Sheremet N L, Eliseeva D D, Kalashnikova A K, Zakharova M N
Kasnov Research Institute of Eye Diseases, Moscow, Russia.
Research Center of Neurology, Moscow, Russia.
Vestn Oftalmol. 2023;139(6):175-182. doi: 10.17116/oftalma2023139061175.
Optic neuritis (ON) is one of the most common neuro-ophthalmic causes of vision loss worldwide. Demyelinating ON can be idiopathic or be one of the symptoms of autoimmune demyelinating diseases of the central nervous system (CNS) such as multiple sclerosis (MS), neuromyelitis optica spectrum disorders (NMOSD), myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD). Demographic, clinical and radiological signs of ON in these CNS diseases have differences. In this regard, typical and atypical ON are currently distinguished. Recognizing the clinical features that differentiate typical MS-associated ON from atypical ON in NMOSD and MOGAD is important for choosing the correct disease management and treatment strategy. This review summarizes the data from clinical, laboratory, instrumental methods of management used for the differential diagnosis of optic neuritis.
视神经炎(ON)是全球范围内导致视力丧失的最常见神经眼科病因之一。脱髓鞘性视神经炎可以是特发性的,也可以是中枢神经系统(CNS)自身免疫性脱髓鞘疾病的症状之一,如多发性硬化症(MS)、视神经脊髓炎谱系障碍(NMOSD)、髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)。这些中枢神经系统疾病中视神经炎的人口统计学、临床和放射学特征存在差异。在这方面,目前区分典型和非典型视神经炎。认识到区分典型的与MS相关的视神经炎和NMOSD及MOGAD中非典型视神经炎的临床特征,对于选择正确的疾病管理和治疗策略很重要。本综述总结了用于视神经炎鉴别诊断的临床、实验室和仪器管理方法的数据。