Different etiologies and prognoses of optic neuritis in demyelinating diseases

被引:48
作者
Akaishi, Tetsuya [1 ]
Nakashima, Ichiro [1 ]
Takeshita, Takayuki [2 ]
Kaneko, Kimihiko [1 ]
Mugikura, Shunji [3 ]
Sato, Douglas Kazutoshi [1 ]
Takahashi, Toshiyuki [1 ,4 ]
Nakazawa, Toru [2 ]
Aoki, Masashi [1 ]
Fujihara, Kazuo [1 ,5 ]
机构
[1] Tohoku Univ, Grad Sch Med, Dept Neurol, Sendai, Miyagi, Japan
[2] Tohoku Univ, Grad Sch Med, Dept Ophthalmol, Sendai, Miyagi, Japan
[3] Tohoku Univ, Grad Sch Med, Dept Diagnost Radiol, Sendai, Miyagi, Japan
[4] Yonezawa Natl Hosp, Dept Neurol, Yonezawa, Yamagata, Japan
[5] Fukushima Med Univ, Dept Multiple Sclerosis Therapeut, Fukushima, Japan
关键词
Multiple sclerosis; Neuromyelitis optica spectrum disorder; Anti-MOG autoantibody; Optic neuritis; Optic MRI; Visual prognosis; NEUROMYELITIS-OPTICA; MULTIPLE-SCLEROSIS; VISUAL-ACUITY; MRI; ANTIBODY;
D O I
10.1016/j.jneuroim.2016.09.007
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We compared the clinical features of optic neuritis (ON) that are frequently observed in various central nervous system demyelinating diseases, including multiple sclerosis (MS), anti-aquaporin 4 (AQP4) antibody- and anti-myelin oligodendrocyte glycoprotein (MOG) autoantibody-related diseases. Almost all the AQP4-ON patients were female, whereas half of the MOG-ON patients were male. The ON-onset age was younger in MS-ON and was older in AQP4-ON. The ON-lesion detected using optic MRI in the acute phase was longer in MOG-ON and showed severe swelling and twisting. The worst visual acuity was similar between the diseases; however, the final visual acuity was significantly worse in AQP4-ON. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:152 / 157
页数:6
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