Amyotrophic lateral sclerosis: current practice and future treatments.

Published

Journal Article (Review)

PURPOSE OF REVIEW: Knowledge of amyotrophic lateral sclerosis, and in particular the care of patients with it, is evolving exponentially. More than 1700 articles with the phrase 'amyotrophic lateral sclerosis' have been published in the past 2 years; these form the basis for this timely review. RECENT FINDINGS: In part 1, I give an update on the care of patients with amyotrophic lateral sclerosis, including ways to speed diagnosis, optimal use of riluzole, multidisciplinary teams, mechanical ventilation, gastrostomy tubes, lipid-lowering agents and symptom management. Although care has become more evidence-based, there remain a number of quandaries; for these, I will provide suggestions based upon my own experience. In part 2, I identify some exciting new treatment options that are under study. These include agents designed for novel targets within motor neurons and nonneuronal cells, agents designed for specific amyotrophic lateral sclerosis subtypes and interesting new technologies. Finally, in part 3, I define current barriers to developing even better therapeutics and offer ways around them. SUMMARY: The care of patients with amyotrophic lateral sclerosis has evolved and is now more evidence-based than ever before. Exciting new therapies are currently being tested, which may revolutionize care even further. Barriers exist, but they are surmountable.

Full Text

Duke Authors

Cited Authors

  • Bedlack, RS

Published Date

  • October 2010

Published In

Volume / Issue

  • 23 / 5

Start / End Page

  • 524 - 529

PubMed ID

  • 20613515

Pubmed Central ID

  • 20613515

Electronic International Standard Serial Number (EISSN)

  • 1473-6551

Digital Object Identifier (DOI)

  • 10.1097/WCO.0b013e32833c7ac2

Language

  • eng

Conference Location

  • England