45 of of IN cord-022594-fx044gcd 1264 46 the the DT cord-022594-fx044gcd 1264 47 dentate dentate JJ cord-022594-fx044gcd 1264 48 nucleus nucleus NN cord-022594-fx044gcd 1264 49 is be VBZ cord-022594-fx044gcd 1264 50 related relate VBN cord-022594-fx044gcd 1264 51 to to IN cord-022594-fx044gcd 1264 52 ambulatory ambulatory JJ cord-022594-fx044gcd 1264 53 impairment impairment NN cord-022594-fx044gcd 1264 54 in in IN cord-022594-fx044gcd 1264 55 multiple multiple JJ cord-022594-fx044gcd 1264 56 sclerosis sclerosis NN cord-022594-fx044gcd 1264 57 Evidence evidence NN cord-022594-fx044gcd 1264 58 of of IN cord-022594-fx044gcd 1264 59 early early JJ cord-022594-fx044gcd 1264 60 cortical cortical JJ cord-022594-fx044gcd 1264 61 atrophy atrophy NN cord-022594-fx044gcd 1264 62 in in IN cord-022594-fx044gcd 1264 63 MS MS NNP cord-022594-fx044gcd 1264 64 : : : cord-022594-fx044gcd 1264 65 Relevance relevance NN cord-022594-fx044gcd 1264 66 to to IN cord-022594-fx044gcd 1264 67 white white JJ cord-022594-fx044gcd 1264 68 matter matter NN cord-022594-fx044gcd 1264 69 changes change NNS cord-022594-fx044gcd 1264 70 and and CC cord-022594-fx044gcd 1264 71 disability disability NN cord-022594-fx044gcd 1264 72 CSF csf NN cord-022594-fx044gcd 1264 73 electrophoresis electrophoresis NN cord-022594-fx044gcd 1264 74 in in IN cord-022594-fx044gcd 1264 75 one one CD cord-022594-fx044gcd 1264 76 thousand thousand CD cord-022594-fx044gcd 1264 77 patients patient NNS cord-022594-fx044gcd 1265 1 Early early JJ cord-022594-fx044gcd 1265 2 differential differential JJ cord-022594-fx044gcd 1265 3 diagnosis diagnosis NN cord-022594-fx044gcd 1265 4 of of IN cord-022594-fx044gcd 1265 5 multiple multiple JJ cord-022594-fx044gcd 1265 6 sclerosis sclerosis NN cord-022594-fx044gcd 1265 7 using use VBG cord-022594-fx044gcd 1265 8 a a DT cord-022594-fx044gcd 1265 9 new new JJ cord-022594-fx044gcd 1265 10 oligoclonal oligoclonal JJ cord-022594-fx044gcd 1265 11 band band NN cord-022594-fx044gcd 1265 12 test test NN cord-022594-fx044gcd 1265 13 Diagnostic diagnostic JJ cord-022594-fx044gcd 1265 14 criteria criterion NNS cord-022594-fx044gcd 1265 15 for for IN cord-022594-fx044gcd 1265 16 multiple multiple JJ cord-022594-fx044gcd 1265 17 sclerosis sclerosis NN cord-022594-fx044gcd 1265 18 : : : cord-022594-fx044gcd 1266 1 2005 2005 CD cord-022594-fx044gcd 1266 2 revisions revision NNS cord-022594-fx044gcd 1266 3 to to IN cord-022594-fx044gcd 1266 4 the the DT cord-022594-fx044gcd 1266 5 " " `` cord-022594-fx044gcd 1266 6 McDonald McDonald NNP cord-022594-fx044gcd 1266 7 Criteria Criteria NNP cord-022594-fx044gcd 1267 1 The the DT cord-022594-fx044gcd 1267 2 optic optic JJ cord-022594-fx044gcd 1267 3 neuritis neuritis NN cord-022594-fx044gcd 1267 4 treatment treatment NN cord-022594-fx044gcd 1267 5 trial trial NN cord-022594-fx044gcd 1267 6 : : : cord-022594-fx044gcd 1267 7 three three CD cord-022594-fx044gcd 1267 8 - - HYPH cord-022594-fx044gcd 1267 9 year year NN cord-022594-fx044gcd 1267 10 follow follow NN cord-022594-fx044gcd 1267 11 - - HYPH cord-022594-fx044gcd 1267 12 up up RP cord-022594-fx044gcd 1267 13 results result NNS cord-022594-fx044gcd 1267 14 Effects effect NNS cord-022594-fx044gcd 1267 15 of of IN cord-022594-fx044gcd 1267 16 IV IV NNP cord-022594-fx044gcd 1267 17 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 1267 18 on on IN cord-022594-fx044gcd 1267 19 brain brain NN cord-022594-fx044gcd 1267 20 atrophy atrophy NN cord-022594-fx044gcd 1267 21 in in IN cord-022594-fx044gcd 1267 22 relapsing relapse VBG cord-022594-fx044gcd 1267 23 - - HYPH cord-022594-fx044gcd 1267 24 remitting remit VBG cord-022594-fx044gcd 1267 25 MS MS NNP cord-022594-fx044gcd 1267 26 Double double JJ cord-022594-fx044gcd 1267 27 - - HYPH cord-022594-fx044gcd 1267 28 blind blind JJ cord-022594-fx044gcd 1267 29 study study NN cord-022594-fx044gcd 1267 30 of of IN cord-022594-fx044gcd 1267 31 true true JJ cord-022594-fx044gcd 1267 32 vs. vs. FW cord-022594-fx044gcd 1267 33 sham sham JJ cord-022594-fx044gcd 1267 34 plasma plasma NN cord-022594-fx044gcd 1267 35 exchange exchange NN cord-022594-fx044gcd 1267 36 in in IN cord-022594-fx044gcd 1267 37 patients patient NNS cord-022594-fx044gcd 1267 38 treated treat VBN cord-022594-fx044gcd 1267 39 with with IN cord-022594-fx044gcd 1267 40 immunosuppression immunosuppression NN cord-022594-fx044gcd 1267 41 for for IN cord-022594-fx044gcd 1267 42 acute acute JJ cord-022594-fx044gcd 1267 43 attacks attack NNS cord-022594-fx044gcd 1267 44 of of IN cord-022594-fx044gcd 1267 45 multiple multiple JJ cord-022594-fx044gcd 1267 46 sclerosis sclerosis NN cord-022594-fx044gcd 1267 47 Plasmapheresis Plasmapheresis NNP cord-022594-fx044gcd 1267 48 in in IN cord-022594-fx044gcd 1267 49 acute acute JJ cord-022594-fx044gcd 1267 50 episodes episode NNS cord-022594-fx044gcd 1267 51 of of IN cord-022594-fx044gcd 1267 52 fulminant fulminant JJ cord-022594-fx044gcd 1267 53 CNS CNS NNP cord-022594-fx044gcd 1267 54 inflammatory inflammatory JJ cord-022594-fx044gcd 1267 55 demyelination demyelination NN cord-022594-fx044gcd 1268 1 A a DT cord-022594-fx044gcd 1268 2 randomized randomized JJ cord-022594-fx044gcd 1268 3 trial trial NN cord-022594-fx044gcd 1268 4 of of IN cord-022594-fx044gcd 1268 5 plasma plasma NN cord-022594-fx044gcd 1268 6 exchange exchange NN cord-022594-fx044gcd 1268 7 in in IN cord-022594-fx044gcd 1268 8 acute acute JJ cord-022594-fx044gcd 1268 9 central central JJ cord-022594-fx044gcd 1268 10 nervous nervous JJ cord-022594-fx044gcd 1268 11 system system NN cord-022594-fx044gcd 1268 12 inflammatory inflammatory JJ cord-022594-fx044gcd 1268 13 demyelinating demyelinate VBG cord-022594-fx044gcd 1268 14 disease disease NN cord-022594-fx044gcd 1268 15 Relation relation NN cord-022594-fx044gcd 1268 16 between between IN cord-022594-fx044gcd 1268 17 humoral humoral JJ cord-022594-fx044gcd 1268 18 pathological pathological JJ cord-022594-fx044gcd 1268 19 changes change NNS cord-022594-fx044gcd 1268 20 in in IN cord-022594-fx044gcd 1268 21 multiple multiple JJ cord-022594-fx044gcd 1268 22 sclerosis sclerosis NN cord-022594-fx044gcd 1268 23 and and CC cord-022594-fx044gcd 1268 24 response response NN cord-022594-fx044gcd 1268 25 to to IN cord-022594-fx044gcd 1268 26 therapeutic therapeutic JJ cord-022594-fx044gcd 1268 27 plasma plasma NN cord-022594-fx044gcd 1268 28 exchange exchange NNP cord-022594-fx044gcd 1268 29 Plasma Plasma NNP cord-022594-fx044gcd 1268 30 exchange exchange NN cord-022594-fx044gcd 1268 31 for for IN cord-022594-fx044gcd 1268 32 severe severe JJ cord-022594-fx044gcd 1268 33 attacks attack NNS cord-022594-fx044gcd 1268 34 of of IN cord-022594-fx044gcd 1268 35 CNS CNS NNP cord-022594-fx044gcd 1268 36 demyelination demyelination NN cord-022594-fx044gcd 1268 37 : : : cord-022594-fx044gcd 1268 38 predictors predictor NNS cord-022594-fx044gcd 1268 39 of of IN cord-022594-fx044gcd 1268 40 response response NN cord-022594-fx044gcd 1269 1 Intramuscular intramuscular JJ cord-022594-fx044gcd 1269 2 interferon interferon NN