视神经脊髓炎的最新诊断标准及治疗选择。

The latest diagnostic criteria and treatment options for neuromyelitis optica.

作者信息

Moore Randy R, Tanner Meagan

机构信息

Randy R. Moore practices family medicine at Wellness Pointe Family Health in Longview, Tex., and is a PA in the Texas Army National Guard. Meagan Tanner is an adult-gero NP in family medicine at Wellness Pointe Family Health. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2019 Jul;32(7):1-6. doi: 10.1097/01.JAA.0000558352.01234.c0.

DOI:10.1097/01.JAA.0000558352.01234.c0

PMID:31241616

Abstract

Neuromyelitis optica, also known as Devic disease, is an autoimmune disorder that affects the spinal cord and optic nerve. This atypical demyelinating syndrome can be difficult to diagnose and responds poorly to treatments that are used for multiple sclerosis, a similar demyelinating disease. This article discusses the epidemiology, pathophysiology, clinical presentation, latest diagnostic criteria, and treatment options for neuromyelitis optica and neuromyelitis spectrum disorders.

摘要

视神经脊髓炎，也称为德维克病，是一种影响脊髓和视神经的自身免疫性疾病。这种非典型脱髓鞘综合征可能难以诊断，并且对用于治疗多发性硬化症（一种类似的脱髓鞘疾病）的治疗反应不佳。本文讨论了视神经脊髓炎和视神经脊髓炎谱系障碍的流行病学、病理生理学、临床表现、最新诊断标准以及治疗选择。