Pathophysiological and cognitive mechanisms of fatigue in multiple sclerosis

Open access
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Date
2019-06-01Type
- Review Article
Citations
Cited 97 times in
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Cited 107 times in
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Abstract
Fatigue is one of the most common symptoms in multiple sclerosis (MS), with a major impact on patients’ quality of life. Currently, treatment proceeds by trial and error with limited success, probably due to the presence of multiple different underlying mechanisms. Recent neuroscientific advances offer the potential to develop tools for differentiating these mechanisms in individual patients and ultimately provide a principled basis for treatment selection. However, development of these tools for differential diagnosis will require guidance by pathophysiological and cognitive theories that propose mechanisms which can be assessed in individual patients. This article provides an overview of contemporary pathophysiological theories of fatigue in MS and discusses how the mechanisms they propose may become measurable with emerging technologies and thus lay a foundation for future personalised treatments. Show more
Permanent link
https://doi.org/10.3929/ethz-b-000344984Publication status
publishedExternal links
Journal / series
Journal of Neurology, Neurosurgery & PsychiatryVolume
Pages / Article No.
Publisher
BMJ Publishing GroupOrganisational unit
03955 - Stephan, Klaas E. / Stephan, Klaas E.
03963 - Wenderoth, Nicole / Wenderoth, Nicole
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Show all metadata
Citations
Cited 97 times in
Web of Science
Cited 107 times in
Scopus
ETH Bibliography
yes
Altmetrics