Abstract
Brain magnetic resonance imaging (MRI), multimodality evoked potentials (EPs) and cerebrospinal fluid examination were performed in 42 patients with myelopathy of undetermined aetiology in order to detect abnormalities usually related to multiple sclerosis (MS). Patients were divided into three groups: insidious-onset myelopathy with only motor signs (group A; 11 patients), with both motor and sensory signs (group B; 18 patients) and acute-onset myelopathy (group C; 13 patients). Multiple brain MRI lesions were found in 18 patients (2 of group A, 13 of group B and 3 of group C). Another 7 patients had a single white-matter lesion. Visual EPs were abnormal in 21 and brain-stem auditory EPs in 12 patients. Paraclinical tests supported the diagnosis of MS in 25 patients (60%) by showing subclinical brain abnormalities. Oligoclonal bands were found in 16 of these 25 patients. The findings strongly suggest a diagnosis of MS in the patients of group B.
| Original language | English |
|---|---|
| Pages (from-to) | 171-176 |
| Number of pages | 6 |
| Journal | Journal of Neurology |
| Volume | 237 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 1990 |
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Keywords
- Evoked potentials
- Magnetic resonance imaging
- Multiple sclerosis
- Myelopathy
ASJC Scopus subject areas
- Neurology
- Clinical Neurology
Cite this
Acute- and insidious-onset myelopathy of undetermined aetiology : contribution of paraclinical tests to the diagnosis of multiple sclerosis. / Filippi, M.; Martinelli, V.; Locatelli, T.; Medaglini, S.; Poggi, A.; Visciani, A.; Scotti, G.; Canal, N.; Comi, G.
In: Journal of Neurology, Vol. 237, No. 3, 06.1990, p. 171-176.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute- and insidious-onset myelopathy of undetermined aetiology
T2 - contribution of paraclinical tests to the diagnosis of multiple sclerosis
AU - Filippi, M.
AU - Martinelli, V.
AU - Locatelli, T.
AU - Medaglini, S.
AU - Poggi, A.
AU - Visciani, A.
AU - Scotti, G.
AU - Canal, N.
AU - Comi, G.
PY - 1990/6
Y1 - 1990/6
N2 - Brain magnetic resonance imaging (MRI), multimodality evoked potentials (EPs) and cerebrospinal fluid examination were performed in 42 patients with myelopathy of undetermined aetiology in order to detect abnormalities usually related to multiple sclerosis (MS). Patients were divided into three groups: insidious-onset myelopathy with only motor signs (group A; 11 patients), with both motor and sensory signs (group B; 18 patients) and acute-onset myelopathy (group C; 13 patients). Multiple brain MRI lesions were found in 18 patients (2 of group A, 13 of group B and 3 of group C). Another 7 patients had a single white-matter lesion. Visual EPs were abnormal in 21 and brain-stem auditory EPs in 12 patients. Paraclinical tests supported the diagnosis of MS in 25 patients (60%) by showing subclinical brain abnormalities. Oligoclonal bands were found in 16 of these 25 patients. The findings strongly suggest a diagnosis of MS in the patients of group B.
AB - Brain magnetic resonance imaging (MRI), multimodality evoked potentials (EPs) and cerebrospinal fluid examination were performed in 42 patients with myelopathy of undetermined aetiology in order to detect abnormalities usually related to multiple sclerosis (MS). Patients were divided into three groups: insidious-onset myelopathy with only motor signs (group A; 11 patients), with both motor and sensory signs (group B; 18 patients) and acute-onset myelopathy (group C; 13 patients). Multiple brain MRI lesions were found in 18 patients (2 of group A, 13 of group B and 3 of group C). Another 7 patients had a single white-matter lesion. Visual EPs were abnormal in 21 and brain-stem auditory EPs in 12 patients. Paraclinical tests supported the diagnosis of MS in 25 patients (60%) by showing subclinical brain abnormalities. Oligoclonal bands were found in 16 of these 25 patients. The findings strongly suggest a diagnosis of MS in the patients of group B.
KW - Evoked potentials
KW - Magnetic resonance imaging
KW - Multiple sclerosis
KW - Myelopathy
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UR - http://www.scopus.com/inward/citedby.url?scp=0025280043&partnerID=8YFLogxK
U2 - 10.1007/BF00314590
DO - 10.1007/BF00314590
M3 - Article
VL - 237
SP - 171
EP - 176
JO - Journal of Neurology
JF - Journal of Neurology
SN - 0340-5354
IS - 3
ER -