Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023fxt
Yuanyuan Zhuo, Min Pi, Xingxian Huang, Limin Liu, Zhuoxin Yang
{"title":"Estimating a two-year recurrence risk of ischemic stroke based on Essen Stroke Risk Score and retinal characteristics","authors":"Yuanyuan Zhuo, Min Pi, Xingxian Huang, Limin Liu, Zhuoxin Yang","doi":"10.54029/2023fxt","DOIUrl":"https://doi.org/10.54029/2023fxt","url":null,"abstract":"Objectives: Prediction of recurrence risk after initial ischemic stroke helps improve patient outcomes. We estimated the validity of combining the Essen Stroke Risk Score (ESRS) with retinal characteristics to predict the two-year recurrent risk of ischemic stroke. Methods: A prospective cohort study was conducted at Shenzhen Traditional Chinese Medicine Hospital. Patients with initial ischemic stroke were recruited. ESRS was measured, and fundus photographs were taken by trained physicians. All patients were followed up for 2 years to determine the outcome of recurrent stroke. Logistic models were built using ESRS alone and combined with ESRS and retinal characteristics. The prognostic value of recurrence risk was evaluated by calculating the area under the receiver operating characteristic curve. Results: The total recurrence rate of ischemic events within 2 years was 20%. The risk of recurrence was significantly higher in patients with an ESRS score of >2. Regarding retinal characteristics, patients with recurrent stroke had a lower mean asymmetry index of venules (0.76 vs. 0.77, P=0.00) and bifurcation coefficient of venules (1.29 vs. 1.28, P=0.03) but a higher mean occlusion of arterioles (0.11 vs. 0.13, P=0.01). The area under the curve was 0.5985 based on the logistic regression model with ESRS alone to 0.7294 for the model with both ESRS and retinal characteristics. This study was registered in the Chinese Clinical Trial Registry (registration no. ChiCTR1800019648). Conclusion: A model combining ESRS with retinal characteristics can accurately predict the risk of recurrent stroke.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023wrw
Sushanta Sahoo, Sujita Kar, Chhitij Srivastava
{"title":"Use of repetitive transcranial magnetic stimulation and 2D ultrasound in resection of low-grade glioma at motor strip area in resource limited setting","authors":"Sushanta Sahoo, Sujita Kar, Chhitij Srivastava","doi":"10.54029/2023wrw","DOIUrl":"https://doi.org/10.54029/2023wrw","url":null,"abstract":"Eloquent area glioma surgery is technically demanding. Identification and preservation of the functional area determines the long term outcome. Here we discuss the use of transcranial magnetic stimulation (TMS) and 2D ultrasound (2DUSG) in resection of low grade glioma (LGG) located at motor strip area. In five patients where the LGG was located close to motor area were evaluated with TMS in the preoperative period and the functional area is marked. This information is used for planning the craniotomy. A 2DUSG is used to detect the margin of resection. Complete excision was feasible in two and partial resection in three without any added deficit. TMS is an useful tool for localizing motor area in the pre operative period for patients with tumor located close to the motor area. Additionally 2DUSG provides real time imaging to safeguard the eloquent brain area. Combination of these two offers low cost, easily available method for resecting eloquent area brain tumors in resource limited areas.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135638087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Temporal trends of stroke incidence over 14 years in Iran: Findings of a large-scale multi-centric hospital-based registry","authors":"Masoumeh Sadeghi, Marjan Jamalian, Fatemeh Nouri, Hamidreza Roohafza, Shahram Oveisegaran, None Marzieh Taheri, Nizal Sarrafzadegan, Habib Rahban","doi":"10.54029/2023ujj","DOIUrl":"https://doi.org/10.54029/2023ujj","url":null,"abstract":"Background: The burden of stroke is high worldwide, especially in low-middle income countries. We aim to explore the temporal trends of the incidence rate (IR) of stroke over 14 years in Iran’s central areas. Methods: Stroke registry as part of cardiovascular disease (CVD) registry in Isfahan that focused on hospitalized patients (≥15 years) with first or recurrent stroke from 2001 to 2015. Factors included date of symptoms, demographics, management, survival at 28 days, date of admission, history of stroke, and other CVD and clinical diagnosis according to Computer Tomography Scan. We calculated age-, sex, and place-of-residence-adjusted IR based on multiple reference populations. Data were analyzed by bootstrap robust zero-truncated negative binomial regression models using R Statistical Software. Results: From 19,174 registered patients with stroke assessed by ICD-10; 18,010 (93.93%) cases were identified based on WHO-MONICA. Approximately 51% of hospitalized stroke patients were women. The average annual increase in stroke incidence based on ICD-10 ranged from 1.56% (95% CI, 0.14, 2.97) to 2.67% (95% CI, 1.25, 4.09) for different reference populations. In addition, a similar trend was also observed for stroke IR based on WHO-MONICA during the study period for the whole reference population, with an average annual change of 2.5% (95% CI, 1.28, 3.72) to 3.64 % (95% CI, 2.47, 4.82). Conclusion: Given that temporal trends of stroke have increased in both sexes, especially in Iran’s urban areas, prevention programs are needed for public awareness and physician motivation in order to identify risk factors as well as primary and secondary prevention.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023taf
