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September 1991

Neurobehavioral Aspects of Multiple Sclerosis

Author Affiliations

London, Ontario

Arch Neurol. 1991;48(9):897. doi:10.1001/archneur.1991.00530210023005

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This small monograph, with contributions by 28 authors, focuses on cognitive and affective alterations in multiple sclerosis (MS). It is divided into four parts: clinicopathological features (84 pages), cognitive dysfunction (91 pages), affective disturbance in MS (35 pages), and management of neurobehavioral dysfunction (52 pages). It is correctly pointed out in the introduction that cognitive dysfunction in MS tends to be overlooked or discounted by physicians. On the other hand, this is often less because of lack of awareness and disinterest and more because of the desire to lighten the already burdensome knowledge of having a disabling neurological disorder. There are situations in which the identification of cognitive impairment in MS is not necessarily to the patient's advantage (eg, custody battles for children). However, the innate variability of human behavior requires a considerable latitude in determining what and how patients should be told about cognitive dysfunction. Furthermore, health professionals need

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