视神经炎的分类、管理和治疗。

Harefuah Pub Date : 2022-10-01
Zina Almer
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引用次数: 0

摘要

视神经炎是视神经的一种炎症性疾病,通常是中枢神经系统疾病的首发表现。虽然典型视神经炎与多发性硬化症密切相关,但非典型视神经炎的病因各不相同。视、全身预后及治疗取决于怀疑的病因。自发现抗水通道蛋白4 (AQP4)和抗髓鞘少突胶质细胞糖蛋白(MOG)抗体分别作为视神经脊髓炎光谱障碍(NMOSD)和MOG相关障碍(MOGAD)的生物标志物和病理原因以来,对非典型视神经炎的认识和分类发生了重大变化。视神经炎的其他原因包括多种自身免疫性疾病和感染性疾病。大约三分之一的视神经炎病例是特发性的。正确和及时的诊断视神经炎的病因是至关重要的适当的治疗开始和减少长期的视力和全身残疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[OPTIC NEURITIS - CLASSIFICATION, MANAGEMENT AND TREATMENT].

Introduction: Optic neuritis is an inflammatory condition of the optic nerve, frequently the first manifestation of a central nervous system disease. While typical optic neuritis is strongly associated with multiple sclerosis, the etiology of atypical optic neuritis varies. The visual and the systemic prognosis, as well as the management depend on the suspected etiology. The understanding and the classification of atypical optic neuritis evolved significantly since the discovery of the anti-aquaporin4 (AQP4) and the anti-myelin oligodendrocyte glycoprotein (MOG) antibodies as biomarkers and pathologic causes of neuromyelitis optica spectrum disorder (NMOSD) and MOG-associated disorder (MOGAD) respectively. Additional causes of optic neuritis include multiple autoimmune and infectious diseases. About one third of optic neuritis cases are idiopathic. Correct and timely diagnosis of the optic neuritis etiology is crucial for proper treatment initiation and for reducing long term visual and systemic disability.

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