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Sökning: id:"swepub:oai:DiVA.org:umu-223258" > The diagnostic work...

The diagnostic workup of children with the radiologically isolated syndrome differs by age and by sex

Makhani, Naila (författare)
Department of Pediatrics, Yale University, LMP 3088, 333 Cedar Street, CT, New Haven, United States; Department of Neurology, Yale University, CT, New Haven, United States
Lebrun-Frenay, Christine (författare)
CRCSEP Neurologie Pasteur 2, CHU de Nice, Université Cote d’Azur, UMR2CA (URRIS), Nice, France
Siva, Aksel (författare)
Neuroimmunology Unit, Neurology Department, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey
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Shabanova, Veronika (författare)
Department of Pediatrics, Yale University, LMP 3088, 333 Cedar Street, CT, New Haven, United States
Wassmer, Evangeline (författare)
Neurology Department, Birmingham Children’s Hospital, Aston University, Birmingham, United Kingdom
Santoro, Jonathan D. (författare)
Department of Neurology, Keck School of Medicine of the University of Southern California, Los Angeles, United States; Division of Neurology, Department of Pediatrics, Children’s Hospital of Los Angeles, Los Angeles, United States
Narula, Sona (författare)
Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, United States
Brenton, J. Nicholas (författare)
Department of Neurology, University of Virginia, Charlottesville, United States
Mar, Soe (författare)
Department of Neurology, Washington University School of Medicine, St. Louis, United States
Durand-Dubief, Francoise (författare)
Service de sclérose en plaques, Pathologies de la myéline et Neuro-Inflammation, Hôpital Neurologique, Groupement Hospitalier Est, 59 Bd Pinel, BRON Cedex, France
Zephir, Helene (författare)
Inserm UMR-S 1172 LilNcog, Lille University Hospital FHU Precise, Lille University, Lille, France
Mathey, Guillaume (författare)
Department of Neurology, Nancy University Hospital, Nancy, France
Rojas, Juan I. (författare)
Hospital Universitario de CEMIC, Buenos Aires, Argentina
de Seze, Jerome (författare)
Department of Neurology, Hospital Hautepierre, CHU de Strasbourg and Clinical Investigation Center (CIC) INSERM 1434, Strasbourg, France
Tenembaum, Silvia (författare)
Department of Neurology, National Pediatric Hospital Dr. Juan P Garrahan, Buenos Aires, Argentina
Stone, Robert Thompson (författare)
Department of Neurology, University of Rochester Medical Center, Rochester, United States
Casez, Olivier (författare)
Neurology MS Clinic Grenoble, Grenoble Alpes University Hospital, Grenoble, France; T-RAIG, TIMC-IMAG, Grenoble Alpes University, Grenoble, France
Carra-Dallière, Clarisse (författare)
Neurology MS Clinic, Montpellier University Hospital, Montpellier, France; University of Montpellier (MUSE), Montpellier, France
Neuteboom, Rinze F. (författare)
Department of Neurology, Erasmus MC Rotterdam, Sophia’s Children’s Hospital, Rotterdam, Netherlands
Ahsan, Nusrat (författare)
Department of Neurology, Keck School of Medicine of the University of Southern California, Los Angeles, United States; Division of Neurology, Department of Pediatrics, Children’s Hospital of Los Angeles, Los Angeles, United States
Arroyo, Hugo A. (författare)
Department of Neurology, Hospital de Pediatría SAMIC. Prof. Dr. J.P. Garrahan, Buenos Aires, Argentina
Cabre, Philippe (författare)
Centre Hospitalo Universitaire, Fort-de-France, Martinique
Gombolay, Grace (författare)
Division of Neurology, Department of Pediatrics, Emory University and Children’s Healthcare of Atlanta, GA, Atlanta, United States
Inglese, Matilde (författare)
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health Department of Neuroscience (DINOGMI), University of Genova, Genoa, Italy; IRCCS Ospedale Policlinico San Martino, Genoa, Italy
Louapre, Celine (författare)
Assistance Publique Hôpitaux de Paris, Inserm, CNRS, Hôpital de la Pitié Salpêtrière, CIC Neurosciences, Sorbonne Université, Paris Brain Institute - ICM, Paris, France
Margoni, Monica (författare)
