Schörner W, Baum K, Henkes H, Girke W, Felix R
Radiologische Klinik und Poliklinik, Freie Universität Berlin.
Rofo. 1988 Jul;149(1):63-8. doi: 10.1055/s-2008-1048297.
The MR results in 21 patients showing the initial manifestations of multiple sclerosis (MS) were compared with those in 45 patients with a long history of MS. As in the old cases, MR proved a very sensitive technique during the early manifestations, with abnormal findings in 20 out of the 21 patients. The relatively characteristic MR findings in long-standing MS (predominant peri-ventricular involvement with a relatively typical pattern) was seen in the early stages is only rare cases. The value of MR during the initial manifestations of MS is in cases where the clinical findings are not conclusive and laboratory diagnosis (evoked potentials, CSF findings) are indefinite. In these patients the findings of multiple lesions in the brain can confirm the suspected diagnosis of MS.
对21例表现为多发性硬化症（MS）初始症状的患者的磁共振成像（MR）结果与45例有长期MS病史的患者的结果进行了比较。与旧病例一样，MR在早期症状阶段是一种非常敏感的技术，21例患者中有20例有异常发现。在MS病程较长阶段相对典型的MR表现（以脑室周围为主且有相对典型的模式）在早期仅在少数病例中可见。MR在MS初始症状阶段的价值在于临床发现不明确且实验室诊断（诱发电位、脑脊液检查结果）不确定的情况。在这些患者中，脑部多个病灶的发现可以证实疑似MS的诊断。
