ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN XƠ CỨNG RẢI RÁC, ĐIỀU TRỊ TẠI KHOA THẦN KINH, BỆNH VIỆN BẠCH MAI TỪ 1/2018-7/2020

Abstract

Objectives: To describe clinical characteristics of patients with multiple sclerosis, treated at the neurology department, Bach Mai hospital from 1/2018-7/2020. Methods: A retrospective study was performed on 71 patients with multiple sclerosis. Results: There were 54 female patients with multiple sclerosis, female/male ratio ≈ 3:1. The average age of the disease was 41.9 ± 13.6 years old, usually under 40 years old. Common symptoms are optic nerve damage, motor paralysis due to spinal cord injury alone, and sensory disturbances. The majority (81.69%) of patients recovered after the first episode, lasting from 1 to 6 months. Neuromyelitis optica – NMOwas seen with the highest rate (39.44% of the patients). Conclusion: Patients with multiple sclerosis have diverse clinical symptoms, mainly lesions causing motor paralysis and sensory disturbances. Despite the high rate of recovery after the first episode, the patient's quality of life is severely affected by multi-phenotypic, multi-site lesions.