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Diagnostik, Befunde und Dokumentation bei multipler Sklerose

Diagnostic work-up, findings, and documentation of multiple sclerosis

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Zusammenfassung

Hintergrund

Obwohl die multiple Sklerose (MS) die häufigste chronisch-entzündliche Erkrankung des zentralen Nervensystems (ZNS) ist, liegt die Rate der Fehldiagnosen hoch. Grund hierfür sind meist eine inadäquate Anwendung der McDonald-Kriterien und Fehlinterpretation der Bildgebung.

Ziel

Der Artikel gibt einen Überblick über typische klinische Symptome, die wichtigsten Sequenzen der Magnetresonanztomographie (MRT), die richtige Anwendung der McDonald-Kriterien und die Befundinterpretation.

Abstract

Background

Although multiple sclerosis is the most common chronic inflammatory demyelinating disease of the central nervous system, the rate of misdiagnosis in clinical practice is high. This is usually due to the inadequate application of the McDonald criteria and misinterpretation of images.

Objective

This review focuses on typical clinical symptoms, choice of magnetic resonance imaging (MRI) sequences, correct application of the McDonald criteria, and finally interpretation of the images.

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Authors and Affiliations

  1. Klinik für Diagnostische und Interventionelle, Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66424, Homburg-Saar, Deutschland

    Armin Bachhuber

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  1. Armin Bachhuber
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Correspondence to Armin Bachhuber.

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Interessenkonflikt

A. Bachhuber gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Bachhuber, A. Diagnostik, Befunde und Dokumentation bei multipler Sklerose. Radiologie 63, 115–119 (2023). https://doi.org/10.1007/s00117-022-01104-5

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  • DOI: https://doi.org/10.1007/s00117-022-01104-5

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