cord-022594-fx044gcd 1269 3 beta-1a beta-1a NNP cord-022594-fx044gcd 1269 4 therapy therapy NN cord-022594-fx044gcd 1269 5 initiated initiate VBD cord-022594-fx044gcd 1269 6 during during IN cord-022594-fx044gcd 1269 7 a a DT cord-022594-fx044gcd 1269 8 first first JJ cord-022594-fx044gcd 1269 9 demyelinating demyelinating JJ cord-022594-fx044gcd 1269 10 event event NN cord-022594-fx044gcd 1269 11 in in IN cord-022594-fx044gcd 1269 12 multiple multiple JJ cord-022594-fx044gcd 1269 13 sclerosis sclerosis NN cord-022594-fx044gcd 1269 14 . . . cord-022594-fx044gcd 1270 1 CHAMPS CHAMPS NNP cord-022594-fx044gcd 1270 2 Study Study NNP cord-022594-fx044gcd 1270 3 Group Group NNP cord-022594-fx044gcd 1271 1 Interferon Interferon NNP cord-022594-fx044gcd 1271 2 beta-1a beta-1a NNP cord-022594-fx044gcd 1271 3 for for IN cord-022594-fx044gcd 1271 4 early early JJ cord-022594-fx044gcd 1271 5 multiple multiple JJ cord-022594-fx044gcd 1271 6 sclerosis sclerosis NN cord-022594-fx044gcd 1271 7 : : : cord-022594-fx044gcd 1271 8 CHAMPS CHAMPS NNP cord-022594-fx044gcd 1271 9 trial trial NN cord-022594-fx044gcd 1271 10 subgroup subgroup NN cord-022594-fx044gcd 1271 11 analyses analysis NNS cord-022594-fx044gcd 1271 12 Effect Effect NNP cord-022594-fx044gcd 1271 13 of of IN cord-022594-fx044gcd 1271 14 early early JJ cord-022594-fx044gcd 1271 15 interferon interferon NN cord-022594-fx044gcd 1271 16 treatment treatment NN cord-022594-fx044gcd 1271 17 on on IN cord-022594-fx044gcd 1271 18 conversion conversion NN cord-022594-fx044gcd 1271 19 to to IN cord-022594-fx044gcd 1271 20 definite definite JJ cord-022594-fx044gcd 1271 21 multiple multiple JJ cord-022594-fx044gcd 1271 22 sclerosis sclerosis NN cord-022594-fx044gcd 1271 23 : : : cord-022594-fx044gcd 1272 1 A a DT cord-022594-fx044gcd 1272 2 randomised randomised JJ cord-022594-fx044gcd 1272 3 study study NN cord-022594-fx044gcd 1273 1 Interferon Interferon NNP cord-022594-fx044gcd 1273 2 beta-1b beta-1b NNP cord-022594-fx044gcd 1273 3 is be VBZ cord-022594-fx044gcd 1273 4 effective effective JJ cord-022594-fx044gcd 1273 5 in in IN cord-022594-fx044gcd 1273 6 relapsing relapse VBG cord-022594-fx044gcd 1273 7 - - HYPH cord-022594-fx044gcd 1273 8 remitting remit VBG cord-022594-fx044gcd 1273 9 multiple multiple JJ cord-022594-fx044gcd 1273 10 sclerosis sclerosis NN cord-022594-fx044gcd 1273 11 . . . cord-022594-fx044gcd 1274 1 I. i. LS cord-022594-fx044gcd 1274 2 Clinical clinical JJ cord-022594-fx044gcd 1274 3 results result NNS cord-022594-fx044gcd 1274 4 of of IN cord-022594-fx044gcd 1274 5 a a DT cord-022594-fx044gcd 1274 6 multicenter multicenter NN cord-022594-fx044gcd 1274 7 , , , cord-022594-fx044gcd 1274 8 randomized randomized JJ cord-022594-fx044gcd 1274 9 , , , cord-022594-fx044gcd 1274 10 double double JJ cord-022594-fx044gcd 1274 11 - - HYPH cord-022594-fx044gcd 1274 12 blind blind JJ cord-022594-fx044gcd 1274 13 , , , cord-022594-fx044gcd 1274 14 placebo placebo NN cord-022594-fx044gcd 1274 15 - - HYPH cord-022594-fx044gcd 1274 16 controlled control VBN cord-022594-fx044gcd 1274 17 trial trial NN cord-022594-fx044gcd 1274 18 . . . cord-022594-fx044gcd 1275 1 The the DT cord-022594-fx044gcd 1275 2 IFNB IFNB NNP cord-022594-fx044gcd 1275 3 Multiple Multiple NNP cord-022594-fx044gcd 1275 4 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1275 5 Study Study NNP cord-022594-fx044gcd 1275 6 Group Group NNP cord-022594-fx044gcd 1275 7 Further Further NNP cord-022594-fx044gcd 1275 8 study study NN cord-022594-fx044gcd 1275 9 on on IN cord-022594-fx044gcd 1275 10 the the DT cord-022594-fx044gcd 1275 11 specificity specificity NN cord-022594-fx044gcd 1275 12 and and CC cord-022594-fx044gcd 1275 13 incidence incidence NN cord-022594-fx044gcd 1275 14 of of IN cord-022594-fx044gcd 1275 15 neutralizing neutralize VBG cord-022594-fx044gcd 1275 16 antibodies antibody NNS cord-022594-fx044gcd 1275 17 to to IN cord-022594-fx044gcd 1275 18 interferon interferon NN cord-022594-fx044gcd 1275 19 ( ( -LRB- cord-022594-fx044gcd 1275 20 IFN IFN NNP cord-022594-fx044gcd 1275 21 ) ) -RRB- cord-022594-fx044gcd 1275 22 in in IN cord-022594-fx044gcd 1275 23 relapsing relapse VBG cord-022594-fx044gcd 1275 24 remitting remit VBG cord-022594-fx044gcd 1275 25 multiple multiple JJ cord-022594-fx044gcd 1275 26 sclerosis sclerosis NN cord-022594-fx044gcd 1275 27 patients patient NNS cord-022594-fx044gcd 1275 28 treated treat VBN cord-022594-fx044gcd 1275 29 with with IN cord-022594-fx044gcd 1275 30 IFN IFN NNP cord-022594-fx044gcd 1275 31 beta-1a beta-1a NNP cord-022594-fx044gcd 1275 32 or or CC cord-022594-fx044gcd 1275 33 IFN IFN NNP cord-022594-fx044gcd 1275 34 beta-1b beta-1b NNP cord-022594-fx044gcd 1275 35 Intramuscular intramuscular JJ cord-022594-fx044gcd 1275 36 interferon interferon NN cord-022594-fx044gcd 1275 37 beta-1a beta-1a NNP cord-022594-fx044gcd 1275 38 for for IN cord-022594-fx044gcd 1275 39 disease disease NN cord-022594-fx044gcd 1275 40 progression progression NN cord-022594-fx044gcd 1275 41 in in IN cord-022594-fx044gcd 1275 42 relapsing relapse VBG cord-022594-fx044gcd 1275 43 multiple multiple JJ cord-022594-fx044gcd 1275 44 sclerosis sclerosis NN cord-022594-fx044gcd 1275 45 . . . cord-022594-fx044gcd 1276 1 The the DT cord-022594-fx044gcd 1276 2 Multiple Multiple NNP cord-022594-fx044gcd 1276 3 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1276 4 Collaborative Collaborative NNP cord-022594-fx044gcd 1276 5 Research Research NNP cord-022594-fx044gcd 1276 6 Group Group NNP cord-022594-fx044gcd 1276 7 ( ( -LRB- cord-022594-fx044gcd 1276 8 MSCRG MSCRG NNP cord-022594-fx044gcd 1276 9 ) ) -RRB- cord-022594-fx044gcd 1277 1 The the DT cord-022594-fx044gcd 1277 2 long long JJ cord-022594-fx044gcd 1277 3 - - HYPH cord-022594-fx044gcd 1277 4 term term NN cord-022594-fx044gcd 1277 5 safety safety NN cord-022594-fx044gcd 1277 6 and and CC cord-022594-fx044gcd 1277 7 tolerability tolerability NN cord-022594-fx044gcd 1277 8 of of IN cord-022594-fx044gcd 1277 9 high high JJ cord-022594-fx044gcd 1277 10 - - HYPH cord-022594-fx044gcd 1277 11 dose dose NN cord-022594-fx044gcd 1277 12 interferon interferon NN cord-022594-fx044gcd 1277 13 beta-1a beta-1a NNP cord-022594-fx044gcd 1277 14 in in IN cord-022594-fx044gcd 1277 15 relapsing relapse VBG cord-022594-fx044gcd 1277 16 - - HYPH cord-022594-fx044gcd 1277 17 remitting remit VBG cord-022594-fx044gcd 1277 18 multiple multiple JJ cord-022594-fx044gcd 1277 19 sclerosis sclerosis NN cord-022594-fx044gcd 1277 20 : : : cord-022594-fx044gcd 1277 21 4-year 4-year JJ cord-022594-fx044gcd 1277 22 data datum NNS cord-022594-fx044gcd 1277 23 from from IN cord-022594-fx044gcd 1277 24 the the DT cord-022594-fx044gcd 1277 25 PRISMS PRISMS NNP cord-022594-fx044gcd 1277 26 study study NN cord-022594-fx044gcd 1278 1 Randomised randomised JJ cord-022594-fx044gcd 1278 2 double double JJ cord-022594-fx044gcd 1278 3 - - HYPH cord-022594-fx044gcd 1278 4 blind blind JJ cord-022594-fx044gcd 1278 5 placebo placebo NN cord-022594-fx044gcd 1278 6 - - HYPH cord-022594-fx044gcd 