This review provides an update on therapeutic principles and their implications for practical management in multiple system atrophy (MSA), a sporadic neurodegenerative disorder characterized clinically by various combinations of dysautonomia, Parkinsonism, or cerebellar ataxia, often associated with
Survival in multiple system atrophy
β Scribed by Anette Schrag; Gregor K. Wenning; Niall Quinn; Yoav Ben-Shlomo
- Publisher
- John Wiley and Sons
- Year
- 2007
- Tongue
- English
- Weight
- 80 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0885-3185
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
We here report survival in patients with multiple system atrophy (MSA) in a large, prospectively studied group of patients with MSA. Eightyβfive of 100 patients were known to have died. Three patients were rediagnosed as having PD. Twentyβfour patients came to autopsy, which showed MSA in 22 and idiopathic Parkinson's disease in 2. The median survival time was 8.6 and 7.3 years for men and women, respectively (hazard ratio for women was 1.49, 95% CI 0.97β2.31, P = 0.07). Except for rediagnosis as PD, no predictive factors for better survival could be identified. These data confirm the relatively poor prognosis of MSA of less than 9 years on average. Β© 2007 Movement Disorder Society
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