最近审阅: 1 十一月 2020
最近更新: 06 七月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 单眼视力障碍
  • 特殊的感觉异常

其他诊断因素

  • 女性
  • 年龄 20-40 岁
  • 足拖行或擦脚
  • 腿痉挛
  • 疲劳
  • 尿频
  • 肠道功能障碍
  • 痉挛/肌张力增高
  • 深部腱反射增强
  • 不平衡/不协调
  • 视神经盘苍白或不可校正的视力丧失
  • 对石原色盲测试板的应答有误
  • 异常眼球运动

危险因素

  • 女性
  • 北纬
  • 遗传因素
  • 吸烟
  • 维生素 D 缺乏
  • 自身免疫性疾病
  • 爱泼斯坦-巴尔病毒 (EBV)

诊断性检查

首要检查

  • 大脑 MRI
  • 脊髓 MRI
  • 全血细胞计数(FBC)
  • 全套代谢检查组合
  • 促甲状腺激素
  • 维生素 B12
更多 首要检查

需考虑的检查

  • 抗视神经脊髓炎抗体
  • 脑脊液评估
  • 诱发电位
更多 需考虑的检查

治疗流程

撰稿人

Associate Professor and Chair

Department of Neurology

University of Mississippi Medical Center

Jackson

MS

利益声明

MAW has received payment for participating on the speakers' bureaus of Biogen, Genzyme, and Novartis. MAW also serves on the editorial board for the International Journal of MS Care.

Dr Mary Alissa Willis would like to gratefully acknowledge Dr Lael A. Stone, a previous contributor to this topic. LAS declares that she has no competing interests.

同行评议者展开全部内容

Project Leader for Neurology

Neurological Institute

Cleveland Clinic

Cleveland

OH

利益声明

ARG declares that he has no competing interests.

Associate Professor of Neurology

Department of Clinical Neurological Sciences

London Health Sciences Centre

University Hospital

Ontario

Canada

利益声明

SAM declares that she has no competing interests.

Director

The London Multiple Sclerosis Clinic

Associate Professor

Schulich School of Medicine

University of Western Ontario

Neurologist

Clinical Neurological Sciences Department

University Hospital

London Health Sciences Centre

Ontario

Canada

利益声明

MK declares that he has no competing interests.

Consultant Neurologist

Department of Neurology

Queen’s Hospital

Romford

UK

利益声明

AC declares that he has no competing interests.

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