RT期刊文章SR电子T1评价特发性横向脊髓炎揭示特定脊髓病诊断摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP e96 OP e102 10.1212 / WNL。首页90签证官0000000000004796是2 A1尼古拉斯·l·Zalewski A1 Eoin p·弗拉纳根A1 b .马克Keegan年2018 UL //www.ez-admanager.com/content/首页90/2/e96.abstract AB客观评估特定脊髓病诊断疑似特发性患者制造横向脊髓炎(ITM)。方法226例18岁及以上被称为梅奥诊所的神经因涉嫌ITM从12月1日,2010年,2015年12月31日。首页综述了电子医疗记录详细的临床表现和课程,实验室和电生理学的调查和神经影像学确定病因。目前的ITM和替代脊髓病诊断标准诊断应用。所有情况下差异被怀疑从最终报告每个作者综述了临床诊断的诊断,最终达成共识。结果诊断标准ITM遇到226年41例(18.1%)。在158名患者(69.9%),另一种特定脊髓病的诊断是:多发性硬化症或临床孤立综合征,75;血管脊髓病,41岁;神经,12;视neuromyelitis谱系障碍,12;髓鞘少突细胞糖蛋白脊髓病,5; neoplastic, 4; compressive, 3; nutritional, 3; infectious, 2; and other, 2. A myelopathy was not confirmed in 27 patients. Time from symptom onset to final clinical diagnosis in patients without ITM was a median of 9 months (range 0–288). Fifty-five patients (24%) required treatment changes according to their final clinical diagnosis.Conclusions The majority of patients with suspected ITM have an alternative specific myelopathy diagnosis. A presumptive diagnosis of ITM can lead to premature diagnostic conclusions affecting patient treatment.ACE=angiotensin-converting enzyme; ADEM=acute disseminated encephalomyelitis; AQP4=aquaporin-4; ASIA=American Spinal Injury Association; CIS=clinically isolated syndrome of demyelination; DAVF=dural arteriovenous fistula; EDSS=Expanded Disability Status Scale; IgG=immunoglobulin G; ITM=idiopathic transverse myelitis; MOG=myelin oligodendrocyte glycoprotein; MS=multiple sclerosis; NMOSD=neuromyelitis optica spectrum disorders; PPMS=primary progressive multiple sclerosis; QREADS=Quick Query Radiographs and Photographs Electronic Analysis and Display Station; RRMS=relapsing-remitting multiple sclerosis; SCI=spinal cord infarction; TE=echo time; TR=repetition time; VGCC=voltage-gated calcium channel; VZV=varicella-zoster virus