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Multiple Sclerosis in Children Under 6 Years of Age Neurol 53:478-484, Ruggieri,M.,et al, 1999 See this aricle in Pubmed Article Abstract All patients had clinically defined MS according to Poser's criteria; 22 were also laboratory supported. the female/male ratio (1.4) was lower than that usually recorded for adult onset MS (2.0) and that of MS with onset between 6 and 15 ye ars (2.2 to 3.0). The group of patients (n = 5) with onset before 24 months of age showed the lowest ratio (0.6) and carried the most unfavorable prognosis. Among initial symptoms, ataxia was preponderant (61%). Optic nerve involvement became more freq uent with age. Generalized or partial seizures occurred in 22 & of cases. First inter-attack interval was less than 1 year in 63% of the cases. The yearly relapse rate ranged from 1.1 at disease onset to 0.2 after 9 years from disease onset. At follow -up (mean length 6.8 years), the disease was relapsing-remitting in 84% patients and the grade of recovery was complete in 64%. Definite MS can be consistently diagnosed by current criteria for adult onset MS inpatients with the earliest onset of disease who show peculiar clinical features and natural history. These findings may suggest a reconsideration of current lower limits for MS diagnostic criteria.

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(click to filter results - removes previous filter) ataxia children multiple sclerosis multiple sclerosis,children multiple sclerosis,presenting manifestations multiple sclerosis,prognosis optic neuritis optic neuritis,children prognosis review article seizure seizure,children

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