Zaffaroni M, Baldini S M, Ghezzi A
Multiple Sclerosis Study Center, Department of Neurology, Gallarate Hospital, Italy.
Neurol Sci. 2001 Nov;22 Suppl 2:S74-8. doi: 10.1007/s100720100039.
A clinically isolated syndrome indicating a pathological process involving the cranial nerves or the posterior fossa may constitute a hard diagnostic challenge for the clinician. Whereas internuclear ophthalmoplegia, for example, is almost pathognomonic of multiple sclerosis (MS), other clinical presentations are often puzzling. The main alternative causes of symptoms that may suggest a clinical onset of MS are reviewed here, grouped in principal clinical syndromes, with particular attention to some rare, recently recognised conditions.
一种提示涉及颅神经或后颅窝病理过程的临床孤立综合征，可能给临床医生带来严峻的诊断挑战。例如，核间性眼肌麻痹几乎是多发性硬化（MS）的特征性表现，而其他临床表现往往令人困惑。本文回顾了可能提示MS临床发病的症状的主要其他病因，按主要临床综合征进行分类，尤其关注一些罕见的、最近才认识到的病症。
