Müller Stefanie
HOCH Health Ostschweiz, Kantonsspital St. Gallen.
Ther Umsch. 2025 Jun;82(3):76-81. doi: 10.23785/TU.2025.03.003.
Visual disturbances are a common presenting symptom of multiple sclerosis (MS), often caused by optic neuritis. This acute inflammation of the optic nerve leads to pain during eye movements, visual impairment and colour vision defects. Optic neuritis can be idiopathic, MS-associated or occur in the context of other diseases such as NMOSD or MOGAD. Diagnosis is based on clinical findings, imaging and visual evoked potentials. Early high-dose corticosteroid treatment can support recovery and improve long-term prognosis.
视觉障碍是多发性硬化症(MS)常见的首发症状,通常由视神经炎引起。这种视神经的急性炎症会导致眼球运动时疼痛、视力损害和色觉缺陷。视神经炎可以是特发性的、与MS相关的,或者发生在其他疾病如视神经脊髓炎谱系疾病(NMOSD)或髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)的背景下。诊断基于临床表现、影像学检查和视觉诱发电位。早期大剂量皮质类固醇治疗有助于恢复并改善长期预后。