Rovira Àlex, Vidal-Jordana Angela, Auger Cristina, Sastre-Garriga Jaume
Department of Radiology, Section of Neuroradiology, Vall d'Hebron University Hospital, Autonomous Univesity of Barcelona, Barcelona, Spain.
Department of Neurology, Centro de Esclerosis Múltiple de Catalunya (Cemcat), Vall d'Hebron University Hospital, Autonomous University of Barcelona, Barcelona, Spain.
Neuroimaging Clin N Am. 2024 Aug;34(3):399-420. doi: 10.1016/j.nic.2024.03.005. Epub 2024 May 23.
Optic neuritis is a common feature in multiple sclerosis and in 2 other autoimmune demyelinating disorders such as aquaporin-4 IgG antibody-associated neuromyelitis optica spectrum disorder and myelin oligodendrocyte glycoprotein antibody-associated disease. Although serologic testing is critical for differentiating these different autoimmune-mediated disorders, MR imaging, which is the preferred imaging modality for assessing the optic nerve, can provide valuable information, suggesting a specific diagnosis and guiding the appropriate serologic testing.
视神经炎是多发性硬化以及另外两种自身免疫性脱髓鞘疾病的常见特征,这两种疾病分别是水通道蛋白4 IgG抗体相关的视神经脊髓炎谱系障碍和髓鞘少突胶质细胞糖蛋白抗体相关疾病。尽管血清学检测对于区分这些不同的自身免疫介导的疾病至关重要,但磁共振成像(MR成像)作为评估视神经的首选成像方式,能够提供有价值的信息,提示特定诊断并指导进行适当的血清学检测。