A progressão secundária não é a única explicação

Translated title of the contribution: Secondary progression is not the only explanation

Filipe Palavra, Carmen Tur, Mar Tintoré, Àlex Rovira, Xavier Montalban

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)


Multiple sclerosis is an inflammatory demyelinating disorder of the central nervous system. Its presentation is variable and its course and prognosis are unpredictable. Approximately 85% of individuals present a relapsing-remitting form of the disease, but some patients may evolve into a progressive course, accumulating irreversible neurological disability, defining its secondary progressive phase. Despite all the advances that had been reached in terms of diagnosis, many decisions are still taken based only on pure clinical skills. We present the case of a patient that, after being diagnosed with a clinically isolated syndrome many years ago, seemed to be entering in a secondary progressive course, developing a clinical picture dominated by a progressive gait disturbance. Nevertheless, multiple sclerosis heterogeneity asks for some clinical expertise, in order to exclude all other possible causes for patients' complaints. Here we present an important red flag in the differential diagnosis of secondary progressive multiple sclerosis.

Translated title of the contributionSecondary progression is not the only explanation
Original languagePortuguese
Pages (from-to)393-396
Number of pages4
JournalActa Medica Portuguesa
Issue number3
Publication statusPublished - May 2014


  • Magnetic resonance imaging
  • Multiple sclerosis, Chronic Progressive
  • Meningioma


Dive into the research topics of 'Secondary progression is not the only explanation'. Together they form a unique fingerprint.

Cite this