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3. Neuromyelitis optica and multiple sclerosis: seeing differences through optical coherence tomorgraphy

Author

Bennett, J. (J L), De Seze, J. (Jerome), Lana-Peixoto, M. (M), Palace, J. (J), Waldman, A. (A), Schippling, S. (S), Tenembaum, S. (S), Banwell, B. (B), Greenberg, B. (B), Levy, M. (M), Fujihara, K. (K), Chan, K. (K H), Kim, H. (H J), Asgari, N. (N), Sato, D. (D K), Saiz, A. (A), Wuerfel, J. (J), Zimmermann, H. (H), Green, A. (A), Villoslada, P. (P), Paul, F. (F), GJCF-ICC&BR, and University of Zurich

Subjects
Pathology, medicine.medical_specialty, Optic Neuritis, Multiple Sclerosis, genetic structures, diagnosis, Central nervous system, Nerve fiber layer, Aucun, 610 Medicine & health, methods, chemistry.chemical_compound, Optical coherence tomography, medicine, Humans, Optic neuritis, Topical Review, Ganglion cell layer, ganglion cell layer, optic neuritis, Neuromyelitis optica, optical coherence tomography, medicine.diagnostic_test, business.industry, Multiple sclerosis, Neuromyelitis Optica, retinal nerve fiber layer, Retinal, Neuromyelitis optica optical coherence tomography multiple sclerosis optic neuritis retinal nerve fiber layer ganglion cell layer NERVE-FIBER LAYER MICROCYSTIC MACULAR EDEMA INTERFERON-BETA TREATMENT INNER NUCLEAR LAYER SPECTRUM DISORDERS GANGLION-CELL RETINAL DEGENERATION AQUAPORIN 4 NEURITIS THICKNESS, medicine.disease, ultrastructure, eye diseases, 3. Good health, 10040 Clinic for Neurology, medicine.anatomical_structure, 2728 Neurology (clinical), Neurology, chemistry, 2808 Neurology, multiple sclerosis, Neurology (clinical), sense organs, business, Function and Dysfunction of the Nervous System, Tomography, Optical Coherence, Retinal Neurons
Abstract

Neuromyelitis optica (NMO) is an inflammatory autoimmune disease of the central nervous system that preferentially targets the optic nerves and spinal cord. The clinical presentation may suggest multiple sclerosis (MS), but a highly specific serum autoantibody against the astrocytic water channel aquaporin-4 present in up to 80% of NMO patients enables distinction from MS. Optic neuritis may occur in either condition resulting in neuro-anatomical retinal changes. Optical coherence tomography (OCT) has become a useful tool for analyzing retinal damage both in MS and NMO. Numerous studies showed that optic neuritis in NMO typically results in more severe retinal nerve fiber layer (RNFL) and ganglion cell layer thinning and more frequent development of microcystic macular edema than in MS. Furthermore, while patients' RNFL thinning also occurs in the absence of optic neuritis in MS, subclinical damage seems to be rare in NMO. Thus, OCT might be useful in differentiating NMO from MS and serve as an outcome parameter in clinical studies. journal article research support, non-u.s. gov't review 2015 May 2015 02 06 imported

Published
2015

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