Table 1 The attack related clinical data
From: Predictors of severity and outcome of multiple sclerosis relapses
| Â | Â | N(%) |
|---|---|---|
Attacks | first ever attacks | 169 (56.3) |
attacks that occurred during the course of the disease | 131 (43.7) | |
Presentation | Mono-symptomatic | 121 (40.3) |
Poly-symptomatic | 179(59.7) | |
Associated symptoms | Depression | 153 (51) |
Fatigue | 201 (67) | |
Cognitive | 92 (30.7) | |
Precipitating factors | Pregnancy | 3 (1) |
Post-partum | 15(5) | |
OCPs | 33(11) | |
Assisted reproductive techniques | 12(4) | |
Psychosocial stressors | 107(35.7) | |
Preceding infection | 7(2.3) | |
Smoking | 82(27.3) | |
MS prodromal symptoms were reported by 114 patients (51.12%) 5 to 10Â years prior to their first presentation with typical demyelinating symptoms suggestive of MS | Headache or non-specific sensory symptoms | 102(89.4) |
Orthopedic consultations for joint pains | 64(56.14) | |
Psychiatric help for depression or anxiety | 22(19.2) | |
Dermatological problems as non-specific rash | (11.4) | |
Prodromal symptoms in relation to the included attacks | Depression and anxiety | 41(13.7) |
Neurological symptoms predominantly headache | 128(42.7) | |
Treatment of the attack | IVMP | 254(84.7) |
No acute treatment | 46(15.3) | |
Plasma Exchange | 8 (2.7) | |
Disease modifying therapy intake at time of attack | Yes | 78(26) |
No | 222(74) | |
Severity | Mild to Moderate | 183(61) |
Severe | 117(39) | |
Outcome | Full or almost full recovery | 204(68) |
Partial or no recovery | 96 (32) | |
EDSS | Time of calculation | Â |
Before the onset | 0 (0- 1) | |
After the onset | 3.5 (3 – 4) | |
At the zenith | 3.5 (3 – 4.5) | |
After recovery | 1.5 (1–2) |