Diagnosis of Multiple Sclerosis

被引:15
作者
Giesser, Barbara S. [1 ]
机构
[1] David Geffen Univ Calif, Los Angeles Sch Med, Los Angeles, CA 90095 USA
关键词
multiple sclerosis; Cerebrospinal fluid; MRI; Evoked potential; CEREBROSPINAL-FLUID; EVOKED-POTENTIALS; CRITERIA; GUIDELINES; PANEL; MRI;
D O I
10.1016/j.ncl.2010.12.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
There is no pathognomonic symptom, sign, or paraclinical result that provides an unfailingly accurate diagnosis of multiple sclerosis (MS), and hence, MS remains largely a clinical diagnosis. However, being a clinical diagnosis does not mean that the diagnosis of MS is one of exclusion. Increasingly sophisticated guidelines and objective paraclinical findings are generally sufficient to allow the clinician to confirm or rule out the diagnosis with confidence. This article presents the most recent guidelines for using clinical, radiological, and other paraclinical information and the red flags that should alert the clinician to investigate other diagnostic possibilities.
引用
收藏
页码:381 / +
页数:9
相关论文
共 21 条
[1]   Validation of diagnostic magnetic resonance imaging criteria for multiple sclerosis and response to interferon β1a [J].
Barkhof, F ;
Rocca, M ;
Francis, G ;
van Waesberghe, JHTM ;
Uitdehaag, BMJ ;
Hommes, OR ;
Hartung, HP ;
Durelli, L ;
Edan, G ;
Fernández, O ;
Seeldrayers, P ;
Sorensen, P ;
Margrie, S ;
Rovaris, M ;
Comi, G ;
Filippi, M .
ANNALS OF NEUROLOGY, 2003, 53 (06) :718-724
[2]   CSF isoelectrofocusing in a large cohort of MS and other neurological diseases [J].
Bourahoui, A ;
de Seze, J ;
Guttierez, R ;
Onraed, B ;
Hennache, B ;
Ferriby, D ;
Stojkovic, T ;
Vermersch, P .
EUROPEAN JOURNAL OF NEUROLOGY, 2004, 11 (08) :525-529
[3]   PATTERN-SHIFT VISUAL, BRAIN-STEM AUDITORY AND SHORT-LATENCY SOMATOSENSORY EVOKED-POTENTIALS IN MULTIPLE-SCLEROSIS [J].
CHIAPPA, KH .
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 1984, 436 (DEC) :315-327
[4]   Oligoclonal IgG band patterns in inflammatory demyelinating human and mouse diseases [J].
Franciotta, Diego ;
Columba-Cabezas, Sandra ;
Andreoni, Laura ;
Ravaglia, Sabrina ;
Jarius, Sven ;
Romagnolo, Silvia ;
Tavazzi, Eleonora ;
Bergamaschi, Roberto ;
Zardini, Elisabetta ;
Aloisi, Francesca ;
Marchioni, Enrico .
JOURNAL OF NEUROIMMUNOLOGY, 2008, 200 (1-2) :125-128
[5]   Practice parameter: The usefulness of evoked potentials in identifying clinically silent lesions in patients with suspected multiple sclerosis (an evidence-based review) - Report of the Quality Standards Subcommittee of the American Academy of Neurology [J].
Gronseth, GS ;
Ashman, EJ .
NEUROLOGY, 2000, 54 (09) :1720-1725
[6]   Association Between Clinical Conversion to Multiple Sclerosis in Radiologically Isolated Syndrome and Magnetic Resonance Imaging, Cerebrospinal Fluid, and Visual Evoked Potential [J].
Lebrun, Christine ;
Bensa, Caroline ;
Debouverie, Marc ;
Wiertlevski, Sandrine ;
Brassat, David ;
de Seze, Jerome ;
Rumbach, Lucien ;
Pelletier, Jean ;
Labauge, Pierre ;
Brochet, Bruno ;
Tourbah, Ayman ;
Clavelou, Pierre .
ARCHIVES OF NEUROLOGY, 2009, 66 (07) :841-846
[7]   Oligoclonal bands in multiple sclerosis cerebrospinal fluid: An update on methodology and clinical usefulness [J].
Link, Hans ;
Huang, Yu-Min .
JOURNAL OF NEUROIMMUNOLOGY, 2006, 180 (1-2) :17-28
[8]   Recommended diagnostic criteria for multiple sclerosis: Guidelines from the International Panel on the Diagnosis of Multiple Sclerosis [J].
McDonald, WI ;
Compston, A ;
Edan, G ;
Goodkin, D ;
Hartung, HP ;
Lublin, FD ;
McFarland, HF ;
Paty, DW ;
Polman, CH ;
Reingold, SC ;
Sandberg-Wollheim, M ;
Sibley, W ;
Thompson, AJ ;
van den Noort, S ;
Weinshenker, BY ;
Wolinsky, JS .
ANNALS OF NEUROLOGY, 2001, 50 (01) :121-127
[9]   10 most commonly asked questions about cerebrospinal fluid characteristics in demyelinating disorders of the central nervous system [J].
Mehling, Matthias ;
Kuhle, Jens ;
Regeniter, Axel .
NEUROLOGIST, 2008, 14 (01) :60-65
[10]   Differential diagnosis of suspected multiple sclerosis: a consensus approach [J].
Miller, D. H. ;
Weinshenker, B. G. ;
Filippi, M. ;
Banwell, B. L. ;
Cohen, J. A. ;
Freedman, M. S. ;
Galetta, S. L. ;
Hutchinson, M. ;
Johnson, R. T. ;
Kappos, L. ;
Kira, J. ;
Lublin, F. D. ;
McFarland, H. F. ;
Montalban, X. ;
Panitch, H. ;
Richert, J. R. ;
Reingold, S. C. ;
Polman, C. H. .
MULTIPLE SCLEROSIS JOURNAL, 2008, 14 (09) :1157-1174