Obrazowanie metodą rezonansu magnetycznego w pierwotnie postępującej postaci MS Artykuł przeglądowy

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Małgorzata Siger

Abstrakt

U ok. 10–15% chorych na stwardnienie rozsiane (MS, multiple sclerosis) choroba ma charakter pierwotnie postępujący (PPMS, primary progressive multiple sclerosis). Postać ta różni się od postaci rzutowo-remisyjnej (RRMS, relapsing-remitting multiple sclerosis) przebiegiem klinicznym i wynikami badań dodatkowych, w tym obrazowania metodą rezonansu magnetycznego (MRI, magnetic resonance imaging). Mniejsza liczba zmian ogniskowych widocznych na obrazach T2-zależnych, rzadkie występowanie zmian wzmacniających się po podaniu kontrastu oraz wyraźnie nasilone cechy zaniku mózgu i rdzenia kręgowego wyróżniają obraz MR w postaci PPMS. W celu skutecznego leczenia chorych z PPMS konieczna jest jednak dokładna diagnostyka, a także zastosowanie bardziej powtarzalnych i specyficznych dla procesu neurodegeneracji markerów rezonansowych.

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