1278 7 controlled control VBN cord-022594-fx044gcd 1278 8 study study NN cord-022594-fx044gcd 1278 9 of of IN cord-022594-fx044gcd 1278 10 interferon interferon NNP cord-022594-fx044gcd 1278 11 beta-1a beta-1a NNP cord-022594-fx044gcd 1278 12 in in IN cord-022594-fx044gcd 1278 13 relapsing relapse VBG cord-022594-fx044gcd 1278 14 / / SYM cord-022594-fx044gcd 1278 15 remitting remit VBG cord-022594-fx044gcd 1278 16 multiple multiple JJ cord-022594-fx044gcd 1278 17 sclerosis sclerosis NN cord-022594-fx044gcd 1278 18 . . . cord-022594-fx044gcd 1279 1 PRISMS PRISMS NNP cord-022594-fx044gcd 1279 2 ( ( -LRB- cord-022594-fx044gcd 1279 3 Prevention Prevention NNP cord-022594-fx044gcd 1279 4 of of IN cord-022594-fx044gcd 1279 5 Relapses Relapses NNPS cord-022594-fx044gcd 1279 6 and and CC cord-022594-fx044gcd 1279 7 Disability Disability NNP cord-022594-fx044gcd 1279 8 by by IN cord-022594-fx044gcd 1279 9 Interferon Interferon NNP cord-022594-fx044gcd 1279 10 beta-1a beta-1a NNP cord-022594-fx044gcd 1279 11 Subcutaneously Subcutaneously NNP cord-022594-fx044gcd 1279 12 in in IN cord-022594-fx044gcd 1279 13 Multiple Multiple NNP cord-022594-fx044gcd 1279 14 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1279 15 ) ) -RRB- cord-022594-fx044gcd 1280 1 Study Study NNP cord-022594-fx044gcd 1280 2 Group Group NNP cord-022594-fx044gcd 1280 3 Magnetic Magnetic NNP cord-022594-fx044gcd 1280 4 resonance resonance NN cord-022594-fx044gcd 1280 5 imaging imaging NN cord-022594-fx044gcd 1280 6 results result NNS cord-022594-fx044gcd 1280 7 of of IN cord-022594-fx044gcd 1280 8 the the DT cord-022594-fx044gcd 1280 9 PRISMS PRISMS NNP cord-022594-fx044gcd 1280 10 trial trial NN cord-022594-fx044gcd 1280 11 : : : cord-022594-fx044gcd 1280 12 A a DT cord-022594-fx044gcd 1280 13 randomized randomized JJ cord-022594-fx044gcd 1280 14 , , , cord-022594-fx044gcd 1280 15 double double JJ cord-022594-fx044gcd 1280 16 - - HYPH cord-022594-fx044gcd 1280 17 blind blind JJ cord-022594-fx044gcd 1280 18 , , , cord-022594-fx044gcd 1280 19 placebo placebo NN cord-022594-fx044gcd 1280 20 - - HYPH cord-022594-fx044gcd 1280 21 controlled control VBN cord-022594-fx044gcd 1280 22 study study NN cord-022594-fx044gcd 1280 23 of of IN cord-022594-fx044gcd 1280 24 interferon interferon NN cord-022594-fx044gcd 1280 25 - - HYPH cord-022594-fx044gcd 1280 26 beta1a beta1a NNP cord-022594-fx044gcd 1280 27 in in IN cord-022594-fx044gcd 1280 28 relapsing relapse VBG cord-022594-fx044gcd 1280 29 - - HYPH cord-022594-fx044gcd 1280 30 remitting remit VBG cord-022594-fx044gcd 1280 31 multiple multiple JJ cord-022594-fx044gcd 1280 32 sclerosis sclerosis NN cord-022594-fx044gcd 1280 33 . . . cord-022594-fx044gcd 1281 1 Prevention prevention NN cord-022594-fx044gcd 1281 2 of of IN cord-022594-fx044gcd 1281 3 Relapses Relapses NNPS cord-022594-fx044gcd 1281 4 and and CC cord-022594-fx044gcd 1281 5 Disability Disability NNP cord-022594-fx044gcd 1281 6 by by IN cord-022594-fx044gcd 1282 1 Interferon Interferon NNP cord-022594-fx044gcd 1282 2 - - HYPH cord-022594-fx044gcd 1282 3 beta1a beta1a NNP cord-022594-fx044gcd 1282 4 Subcutaneously Subcutaneously NNP cord-022594-fx044gcd 1282 5 in in IN cord-022594-fx044gcd 1282 6 Multiple Multiple NNP cord-022594-fx044gcd 1282 7 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1282 8 Ingested Ingested NNP cord-022594-fx044gcd 1282 9 IFN IFN NNP cord-022594-fx044gcd 1282 10 - - HYPH cord-022594-fx044gcd 1282 11 alpha alpha NN cord-022594-fx044gcd 1282 12 : : : cord-022594-fx044gcd 1283 1 results result NNS cord-022594-fx044gcd 1283 2 of of IN cord-022594-fx044gcd 1283 3 a a DT cord-022594-fx044gcd 1283 4 pilot pilot NN cord-022594-fx044gcd 1283 5 study study NN cord-022594-fx044gcd 1283 6 in in IN cord-022594-fx044gcd 1283 7 relapsing relapse VBG cord-022594-fx044gcd 1283 8 - - HYPH cord-022594-fx044gcd 1283 9 remitting remit VBG cord-022594-fx044gcd 1283 10 MS MS NNP cord-022594-fx044gcd 1283 11 Clinical clinical JJ cord-022594-fx044gcd 1283 12 characteristics characteristic NNS cord-022594-fx044gcd 1283 13 of of IN cord-022594-fx044gcd 1283 14 responders responder NNS cord-022594-fx044gcd 1283 15 to to IN cord-022594-fx044gcd 1283 16 interferon interferon NN cord-022594-fx044gcd 1283 17 therapy therapy NN cord-022594-fx044gcd 1283 18 for for IN cord-022594-fx044gcd 1283 19 relapsing relapse VBG cord-022594-fx044gcd 1283 20 MS MS NNP cord-022594-fx044gcd 1283 21 A a DT cord-022594-fx044gcd 1283 22 pilot pilot NN cord-022594-fx044gcd 1283 23 trial trial NN cord-022594-fx044gcd 1283 24 of of IN cord-022594-fx044gcd 1283 25 Cop cop NN cord-022594-fx044gcd 1283 26 1 1 CD cord-022594-fx044gcd 1283 27 in in IN cord-022594-fx044gcd 1283 28 exacerbating exacerbate VBG cord-022594-fx044gcd 1283 29 - - HYPH cord-022594-fx044gcd 1283 30 remitting remit VBG cord-022594-fx044gcd 1283 31 multiple multiple JJ cord-022594-fx044gcd 1283 32 sclerosis sclerosis NN cord-022594-fx044gcd 1284 1 Copolymer copolymer NN cord-022594-fx044gcd 1284 2 1 1 CD cord-022594-fx044gcd 1284 3 reduces reduce VBZ cord-022594-fx044gcd 1284 4 relapse relapse NN cord-022594-fx044gcd 1284 5 rate rate NN cord-022594-fx044gcd 1284 6 and and CC cord-022594-fx044gcd 1284 7 improves improve VBZ cord-022594-fx044gcd 1284 8 disability disability NN cord-022594-fx044gcd 1284 9 in in IN cord-022594-fx044gcd 1284 10 relapsing relapse VBG cord-022594-fx044gcd 1284 11 - - HYPH cord-022594-fx044gcd 1284 12 remitting remit VBG cord-022594-fx044gcd 1284 13 multiple multiple JJ cord-022594-fx044gcd 1284 14 sclerosis sclerosis NN cord-022594-fx044gcd 1284 15 : : : cord-022594-fx044gcd 1285 1 Results result NNS cord-022594-fx044gcd 1285 2 of of IN cord-022594-fx044gcd 1285 3 a a DT cord-022594-fx044gcd 1285 4 phase phase NN cord-022594-fx044gcd 1285 5 III iii CD cord-022594-fx044gcd 1285 6 multicenter multicenter JJ cord-022594-fx044gcd 1285 7 , , , cord-022594-fx044gcd 1285 8 double double JJ cord-022594-fx044gcd 1285 9 - - HYPH cord-022594-fx044gcd 1285 10 blind blind JJ cord-022594-fx044gcd 1285 11 placebocontrolled placebocontrolled JJ cord-022594-fx044gcd 1285 12 trial trial NN cord-022594-fx044gcd 1285 13 . . . cord-022594-fx044gcd 1286 1 The the DT cord-022594-fx044gcd 1286 2 Copolymer Copolymer NNP cord-022594-fx044gcd 1286 3 1 1 CD cord-022594-fx044gcd 1286 4 Multiple Multiple NNP cord-022594-fx044gcd 1286 5 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1286 6 Study Study NNP cord-022594-fx044gcd 1286 7 Group Group NNP cord-022594-fx044gcd 1286 8 Glatiramer Glatiramer NNP cord-022594-fx044gcd 1286 9 acetate acetate NN cord-022594-fx044gcd 1286 10 reduces reduce VBZ cord-022594-fx044gcd 1286 11 the the DT cord-022594-fx044gcd 1286 12 proportion proportion NN cord-022594-fx044gcd 1286 13 of of IN cord-022594-fx044gcd 1286 14 new new JJ cord-022594-fx044gcd 1286 15 MS MS NNP cord-022594-fx044gcd 1286 16 lesions lesion NNS cord-022594-fx044gcd 1286 17 evolving evolve VBG cord-022594-fx044gcd 1286 18 into into IN cord-022594-fx044gcd 1286 19 " " `` cord-022594-fx044gcd 1286 20 black black