Document Detail


MS, MRI, and the 2010 McDonald criteria: a Canadian expert commentary.
MedLine Citation:
PMID:  23212280     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Since the first development of diagnostic criteria for multiple sclerosis (MS), there have been regular revisions of disease definitions and diagnostic thresholds aimed at improving specificity while maintaining sensitivity. The central requirements for diagnosis of MS are dissemination in space (DIS) and dissemination in time (DIT) of lesions in the CNS, with the proviso that there should be no alternate diagnosis that better explains the clinical presentation. The most definitive diagnosis is the purely clinical one, with 2 separate attacks of symptoms (fulfilling DIT criteria) involving at least 2 different areas of the CNS (fulfilling DIS criteria). In patients who have had a first but not a second clinical attack, the McDonald criteria provide guidance on how paraclinical evidence can be used to support a diagnosis of MS. Recently, the McDonald criteria were revised and new definitions for DIS and DIT proposed. In response to that revision, a panel of Canadian MS neurologists and one neuroradiologist created this commentary regarding the clinical implications and applications of the 2010 McDonald criteria.
Authors:
Daniel Selchen; Virender Bhan; Gregg Blevins; Virginia Devonshire; Pierre Duquette; Francois Grand'Maison; Marcelo Kremenchutzky; Yves Lapierre; David Li; Sarah Jane von Riedemann; Mark Freedman
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology     Volume:  79     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S1-15     Citation Subset:  AIM; IM    
Affiliation:
Division of Neurology, St. Michael's Hospital, University of Toronto, Toronto, Canada. selchend@smh.ca
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