Ted the treatment paradigm of using plasma exchange in the case of acute severe attacks in which steroids have failed to result in improvements.   a group at the university of vermont published a paper on their experience with one patient (mao-draayer et al. Neurology 2002; 59: 1074-77).   graphic: mri images they looked at imaging; this patient had an acute cerebral demyelinating event.   the patient got steroids, the enhancement or the leakage of dye got better, but the patient had not clinically improved and they still had a huge lesion.   the patient then received two weeks of plasma exchange and as is evident from the images, the lesion substantially improved.   graphic: plasma exchange: further international experience this table summarizes a series of papers reporting about experience with plex.   the first results are published in the journal of neurology by a group led by dr. Neil scolding (j neurol 2004 251: 1515) from bristol, uk.   they report on six consecutive patients, which represents all of the patients they have treated with plasma exchange.   one patient had transverse myelitis, one with neuromyelitis optica, and four with ms. viagra without a doctor prescription cheap generic viagra buy viagra online buy generic viagra buy cheap viagra viagra for sale cheap viagra cheap generic viagra viagra online viagra for sale   six out of six experienced what they consider a major improvement.   the degree of improvement from their edss varied from 0. 5 to 4. 5.   the results from spain, published in the revisita de neurologia 2003: 37: 917 by dr. Meca-lallana et al involved eleven patients.   nine of the patients had ms, one had transverse myelitis, and one had adem.   as to their syndromes, they had paraplegia, ataxia or dysphagia.   of the 11 patients, 7 of them experienced major improvement after one month.     a study on treatment of ten patients with severe optic neuritis in germany (neurology 2004; 63: 1081) showed a similar high rate of success.   graphic: plasmapheresis in severe optic neuritis  these were not just patients with mild optic neuritis; these were patients that were generally blind in one eye.   they received steroids and this treatment failed.   as the graph demonstrates, after receiving plasma exchange, a large number of patients had improvement in their vision and all of them maintained that improvement after plasma exchange was completed.   some with the very worst visual deficits did not improve.   of course, as i mentioned, in our mayo clinic study we have had a number of people that have not improved.   what have these investigators reported about their experiences with plasma exchange?   meca-lallana indicated that, “its use should be considered as first line in severe relapses and in swiftly progressing forms [of ms] that do not respond to intravenous methylprednisolone. ” (revista de neurologia 2003; 37: 917-926). The bristol group concludes, “our study supports the use of plasma exchange in cases of severe steroid-insensitive demyelination of the cns. ” (j. Neurology 2004). The following was published by dr. Panitch’s group in vermont: “this patient’s ra.
Ted the treatment paradigm of using plasma exchange in the case of acute severe attacks in which steroids have failed to result in improvements.   a group at the university of vermont published a paper on their experience with one patient (mao-draayer et al. Neurology 2002; 59: 1074-77).   graphic: mri images they looked at imaging; this patient had an acute cerebral demyelinating event.   the patient got steroids, the enhancement or the leakage of dye got better, but the patient had not clinically improved and they still had a huge lesion.   the patient then received two weeks of plasma exchange and as is evident from the images, the lesion substantially improved.   graphic: plasma exchange: further international experience this table summarizes a series of papers reporting about experience with plex.   the first results are published in the journal of neurology by a group led by dr. Neil scolding (j neurol 2004 251: 1515) from bristol, uk.   they report on six consecutive patients, which represents all of the patients they have treated with plasma exchange.   one patient had transverse myelitis, one with neuromyelitis optica, and four with ms. viagra without a doctor prescription cheap generic viagra buy viagra online buy generic viagra buy cheap viagra viagra for sale cheap viagra cheap generic viagra viagra online viagra for sale   six out of six experienced what they consider a major improvement.   the degree of improvement from their edss varied from 0. 5 to 4. 5.   the results from spain, published in the revisita de neurologia 2003: 37: 917 by dr. Meca-lallana et al involved eleven patients.   nine of the patients had ms, one had transverse myelitis, and one had adem.   as to their syndromes, they had paraplegia, ataxia or dysphagia.   of the 11 patients, 7 of them experienced major improvement after one month.     a study on treatment of ten patients with severe optic neuritis in germany (neurology 2004; 63: 1081) showed a similar high rate of success.   graphic: plasmapheresis in severe optic neuritis  these were not just patients with mild optic neuritis; these were patients that were generally blind in one eye.   they received steroids and this treatment failed.   as the graph demonstrates, after receiving plasma exchange, a large number of patients had improvement in their vision and all of them maintained that improvement after plasma exchange was completed.   some with the very worst visual deficits did not improve.   of course, as i mentioned, in our mayo clinic study we have had a number of people that have not improved.   what have these investigators reported about their experiences with plasma exchange?   meca-lallana indicated that, “its use should be considered as first line in severe relapses and in swiftly progressing forms [of ms] that do not respond to intravenous methylprednisolone. ” (revista de neurologia 2003; 37: 917-926). The bristol group concludes, “our study supports the use of plasma exchange in cases of severe steroid-insensitive demyelination of the cns. ” (j. Neurology 2004). The following was published by dr. Panitch’s group in vermont: “this patient’s ra. viagra kaufen rezept