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Differential Diagnosis of Multiple Sclerosis

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Abstract

The signs and symptoms related to MS are diverse and white matter abnormalities on MRI are not specific. In a small number of patients with MS brain MRI may be normal and in others it may show diffuse, large or atypical lesions. As there is no paraclinical test that is pathognomonic for MS and many conditions can mimic this disease clinically or radiologically, the new Mc Donald’s criteria still insist on the exclusion of alternative conditions for correct diagnosis of MS (Polman et al. 2005). In fact, diagnosis of MS is based on showing disease dissemination in space and time and on the exclusion of other diseases that may explain the neurological symptoms of the patients.

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References

  1. Akman-Demir G, Serdaroglu P, Tasci B (1999) Clinical patterns of neurological involvement in Behçet’s disease: evaluation of 200 patients. The Neuro-Behçet Study Group. Brain 122:2171–2182

    Article  PubMed  Google Scholar 

  2. Barkhof F, Scheltens P (2002) Imaging of white matter lesions. Cerebrovasc Dis 13(Suppl 2):21–30

    Article  PubMed  Google Scholar 

  3. Berger JR, Houff S (2006) Progressive multifocal leukoencephalopathy: lessons from AIDS and natalizumab. Neurol Res 28:299–305

    Article  PubMed  CAS  Google Scholar 

  4. Borhani Haghighi A, Pourmand R, Nikseresht AR (2005) Neuro-Behçet disease. Neurologist 11:80–89

    Article  PubMed  Google Scholar 

  5. Dale RC, Branson JA (2005) Acute disseminated encephalomyelitis or multiple sclerosis: can the initial presentation help in establishing a correct diagnosis? Arch Dis Child 90:636–639

    Article  PubMed  CAS  Google Scholar 

  6. Douen AG, Pringle CE, Guberman A (1997) Human T-cell lymphotropic virus type 1 myositis, peripheral neuropathy, and cerebral white matter lesions in the absence of spastic paraparesis. Arch Neurol 54:896–900

    PubMed  CAS  Google Scholar 

  7. Drayer BP (1988) Imaging of the aging brain. Part I. Normal findings. Radiology 166:785–796

    PubMed  CAS  Google Scholar 

  8. Filippi M, Rocca MA (2004) MR imaging of Devic’s neuromyelitis optica. Neurol Sci 25(Suppl 4):S371–S373

    Article  PubMed  Google Scholar 

  9. Gasperini C (2001) Differential diagnosis in multiple sclerosis. Neurol Sci 22(Suppl 2):S93–S97

    Article  PubMed  Google Scholar 

  10. Gullapalli D, Phillips LH II (2002) Neurologic manifestations of sarcoidosis. Neurol Clin 20:59–83

    Article  PubMed  Google Scholar 

  11. Hynson JL, Kornberg AJ, Coleman LT et al (2001) Clinical and neuroradiologic features of acute disseminated encephalomyelitis in children. Neurology 56:1308–1312

    PubMed  CAS  Google Scholar 

  12. Ijichi S, Osame M (1995) Human T lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP): recent perspectives. Intern Med 34:713–721

    PubMed  CAS  Google Scholar 

  13. Isella V, Marzorati L, Curto N et al (2005) Primary progressive multifocal leukoencephalopathy: report of a case. Funct Neurol 20:139–42

    PubMed  Google Scholar 

  14. Kapeller P, Schmidt R, Fazekas F (2004) Qualitative MRI: evidence of usual aging in the brain. Top Magn Reson Imaging 15:343–3471

    Article  PubMed  Google Scholar 

  15. Koralnik IJ (2004) New insights into progressive multifocal leukoencephalopathy. Curr Opin Neurol 17:365–370

    Article  PubMed  Google Scholar 

  16. Lampl C, Yazdi K (2002) Central pontine myelinolysis. Eur Neurol 47:3–10

    Article  PubMed  CAS  Google Scholar 

  17. Lexa FJ, Grossman RI (1994) MR of sarcoidosis in the head and spine: spectrum of manifestations and radiographic response to steroid therapy. AJNR Am J Neuroradiol 15:973–982

