Optic nerve topography in multiple sclerosis diagnostic criteria: Existing knowledge and future directions

被引：7

作者：

Vidal-Jordana, Angela ^{[1
,2
,4
,5
]}

Sastre-Garriga, Jaume ^{[1
,2
]}

Tintore, Mar ^{[1
,2
]}

Rovira, Alex ^{[3
]}

Montalban, Xavier ^{[1
,2
]}

机构：

[1] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Neurol Dept, Barcelona, Spain

[2] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Multiple Sclerosis Ctr Catalunya Cemcat, Barcelona, Spain

[3] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Dept Radiol, Neuroradiol Sect, Barcelona, Spain

[4] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Neurol Dept, Edif Cemcat P Vall dHebron 119-129, Barcelona 08035, Spain

[5] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Multiple Sclerosis Ctr Catalunya Cemcat, Edif Cemcat P Vall dHebron 119-129, Barcelona 08035, Spain

来源：

MULTIPLE SCLEROSIS JOURNAL | 2024年 / 30卷 / 02期

关键词：

CIS; optic nerve; optical coherence tomography; visual evoked potentials; magnetic resonance imaging; multiple sclerosis diagnosis; VISUAL-EVOKED POTENTIALS; NEURITIS; REVISIONS; MRI; MS;

D O I：

10.1177/13524585231225848

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Current diagnostic criteria for multiple sclerosis (MS) do not consider the optic nerve as a typical topography for establishing the diagnosis. Recent studies have proved the utility of optic nerve magnetic resonance imaging, optical coherence tomography and visual evoked potentials in detecting optic nerve lesions during the early stages of MS. In addition, emerging evidence supports the inclusion of optic nerve topography as a fifth region to fulfil the dissemination in space criteria. Anticipating a modification in the McDonald criteria, it is crucial for neurologists to familiarize with the diagnostic properties of each test in detecting optic nerve lesions and understand how to incorporate them into the MS diagnostic process. Therefore, the objective of this article is to review the existing evidence supporting the use of these tests in the diagnostic process of MS and provide a practical algorithm that can serve as a valuable guide for clinical practice.

引用

页码：139 / 149

页数：11

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