Neurological Therapeutics
Online ISSN : 2189-7824
Print ISSN : 0916-8443
ISSN-L : 2189-7824
 
Transition from pediatric to adult health care for patients with neuroimmunological diseases
Tatsusada OkunoTomohiro Yata
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JOURNAL FREE ACCESS

2022 Volume 39 Issue 2 Pages 72-77

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Abstract

An improvement in efficacy treatment and development of the social support system has led to many patients with neuroimmunological disorders being able to reach adulthood

Most of them are treated by pediatricians at first and followed by neurologists when the patient reaches adulthood. Child–onset neuroimmune diseases may have different symptoms from adult–onset cases, and in some cases, diagnostic criteria, treatment guidelines, and social welfare systems may also differ. Though most cases of child–onset neuroimmune diseases are thought to become independent from their parents finally because higher brain dysfunction is not as prominent as in severe psychosomatic disorders, parents may be present during the decision–making and explanation of the treatment plan at the beginning of the transition to neurologists, and it is important to pay attention to them. In this article, we will focus on central nervous system demyelinating diseases (multiple sclerosis, neuromyelitis optica spectrum disorders, MOG antibody–related diseases), and outline the clinical features, applicable diagnostic criteria, social welfare systems, and treatment of these diseases in children.

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© 2022 Japanese Society of Neurological Therapeutics
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