JJ cord-022594-fx044gcd 1286 21 holes hole NNS cord-022594-fx044gcd 1286 22 European european JJ cord-022594-fx044gcd 1286 23 / / SYM cord-022594-fx044gcd 1286 24 Canadian canadian JJ cord-022594-fx044gcd 1286 25 multicenter multicenter NN cord-022594-fx044gcd 1286 26 , , , cord-022594-fx044gcd 1286 27 double double JJ cord-022594-fx044gcd 1286 28 - - HYPH cord-022594-fx044gcd 1286 29 blind blind JJ cord-022594-fx044gcd 1286 30 , , , cord-022594-fx044gcd 1286 31 randomized randomized JJ cord-022594-fx044gcd 1286 32 , , , cord-022594-fx044gcd 1286 33 placebo placebo NN cord-022594-fx044gcd 1286 34 - - HYPH cord-022594-fx044gcd 1286 35 controlled control VBN cord-022594-fx044gcd 1286 36 study study NN cord-022594-fx044gcd 1286 37 of of IN cord-022594-fx044gcd 1286 38 the the DT cord-022594-fx044gcd 1286 39 effects effect NNS cord-022594-fx044gcd 1286 40 of of IN cord-022594-fx044gcd 1286 41 glatiramer glatiramer NN cord-022594-fx044gcd 1286 42 acetate acetate NN cord-022594-fx044gcd 1286 43 on on IN cord-022594-fx044gcd 1286 44 magnetic magnetic JJ cord-022594-fx044gcd 1286 45 resonance resonance NN cord-022594-fx044gcd 1286 46 imaging imaging NN cord-022594-fx044gcd 1286 47 - - HYPH cord-022594-fx044gcd 1286 48 measured measure VBN cord-022594-fx044gcd 1286 49 disease disease NN cord-022594-fx044gcd 1286 50 activity activity NN cord-022594-fx044gcd 1286 51 and and CC cord-022594-fx044gcd 1286 52 burden burden NN cord-022594-fx044gcd 1286 53 in in IN cord-022594-fx044gcd 1286 54 patients patient NNS cord-022594-fx044gcd 1286 55 with with IN cord-022594-fx044gcd 1286 56 relapsing relapse VBG cord-022594-fx044gcd 1286 57 multiple multiple JJ cord-022594-fx044gcd 1286 58 sclerosis sclerosis NN cord-022594-fx044gcd 1286 59 . . . cord-022594-fx044gcd 1287 1 European european JJ cord-022594-fx044gcd 1287 2 / / SYM cord-022594-fx044gcd 1287 3 Canadian Canadian NNP cord-022594-fx044gcd 1287 4 Glatiramer Glatiramer NNP cord-022594-fx044gcd 1287 5 Acetate Acetate NNP cord-022594-fx044gcd 1287 6 Study Study NNP cord-022594-fx044gcd 1287 7 Group Group NNP cord-022594-fx044gcd 1287 8 United United NNP cord-022594-fx044gcd 1287 9 States States NNP cord-022594-fx044gcd 1287 10 open open JJ cord-022594-fx044gcd 1287 11 - - HYPH cord-022594-fx044gcd 1287 12 label label NN cord-022594-fx044gcd 1287 13 glatiramer glatiramer NNP cord-022594-fx044gcd 1287 14 acetate acetate NN cord-022594-fx044gcd 1287 15 extension extension NN cord-022594-fx044gcd 1287 16 trial trial NN cord-022594-fx044gcd 1287 17 for for IN cord-022594-fx044gcd 1287 18 relapsing relapse VBG cord-022594-fx044gcd 1287 19 multiple multiple JJ cord-022594-fx044gcd 1287 20 sclerosis sclerosis NN cord-022594-fx044gcd 1287 21 : : : cord-022594-fx044gcd 1287 22 MRI MRI NNP cord-022594-fx044gcd 1287 23 and and CC cord-022594-fx044gcd 1287 24 clinical clinical JJ cord-022594-fx044gcd 1287 25 correlates correlate NNS cord-022594-fx044gcd 1287 26 . . . cord-022594-fx044gcd 1288 1 Multiple Multiple NNP cord-022594-fx044gcd 1288 2 Sclerosis Sclerosis NNP cord-022594-fx044gcd 1288 3 Study Study NNP cord-022594-fx044gcd 1288 4 Group Group NNP cord-022594-fx044gcd 1288 5 and and CC cord-022594-fx044gcd 1288 6 the the DT cord-022594-fx044gcd 1288 7 MRI MRI NNP cord-022594-fx044gcd 1288 8 Analysis Analysis NNP cord-022594-fx044gcd 1288 9 Center Center NNP cord-022594-fx044gcd 1288 10 Longitudinal Longitudinal NNP cord-022594-fx044gcd 1288 11 MRI MRI NNP cord-022594-fx044gcd 1288 12 study study NN cord-022594-fx044gcd 1288 13 : : : cord-022594-fx044gcd 1288 14 The the DT cord-022594-fx044gcd 1288 15 effects effect NNS cord-022594-fx044gcd 1288 16 of of IN cord-022594-fx044gcd 1288 17 azathioprine azathioprine NN cord-022594-fx044gcd 1288 18 in in IN cord-022594-fx044gcd 1288 19 MS MS NNP cord-022594-fx044gcd 1288 20 patients patient NNS cord-022594-fx044gcd 1288 21 refractory refractory JJ cord-022594-fx044gcd 1288 22 to to IN cord-022594-fx044gcd 1288 23 interferon interferon NN cord-022594-fx044gcd 1289 1 beta-1b beta-1b NNS cord-022594-fx044gcd 1290 1 The the DT cord-022594-fx044gcd 1290 2 Austrian austrian JJ cord-022594-fx044gcd 1290 3 Immunoglobulin Immunoglobulin NNP cord-022594-fx044gcd 1290 4 in in IN cord-022594-fx044gcd 1290 5 MS MS NNP cord-022594-fx044gcd 1290 6 ( ( -LRB- cord-022594-fx044gcd 1290 7 AIMS aim VBZ cord-022594-fx044gcd 1290 8 ) ) -RRB- cord-022594-fx044gcd 1290 9 study study NN cord-022594-fx044gcd 1290 10 : : : cord-022594-fx044gcd 1290 11 final final JJ cord-022594-fx044gcd 1290 12 analysis analysis NN cord-022594-fx044gcd 1291 1 A a DT cord-022594-fx044gcd 1291 2 randomized randomized JJ cord-022594-fx044gcd 1291 3 trial trial NN cord-022594-fx044gcd 1291 4 of of IN cord-022594-fx044gcd 1291 5 intravenous intravenous JJ cord-022594-fx044gcd 1291 6 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 1291 7 in in IN cord-022594-fx044gcd 1291 8 inflammatory inflammatory JJ cord-022594-fx044gcd 1291 9 demyelinating demyelinating JJ cord-022594-fx044gcd 1291 10 optic optic JJ cord-022594-fx044gcd 1291 11 neuritis neuritis NN cord-022594-fx044gcd 1291 12 IV IV NNP cord-022594-fx044gcd 1291 13 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 1291 14 does do VBZ cord-022594-fx044gcd 1291 15 not not RB cord-022594-fx044gcd 1291 16 reverse reverse VB cord-022594-fx044gcd 1291 17 established establish VBN cord-022594-fx044gcd 1291 18 weakness weakness NN cord-022594-fx044gcd 1291 19 in in IN cord-022594-fx044gcd 1291 20 MS MS NNP cord-022594-fx044gcd 1291 21 Placebo Placebo NNP cord-022594-fx044gcd 1291 22 controlled control VBD cord-022594-fx044gcd 1291 23 pilot pilot NN cord-022594-fx044gcd 1291 24 trial trial NN cord-022594-fx044gcd 1291 25 to to TO cord-022594-fx044gcd 1291 26 study study VB cord-022594-fx044gcd 1291 27 the the DT cord-022594-fx044gcd 1291 28 remyelinating remyelinating JJ cord-022594-fx044gcd 1291 29 potential potential NN cord-022594-fx044gcd 1291 30 of of IN cord-022594-fx044gcd 1291 31 intravenous intravenous JJ cord-022594-fx044gcd 1291 32 immunoglobulins immunoglobulin NNS cord-022594-fx044gcd 1291 33 in in IN cord-022594-fx044gcd 1291 34 multiple multiple JJ cord-022594-fx044gcd 1291 35 sclerosis sclerosis NN cord-022594-fx044gcd 1292 1 A a DT cord-022594-fx044gcd 1292 2 double double JJ cord-022594-fx044gcd 1292 3 - - HYPH cord-022594-fx044gcd 1292 4 blind blind JJ cord-022594-fx044gcd 1292 5 , , , cord-022594-fx044gcd 1292 6 randomized randomized JJ cord-022594-fx044gcd 1292 7 trial trial NN cord-022594-fx044gcd 1292 8 of of IN cord-022594-fx044gcd 1292 9 IV IV NNP cord-022594-fx044gcd 1292 10 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 1292 11 treatment treatment NN cord-022594-fx044gcd 1292 12 in in IN cord-022594-fx044gcd 1292 13 acute acute JJ cord-022594-fx044gcd 1292 14 optic optic JJ cord-022594-fx044gcd 1292 15 neuritis neuritis NN cord-022594-fx044gcd 1293 1 A a DT cord-022594-fx044gcd 1293 2 controlled control VBN cord-022594-fx044gcd 1293 3 trial trial NN cord-022594-fx044gcd 1293 4 of of IN cord-022594-fx044gcd 1293 