Multiple Sclerosis Treatment Algorithms

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in clinical practice, and more.

Services at Ursinus College, in Collegeville, PA.

The panelists are:

• Fred D. Lublin, MD, FAAN, FANA, the Saunders Family Professor of Neurology and director of The Corinne Goldsmith Dickinson Center for Multiple Sclerosis, and co-chief editor of Multiple Sclerosis and Related Disorders at the Icahn School of Medicine at Mount Sinai
• Patricia K. Coyle, MD, professor of neurology, vice chair of Clinical Affairs, and director of MS Comprehensive Care Center
• Suhayl Dhib-Jalbut, MD, professor and chief of the Department of Neurology at Rutgers, Robert Wood Johnson Medical School

should also be discussed. “We as a community have two important things to determine. One is who needs really aggressive therapy up front. And the second is when someone’s failing,” said Lublin.

plan, looking at extent of disease and prognostic profile. “And certainly if somebody has very active disease with a poor prognostic profile, efficacy suddenly becomes way more important in my counseling and recommendations to that patient.” Dhib-Jalbut agreed that lesion burden would be taken seriously, causing him to treat more aggressively, especially if the patient is young.