BETUL TAS, Vasfiye Kabeloglu, Ugur Kacmaz, Ilknur Kivanc Altunay
{"title":"Sleep, eating and psychopathologies: Which one(s) may be associated with the development of metabolic syndrome in psoriasis patients through psoriasis quality of life?","authors":"BETUL TAS, Vasfiye Kabeloglu, Ugur Kacmaz, Ilknur Kivanc Altunay","doi":"10.54029/2023taf","DOIUrl":"https://doi.org/10.54029/2023taf","url":null,"abstract":"Background: Psoriasis (PS) has many comorbidities including metabolic-syndrome (MetS) sleep and eating disorders and psychopathologies. Objectives: Investigating the relationship between the presence of MetS and sleep, eating and psychological pathologies in PS-patients through psoriasis quality of life (PSQoL). Methods: In this cross-sectional and descriptive correlation study, besides demographics, MetS-parameters and comorbidities, PS-severity, PS related quality of life (PSQoL), sleep-quality (SQ), depression, anxiety, body image-related QoL (BIQoL), perceived stress, flourishing, social appearance anxiety and eating attitudes of subjects were examined with related scales. Data analyzed using SPSS software, according to two PS groups with and without MetS. Results: Of 107 PS-patients, 68 were diagnosed with MetS. Mean-age and PS-duration were significantly higher in MetS (+) group. PS- severity was correlated with poor PSQoL, anxiety, depression, impairing flourishing, poor overall SQ and impairing in two sleep-subcomponents in MetS (+) group, whereas it was correlated with only poor PSQoL and poor overal SQ in MetS (-) group. Poor PSQoL was correlated with anxiety, depression, poor BIQoL, poor overal SQ and impairing in three sleep-subcomponents in MetS (+) group, whereas no correlation was found between these parameters and PSQoL in MetS(-) group. Conclusions: MetS is seen at high-rate in patients with long-term PS. PS-severity is especially correlated with anxiety, impaired-flourishing, and impaired-SQ in PS-patients with Mets (+). PSQoL appear to be correlated with depression, anxiety, distorted-BI and impaired SQ in these patients. It should be kept in mind that neuropsychological factors may facilitate the development of dysmetabolic events in PS-patients, by impairing PSQoL.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023nmp
RATHIKA RAJAH, None SHAHRUL AZMIN, None MOHD RIZAL ABDUL MANAF, None Wan Nur Nafisah Wan Yahya
{"title":"Prevalence and risk factors of post-stroke pain in a Malaysian stroke centre: A cross sectional study","authors":"RATHIKA RAJAH, None SHAHRUL AZMIN, None MOHD RIZAL ABDUL MANAF, None Wan Nur Nafisah Wan Yahya","doi":"10.54029/2023nmp","DOIUrl":"https://doi.org/10.54029/2023nmp","url":null,"abstract":"Background & Objectives: Post-stroke pain (PSP) is a common complication that is often overlooked. It leads to depression, impaired quality of life (QoL) and increased economic burden. In this study, we aimed to determine the prevalence and risk factors of PSP in a Malaysian stroke centre. Methods: This is a single-centered, cross-sectional study of 175 post-stroke patients attending the neurology clinic. Their demographic data and clinical variables were collected. They were interviewed using the Brief Pain Inventory (BPI), Geriatric Depression Scale (GDS), Barthel Score (BI) and EuroQol-5D (EQ-5D) questionnaires. Results: The prevalence of PSP was 26.3%, with most of them aged 51-70 years (52.2%). The types of pain included headache (30.4%), pain secondary to spasticity (32.6%), central post-stroke pain (26.1%) and shoulder joint pain (19.6%), in which they first experienced the pain between a week to three months post-index stroke. Our study showed that a high NIHSS, prolonged hospital stay for index stroke, poor modified Rankin Scale (mRS) and no post-discharge rehabilitation increased the probability of developing PSP. This resulted in depression, regression of functional status and poor QoL. There was no correlation between older age, gender, ethnicity, and pre-existing medical conditions with the development of PSP. Conclusion: PSP should be diligently screened and treated in every stroke survivor to improve quality of life.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023kfj
Somdattaa Ray, Vikram V Kamath, Arjun Raju, Tulasi Nayak, Aditya Moorthy, Preeti G Kale, Rohith Gaikwad, Deepak Haldipur, Vishwas Vijaydev, Prithvi S Bachalli, Madhusudan H V, Praveen K S, Arun M A, Prahlad S T, Dhanraj Gangolli
