Imaging tests may miss early signs of MS in children who have no symptoms of the disease, according to a recent study that points to the need for a change in diagnostic criteria for the neuromuscular condition. NeuroTwitter multiplesclerosis
According to Benson and her colleagues, adjustments to the McDonald or Barkohf criteria for children may help in the detection of RIS and may allow earlier identification of MS.
MRI images showing lesions in the brain stem and spinal cord of children appeared to be different from those typically seen in adults, according to Tanuja Chitnis, MD, director of the Mass General Brigham Pediatric MS Center in Boston, who is one of the study's co-authors. Benson said current criteria for diagnosing MS in children require meeting a high threshold, which may limit diagnoses to those whose conditon has progressed.
For now, the challenge remains of investigating characteristics of patients with RIS who will later have a clinical attack.
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