5 natalizumab natalizumab NNS cord-022594-fx044gcd 1293 6 for for IN cord-022594-fx044gcd 1293 7 relapsing relapse VBG cord-022594-fx044gcd 1293 8 multiple multiple JJ cord-022594-fx044gcd 1293 9 sclerosis sclerosis NN cord-022594-fx044gcd 1293 10 Progressive progressive JJ cord-022594-fx044gcd 1293 11 multifocal multifocal JJ cord-022594-fx044gcd 1293 12 leukoencephalopathy leukoencephalopathy NNP cord-022594-fx044gcd 1293 13 complicating complicate VBG cord-022594-fx044gcd 1293 14 treatment treatment NN cord-022594-fx044gcd 1293 15 with with IN cord-022594-fx044gcd 1293 16 natalizumab natalizumab NNS cord-022594-fx044gcd 1293 17 and and CC cord-022594-fx044gcd 1293 18 interferon interferon NNP cord-022594-fx044gcd 1293 19 beta-1a beta-1a NNP cord-022594-fx044gcd 1293 20 for for IN cord-022594-fx044gcd 1293 21 multiple multiple JJ cord-022594-fx044gcd 1293 22 sclerosis sclerosis NN cord-022594-fx044gcd 1293 23 T(1 T(1 NNP cord-022594-fx044gcd 1293 24 ) ) -RRB- cord-022594-fx044gcd 1294 1 hypointense hypointense NN cord-022594-fx044gcd 1294 2 lesions lesion NNS cord-022594-fx044gcd 1294 3 in in IN cord-022594-fx044gcd 1294 4 secondary secondary JJ cord-022594-fx044gcd 1294 5 progressive progressive JJ cord-022594-fx044gcd 1294 6 multiple multiple JJ cord-022594-fx044gcd 1294 7 sclerosis sclerosis NN cord-022594-fx044gcd 1294 8 : : : cord-022594-fx044gcd 1294 9 Effect effect NN cord-022594-fx044gcd 1294 10 of of IN cord-022594-fx044gcd 1294 11 interferon interferon NN cord-022594-fx044gcd 1294 12 beta-1b beta-1b CD cord-022594-fx044gcd 1294 13 treatment treatment NN cord-022594-fx044gcd 1294 14 Placebo Placebo NNP cord-022594-fx044gcd 1294 15 - - HYPH cord-022594-fx044gcd 1294 16 controlled control VBN cord-022594-fx044gcd 1294 17 multicentre multicentre NNP cord-022594-fx044gcd 1294 18 randomised randomised JJ cord-022594-fx044gcd 1294 19 trial trial NN cord-022594-fx044gcd 1294 20 of of IN cord-022594-fx044gcd 1294 21 interferon interferon NN cord-022594-fx044gcd 1294 22 beta-1b beta-1b NNP cord-022594-fx044gcd 1294 23 in in IN cord-022594-fx044gcd 1294 24 treatment treatment NN cord-022594-fx044gcd 1294 25 of of IN cord-022594-fx044gcd 1294 26 secondary secondary JJ cord-022594-fx044gcd 1294 27 progressive progressive JJ cord-022594-fx044gcd 1294 28 multiple multiple JJ cord-022594-fx044gcd 1294 29 sclerosis sclerosis NN cord-022594-fx044gcd 1294 30 . . . cord-022594-fx044gcd 1295 1 European European NNP cord-022594-fx044gcd 1295 2 Study Study NNP cord-022594-fx044gcd 1295 3 Group Group NNP cord-022594-fx044gcd 1295 4 on on IN cord-022594-fx044gcd 1295 5 interferon interferon NN cord-022594-fx044gcd 1295 6 beta-1b beta-1b NNP cord-022594-fx044gcd 1295 7 in in IN cord-022594-fx044gcd 1295 8 secondary secondary JJ cord-022594-fx044gcd 1295 9 progressive progressive JJ cord-022594-fx044gcd 1295 10 MS MS NNP cord-022594-fx044gcd 1295 11 Effect Effect NNP cord-022594-fx044gcd 1295 12 of of IN cord-022594-fx044gcd 1295 13 interferon interferon NN cord-022594-fx044gcd 1295 14 - - : cord-022594-fx044gcd 1295 15 beta-1b beta-1b NNP cord-022594-fx044gcd 1295 16 on on IN cord-022594-fx044gcd 1295 17 magnetic magnetic JJ cord-022594-fx044gcd 1295 18 resonance resonance NN cord-022594-fx044gcd 1295 19 imaging imaging NN cord-022594-fx044gcd 1295 20 outcomes outcome NNS cord-022594-fx044gcd 1295 21 in in IN cord-022594-fx044gcd 1295 22 secondary secondary JJ cord-022594-fx044gcd 1295 23 progressive progressive JJ cord-022594-fx044gcd 1295 24 multiple multiple JJ cord-022594-fx044gcd 1295 25 sclerosis sclerosis NN cord-022594-fx044gcd 1295 26 : : : cord-022594-fx044gcd 1296 1 Results result NNS cord-022594-fx044gcd 1296 2 of of IN cord-022594-fx044gcd 1296 3 a a DT cord-022594-fx044gcd 1296 4 European european JJ cord-022594-fx044gcd 1296 5 multicenter multicenter NN cord-022594-fx044gcd 1296 6 , , , cord-022594-fx044gcd 1296 7 randomized randomized JJ cord-022594-fx044gcd 1296 8 , , , cord-022594-fx044gcd 1296 9 double double JJ cord-022594-fx044gcd 1296 10 - - HYPH cord-022594-fx044gcd 1296 11 blind blind JJ cord-022594-fx044gcd 1296 12 , , , cord-022594-fx044gcd 1296 13 placebo placebo NN cord-022594-fx044gcd 1296 14 - - HYPH cord-022594-fx044gcd 1296 15 controlled control VBN cord-022594-fx044gcd 1296 16 trial trial NN cord-022594-fx044gcd 1296 17 . . . cord-022594-fx044gcd 1297 1 European European NNP cord-022594-fx044gcd 1297 2 Study Study NNP cord-022594-fx044gcd 1297 3 Group Group NNP cord-022594-fx044gcd 1297 4 on on IN cord-022594-fx044gcd 1297 5 Interferon Interferon NNP cord-022594-fx044gcd 1297 6 - - HYPH cord-022594-fx044gcd 1297 7 beta-1b beta-1b NNP cord-022594-fx044gcd 1297 8 in in IN cord-022594-fx044gcd 1297 9 secondary secondary JJ cord-022594-fx044gcd 1297 10 progressive progressive JJ cord-022594-fx044gcd 1297 11 multiple multiple JJ cord-022594-fx044gcd 1297 12 sclerosis sclerosis NN cord-022594-fx044gcd 1297 13 Final final JJ cord-022594-fx044gcd 1297 14 analysis analysis NN cord-022594-fx044gcd 1297 15 of of IN cord-022594-fx044gcd 1297 16 the the DT cord-022594-fx044gcd 1297 17 European european JJ cord-022594-fx044gcd 1297 18 multicenter multicenter JJ cord-022594-fx044gcd 1297 19 trial trial NN cord-022594-fx044gcd 1297 20 on on IN cord-022594-fx044gcd 1297 21 IFNbeta-1b IFNbeta-1b NNP cord-022594-fx044gcd 1297 22 in in IN cord-022594-fx044gcd 1297 23 secondary secondary JJ cord-022594-fx044gcd 1297 24 - - HYPH cord-022594-fx044gcd 1297 25 progressive progressive JJ cord-022594-fx044gcd 1297 26 MS MS NNP cord-022594-fx044gcd 1298 1 The the DT cord-022594-fx044gcd 1298 2 effect effect NN cord-022594-fx044gcd 1298 3 of of IN cord-022594-fx044gcd 1298 4 interferon interferon NN cord-022594-fx044gcd 1298 5 beta-1b beta-1b CD cord-022594-fx044gcd 1298 6 treatment treatment NN cord-022594-fx044gcd 1298 7 on on IN cord-022594-fx044gcd 1298 8 MRI MRI NNP cord-022594-fx044gcd 1298 9 measures measure NNS cord-022594-fx044gcd 1298 10 of of IN cord-022594-fx044gcd 1298 11 cerebral cerebral JJ cord-022594-fx044gcd 1298 12 atrophy atrophy NN cord-022594-fx044gcd 1298 13 in in IN cord-022594-fx044gcd 1298 14 secondary secondary JJ cord-022594-fx044gcd 1298 15 progressive progressive JJ cord-022594-fx044gcd 1298 16 multiple multiple JJ cord-022594-fx044gcd 1298 17 sclerosis sclerosis NN cord-022594-fx044gcd 1298 18 . . . cord-022594-fx044gcd 1299 1 European European NNP cord-022594-fx044gcd 1299 2 Study Study NNP cord-022594-fx044gcd 1299 3 Group Group NNP cord-022594-fx044gcd 1299 4 on on IN cord-022594-fx044gcd 1299 5 Interferon Interferon NNP cord-022594-fx044gcd 1299 6 beta-1b beta-1b NNP cord-022594-fx044gcd 1299 7 in in IN cord-022594-fx044gcd 1299 8 secondary secondary JJ cord-022594-fx044gcd 1299 9 progressive progressive JJ cord-022594-fx044gcd 1299 10 multiple multiple JJ cord-022594-fx044gcd 1299 11 sclerosis sclerosis NN cord-022594-fx044gcd 1299 12 Randomized Randomized NNP cord-022594-fx044gcd 1299 13 controlled control VBN cord-022594-fx044gcd 1299 14 trial trial NN cord-022594-fx044gcd 1299 15 of of IN