Real-world application of the 2022 diagnostic criteria for first-ever episode of optic neuritis

被引：6

作者：

Terrim, Sara ^{[1
]}

Silva, Guilherme Diogo ^{[1
]}

Falcao, Fernando Cavalcanti de Sa e Benevides

Pereira, Clarissa dos Reis ^{[2
]}

Benassi, Thais de Souza Andrade ^{[2
]}

Fortini, Ida ^{[1
]}

Goncalves, Marcia Rubia Rodrigues ^{[1
]}

Castro, Luiz Henrique Martins ^{[1
]}

Comerlatti, Luiz Roberto ^{[1
]}

Rimkus, Carolina de Medeiros ^{[3
]}

Adoni, Tarso ^{[1
]}

Pereira, Samira Luisa Apostolos ^{[1
]}

Monteiro, Mario Luiz

Callegaro, Dagoberto ^{[1
]}

机构：

[1] Univ Sao Paulo, Neurol Div, Hosp Clin, Av Dr Eneas de Carvalho Aguiar 255, BR-05403000 Sao Paulo, Brazil

[2] Univ Sao Paulo, Hosp Clin, Neuroophtalmol Div, Av Dr Eneas de Carvalho Aguiar 255, BR-05403000 Sao Paulo, Brazil

[3] Univ Sao Paulo, Radiol Div, Hosp Clin, Av Dr Eneas de Carvalho Aguiar 255, BR-05403000 Sao Paulo, Brazil

来源：

JOURNAL OF NEUROIMMUNOLOGY | 2023年 / 381卷

关键词：

Optic neuritis; Optic neuritis diagnostic criteria; Optic neuritis classification; Multiple sclerosis; Optic neuropathy;

D O I：

10.1016/j.jneuroim.2023.578140

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Optic neuritis (ON) admits diverse differential diagnoses. Petzold proposed diagnostic criteria for ON in 2022, although real-world application of these criteria is missing. We conducted a retrospective review of patients with ON. We classified patients into definite or possible ON, and into groups A (typical neuritis), B (painless), or C (binocular) and estimated the frequency of etiologies for each group. We included 77 patients, with 62% definite and 38% possible ON. CRION and NMOSD-AQP4 negative-ON were less commonly seen in definite ON. Application of the 2022 criteria revealed a lower-than-expected frequency of definite ON, particularly for seronegative non-MS causes.

引用

页数：6

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