About Primary Progressive Multiple Sclerosis
Key Highlights
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Focuses on slowing disease progression and preserving neurological function.Involves a personalized, multi-disciplinary treatment plan tailored to the individual's symptoms.Utilizes the only FDA-approved disease-modifying therapy (ocrelizumab) specifically for PPMS.Aims to manage debilitating symptoms like fatigue, spasticity, and pain to improve daily living.Emphasizes rehabilitation and supportive care to maintain independence and quality of life.
Who is this surgery for?
- Confirmed diagnosis of Primary Progressive Multiple Sclerosis (PPMS) based on clinical evaluation and diagnostic criteria (e.g., McDonald Criteria).
- Evidence of steady neurological decline (in mobility, coordination, or cognitive function) from symptom onset.
- Presence of significant disability impacting daily activities, work, or quality of life.
- Active disease progression as shown by new or enlarging lesions on MRI scans.
- Need for initiation or adjustment of disease-modifying therapy or symptom management strategies.
How to prepare
- Comprehensive neurological examination and review of full medical history.
- Completion of diagnostic tests: Brain and/or spinal cord MRI with contrast.
- Possible lumbar puncture (spinal tap) for cerebrospinal fluid analysis.
- Blood tests to assess overall health and rule out other conditions.
- Discussion of treatment goals, potential therapies (like infusion drugs), and a detailed management plan with the neurologist.
Risks & possible complications
- Side effects from disease-modifying therapies, including infusion reactions, increased risk of infections, or potential liver issues.
- Limited efficacy; treatments aim to slow progression but do not stop or reverse existing damage.
- Progression of disability despite treatment.
- Complications from symptoms, such as falls due to mobility issues, urinary tract infections, or pressure sores.
- Psychological impacts, including depression and anxiety related to chronic illness.
Recovery & hospital stay
- PPMS management is continuous, not a procedure with a finite recovery period.
- After initiating a new therapy (e.g., an infusion), monitoring for side effects for 24-48 hours is typical.
- Regular follow-up appointments with the neurologist (every 3-6 months) to assess progression and adjust treatment.
- Ongoing engagement with physical therapy, occupational therapy, and speech therapy as needed.
- Lifestyle modifications, including energy conservation techniques, a balanced diet, and stress management, are integral to long-term care.
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Typical hospital stay: 0-1 days (for initial diagnostic workup or therapy infusions)
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Expected recovery time: Ongoing/Lifelong management
Frequently Asked Questions
If you are considering primary progressive multiple sclerosis in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for primary progressive multiple sclerosis in Turkey include Liv Hospital Bahçeşehir, Istinye Üniversitesi Hastanesi Liv, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform primary progressive multiple sclerosis. MediFyr helps you compare neurologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for primary progressive multiple sclerosis compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 544 – USD 3,263 | 0-1 days (for initial diagnostic workup or therapy infusions) | ~ Ongoing/Lifelong management | Know More |
| Turkey | USD 4,026 – USD 24,158 | 0-1 days (for initial diagnostic workup or therapy infusions) | ~ Ongoing/Lifelong management | Know More |
Top hospitals for Primary Progressive Multiple Sclerosis in Turkey
These partner hospitals in Turkey have dedicated neurology teams and experience managing patients undergoing primary progressive multiple sclerosis.
Had my gallbladder out last week....
Had my gallbladder out last week. The surgery itself was fine, but the first two days after were rough. Dr. Madhumitha was really on top of my pain meds, adjusting them a few times until it was manageable. She checked on me every morning and evening at MGM, which helped a lot. I'm home now and the recovery is going okay, just taking it slow.