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Trauma Does Not Precipitate Multiple Sclerosis
Stuart D. Cook, MD
Arch Neurol. 2000;57:1077-1078.
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THE ROLE of trauma in causing or aggravating multiple sclerosis (MS) has been intensely debated in the medical literature as well as in the courtroom for many years. In an attempt to develop a consensus opinion on this issue, the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology critically reviewed relevant published data on the possible effects of trauma on MS. In an article published in 1999,1 the subcommittee stated,
On the basis of strong and generally consistent Class II evidence, any posited association of trauma, especially head trauma, with more than a small effect on either MS onset or MS exacerbation is excluded. Moreover, the preponderance of Class II evidence supports no association between physical trauma and either MS onset or exacerbation.
My review of the pertinent literature led me to a similar, if not identical, conclusion.
TRAUMA AND MS CAUSATION
Multiple sclerosis is generally considered . . . [Full Text of this Article]
TRAUMA AND EXACERBATIONS OR DISEASE PROGRESSION
CONCLUSIONS
From the Department of Neurosciences, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark.
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