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[Clinical study and CT scanning in multiple sclerosis].

S Sun1

  • 1Department of neurology, Union Hospital, Tongji medical university, Wuhan.

Zhonghua Shen Jing Jing Shen Ke Za Zhi = Chinese Journal of Neurology and Psychiatry
|June 1, 1990
PubMed
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Computed tomography (CT) scans revealed abnormalities in multiple sclerosis (MS) patients, with CT identifying fewer lesions than clinical examination. Some periventricular plaques showed no symptoms.

Area of Science:

  • Neurology
  • Radiology
  • Medical Imaging

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease.
  • Clinical examination is standard for diagnosing MS.
  • CT scanning offers a non-invasive imaging approach.

Purpose of the Study:

  • To correlate clinical findings with CT scan results in multiple sclerosis patients.
  • To assess the diagnostic utility of CT scanning in identifying MS lesions.

Main Methods:

  • Clinical neurological examinations were performed on 20 MS patients.
  • Computed tomography (CT) scans were conducted on the same patients.
  • Enhanced CT scans were utilized during acute clinical periods for specific observations.

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Main Results:

  • CT scans identified abnormalities in 9 out of 20 MS patients.
  • Clinical examination diagnosed 46 focal lesions; CT scans detected 24 foci.
  • 13 asymptomatic periventricular plaques were identified on CT scans.
  • Enhanced CT revealed lesions in 4 out of 10 patients during acute phases.

Conclusions:

  • CT scanning demonstrates potential in visualizing MS lesions, though it may underestimate the total lesion load compared to clinical assessment.
  • Asymptomatic periventricular plaques are detectable via CT.
  • Enhanced CT can identify lesions during acute MS episodes, aiding in understanding disease activity.