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J. Neurol. Neurosurg. Psychiatr. · Nov 2003
Clinical TrialSpinal cord MRI in clinically isolated optic neuritis.
- C M Dalton, P A Brex, K A Miszkiel, K Fernando, D G MacManus, G T Plant, A J Thompson, and D H Miller.
- NMR Research Unit, Institute of Neurology, London, UK.
- J. Neurol. Neurosurg. Psychiatr. 2003 Nov 1; 74 (11): 1577-80.
Background/MethodsOne hundred and fifteen patients with clinically isolated optic neuritis underwent magnetic resonance imaging (MRI) of the brain and spinal cord within 3 months of the onset of symptoms.ResultsEighty one (70%) patients had brain lesions and 31 (27%) had cord lesions. Cord lesions were seen in 12% with a normal brain MRI, 21% with between one and eight brain lesions, and 45% with nine or more brain lesions. When the new diagnostic criteria for MS were applied, MRI cord imaging used for evidence of dissemination in time and space allowed a diagnosis of MS in only one additional asymptomatic patient at 1 year, two additional asymptomatic patients at 3 years.ConclusionsUsing existing criteria, spinal cord imaging rarely contributes to the diagnosis in patients with clinically isolated optic neuritis.
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