《抗水通道蛋白4抗体血清阴性的泰国视神经脊髓炎患者的特点:与血清阳性病例的比较》

N. Prayoonwiwat, S. Siritho
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摘要

版权所有:©2015 Prayoonwiwat N, et al。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。视神经脊髓炎(Neuromyelitis optica, NMO)是一种炎症性中枢神经系统综合征,其发病机制、临床表现和神经影像学表现均不同于多发性硬化症(MS)[1]。根据近期国际共识的《神经脊髓炎视谱障碍诊断标准(NMOSD) 2015》,新标准将“明确的NMO”和“NMOSD”合并为一个术语“NMOSD”。通过血清学检测将NMOSD进一步分层,分为是否存在aqp4抗体以及6种核心临床症状,包括视神经、脊髓、后脑区、其他脑干、间脑或大脑表现相关的临床综合征或MRI表现。诊断血清阴性的NMOSD需要更严格的临床标准,且MRI表现与NMOSD一致[2]。
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Short Commentary for “Features of anti-aquaporin 4 Antibody-Seronegative Thai Patients with Neuromyelitis Optica Spectrum Disorders: A Comparison with Seropositive Cases”
Copyright: © 2015 Prayoonwiwat N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Neuromyelitis optica (NMO) is an inflammatory CNS syndrome distinct from multiple sclerosis (MS) in their pathogenesis, clinical manifestations and neuroimaging findings [1]. According to the recent international consensus on diagnostic criteria for neuromyelitis optica spectrum disorders (NMOSD) 2015, the new criteria combine “definite NMO” and “NMOSD” into one term “NMOSD”. NMOSD was stratified further by serologic testing into NMOSD with or without presence of AQP4-antibody together with the 6 core clinical symptoms including clinical syndromes or MRI findings associated with optic nerve, spinal cord, area postrema, other brainstem, diencephalic, or cerebral manifestations. More stringent clinical criteria with MRI findings compatible with those seen in NMOSD are required for a diagnosis of seronegative NMOSD [2].
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