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[多发性硬化症的早期症状与诊断]

[Early symptoms and diagnosis of multiple sclerosis].

作者信息

Autenrieth W, Neu I

出版信息

Fortschr Med. 1979 Apr 12;97(14):645-8.

PMID:437633
Abstract

Multiple Sclerosis is one of the most common neurological diseases in North and Central Europe and USA, the prevalence is 0,03-0,06%. The precise aetiological and pathological processes underlying the disease are still unknown. As there is as yet no laboratory test that is specific for Multiple Sclerosis, the diagnosis is still a clinical one. It depends on the history--a majority of patients has a history of remissions--and on the demonstration of objective signs of lesions in the white matter of the central nervous system. There can be found some early symptoms--such as optic neuritis--and some typical combinations of symptoms that make the diagnosis Multiple Sclerosis probable or clinically definit. Among the laboratory tests the investigation of cerebrospinal fluid is most important.

摘要

多发性硬化症是北欧、中欧和美国最常见的神经疾病之一,患病率为0.03% - 0.06%。该疾病确切的病因和病理过程仍不清楚。由于目前尚无针对多发性硬化症的特异性实验室检查,诊断仍基于临床判断。这取决于病史——大多数患者有缓解期病史——以及中枢神经系统白质病变客观体征的显示。可发现一些早期症状,如视神经炎,以及一些典型的症状组合,这些使得多发性硬化症的诊断成为可能或临床确诊。在实验室检查中,脑脊液检查最为重要。

相似文献

1
[Early symptoms and diagnosis of multiple sclerosis].[多发性硬化症的早期症状与诊断]
Fortschr Med. 1979 Apr 12;97(14):645-8.
2
[Multiple sclerosis with negative cerebrospinal fluid. Magnetic resonance differential diagnosis].[脑脊液阴性的多发性硬化。磁共振鉴别诊断]
Radiol Med. 1994 Dec;88(6):749-51.
3
[Diagnosis and therapy of multiple sclerosis].
Fortschr Med. 1980 Oct 2;98(37):1427-30.
4
Diagnosis of multiple sclerosis.
Am Fam Physician. 1984 Jan;29(1):231-6.
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[Chronic inflammatory demyelinating polyradiculoneuropathy associated with central nervous system involvement--as compared to multiple sclerosis].[与中枢神经系统受累相关的慢性炎性脱髓鞘性多发性神经根神经病——与多发性硬化症的比较]
Rinsho Shinkeigaku. 1990 Sep;30(9):939-43.
6
Early differential diagnosis of multiple sclerosis using a new oligoclonal band test.使用新型寡克隆带检测对多发性硬化症进行早期鉴别诊断。
Arch Neurol. 2005 Apr;62(4):574-7. doi: 10.1001/archneur.62.4.574.
7
[Syringomyelia, a neglected differential diagnosis in multiple sclerosis. 6 cases from a specialty clinic for multiple sclerosis].
Nervenarzt. 1995 Aug;66(8):630-3.
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Diagnosis of multiple sclerosis.多发性硬化症的诊断
Semin Neurol. 1998;18(3):309-16. doi: 10.1055/s-2008-1040882.
9
[Diagnosis of multiple sclerosis].
Rev Prat. 1999 Nov 1;49(17):1861-5.
10
[Clinical findings in multiple sclerosis].
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