    PubMed  CAS  Google Scholar 

  18. Loeb C (2000) Binswanger›s disease is not a single entity. Neurol Sci 21:343–348

    Article  PubMed  CAS  Google Scholar 

  19. Major EO, Amemiya K, Tornatore CS et al (1992) Pathogenesis and molecular biology of progressive multifocal leukoencephalopathy, the JC virus-induced demyelinating disease of the human brain. Clin Microbiol Rev 5:49–73

    PubMed  CAS  Google Scholar 

  20. Murthy SN, Faden HS, Cohen ME (2002) Acute disseminated encephalomyelitis in children. Pediatrics 110(2 Pt 1):e21

    Google Scholar 

  21. Nachman SA, Pontrelli L (2003) Central nervous system Lyme disease. Semin Pediatr Infect Dis 14:123–130

    Article  PubMed  Google Scholar 

  22. Norenberg MD, Leslie KO, Robertson AS (1982) Association between rise in serum sodium and central pontine myelinolysis. Ann Neurol 11:128–135

    Article  PubMed  CAS  Google Scholar 

  23. Rosen L, Phillips S, Enzmann D (1990) Magnetic resonance imaging in MELAS syndrome. Neuroradiology 32:168–171

    Article  PubMed  CAS  Google Scholar 

  24. Sharma (1997) Neurosarcoidosis a personal perspective based on the study of 37 patients. Chest 112:220–228

    PubMed  CAS  Google Scholar 

  25. Spencer TS, Campellone JV, Maldonado I et al (2005) Clinical and magnetic resonance imaging manifestations of neurosarcoidosis. Semin Arthritis Rheum 34:649–661

    Article  PubMed  Google Scholar 

  26. Tenembaum S, Chamoles N, Fejerman N (2002) Acute disseminated encephalomyelitis: a long-term follow-up study of 84 pediatric patients. Neurology 59:1224–1231

    PubMed  Google Scholar 

  27. Thurnher MM, Thurnher SA, Muhlbauer B et al (1997) Progressive multifocal leukoencephalopathy in AIDS: initial and follow-up CT and MRI. Neuroradiology 39:611–618

    Article  PubMed  CAS  Google Scholar 

  28. Trojano M, Paolicelli D (2001) The differential diagnosis of multiple sclerosis: classification and clinical features of relapsing and progressive neurological syndromes. Neurol Sci 22(Suppl 2):S98–S102

    Article  PubMed  Google Scholar 

  29. Vanzieleghem B, Lemmerling M, Carton D et al (1998) Lyme disease in a child presenting with bilateral facial nerve palsy: MRI findings and review of the literature. Neuroradiology 40:739–742

    Article  PubMed  CAS  Google Scholar 

  30. Vikelis M, Xifaras M, Mitsikostas DD (2006) CADASIL: a short review of the literature and a description of the first family from Greece. Funct Neurol 21:77–82

    PubMed  Google Scholar 

  31. Wingerchuk DM (2007) Diagnosis and treatment of neuromyelitis optica. Neurologist 13:2–11

    Article  PubMed  Google Scholar 

  32. Yousry TA, Major EO, Ryschkewitsch C et al (2006) Evaluation of patients treated with natalizumab for progressive multifocal leukoencephalopathy. N Engl J Med 354:924–933

    Article  PubMed  CAS  Google Scholar 

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© 2007 Springer-Verlag Berlin Heidelberg

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Kira, JI., Haller, S., Kesselring, J., Sahraian, M. (2007). Differential Diagnosis of Multiple Sclerosis. In: Radü, EW., Sahraian, M. (eds) MRI Atlas of MS Lesions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71372-2_9

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  • DOI: https://doi.org/10.1007/978-3-540-71372-2_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-71371-5

  • Online ISBN: 978-3-540-71372-2

  • eBook Packages: MedicineMedicine (R0)

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