辅助检查对多发性硬化的诊断价植

The Diagnostic Value of Laboratory Investigation for Multiple Sclerosis

目的对 46例多发性硬化 (MS)患者进行辅助检查分析 ,从而探讨其各项指标的诊断价值。 方法总结 46例多发性硬化的临床特点 ;结合文献复习对磁共振成像 (MRI)、头颅CT扫描、脑电图 (EEG)、脑脊液寡克隆区带(OB)、视觉诱发电位 (VEP)、脑干听觉诱发电位 (BAEP)进行比较。 结果MRI可发现MS早期病变 ,及早作出诊断 ,且明显优于头颅CT扫描及其它辅助检查。 结论MS最常见的发病部位是侧脑室周围白质、视神经、脊髓和脑干。MS诊断的金标准仍然是临床 ,MRI作为MS的辅助诊断是最有效的手段。

Objective To analyse 46 multiple sclerosis(MS) patients with their laboratory check-up. Methods Forty-six clinical multiple sclerosis patients were summarized with their clinical features and compared to their associations with MRI, cerebral CT, EEG, OB band in CSF, VEP, and BAEP. Results MRI may detect early MS lesions and make early diagnosis. MRI is superior to CT and other lab tests. The most common lesions in MS are in the periventricular white matter, optical nerve, spinal cord, and brain stem. Conclusion The gold diagnostic standard for MS remains to be clinical information. MRI is the most useful adjunct checkup.