Recommended diagnostic criteria for multiple sclerosis: Guidelines from the International Panel on the Diagnosis of Multiple Sclerosis

Recommended diagnostic criteria for multiple sclerosis: Guidelines from the International Panel on the Diagnosis of Multiple Sclerosis
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DOI:
10.1002/ana.1032
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发表时间:
2001-07-01
影响因子:
11.2
通讯作者:
Wolinsky, JS
Wolinsky, JS
中科院分区:
医学1区
文献类型:
--
作者:
McDonald, WI;Compston, A;Wolinsky, JS

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国际多发性硬化症诊断专家组提出了修订的多发性硬化症(MS)诊断标准。重点仍然是在时间和空间上客观证明病灶的扩散。磁共振成像与临床和其他临床旁诊断方法相结合。修订后的标准有助于诊断MS患者的各种表现,包括“单症状”疾病提示MS,疾病与典型的复发-缓解过程中,和疾病的潜伏进展,没有明确的攻击和缓解。以前使用的术语,如“临床确定”和“可能的MS”不再推荐。诊断评价的结果是MS、“可能MS”(针对有MS风险但诊断评价不明确的患者)或“非MS”。"
The International Panel on MS Diagnosis presents revised diagnostic criteria for multiple sclerosis (MS). The focus remains on the objective demonstration of dissemination of lesions in both time and space. Magnetic resonance imaging is integrated with clinical and other paraclinical diagnostic methods. The revised criteria facilitate the diagnosis of MS in patients with a variety of presentations, including "monosymptomatic" disease suggestive of MS, disease with a typical relapsing-remitting course, and disease with insidious progression, without clear attacks and remissions. Previously used terms such as "clinically definite" and "probable MS" are no longer recommended. The outcome of a diagnostic evaluation is either MS, "possible MS" (for those at risk for MS, but for whom diagnostic evaluation is equivocal), or "not MS."