Lebrun C, Bourg V, Chanalet S, Chatel M
Service de Neurologie, CHU Nice.
Rev Neurol (Paris). 2003 Apr;159(4):397-404.
Multiple sclerosis is a demyelinating disease of central nervous system. Although many sub-types and clinical forms are identified, diagnosis is clearly related to the detection of MS lesions on brain MRI. We report data of 15 patients admitted in Nice for suspicion of MS after clinical relapsing-remitting or progressive symptoms. Extensive screening tests (i.e blood sample, CSF, MRI, spectroscopy) were performed at onset and at each relapse. All patients had normal-appearing white matter on spinal cord and brain MRI. Nevertheless, 11 patients can be considered as MS according to McDonald criteria.
多发性硬化症是一种中枢神经系统的脱髓鞘疾病。尽管已识别出许多亚型和临床形式,但诊断显然与脑部磁共振成像(MRI)上MS病变的检测有关。我们报告了15例因临床复发-缓解或进行性症状而怀疑患有MS的患者的数据,这些患者在尼斯住院。在发病时和每次复发时都进行了广泛的筛查测试(即血液样本、脑脊液、MRI、光谱分析)。所有患者的脊髓和脑部MRI上白质外观均正常。然而,根据麦克唐纳标准,11例患者可被视为患有MS。