Annals of Indian Academy of Neurology (Jan 2018)

Evolving landscape of multiple sclerosis in India: Challenges in the management

  • Sudhir Kumar,
  • Anshu Rohatgi,
  • Harshal Chaudhari,
  • Priti Thakor

DOI
https://doi.org/10.4103/aian.AIAN_33_18
Journal volume & issue
Vol. 21, no. 2
pp. 107 – 115

Abstract

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Multiple sclerosis (MS) is a chronic neurological disease which often leads to disability. The complex etiology and progressive nature pose challenges in the management of patients with MS, particularly in developing countries like India. Lack of data on prevalence further complicates estimation of the magnitude of MS in India. There are various other challenges associated with management of patients with MS due to which the therapy is utilized by only a small segment of population in India. This article encapsulates the gaps and challenges in the management of patients with MS and presents suggestions and recommendations of the members of advisory boards held to discuss these challenges. The advisory board members suggested that an early diagnosis of MS and an early initiation of treatment are essential to achieve better results for tackling MS-related challenges. In addition, awareness and education about MS among people, regular training to physicians, emphasis on the use of revised 2010 McDonald criteria, and utilization of advanced diagnostic modalities in magnetic resonance imaging would help to achieve desirable as well as effective therapeutic outcomes. Further, access to an easy-to-use therapy delivery system could also be beneficial in attaining an adequate treatment adherence and related health benefits.

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