A prospective, one-year follow-up study of patients newly diagnosed with neurosarcoidosis

被引:4
作者
Byg, Keld-Erik [1 ,2 ,3 ,4 ,10 ]
Illes, Zsolt [2 ,3 ,5 ]
Sejbaek, Tobias [3 ,6 ,7 ]
Nguyen, Nina [8 ]
Moller, Soren [4 ,9 ]
Lambertsen, Kate L. [3 ,5 ]
Nielsen, Helle H. [2 ,3 ,5 ]
Ellingsen, Torkell [1 ,4 ]
机构
[1] Odense Univ Hosp, Rheumatol Res Unit, JB Winsloewsvej 4, DK-5000 Odense, Denmark
[2] Odense Univ Hosp, Dept Neurol, JB Winsloewsvej 4, DK-5000 Odense, Denmark
[3] Univ Southern Denmark, Dept Clin Res, BRIDGE Brain Res Interdisciplinary Guided Excellen, JB Winsloewsvej 19, DK-5000 Odense, Denmark
[4] Univ Southern Denmark, Dept Clin Res, JB Winsloewsvej 19, DK-5000 Odense, Denmark
[5] Univ Southern Denmark, Inst Mol Med, Dept Neurobiol Res, JB Winsloewsvej 21, DK-5000 Odense, Denmark
[6] South West Jutland Univ Hosp Southern Denmark, Dept Neurol, Finsensgade 35, DK-6700 Esbjerg, Denmark
[7] Univ Southern Denmark, Dept Reg Hlth Res, JB Winsloewsvej 19, DK-5000 Odense, Denmark
[8] Odense Univ Hosp, Dept Radiol, JB Winsloewsvej 4, DK-5000 Odense, Denmark
[9] Odense Univ Hosp, Open Patient data Explorat Network, JB Winsloewsvej 9a, DK-5000 Odense, Denmark
[10] Univ Southern Denmark, Odense Univ Hosp, Dept Rheumatol, Rheumatol Res Unit, J B Win Sloewsvej 4, DK-5000 Odense, Denmark
关键词
Neurosarcoidosis; Treatment; MRI; mRS; SDMT; FAS; DIGIT MODALITIES TEST; QUALITY-OF-LIFE; EVERYDAY COGNITIVE FAILURE; FATIGUE ASSESSMENT SCALE; LONG-TERM OUTCOMES; CLINICAL-MANIFESTATIONS; DEPRESSIVE SYMPTOMS; INVENTORY-II; DOUBLE-BLIND; SARCOIDOSIS;
D O I
10.1016/j.jneuroim.2022.577913
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Methods: Twenty patients with newly diagnosed neurosarcoidosis were examined for multiple outcomes in an observational cohort study with 12-month follow-up. Results: The patients' contrast-enhancing lesions on MRI scans reduced during treatment (p < 0.0001). The mean modified Rankin Score improved from 3.0 to 1.8 (p < 0.0001), and 75% of patients experienced clinically important improvement. Patients improved on the Symbol Digit Modalities Test (p < 0.0001) and on SF-36 Physical (p = 0.003) and Mental Component Summary scores (p = 0.03). Proportions of patients with substantial fatigue (75%) and high depression score (35%) were unchanged. Conclusions: 12-month immunosuppression improved several outcomes, and 75% of patients experienced clinically important improvement.
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页数:10
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