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Anti-Aquaporin-4 Antibody Positivity in Neuromyelitis Optica Is Associated with Lesion Activity

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机构: [a]Departments of Radiology, Xuanwu Hospital, Capital Medical University,Beijing , PR China [b]Departments of Neurology, Xuanwu Hospital, Capital Medical University, Beijing , PR China [c]Departments of Beijing Key Laboratory of MRI and Brain Informatics, Beijing , PR China [d]Department of Medicine, University of Melbourne, Parkville, Vic. , Australia
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关键词: Multiple sclerosis Neuromyelitis optica Spinal cord

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Aims: To assess the demographic, clinical and spinal cord MRI characteristics of clinically definite neuromyelitis optica (NMO) patients for association with anti-aquaporin-4 (AQP4) antibody positivity in Chinese patients. Methods: We recruited 72 consecutive patients with NMO. The clinical assessments, sera and spinal MRI scans were obtained within 1 week after the onset of symptoms of acute myelitis. The statistical significance of potential differences in demographic, clinical and spinal MRI lesion characteristics between the two groups (anti-AQP4 antibody positive vs. negative) was determined using the two-sample t test or Fisher's exact test. Results: Forty-nine patients (49/72, 68.1%) were anti-AQP4 antibody positive and 23 patients (23/72, 31.9%) were anti-AQP4 antibody negative. The only characteristic that was significantly different between the groups was the presence of an enhancing spinal cord lesion (p < 0.001). Conclusion:We found a strong association between serum anti-AQP4 antibody positivity and lesional gadolinium enhancement in patients with clinically definite NMO. These findings support prior evidence that anti-AQP4 antibody could be pathogenic in NMO lesion development. Copyright (C) 2013 S. Karger AG, Basel

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出版当年[2012]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
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出版当年[2011]版:
Q3 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2011版] 出版当年五年平均 出版前一年[2010版] 出版后一年[2012版]

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第一作者机构: [a]Departments of Radiology, Xuanwu Hospital, Capital Medical University,Beijing , PR China [c]Departments of Beijing Key Laboratory of MRI and Brain Informatics, Beijing , PR China
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通讯机构: [*1]Department of Radiology, Xuanwu Hospital, Capital Medical University ,Beijing 100053 (PR China)
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