cord-022594-fx044gcd 1299 16 interferonbeta-1a interferonbeta-1a NNP cord-022594-fx044gcd 1299 17 in in IN cord-022594-fx044gcd 1299 18 secondary secondary JJ cord-022594-fx044gcd 1299 19 progressive progressive JJ cord-022594-fx044gcd 1299 20 MS MS NNP cord-022594-fx044gcd 1299 21 : : : cord-022594-fx044gcd 1300 1 MRI MRI NNP cord-022594-fx044gcd 1300 2 results result NNS cord-022594-fx044gcd 1301 1 Interferon interferon NN cord-022594-fx044gcd 1301 2 beta-1b beta-1b NNP cord-022594-fx044gcd 1301 3 in in IN cord-022594-fx044gcd 1301 4 secondary secondary JJ cord-022594-fx044gcd 1301 5 progressive progressive JJ cord-022594-fx044gcd 1301 6 MS MS NNP cord-022594-fx044gcd 1301 7 : : : cord-022594-fx044gcd 1301 8 A a DT cord-022594-fx044gcd 1301 9 combined combine VBN cord-022594-fx044gcd 1301 10 analysis analysis NN cord-022594-fx044gcd 1301 11 of of IN cord-022594-fx044gcd 1301 12 the the DT cord-022594-fx044gcd 1301 13 two two CD cord-022594-fx044gcd 1301 14 trials trial NNS cord-022594-fx044gcd 1302 1 European european JJ cord-022594-fx044gcd 1302 2 study study NN cord-022594-fx044gcd 1302 3 on on IN cord-022594-fx044gcd 1302 4 intravenous intravenous JJ cord-022594-fx044gcd 1302 5 immunoglobulin immunoglobulin NN cord-022594-fx044gcd 1302 6 in in IN cord-022594-fx044gcd 1302 7 multiple multiple JJ cord-022594-fx044gcd 1302 8 sclerosis sclerosis NN cord-022594-fx044gcd 1302 9 : : : cord-022594-fx044gcd 1302 10 Results result NNS cord-022594-fx044gcd 1302 11 of of IN cord-022594-fx044gcd 1302 12 magnetization magnetization NN cord-022594-fx044gcd 1302 13 transfer transfer NN cord-022594-fx044gcd 1302 14 magnetic magnetic JJ cord-022594-fx044gcd 1302 15 resonance resonance NN cord-022594-fx044gcd 1302 16 imaging imaging NN cord-022594-fx044gcd 1302 17 analysis analysis NN cord-022594-fx044gcd 1302 18 Relapses relapse NNS cord-022594-fx044gcd 1302 19 and and CC cord-022594-fx044gcd 1302 20 progression progression NN cord-022594-fx044gcd 1302 21 of of IN cord-022594-fx044gcd 1302 22 disability disability NN cord-022594-fx044gcd 1302 23 in in IN cord-022594-fx044gcd 1302 24 multiple multiple JJ cord-022594-fx044gcd 1302 25 sclerosis sclerosis NN cord-022594-fx044gcd 1303 1 Mitoxantrone Mitoxantrone NNP cord-022594-fx044gcd 1303 2 in in IN cord-022594-fx044gcd 1303 3 progressive progressive JJ cord-022594-fx044gcd 1303 4 MS MS NNP cord-022594-fx044gcd 1303 5 : : : cord-022594-fx044gcd 1304 1 A a DT cord-022594-fx044gcd 1304 2 placebo placebo NN cord-022594-fx044gcd 1304 3 controlled control VBN cord-022594-fx044gcd 1304 4 , , , cord-022594-fx044gcd 1304 5 randomized randomized JJ cord-022594-fx044gcd 1304 6 , , , cord-022594-fx044gcd 1304 7 observer observer NN cord-022594-fx044gcd 1304 8 blinded blinded JJ cord-022594-fx044gcd 1304 9 phase phase NN cord-022594-fx044gcd 1304 10 III iii CD cord-022594-fx044gcd 1304 11 multi multi JJ cord-022594-fx044gcd 1304 12 - - JJ cord-022594-fx044gcd 1304 13 center center JJ cord-022594-fx044gcd 1304 14 study study NN cord-022594-fx044gcd 1304 15 : : : cord-022594-fx044gcd 1304 16 Clinical clinical JJ cord-022594-fx044gcd 1304 17 results result NNS cord-022594-fx044gcd 1304 18 Therapeutic therapeutic JJ cord-022594-fx044gcd 1304 19 effect effect NN cord-022594-fx044gcd 1304 20 of of IN cord-022594-fx044gcd 1304 21 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 1304 22 combined combine VBN cord-022594-fx044gcd 1304 23 with with IN cord-022594-fx044gcd 1304 24 methylprednisolone methylprednisolone NN cord-022594-fx044gcd 1304 25 in in IN cord-022594-fx044gcd 1304 26 multiple multiple JJ cord-022594-fx044gcd 1304 27 sclerosis sclerosis NN cord-022594-fx044gcd 1304 28 : : : cord-022594-fx044gcd 1305 1 A a DT cord-022594-fx044gcd 1305 2 randomised randomised JJ cord-022594-fx044gcd 1305 3 multicentre multicentre NNP cord-022594-fx044gcd 1305 4 study study NN cord-022594-fx044gcd 1305 5 of of IN cord-022594-fx044gcd 1305 6 active active JJ cord-022594-fx044gcd 1305 7 disease disease NN cord-022594-fx044gcd 1305 8 using use VBG cord-022594-fx044gcd 1305 9 MRI MRI NNP cord-022594-fx044gcd 1305 10 and and CC cord-022594-fx044gcd 1305 11 clinical clinical JJ cord-022594-fx044gcd 1305 12 criteria criterion NNS cord-022594-fx044gcd 1306 1 A a DT cord-022594-fx044gcd 1306 2 study study NN cord-022594-fx044gcd 1306 3 of of IN cord-022594-fx044gcd 1306 4 therapy therapy NN cord-022594-fx044gcd 1306 5 - - HYPH cord-022594-fx044gcd 1306 6 related relate VBN cord-022594-fx044gcd 1306 7 acute acute JJ cord-022594-fx044gcd 1306 8 leukaemia leukaemia NN cord-022594-fx044gcd 1306 9 after after IN cord-022594-fx044gcd 1306 10 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 1306 11 therapy therapy NN cord-022594-fx044gcd 1306 12 for for IN cord-022594-fx044gcd 1306 13 multiple multiple JJ cord-022594-fx044gcd 1306 14 sclerosis sclerosis NN cord-022594-fx044gcd 1307 1 Mitoxantrone mitoxantrone NN cord-022594-fx044gcd 1307 2 in in IN cord-022594-fx044gcd 1307 3 progressive progressive JJ cord-022594-fx044gcd 1307 4 multiple multiple JJ cord-022594-fx044gcd 1307 5 sclerosis sclerosis NN cord-022594-fx044gcd 1307 6 : : : cord-022594-fx044gcd 1307 7 A a DT cord-022594-fx044gcd 1307 8 placebo placebo NN cord-022594-fx044gcd 1307 9 - - HYPH cord-022594-fx044gcd 1307 10 controlled control VBN cord-022594-fx044gcd 1307 11 , , , cord-022594-fx044gcd 1307 12 double double JJ cord-022594-fx044gcd 1307 13 - - HYPH cord-022594-fx044gcd 1307 14 blind blind JJ cord-022594-fx044gcd 1307 15 , , , cord-022594-fx044gcd 1307 16 randomised randomised JJ cord-022594-fx044gcd 1307 17 , , , cord-022594-fx044gcd 1307 18 multicentre multicentre NNP cord-022594-fx044gcd 1307 19 trial trial NN cord-022594-fx044gcd 1307 20 Effect Effect NNP cord-022594-fx044gcd 1307 21 of of IN cord-022594-fx044gcd 1307 22 mitoxantrone mitoxantrone NN cord-022594-fx044gcd 1307 23 on on IN cord-022594-fx044gcd 1307 24 MRI MRI NNP cord-022594-fx044gcd 1307 25 in in IN cord-022594-fx044gcd 1307 26 progressive progressive JJ cord-022594-fx044gcd 1307 27 MS MS NNP cord-022594-fx044gcd 1307 28 : : : cord-022594-fx044gcd 1307 29 Results result NNS cord-022594-fx044gcd 1307 30 of of IN cord-022594-fx044gcd 1307 31 the the DT cord-022594-fx044gcd 1307 32 MIMS MIMS NNP cord-022594-fx044gcd 1307 33 trial trial NN cord-022594-fx044gcd 1308 1 Interferon Interferon NNP cord-022594-fx044gcd 1308 2 beta-1a beta-1a NNP cord-022594-fx044gcd 1308 3 in in IN cord-022594-fx044gcd 1308 4 primary primary JJ cord-022594-fx044gcd 1308 5 progressive progressive JJ cord-022594-fx044gcd 1308 6 multiple multiple JJ cord-022594-fx044gcd 1308 7 sclerosis sclerosis NN cord-022594-fx044gcd 1308 8 Overview Overview NNP cord-022594-fx044gcd 1308 9 of of IN cord-022594-fx044gcd 1308 10 azathioprine azathioprine JJ cord-022594-fx044gcd 1308 11 treatment treatment NN cord-022594-fx044gcd 1308 12 in in IN cord-022594-fx044gcd 1308 13 multiple multiple JJ cord-022594-fx044gcd 1308 14 sclerosis sclerosis NN cord-022594-fx044gcd 1308 15 Lowdose Lowdose NNP cord-022594-fx044gcd 1308 16 ( ( -LRB- cord-022594-fx044gcd 1308 17 7.5 7.5 CD cord-022594-fx044gcd 1308 18 mg mg NN cord-022594-fx044gcd 1308 19 ) ) -RRB- cord-022594-fx044gcd 1309 1 oral oral NNP cord-022594-fx044gcd 1309 2 methotrexate methotrexate NNP cord-022594-fx044gcd 1309 3 reduces reduce VBZ cord-022594-fx044gcd 1309 4 the the DT cord-022594-fx044gcd 1309 5 rate rate NN cord-022594-fx044gcd 1309 6 of of IN cord-022594-fx044gcd 1309 7 progression progression NN cord-022594-fx044gcd 1309 8 in in IN cord-022594-fx044gcd 1309 9 chronic chronic JJ cord-022594-fx044gcd 1309 10 progressive progressive JJ cord-022594-fx044gcd 1309 11 multiple multiple JJ cord-022594-fx044gcd 1309 12 sclerosis sclerosis NN cord-022594-fx044gcd 1309 13 Cladribine Cladribine NNP cord-022594-fx044gcd 1309 14 in in IN cord-022594-fx044gcd 1309 15 treatment treatment NN cord-022594-fx044gcd 1309 16 of of IN cord-022594-fx044gcd 1309 17 chronic chronic JJ cord-022594-fx044gcd 1309 18 progressive progressive JJ cord-022594-fx044gcd 1309 19 multiple multiple JJ cord-022594-fx044gcd 1309 20 sclerosis sclerosis NN cord-022594-fx044gcd 1309 21 Cladribine Cladribine NNP cord-022594-fx044gcd 1309 22 and and CC cord-022594-fx044gcd 1309 23 progressive progressive JJ cord-022594-fx044gcd 1309 24 MS MS NNP cord-022594-fx044gcd 1309 25 : : : cord-022594-fx044gcd 1309 26 clinical clinical JJ cord-022594-fx044gcd 1309 27 and and CC cord-022594-fx044gcd 1309 28 MRI MRI NNP cord-022594-fx044gcd 1309 29 outcomes outcome NNS cord-022594-fx044gcd 1309 30 of of IN cord-022594-fx044gcd 1309 31 a a DT cord-022594-fx044gcd 1309 32 multicenter multicenter NN cord-022594-fx044gcd 1309 33 controlled control VBN cord-022594-fx044gcd 1309 34 trial trial NN cord-022594-fx044gcd 1309 35 . . . cord-022594-fx044gcd 1310 1 Cladribine Cladribine NNP cord-022594-fx044gcd 1310 2 MRI MRI NNP cord-022594-fx044gcd 1310 3 Study Study NNP cord-022594-fx044gcd 1310 4 Group Group NNP cord-022594-fx044gcd 1310 5 Autologous autologous JJ cord-022594-fx044gcd 1310 6 stem stem NN cord-022594-fx044gcd 1310 7 cell cell NN cord-022594-fx044gcd 1310 8 transplantation transplantation NN cord-022594-fx044gcd 1310 9 in in IN cord-022594-fx044gcd 1310 10 progressive progressive JJ cord-022594-fx044gcd 1310 11 multiple multiple JJ cord-022594-fx044gcd 1310 12 sclerosis sclerosis NN cord-022594-fx044gcd 1310 13 - - : cord-022594-fx044gcd 1310 14 An an DT cord-022594-fx044gcd 1310 15 interim interim JJ cord-022594-fx044gcd 1310 16 analysis analysis NN cord-022594-fx044gcd 1310 17 of of IN cord-022594-fx044gcd 1310 18 efficacy efficacy NN cord-022594-fx044gcd 1310 19 Controlled control VBN cord-022594-fx044gcd 1310 20 randomised randomised JJ cord-022594-fx044gcd 1310 21 crossover crossover NN cord-022594-fx044gcd 1310 22 trial trial NN cord-022594-fx044gcd 1310 23 of of IN cord-022594-fx044gcd 1310 24 the the DT cord-022594-fx044gcd 1310 25 effects effect NNS cord-022594-fx044gcd 1310 26 of of IN cord-022594-fx044gcd 1310 27 physiotherapy physiotherapy NN cord-022594-fx044gcd 1310 28 on on IN cord-022594-fx044gcd 1310 29 mobility mobility NN cord-022594-fx044gcd 1310 30 in in IN cord-022594-fx044gcd 1310 31 chronic chronic JJ cord-022594-fx044gcd 1310 32 multiple multiple JJ cord-022594-fx044gcd 1310 33 sclerosis sclerosis NN cord-022594-fx044gcd 1311 1 A a DT cord-022594-fx044gcd 1311 2 randomized randomized JJ cord-022594-fx044gcd 1311 3 controlled control VBN cord-022594-fx044gcd 1311 4 crossover crossover NN cord-022594-fx044gcd 1311 5 trial trial NN cord-022594-fx044gcd 1311 6 of of IN cord-022594-fx044gcd 1311 7 aspirin aspirin NN cord-022594-fx044gcd 1311 8 for for IN cord-022594-fx044gcd 1311 9 fatigue fatigue NN cord-022594-fx044gcd 1311 10 in in IN cord-022594-fx044gcd 1311 11 multiple multiple JJ cord-022594-fx044gcd 1311 12 sclerosis sclerosis NN cord-022594-fx044gcd 1311 13 Donepezil Donepezil NNP cord-022594-fx044gcd 1311 14 improved improve VBD cord-022594-fx044gcd 1311 15 memory memory NN cord-022594-fx044gcd 1311 16 in in IN cord-022594-fx044gcd 1311 17 multiple multiple JJ cord-022594-fx044gcd 1311 18 sclerosis sclerosis NN cord-022594-fx044gcd 1311 19 in in IN cord-022594-fx044gcd 1311 20 a a DT cord-022594-fx044gcd 1311 21 randomized randomized JJ cord-022594-fx044gcd 1311 22 clinical clinical JJ cord-022594-fx044gcd 1311 23 trial trial NN cord-022594-fx044gcd 1311 24 Stereotactic Stereotactic NNP cord-022594-fx044gcd 1311 25 lesional lesional JJ cord-022594-fx044gcd 1311 26 surgery surgery NN cord-022594-fx044gcd 1311 27 for for IN cord-022594-fx044gcd 1311 28 the the DT cord-022594-fx044gcd 1311 29 treatment treatment NN cord-022594-fx044gcd 1311 30 of of IN cord-022594-fx044gcd 1311 31 tremor tremor NN cord-022594-fx044gcd 1311 32 in in IN cord-022594-fx044gcd 1311 33 multiple multiple JJ cord-022594-fx044gcd 1311 34 sclerosis sclerosis NN cord-022594-fx044gcd 1311 35 : : : cord-022594-fx044gcd 1312 1 A a DT cord-022594-fx044gcd 1312 2 prospective prospective JJ cord-022594-fx044gcd 1312 3 case case NN cord-022594-fx044gcd 1312 4 - - HYPH cord-022594-fx044gcd 1312 5 controlled control VBN cord-022594-fx044gcd 1312 6 study study NN cord-022594-fx044gcd 1312 7 A a DT cord-022594-fx044gcd 1312 8 study study NN cord-022594-fx044gcd 1312 9 of of IN cord-022594-fx044gcd 1312 10 tremor tremor NN cord-022594-fx044gcd 1312 11 in in IN cord-022594-fx044gcd 1312 12 multiple multiple JJ cord-022594-fx044gcd 1312 13 sclerosis sclerosis NN cord-022594-fx044gcd 1312 14 Ventilatory ventilatory JJ cord-022594-fx044gcd 1312 15 dysfunction dysfunction NN cord-022594-fx044gcd 1312 16 in in IN cord-022594-fx044gcd 1312 17 multiple multiple JJ cord-022594-fx044gcd 1312 18 sclerosis sclerosis NN cord-022594-fx044gcd 1313 1 The the DT cord-022594-fx044gcd 1313 2 reproductive reproductive JJ cord-022594-fx044gcd 1313 3 effects effect NNS cord-022594-fx044gcd 1313 4 of of IN cord-022594-fx044gcd 1313 5 beta beta NN cord-022594-fx044gcd 1313 6 interferon interferon NN cord-022594-fx044gcd 1313 7 therapy therapy NN cord-022594-fx044gcd 1313 8 in in IN cord-022594-fx044gcd 1313 9 pregnancy pregnancy NN cord-022594-fx044gcd 1313 10 : : : cord-022594-fx044gcd 1314 1 A a DT cord-022594-fx044gcd 1314 2 longitudinal longitudinal JJ cord-022594-fx044gcd 1314 3 cohort cohort NN cord-022594-fx044gcd 1315 1 The the DT cord-022594-fx044gcd 1315 2 natural natural JJ cord-022594-fx044gcd 1315 3 history history NN cord-022594-fx044gcd 1315 4 of of IN cord-022594-fx044gcd 1315 5 multiple multiple JJ cord-022594-fx044gcd 1315 6 sclerosis sclerosis NN cord-022594-fx044gcd 1315 7 : : : cord-022594-fx044gcd 1316 1 A a DT cord-022594-fx044gcd 1316 2 geographically geographically RB cord-022594-fx044gcd 1316 3 based base VBN cord-022594-fx044gcd 1316 4 study study NN cord-022594-fx044gcd 1316 5 . . . cord-022594-fx044gcd 1317 1 I. I. NNP cord-022594-fx044gcd 1317 2 Clinical clinical JJ cord-022594-fx044gcd 1317 3 course course NN cord-022594-fx044gcd 1317 4 and and CC cord-022594-fx044gcd 1317 5 disability disability NN cord-022594-fx044gcd 1317 6 Change