Clinical course features of atypical demyelinating optic neuritis: case series
Optic neuritis (ON) can often occur at the onset of a demyelinating autoimmune CNS disease or as one of its clinical manifestations. The introduction of novel laboratory techniques, technical advances in magnetic resonance imaging (MRI), electrophysiologic studies, and ocular imaging have significan...
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| Vydané v: | Nevrologii͡a︡, neĭropsikhiatrii͡a︡, psikhosomatika Ročník 15; s. 35 - 42 |
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| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English Russian |
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IMA-PRESS LLC
21.08.2023
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| ISSN: | 2074-2711, 2310-1342 |
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| Abstract | Optic neuritis (ON) can often occur at the onset of a demyelinating autoimmune CNS disease or as one of its clinical manifestations. The introduction of novel laboratory techniques, technical advances in magnetic resonance imaging (MRI), electrophysiologic studies, and ocular imaging have significantly expanded the spectrum of autoimmune optic neuropathies. Identification of different forms of ON based on clinical and instrumental data can lead to early diagnosis of the underlying neurologic disorder. According to current guidelines, one can distinguish between typical ON, which are mainly associated with multiple sclerosis (MS), and atypical ON, which are the main clinical manifestation of neuromyelitis optica spectrum disorders (NMOSD) and diseases associated with myelin oligodendrocyte glycoprotein antibodies (MOGAD). In this paper, we present four clinical cases of atypical ON at the onset of NMOSD and MOGAD and illustrate the high diagnostic value of a multidisciplinary approach. |
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| AbstractList | Optic neuritis (ON) can often occur at the onset of a demyelinating autoimmune CNS disease or as one of its clinical manifestations. The introduction of novel laboratory techniques, technical advances in magnetic resonance imaging (MRI), electrophysiologic studies, and ocular imaging have significantly expanded the spectrum of autoimmune optic neuropathies. Identification of different forms of ON based on clinical and instrumental data can lead to early diagnosis of the underlying neurologic disorder. According to current guidelines, one can distinguish between typical ON, which are mainly associated with multiple sclerosis (MS), and atypical ON, which are the main clinical manifestation of neuromyelitis optica spectrum disorders (NMOSD) and diseases associated with myelin oligodendrocyte glycoprotein antibodies (MOGAD). In this paper, we present four clinical cases of atypical ON at the onset of NMOSD and MOGAD and illustrate the high diagnostic value of a multidisciplinary approach. |
| Author | Eliseeva, D. D. Zhorzholadze, N. V. Zakharova, M. N. Sheremet, N. L. Andreeva, N. A. Bryukhov, V. V. Murakhovskaya, Yu. K. Kalashnikova, A. K. |
| Author_xml | – sequence: 1 givenname: N. L. orcidid: 0000-0003-4597-4987 surname: Sheremet fullname: Sheremet, N. L. organization: M.M. Krasnov Research Institute of Eye Diseases – sequence: 2 givenname: D. D. orcidid: 0000-0003-2173-927X surname: Eliseeva fullname: Eliseeva, D. D. organization: Research Center of Neurology – sequence: 3 givenname: V. V. orcidid: 0000-0002-1645-6526 surname: Bryukhov fullname: Bryukhov, V. V. organization: Research Center of Neurology – sequence: 4 givenname: N. A. orcidid: 0000-0001-7329-5725 surname: Andreeva fullname: Andreeva, N. A. organization: M.M. Krasnov Research Institute of Eye Diseases – sequence: 5 givenname: N. V. orcidid: 0000-0003-1771-300X surname: Zhorzholadze fullname: Zhorzholadze, N. V. organization: M.M. Krasnov Research Institute of Eye Diseases – sequence: 6 givenname: Yu. K. orcidid: 0000-0002-1251-6405 surname: Murakhovskaya fullname: Murakhovskaya, Yu. K. organization: M.M. Krasnov Research Institute of Eye Diseases – sequence: 7 givenname: A. K. orcidid: 0000-0002-2229-384X surname: Kalashnikova fullname: Kalashnikova, A. K. organization: Department of Nervous System Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University) – sequence: 8 givenname: M. N. orcidid: 0000-0002-1072-9968 surname: Zakharova fullname: Zakharova, M. N. organization: Research Center of Neurology |
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| SubjectTerms | demyelination magnetic resonance imaging multiple sclerosis myelin oligodendrocyte glycoprotein antibody- associated disease neuromyelitis optica spectrum disorder optic neuritis optical coherence tomography |
| Title | Clinical course features of atypical demyelinating optic neuritis: case series |
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