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Susceptibility-weighted imaging helps to discriminate pediatric multiple sclerosis from acute disseminated encephalomyelitis.
- Source :
-
Pediatric neurology [Pediatr Neurol] 2015 Jan; Vol. 52 (1), pp. 36-41. Date of Electronic Publication: 2014 Oct 16. - Publication Year :
- 2015
-
Abstract
- Background: Susceptibility-weighted imaging is a relatively new magnetic resonance imaging sequence that can identify lesions of multiple sclerosis in adults. This study was designed to determine if susceptibility-weighted imaging is a useful discriminator between children who develop multiple sclerosis and children with monophasic acute disseminated encephalomyelitis.<br />Methods: Eighteen children who presented with acute central nervous system demyelination and had a brain magnetic resonance imaging study including susceptibility-weighted imaging within 6 months of the first clinical attack were studied. Final diagnosis was based on international consensus definitions. Brain lesions detected on the fluid-attenuated inversion recovery sequence were assessed for abnormal signal on susceptibility-weighted imaging. The burden of susceptibility abnormalities was then analyzed for differences between the multiple sclerosis and acute disseminated encephalomyelitis groups.<br />Results: Eight patients had a final diagnosis of acute disseminated encephalomyelitis and ten had multiple sclerosis. Twenty-two percent of fluid-attenuated inversion recovery lesions were identified on susceptibility-weighted imaging. The percentage of fluid-attenuated inversion recovery lesions identified on susceptibility-weighted imaging differed between the multiple sclerosis and acute disseminated encephalomyelitis groups (P = 0.04). The median percentage (minimum-maximum) of lesions identified on susceptibility-weighted imaging in the multiple sclerosis group was 0.22 (0-0.68) and in the acute disseminated encephalomyelitis group was 0.0 (0-0.17).<br />Conclusion: Susceptibility-weighted imaging may be a useful technique in differentiating acute disseminated encephalomyelitis from multiple sclerosis at initial presentation.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Child
Child, Preschool
Diagnosis, Differential
Follow-Up Studies
Humans
Infant
Infant, Newborn
Prospective Studies
Brain pathology
Encephalomyelitis, Acute Disseminated diagnosis
Encephalomyelitis, Acute Disseminated pathology
Magnetic Resonance Imaging methods
Multiple Sclerosis diagnosis
Multiple Sclerosis pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-5150
- Volume :
- 52
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Pediatric neurology
- Publication Type :
- Academic Journal
- Accession number :
- 25532777
- Full Text :
- https://doi.org/10.1016/j.pediatrneurol.2014.10.014