期刊
MULTIPLE SCLEROSIS JOURNAL
卷 15, 期 8, 页码 928-932出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1352458509105228
关键词
electrophysiology; fellow eye; multiple sclerosis; optic neuritis; subclinical; VEP
资金
- Sydney Medical Foundation
- National Multiple Sclerosis Society
- Adolf Basser Trust
Background Recent studies demonstrate early diffuse central nervous system (CNS) inflammation in patients with multiple sclerosis (MS). The clinically unaffected (fellow) eye of patients with unilateral optic neuritis (ON) may reflect the status of normal-appearing white matter in the CNS, which can be assessed electrophysiologically. Objective To study the relationship between electrophysiological parameters in the fellow eye of ON patients, and risk of conversion to MS. Methods Forty-eight consecutive patients with acute unilateral ON were examined 12 months after ON of which 14 had MS, 19 remained high risk (HR) for MS, and 15 had low risk (LR) for MS according to McDonald's criteria. Twenty-five age-matched controls were also tested. Amplitude and latency of multifocal visual evoked potential (mfVEP) in the fellow eyes of patients at 12 months were analyzed and compared with controls. Results Average mfVEP amplitude was 240 +/- 35, 232 +/- 36, 181 +/- 38, and 169 +/- 48 nV for controls, LR, HR, and MS groups respectively. Average mfVEP latency for controls, LR, HR, and MS patients was 139.7 +/- 5.5, 141.7 +/- 3.6, 145.9 +/- 8.9, and 152.0 +/- 9.9 ms respectively. Conclusions The magnitude of latency prolongation and amplitude decline 12 months after the initial episode was proportional to the risk of MS. The prognostic significance of these changes as predictors of subsequent MS should be investigated longitudinally. Multiple Sclerosis 2009; 15: 928-932. http://msj.sagepub.com
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据