Diagnosis and differential diagnosis of central nervous system demyelination in children
10.3760/cma.j.issn.2095-428X.2016.24.003
- VernacularTitle:儿童中枢神经系统炎性脱髓鞘病的诊断及鉴别诊断
- Author:
Xiaomei SHU
- Keywords:
Central nervous system;
Demyelination;
Diagnosis;
Differential diagnosis;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2016;31(24):1851-1853
- CountryChina
- Language:Chinese
-
Abstract:
Central nervous system demyelination in children include acute disseminated encephalomyelitis (ADEM),multiple sclerosis (MS),optic neuritis(ON),transverse myelitis(TM),neuromyelitis optica(NMO).Most of these conditions are thought to be caused by immune -mediated demyelination triggered by an infectious agent in a ge-netically susceptible host.There are certain differences,including clinical features and imaging features,for these condi-tions.With the possible exception of the NMO -IgG autoantibody found in NMO,there are no disease -specific biomar-kers for these conditions,making it difficult to distinguish among them at the time of the initial presentation.However, certain clinical features,laboratory results,and imaging findings can usually lead to the correct diagnosis.MS is to a large extent still a diagnosis of exclusion,and therefore requires intense investigation for other conditions that might present in a similar manner.
