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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.20.Ph.D.2021.Mo.R
100 0 _aMohammed Said Hassan
245 1 0 _aRituximab versus azathioprine therapy in neuromyelitis optica spectrum disorder patients /
_cMohammed Said Hassan ; Supervised Sherif Hamdy , Nevin Moheildin , Ahmed Nemr
246 1 5 _aعقار ريتوكسيماب مقابل عقار الأزاثيوبرين فى مرضى التهاب النخاع العصبى الطيفى البصرى
260 _aCairo :
_bMohammed Said Hassan ,
_c2021
300 _a164 P . :
_bcharts ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neuro Surgery
520 _aBackground: Neuromyelitis optica (NMO) is an autoimmune inflammatory disease of the central nervous system characterized by severe attacks of optic neuritis and longitudinally extensive transverse myelitis. Recently, the demonstration of a pathogenic role for the anti{u2013}aquaporin 4 (AQP4) antibody in NMO has marked a major advance in the understanding o the disease Aim of work: The aim of this study was to report the results of rituximab treatment in NMO spectrum disorders (NMOSDs) Patients and Methods: This was a retrospective observational study conducted on 74 Egyptian patients with NMOSDs. The patients{u2018} data were recruited from patient records in multiple sclerosis (MS) clinics, Neurology Departments, El- Maady Military Hospital (records from 2005) and Cairo University hospitals (Kasr Al-Ainy MS Clinic) (records from 2013) including their full medical history, general and neurological examination, MRI brain and spinal cord results, and laboratory investigation including: immune assays and AQP- 4antibody testing as per MS and MS mimics sheet of Kasr Al-Ainy MS clinic.Results: The study included 74 Patients with NMOSD according to criteria of Wagnerchuck 2015. Both sero-positive and sero-negative anti-aquaporin-4 (AQP-4) antibodies patients were included in the study. The patients were divided into three groups: group 1 (RTX group) included 25 patient; group 2 (AZA group) included 32 patients, and group 3 (Switchers) included 17 patients. Conclusion: our findings suggest that RTX is more effective and safe than AZA in NMO-SD patients. Further studies with larger sample sizes and longer duration of follow-up are reqired to confirm these findings in our country
530 _aIssued also as CD
653 4 _aAzathioprine
653 4 _aNeuromyelitis
653 4 _aRituximab
700 0 _aAhmed Nemr ,
_eSupervisor
700 0 _aNevin Moheildin ,
_eSupervisor
700 0 _aSherif Hamdy ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAmira
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c82978
_d82978