Fatigue in multiple sclerosis - A brief review

被引:167
作者
Induruwa, Isuru [1 ]
Constantinescu, Cris S. [1 ]
Gran, Bruno [1 ]
机构
[1] Univ Nottingham, Queens Med Ctr, Div Clin Neurol, Nottingham NG7 2UH, England
关键词
Multiple sclerosis; Fatigue; Pathophysiology; QUALITY-OF-LIFE; COGNITIVE-BEHAVIOR THERAPY; NECROSIS-FACTOR-ALPHA; OUTPATIENT REHABILITATION; CEREBROSPINAL-FLUID; SLEEP PROBLEMS; BRAIN ATROPHY; AXONAL DAMAGE; DOUBLE-BLIND; DEPRESSION;
D O I
10.1016/j.jns.2012.08.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fatigue is the most common and debilitating symptom in multiple sclerosis (MS) and is believed to be distinctly different from fatigue seen in other chronic conditions. It can affect a patient's mood, sleep and have a detrimental effect on their quality of life. In the recent years much literature has emerged in an attempt to elucidate the potential causes and treatment of this common symptom. This review article aims to examine the most recent theories on the pathophysiology of fatigue in MS as well as its association with sleep and depression. We describe the pharmacological and non-pharmacological approaches to its treatment and propose a multidisciplinary, patient enabled and individualised manner to the management of fatigue in MS. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:9 / 15
页数:7
相关论文
共 98 条
[41]   Normal levels of cerebrospinal fluid hypocretin-1 and daytime sleepiness during attacks of relapsing-remitting multiple sclerosis and monosymptomatic optic neuritis [J].
Knudsen, S. ;
Jennum, P. J. ;
Korsholm, K. ;
Sheikh, S. P. ;
Gammeltoft, S. ;
Frederiksen, J. L. .
MULTIPLE SCLEROSIS JOURNAL, 2008, 14 (06) :734-738
[42]   Pharmacologic treatment of depression in multiple sclerosis [J].
Koch, Marcus W. ;
Glazenborg, Arjon ;
Uyttenboogaart, Maarten ;
Mostert, Jop ;
De Keyser, Jacques .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2011, (02)
[43]   A rapid screening tool for fatigue impact in multiple sclerosis [J].
Kos, Daphne ;
Nagels, Guy ;
D'Hooghe, Marie B. ;
Duportail, Marijke ;
Kerckhofs, Eric .
BMC NEUROLOGY, 2006, 6 (1)
[44]  
Kroencke DC, 2000, MULT SCLER, V6, P131, DOI 10.1177/135245850000600213
[45]   Untitled [J].
Krupp, Lauren .
MULTIPLE SCLEROSIS JOURNAL, 2006, 12 (04) :367-368
[46]   Multiple sclerosis-associated fatigue [J].
Krupp, Lauren B. ;
Serafin, Dana J. ;
Christodoulou, Christopher .
EXPERT REVIEW OF NEUROTHERAPEUTICS, 2010, 10 (09) :1437-1447
[47]   FATIGUE THERAPY IN MULTIPLE-SCLEROSIS - RESULTS OF A DOUBLE-BLIND, RANDOMIZED, PARALLEL TRIAL OF AMANTADINE, PEMOLINE, AND PLACEBO [J].
KRUPP, LB ;
COYLE, PK ;
DOSCHER, C ;
MILLER, A ;
CROSS, AH ;
JANDORF, L ;
HALPER, J ;
JOHNSON, B ;
MORGANTE, L ;
GRIMSON, R .
NEUROLOGY, 1995, 45 (11) :1956-1961
[48]  
Krupp LB., 2003, The most Common Complaints: Fatigue
[49]   Modafinil effects in multiple sclerosis patients with fatigue [J].
Lange, Ruediger ;
Volkmer, Marek ;
Heesen, Christoph ;
Liepert, Joachim .
JOURNAL OF NEUROLOGY, 2009, 256 (04) :645-650
[50]   Warmer outdoor temperature is associated with worse cognitive status in multiple sclerosis [J].
Leavitt, Victoria M. ;
Sumowski, James F. ;
Chiaravalloti, Nancy ;
DeLuca, John .
NEUROLOGY, 2012, 78 (13) :964-968