多发性硬化症的诊断及临床亚型
The diagnosis of multiple sclerosis and the clinical subtypes.
作者信息
Hurwitz Barrie J
机构信息
Departments of Medicine, Neurology, and Community and Family Practice, Duke University Medical Center, Box 3184 DUMC, Durham, NC 27710, USA.
出版信息
Ann Indian Acad Neurol. 2009 Oct;12(4):226-30. doi: 10.4103/0972-2327.58276.
Abstract
The diagnosis of multiple sclerosis (MS) requires objective findings referable to the central nervous system. A wide differential diagnosis often has to be considered. Magnetic resonance imaging and electrophysiologic and cerebrospinal fluid studies can all contribute to an early definitive diagnosis. The McDonald diagnostic criteria for MS (2005) are the currently recognized MS diagnostic criteria. The clinical subtypes of MS and their diagnosis are discussed in this article. Being informed of the diagnosis may be a stressful experience for the patient and this is also dealt with.
摘要
多发性硬化症（MS）的诊断需要有可归因于中枢神经系统的客观发现。通常必须考虑广泛的鉴别诊断。磁共振成像、电生理检查和脑脊液研究都有助于早期明确诊断。MS的麦克唐纳诊断标准（2005年）是目前公认的MS诊断标准。本文讨论了MS的临床亚型及其诊断。告知患者诊断结果可能会让其感到压力，本文也对此进行了探讨。
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