Özet:

In our study, we aimed to evaluate the pain areas, types of pain, fall history, central nervous system (SSS) areas stored in magnetic resonance imaging (MRG) and their initial symptoms and their relationship with the quality of life in patients with multiple sclerosis (MS). The study included 40 MS patients consisting of 14 men and 26 women. Age, civil state, educational status, occupation, body mass index (BMI), initial symptoms, diagnosed age, disease period, type of disease, the number of attacks in the last year, the last I.V. pulse steroid treatment, the time passed after, medications for MS, fall history, additional diseases, smoking and alcohol use were questioned. Pain Gravity Visual Analog Scale (VAS), Pain Types and Pain Regions Patient Pain Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale Scale   Results Age average was 39.60 ±10.63, GDSS score average was 3.28 ±1.65 and 52.5 percent of patients had a decline history. 47,5 percent of MS patients had no history of fall, while 10 percent had one history of fall and 42,5 percent had two or more history of fall. 15 percent of patients used assistant device and/or orthesis. The initial symptoms observed in MS patients were visual (57.5 percent), sensual (35 percent), motor symptoms (30 percent) and imbalance (10 percent). In patients, the areas contained MRG were, respectively, cerebrum (85%), cervical spinal cord (55%), cervical spinal cord (42,5%), brain deviation (20%) and cerebellum (17,5%). The lower limb (52.5 percent), the upper limb (27,5 percent), the back (15 percent), the back (15 percent), the neck (10 percent) and the head (2,5 percent) were the painful areas of our patients. Pacients with pain (47.5 percent), swelling (27.5 percent), swelling (15 percent) and burning (7.5 percent) were the common types of pain. The total score of MSQoL-54 was found related to the profession, training status, number of attacks, VAS, fall history, lower end pain and the type of disease.   The symptoms observed in patients with MS should be kept in mind and the patients with one or several of these symptoms should be reviewed in terms of MS and directed to the relevant section. The pain observed in two-thirds of patients with MS, symptoms specific to MS, the number of attacks, muscle weakness, imbalance, level of training can be corrected, patients with risk of fall are identified in advance and the quality of life of patients can be improved by taking measures to reduce the level of fatigue.

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