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Prospective outcome analysis of multiple sclerosis cases reveals candidate prognostic cerebrospinal fluid markers

Author

Listed:
  • Elif Everest
  • Ugur Uygunoglu
  • Melih Tutuncu
  • Alper Bulbul
  • Umut Inci Onat
  • Mehmetcan Unal
  • Timucin Avsar
  • Sabahattin Saip
  • Ugur Bilge
  • Eda Tahir Turanli
  • Aksel Siva

Abstract

Background: Predicting the long-term disability outcomes of multiple sclerosis (MS) cases is challenging. Objective: We prospectively analysed our previous MS cohort with initial cerebrospinal fluid (CSF) proteomics data to reveal disability markers after 8.2±2.2 years of follow-up. Methods: Patients with regular follow-up visits were assigned into two groups: those with an age-related MS severity (ARMSS) score ≥5 (unfavourable course group, N = 27) and ARMSS score 9 lesions) on magnetic resonance imaging, gait disturbance (P = 0.04), and bladder/bowel symptoms (P = 0.01) were significantly higher in the unfavourable course group than in the favourable course group. Optic nerve involvement evident on initial magnetic resonance imaging (P = 0.002) and optic neuritis (P = 0.01) were more frequent in the favourable course group. Conclusion: The herein identified initial CSF protein levels, in addition to the clinical and radiological parameters at disease onset, have predictive value for long-term disability in MS cases.

Suggested Citation

  • Elif Everest & Ugur Uygunoglu & Melih Tutuncu & Alper Bulbul & Umut Inci Onat & Mehmetcan Unal & Timucin Avsar & Sabahattin Saip & Ugur Bilge & Eda Tahir Turanli & Aksel Siva, 2023. "Prospective outcome analysis of multiple sclerosis cases reveals candidate prognostic cerebrospinal fluid markers," PLOS ONE, Public Library of Science, vol. 18(6), pages 1-11, June.
  • Handle: RePEc:plo:pone00:0287463
    DOI: 10.1371/journal.pone.0287463
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