pinot Revised elagnstc criteria for neuromyelitisopica
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Neurology
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Nowriogy Mey 23, 2008 el. 85 no. 10 485-489
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Revised diagnostic criteria for
neuromyelitis optica
LM. Wingerehak MD, FRCP(C), VA. Lenon.MD, PR, SJ Petack, MO,C.F Lucci, MD and 8.6
Wana MD, FREPIC)
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Flext || Fu Text POF)
Auccvaibhe Ona Sion
ABSTRACT
Background: The suber prevously proposed dlogostc ete fr rauranyelisopica (AMO) thal fcitate te
dstncton fom peatype mutiple slaosls (US). However, some paints wth otnerwse typical NNO have
asstoral symptoms not atbuzats to optic nerve or spinal cor ivlarmaton or havo MSko bran MRL lesions.
Futbemoe, some paints are mcissfed at NNO by te autor” eaarpropoted err coup having 2
subsequent couse Indstrgusnable rom poatype MS. A serum autcarbogy marker, NMO%9G, ley specie
for NMO. Th authors propse ised NMO dagnostic itera hat ncorporte NMOW9G statis
Methods: Using al elncal gros (NMO or MS) a the rferance sansa, the alors eau sesitty
and spectfey fr each efteion and varaus cambination using 8 sane of SE pater wth NUO and 33 with MS.
“ho authors usod tkelnoed relos and lste epesson analysis to dovelop the mest preccal and ifomative
Adagroste mod.
Results: Fouren paints wth NMO (14.5%) hat exsapespnal CNS eynploms. NVOIEG apositivly wae
"75% senstive ana 94% spoecc for NMO. The best cagnestc combination wae 9% sorstve and 0% specie for
INMO and consstos of at last two of tres slomerts: lengua extensive cor lesion, onset ran MRI
rnordagrotc fr MS, oe NMO.gG Soop.
Conclusions: The authrs propose revises dapratc ctata for dette newonyatis oxic (NNO) tht equre
otc nour, myelis, an at ast woof tee suppotve crt: NR eidence ot conéguus spinal cor Iesion 3
‘oF more segments in length, arse! brain MRI rendagnests for mull sclera, oF NMOIGG seropssivily. CNS
Invlvamen beyend the ope nerves and spina cori compat wit NO.
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