change NN cord-022594-fx044gcd 1317 7 in in IN cord-022594-fx044gcd 1317 8 MS MS NNP cord-022594-fx044gcd 1317 9 - - HYPH cord-022594-fx044gcd 1317 10 related relate VBN cord-022594-fx044gcd 1317 11 disability disability NN cord-022594-fx044gcd 1317 12 in in IN cord-022594-fx044gcd 1317 13 a a DT cord-022594-fx044gcd 1317 14 population population NN cord-022594-fx044gcd 1317 15 - - HYPH cord-022594-fx044gcd 1317 16 based base VBN cord-022594-fx044gcd 1317 17 cohort cohort NN cord-022594-fx044gcd 1317 18 : : : cord-022594-fx044gcd 1317 19 A a DT cord-022594-fx044gcd 1317 20 10-year 10-year CD cord-022594-fx044gcd 1317 21 follow follow NN cord-022594-fx044gcd 1317 22 - - HYPH cord-022594-fx044gcd 1317 23 up up NN cord-022594-fx044gcd 1317 24 study study NN cord-022594-fx044gcd 1317 25 The the DT cord-022594-fx044gcd 1317 26 clinical clinical JJ cord-022594-fx044gcd 1317 27 course course NN cord-022594-fx044gcd 1317 28 of of IN cord-022594-fx044gcd 1317 29 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 1317 30 optica optica NNP cord-022594-fx044gcd 1317 31 ( ( -LRB- cord-022594-fx044gcd 1317 32 Devic Devic NNP cord-022594-fx044gcd 1317 33 's 's POS cord-022594-fx044gcd 1317 34 syndrome syndrome NN cord-022594-fx044gcd 1317 35 ) ) -RRB- cord-022594-fx044gcd 1318 1 Devic Devic NNP cord-022594-fx044gcd 1318 2 's 's POS cord-022594-fx044gcd 1318 3 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 1318 4 optica optica NNP cord-022594-fx044gcd 1318 5 : : : cord-022594-fx044gcd 1319 1 A a DT cord-022594-fx044gcd 1319 2 clinicopathological clinicopathological JJ cord-022594-fx044gcd 1319 3 study study NN cord-022594-fx044gcd 1319 4 of of IN cord-022594-fx044gcd 1319 5 8 8 CD cord-022594-fx044gcd 1319 6 patients patient NNS cord-022594-fx044gcd 1319 7 A a DT cord-022594-fx044gcd 1319 8 serum serum NN cord-022594-fx044gcd 1319 9 autoantibody autoantibody NN cord-022594-fx044gcd 1319 10 marker marker NN cord-022594-fx044gcd 1319 11 of of IN cord-022594-fx044gcd 1319 12 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 1319 13 optica optica NNP cord-022594-fx044gcd 1319 14 : : : cord-022594-fx044gcd 1320 1 Distinction distinction NN cord-022594-fx044gcd 1320 2 from from IN cord-022594-fx044gcd 1320 3 multiple multiple JJ cord-022594-fx044gcd 1320 4 sclerosis sclerosis NN cord-022594-fx044gcd 1321 1 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 1321 2 optica optica NN cord-022594-fx044gcd 1321 3 : : : cord-022594-fx044gcd 1322 1 Clinical clinical JJ cord-022594-fx044gcd 1322 2 predictors predictor NNS cord-022594-fx044gcd 1322 3 of of IN cord-022594-fx044gcd 1322 4 a a DT cord-022594-fx044gcd 1322 5 relapsing relapse VBG cord-022594-fx044gcd 1322 6 course course NN cord-022594-fx044gcd 1322 7 and and CC cord-022594-fx044gcd 1322 8 survival survival NN cord-022594-fx044gcd 1322 9 MRI MRI NNP cord-022594-fx044gcd 1322 10 and and CC cord-022594-fx044gcd 1322 11 magnetization magnetization NN cord-022594-fx044gcd 1322 12 transfer transfer NN cord-022594-fx044gcd 1322 13 imaging imaging NN cord-022594-fx044gcd 1322 14 changes change NNS cord-022594-fx044gcd 1322 15 in in IN cord-022594-fx044gcd 1322 16 the the DT cord-022594-fx044gcd 1322 17 brain brain NN cord-022594-fx044gcd 1322 18 and and CC cord-022594-fx044gcd 1322 19 cervical cervical JJ cord-022594-fx044gcd 1322 20 cord cord NN cord-022594-fx044gcd 1322 21 of of IN cord-022594-fx044gcd 1322 22 patients patient NNS cord-022594-fx044gcd 1322 23 with with IN cord-022594-fx044gcd 1322 24 Devic Devic NNP cord-022594-fx044gcd 1322 25 's 's POS cord-022594-fx044gcd 1322 26 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 1322 27 optica optica NNP cord-022594-fx044gcd 1322 28 Clinical Clinical NNP cord-022594-fx044gcd 1322 29 , , , cord-022594-fx044gcd 1322 30 CSF CSF NNP cord-022594-fx044gcd 1322 31 , , , cord-022594-fx044gcd 1322 32 and and CC cord-022594-fx044gcd 1322 33 MRI MRI NNP cord-022594-fx044gcd 1322 34 findings finding NNS cord-022594-fx044gcd 1322 35 in in IN cord-022594-fx044gcd 1322 36 Devic Devic NNP cord-022594-fx044gcd 1322 37 's 's POS cord-022594-fx044gcd 1322 38 neuromyelitis neuromyelitis NNP cord-022594-fx044gcd 1322 39 optica optica NNP cord-022594-fx044gcd 1323 1 Neuromyelitis Neuromyelitis NNP cord-022594-fx044gcd 1323 2 optica optica NN cord-022594-fx044gcd 1323 3 Acute acute NN cord-022594-fx044gcd 1323 4 disseminated disseminate VBN cord-022594-fx044gcd 1323 5 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 1323 6 : : : cord-022594-fx044gcd 1323 7 A a DT cord-022594-fx044gcd 1323 8 follow follow VB cord-022594-fx044gcd 1323 9 - - HYPH cord-022594-fx044gcd 1323 10 up up NN cord-022594-fx044gcd 1323 11 study study NN cord-022594-fx044gcd 1323 12 of of IN cord-022594-fx044gcd 1323 13 40 40 CD cord-022594-fx044gcd 1323 14 adult adult NN cord-022594-fx044gcd 1323 15 patients patient NNS cord-022594-fx044gcd 1323 16 ADEM ADEM NNP cord-022594-fx044gcd 1323 17 : : : cord-022594-fx044gcd 1323 18 Distinct distinct JJ cord-022594-fx044gcd 1323 19 disease disease NN cord-022594-fx044gcd 1323 20 or or CC cord-022594-fx044gcd 1323 21 part part NN cord-022594-fx044gcd 1323 22 of of IN cord-022594-fx044gcd 1323 23 the the DT cord-022594-fx044gcd 1323 24 MS MS NNP cord-022594-fx044gcd 1323 25 spectrum spectrum NN cord-022594-fx044gcd 1323 26 Clinical Clinical NNP cord-022594-fx044gcd 1323 27 and and CC cord-022594-fx044gcd 1323 28 neuroradiologic neuroradiologic JJ cord-022594-fx044gcd 1323 29 features feature NNS cord-022594-fx044gcd 1323 30 of of IN cord-022594-fx044gcd 1323 31 acute acute JJ cord-022594-fx044gcd 1323 32 disseminated disseminate VBN cord-022594-fx044gcd 1323 33 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 1323 34 in in IN cord-022594-fx044gcd 1323 35 children child NNS cord-022594-fx044gcd 1323 36 Acute Acute NNP cord-022594-fx044gcd 1323 37 disseminated disseminate VBN cord-022594-fx044gcd 1323 38 encephalomyelitis encephalomyelitis NN cord-022594-fx044gcd 1323 39 . . . cord-022594-fx044gcd 1324 1 MRI MRI NNP cord-022594-fx044gcd 1324 2 findings finding NNS cord-022594-fx044gcd 1324 3 and and CC cord-022594-fx044gcd 1324 4 the the DT cord-022594-fx044gcd 1324 5 distinction distinction NN cord-022594-fx044gcd 1324 6 from from IN cord-022594-fx044gcd 1324 7 multiple multiple JJ cord-022594-fx044gcd 1324 8 sclerosis sclerosis NN cord-022594-fx044gcd 1324 9 Interactive interactive JJ cord-022594-fx044gcd 1324 10 study study NN cord-022594-fx044gcd 1324 11 questions question NNS cord-022594-fx044gcd 1324 12 and and CC cord-022594-fx044gcd 1324 13 referenced reference VBD cord-022594-fx044gcd 1324 14 videos video NNS cord-022594-fx044gcd 1324 15 for for IN cord-022594-fx044gcd 1324 16 this this DT cord-022594-fx044gcd 1324 17 chapter chapter NN cord-022594-fx044gcd 1324 18 are be VBP cord-022594-fx044gcd 1324 19 available available JJ cord-022594-fx044gcd 1324 20 on on IN cord-022594-fx044gcd 1324 21 the the DT cord-022594-fx044gcd 1324 22 DVD dvd NN cord-022594-fx044gcd 1324 23 - - HYPH cord-022594-fx044gcd 1324 24 ROM rom NN