{"title":"Spectrum of neurological involvement in mucormycosis following COVID 19: A single tertiary centre study","authors":"Somdattaa Ray, Vikram V Kamath, Arjun Raju, Tulasi Nayak, Aditya Moorthy, Preeti G Kale, Rohith Gaikwad, Deepak Haldipur, Vishwas Vijaydev, Prithvi S Bachalli, Madhusudan H V, Praveen K S, Arun M A, Prahlad S T, Dhanraj Gangolli","doi":"10.54029/2023kfj","DOIUrl":"https://doi.org/10.54029/2023kfj","url":null,"abstract":"Background: This study aims to describe the clinical and imaging spectrum of neurological involvement in rhino-orbital cerebral mucormycosis (ROCM) following COVID. In this observational study, all patients with confirmed COVID associated mucormycosis were recruited. Consecutive patients with neurological signs and symptoms or patients with evidence of neurological involvement based on imaging were evaluated. MRI of brain and paranasal sinuses were done in 3T MRI scanner and evaluated by a radiologist. Results: A total of 182 patients were recruited into the study out of which 72 (39.56%) patients had neurological involvement. The mean age of the patients was 50.31±11.06 (Range: 33-83) years. A male preponderance was noted with 56 (74.67%) patients being male. The commonest symptom reported was unilateral vision impairment and periorbital swelling. Patients were noted to have both fulminant and indolent course of illness. Clinical evidence of neurological and orbital involvement was observed in 33 and 55 patients, respectively. Meningeal involvement (50%) was the commonest imaging finding noted in our study. Other common findings noted were skull- based osteomyelitis (44.44%), cavernous sinus thrombosis (29.17%), intracranial abscess (27.78%), cerebritis (22.22%), infarcts (33.33%), neuritis and intracranial haemorrhage (2.78%). Conclusion: This study reports one of the largest single centre cohorts with neurological findings in COVID associated mucormycosis. COVID associated mucormycosis can present with plethora of neurological manifestations in imaging, such as infarct, intracranial and extracranial abscess, neuritis and nerve abscess, sinus thrombosis that may or may not be accompanied by focal neurological deficit corresponding to the anatomical involvement.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023uua
Bo-Xuan Huang, Chin-Hsien Lin
{"title":"A rare lentiform fork sign in a patient with methanol intoxication with neurological sequelae of parkinsonism and cognitive dysfunction: A case report and literature review","authors":"Bo-Xuan Huang, Chin-Hsien Lin","doi":"10.54029/2023uua","DOIUrl":"https://doi.org/10.54029/2023uua","url":null,"abstract":"Methanol intoxication is rare in developed countries. Early identification and elimination of the methanol metabolites are vital to an optimal prognosis. A characteristic brain imaging finding is bilateral basal ganglia necrosis and subcortical white matter changes. Here, we report a rare neuroradiological feature called the lentiform fork sign in a patient with methanol intoxication who survived the acute poisoning stage. We report a 31-year-old woman who presented to the emergency department with acute-onset incoherent speech, consciousness disturbance, and a high-anion-gap metabolic acidosis caused by methanol intoxication. She was treated with antidote administration of fomepizole and enhanced methanol elimination through hemodialysis. Neurological sequelae of cognitive decline and parkinsonism developed, with preserved vision. Brain MRI showed bilateral putaminal necrosis and subcortical white matter changes. The apparent diffusion coefficient map showed low signal intensities in the putamen and globus pallidus bilaterally, with brightly hyperintense rims surrounding both putamina that resembled a fork, indicating a lentiform fork sign. She then had sequelae of cognitive decline and delayed parkinsonism feature, which are compatible with the brain lesions on neuroimage studies. Methanol poisoning is an uncommon life-threatening event, and neurological sequelae result from the accumulation of formic acid, a methanol metabolite that inhibits cytochrome c oxidase in mitochondria, leading to neuronal injury. Methanol intoxication should be considered in patients with imaging findings of bilateral basal ganglia necrosis with lentiform fork sign and a metabolic acidosis of unknown origin.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023mii
MARK ERVING H RAMOS, Steven G Villaraza, Criscely L Go, Romulo Urgel Esagunde, Jose C Navarro
