Tag Archives: multiple sclerosis

Clinician/Patient Dialogue Crucial In Assessing Potential Impact Of Multiple Sclerosis (MS) On Pregnancy, Breastfeeding

Questions have long surrounded the influence of multiple sclerosis (MS) on pregnancy and breastfeeding, and vice versa, especially given the majority of patients are taking disease modifying therapy (DMT) medications.1 Although female MS patients of childbearing age were discouraged from considering pregnancy or breastfeeding, more research suggests that, with proper oversight, the majority of MS patients experience no side-effects. Depending on the severity of the disease, breastfeeding can be an option for some patients, if they do not require DMT medications during that period.2

The PRegnancy In Multiple Sclerosis (PRIMS) study was the first large prospective study to assess the possible influence of pregnancy, delivery, and breastfeeding on the clinical course of MS.2 In that trial, 254 women with MS were followed during pregnancy and through their second year post-partum.2 Researchers found a reduced rate of relapse during pregnancy as compared with the 12 months prior, which was especially marked in the third trimester.2 A significant increase in the relapse rate in the first trimester post-partum was noted, but the relapse rate did not significantly differ from the pre-pregnancy rate at the beginning of the second trimester post-partum.2 In addition, the study found that women who chose to breastfeed experienced fewer relapses and had milder disability scores in the year before and during pregnancy compared with women who chose not to breastfeed.2 Continue reading

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New Faculty

Cathy Adams, D.O. Cathy Adams, D.O., Neurologist
FELLOWSHIP: Vascular Neurology, Penn State Milton S. Hershey Medical Center, 2013
RESIDENCY: Neurology, Penn State Milton S. Hershey Medical Center, 2009-Present
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA
Marcus Keep, M.D. Marcus Keep, M.D., Neurosurgeon
RESIDENCY: Neurosurgery, McGill University, Faculty of Medicine, 1994
LOCATION: Penn State Hershey Medical Group at St. Joseph Medical Center, Reading, PA
Elias Rizk, M.D. Elias Rizk, M.D., M.Sc., Pediatric Neurosurgeon
FELLOWSHIP: Neurological Surgery, Pediatrics, Birmingham Children’s Hospital, 2013
RESIDENCY: Neurology, Penn State Milton S. Hershey Medical Center, 2009-Present
SPECIALTY: Pediatric neurosurgery and peripheral nerve surgery
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA
Simon Scott, M.D. Scott Simon, M.D., Neurosurgeon
FELLOWSHIP: Endovascular Neurosurgery, Vanderbilt University Medical Center, 2010
RESIDENCY: Neurosurgery, Vanderbilt University Medical Center, 2010
RESIDENCY: General Surgery, Vanderbilt University Medical Center, 2004
SPECIALTY: Neurovascular disease
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA
Rychi Wanchoo, M.D. Ruchi Wanchoo, M.D., Neurologist
RESIDENCY: Neurology, University of Texas at Houston, 2010
RESIDENCY: Family Practice, University of Texas at Houston, 2007
SPECIALTY: General neurology and multiple sclerosis
LOCATION: Penn State Hershey Neuroscience Institute, Hershey, PA

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