Summary
Pattern shift visual evoked potentials, brain stem auditory evoked potentials, spinal and scalp recorded somatosensory evoked potentials, and electrically elicited blink reflexes were investigated in 32 patients with isolated optic neuritis. Eleven patients were shown to have one additional lesion in the central nervous system outside the optic nerve. Therefore, cases with optic neuritis of unknown origin should be considered as possible cases of multiple sclerosis.
Zusammenfassung
Visuelle, durch Musterumkehr evozierte Potentiale, akustisch evozierte Hirnstammpotentiale, somatosensorisch evozierte Potentiale mit Ableitung über dem unteren Cervicalmark und über dem kontralateralen Handfeld sowie elektrisch ausgelöste Blinkreflexe wurden bei 32 Patienten mit einer isolierten Opticusneuritis untersucht.
Bei 11 Patienten konnten mit Hilfe dieser elektrophysiologischen Untersuchungen eine oder mehrere, weitere Läsionen im Bereich des Zentralnervensystems nachgewiesen werden. Es wird vorgeschlagen, Fälle mit einer isolierten Opticusneuritis unklarer Ursache deshalb in die Kategorie „mögliche MS“ einzureihen.
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Tackmann, W., Ettlin, T. & Strenge, H. Multimodality evoked potentials and electrically elicited blink reflex in optic neuritis. J Neurol 227, 157–163 (1982). https://doi.org/10.1007/BF00313570
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DOI: https://doi.org/10.1007/BF00313570