{"title":"Knowledge, and attitudes of patient’s primary caregiver towards decompressive hemicraniectomy","authors":"MARK ERVING H RAMOS, Steven G Villaraza, Criscely L Go, Romulo Urgel Esagunde, Jose C Navarro","doi":"10.54029/2023mii","DOIUrl":"https://doi.org/10.54029/2023mii","url":null,"abstract":"Background: Decompressive hemicraniectomy (DHC) is a surgical procedure in which a substantial piece of the cranium is removed to reduce intracranial pressure. DHC improves mortality. Although the surgical procedure may be lifesaving, many survivors suffer from a severe neurological impairment, which the patients and primary caregivers have to deal with afterward. This study’s purpose is to understand better the primary caregiver’s perception regarding the burden of the outcome of DHC. Methods: This was a descriptive, prospective study that included all primary caregivers of patients who had previously undergone DHC between the years 2019 to 2022 at Jose R. Reyes Memorial Medical Center. A total of 48 primary caregivers were included in the study. Results: Most primary caregivers have adequate knowledge of the pros and cons of the surgery, but few individuals demonstrated insufficient knowledge. Moreover, the primary caregivers also acknowledged the reality of the patient’s surgery, including the demand for the caregiver’s time and other negative effects. Conclusion: There is still a need to comprehensively orient the patient’s primary caregivers on the benefits and risks of DHC to ensure they know what to expect prior to the surgery. Also, fear of the negative outcomes of the surgery, family concerns, and finances were the main hindrances why other primary caregivers may opt out of the surgery.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology AsiaPub Date : 2023-09-01DOI: 10.54029/2023itk
None Mustafa çam, Hilal Sehitoglu
{"title":"Could tear endothelin-1 levels be associated with disability in multiple sclerosis?","authors":"None Mustafa çam, Hilal Sehitoglu","doi":"10.54029/2023itk","DOIUrl":"https://doi.org/10.54029/2023itk","url":null,"abstract":"Background: Endothelin-1 (ET-1) is a potent vasoconstrictor substance mainly secreted by endothelial cells. Increased ET-1 levels in plasma or cerebrospinal fluid (CSF) have been identified in multiple sclerosis (MS). We aimed to analyze tear ET-1 levels; visual evoked potential (VEP) and disability scores in patients with MS and in healthy controls. Methods: Adult patients (18-65 year-old) diagnosed with MS according to the McDonald criteria, and healthy controls were recruited for the study. Demographic features, VEP, and tear ET-1 levels were evaluated. Disability in the MS group was assessed and grouped by EDSS score (<3 vs. ≥3). The EDSS score in healthy controls was zero. Results: Both in the total number of patients overall and in the patients with EDSS score <3, tear ET-1 levels were higher in the MS group than that in the controls (p<0.001). In the MS group, the ET-1 level was higher in the patients with EDSS score ≥3 than in those with EDSS score <3 (p<0.001). The tear ET-1 level was positively correlated with age and EDSS score in the MS group (p<0.001). Conclusion: To the best of our knowledge, there is no study in the literature that measures tear ET-1 levels in MS and examines their relationship with EDSS score and VEP. Higher tear ET-1 levels seem to be associated with disability and abnormal VEP in MS. Tear ET-1 measurement may be a simple new noninvasive marker indicating the disability in the patients with MS in the future.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135638081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What happens to the health-related quality of life of multiple sclerosis patients if they benefit from health literacy related to multiple sclerosis? A cross-sectional study in a developing country","authors":"None Zahra Zeraatkar, None Maryam Kazerani, None Maryam Shekofteh, None Mohammad Reza Bardideh","doi":"10.54029/2023rki","DOIUrl":"https://doi.org/10.54029/2023rki","url":null,"abstract":"Health literacy is an important pathway that provides insights into appraise of health information, the ability to search health information, knowledge of caring for the disease and successful practices in health conditions, and also opportunities for effective change in individual health. Health-related quality of life refers to the physical and mental health of an individual or group over time. Both heath literacy and health related quality of life are the priorities of WHO. This study aimed to determine the relationship between health literacy and health-related quality of life among multiple sclerosis (MS) patients, refered to Fars MS society, Shiraz-Iran, a developing country. This is a descriptive- correlational study. Three hundred and nine persons with MS completed two forms: the Multiple Sclerosis and Related Disorders and Multiple Sclerosis Impact Scale validated questionnaires. Health literacy was significantly related to health quality of life in MS patients. The dimensions of health literacy had a significant relationship with health quality of life, and the physical dimension was significantly correlated with health literacy. Among the demographic variables, “source of health information” was most related to heath literacy, and “age” was most related to health quality of life. Thus, holding training classes, communicating with other patients, effective communication with medical staff, using disease-related web facilities, finding correct information in the web environment, and using the facilities of hospital libraries can ensure quality of life of MS patients.","PeriodicalId":49757,"journal":{"name":"Neurology Asia","volume":"744 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}