Department of Neurosciences, Multiple Sclerosis Center of the Veneto Region, University Hospital-School of Medicine, Padua, Italy
Palavra, Filipe (författare)
Center for Child Development - Neuropaediatrics Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
Pohl, Daniela (författare)
Division of Neurology, Children’s Hospital of Eastern Ontario, Ottawa, Canada
Reich, Daniel S. (författare)
Translational Neuroradiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, United States
Ruet, Aurélie (författare)
Department of Neurology, CHU Bordeaux, Bordeaux, France; INSERM, Neurocentre Magendie, University of Bordeaux, Bordeaux, France
Thouvenot, Eric (författare)
Department of Neurology, Nîmes University Hospital, Nîmes, France; IGF, University of Montpellier, CNRS, INSERM, Montpellier, France
Timby, Niklas (författare)
Umeå universitet,Pediatrik
Tintore, Mar (författare)
Neurology Department, MS Center of Catalunya Cemcat, Vall d’Hebron University Hospital, Universitat Autònoma de Barcelona (UAB), UVIC-Universitat Central de Catalunya, Barcelona, Spain
Uygunoglu, Ugur (författare)
Neuroimmunology Unit, Neurology Department, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey
Vargas, Wendy (författare)
Department of Neurology, Columbia University Medical Center, New York, United States
Venkateswaran, Sunita (författare)
Division of Neurology, Children’s Hospital of Eastern Ontario, Ottawa, Canada
Verhelst, Helene (författare)
Division of Pediatric Neurology, Department of Pediatrics, University Hospital Ghent, Ghent, Belgium
Wickstrom, Ronny (författare)
Neuropaediatric Unit, Department of Women’s and Children’s Health, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
Azevedo, Christina J. (författare)
Department of Neurology, Keck School of Medicine of the University of Southern California, Los Angeles, United States
Kantarci, Orhun (författare)
Department of Neurology, Mayo Clinic, MN, Rochester, United States
Shapiro, Eugene D. (författare)
Department of Pediatrics, Yale University, LMP 3088, 333 Cedar Street, CT, New Haven, United States
Okuda, Darin T. (författare)
Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, United States
Pelletier, Daniel (författare)
Department of Neurology, Keck School of Medicine of the University of Southern California, Los Angeles, United States
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 (creator_code:org_t)
2024
2024
Engelska.
Ingår i: Journal of Neurology. - : Springer. - 0340-5354 .- 1432-1459.
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: Cerebrospinal fluid (CSF) and spinal MRIs are often obtained in children with the radiologically isolated syndrome (RIS) for diagnosis and prognosis. Factors affecting the frequency and timing of these tests are unknown.Objective: To determine whether age or sex were associated with (1) having CSF or spinal MRI obtained or (2) the timing of these tests.Methods: We analyzed children (≤ 18 y) with RIS enrolled in an international longitudinal study. Index scans met 2010/2017 multiple sclerosis (MS) MRI criteria for dissemination in space (DIS). We used Fisher's exact test and multivariable logistic regression (covariates = age, sex, MRI date, MRI indication, 2005 MRI DIS criteria met, and race).Results: We included 103 children with RIS (67% girls, median age = 14.9 y). Children ≥ 12 y were more likely than children < 12 y to have CSF obtained (58% vs. 21%, adjusted odds ratio [AOR] = 4.9, p = 0.03). Pre-2017, girls were more likely than boys to have CSF obtained (n = 70, 79% vs. 52%, AOR = 4.6, p = 0.01), but not more recently (n = 30, 75% vs. 80%, AOR = 0.2, p = 0.1; p = 0.004 for interaction). Spinal MRIs were obtained sooner in children ≥ 12 y (median 11d vs. 159d, p = 0.03).Conclusions: Younger children with RIS may be at continued risk for misdiagnosis and misclassification of MS risk. Consensus guidelines are needed.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Neurology (hsv//eng)

Nyckelord

Children
MRI
Multiple sclerosis
Pediatric
Radiologically isolated syndrome

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