University of North Carolina, Chapel Hill, NC.
University of California Davis, Sacramento, CA.
Semin Ultrasound CT MR. 2020 Jun;41(3):284-295. doi: 10.1053/j.sult.2020.02.003. Epub 2020 Feb 29.
This article discusses mimics of multiple sclerosis (MS). Excluded in this discussion are neuromyelitis optica and vasculitis, discussed in other articles in this journal. Covered entities include posterior reversible encephalopathy syndrome, reversible vasoconstriction syndrome, acute disseminated encephalomyelitis, Sussac's Syndrome, and chronic idiopathic demyelinating polyneuropathy. There are also multiple infectious entities that mimic MS including; progressive multi-focal leukoencephalopathy (PML), Toxoplasmosis, Tuberculosis, Herpes Simplex Virus, Cytomegalovirus, Varicella zoster virus, Epstein Barr virus, Cryptococcus and Human immunodeficiency virus. In addition, there are leukoencephalopathies that can present in adulthood including Adrenoleukodystrophy, Metachromatic leukodystrophy, Cerebral autosomal dominant idiopathic leukoencephalopathy, Leigh's and Alexanders disease that could be mistaken for MS.
本文讨论了多发性硬化症 (MS) 的模拟病例。本讨论不包括视神经脊髓炎和血管炎，这将在本期刊的其他文章中讨论。涵盖的实体包括可逆性后部脑病综合征、可逆性血管收缩综合征、急性播散性脑脊髓炎、Sussac 综合征和慢性特发性脱髓鞘性多发性神经病。还有多种感染性疾病也会模拟 MS，包括：进行性多灶性白质脑病 (PML)、弓形体病、结核病、单纯疱疹病毒、巨细胞病毒、水痘带状疱疹病毒、Epstein-Barr 病毒、隐球菌和人类免疫缺陷病毒。此外，还有一些在成年期出现的白质脑病，包括肾上腺脑白质营养不良、异染性脑白质营养不良、脑常染色体显性遗传性特发性白质脑病、 Leigh 病和 Alexander 病，这些疾病可能会被误诊为 MS。
