the contribution of optical coherence tomography in neuromyelitis optica spectrum disorders

kontribusi tomografi koherensi optik pada gangguan spektrum neuromielitis optika

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ID: 208706
2017
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Abstract
Neuromyelitis optica spectrum disorders (NMOSD) comprises a group of central nervous system disorders of inflammatory autoimmune origin that mainly affect the optic nerves and the spinal cord and can cause severe visual and general disability. The clinical signs are similar to those of multiple sclerosis (MS), with the result that it is often difficult to differentiate between the two, thus leading to misdiagnosis. As the treatment and prognosis of NMOSD and MS are different, it is important to make an accurate and early diagnosis of NMOSD. Optical coherence tomography (OCT) is a non-invasive technique that enables a quantitative study of the changes that the optic nerve and the macula undergo in several neurodegenerative diseases. Many studies have shown that some of these changes, such as retinal nerve fiber layer thinning or microcystic macular edema, can be related to alterations in the brain due to neurodegenerative disorders. The purpose of this mini-review is to show how OCT can be useful for the diagnosis of NMOSD and follow-up of affected patients, as well as for the differential diagnosis with MS.
*Neuromyelitis optica spectrum disorders* (NMOSD) mencakup sekelompok gangguan sistem saraf pusat yang disebabkan oleh proses inflamasi autoimun yang terutama memengaruhi saraf optik dan medula spinalis, serta dapat menyebabkan disabilitas visual dan umum yang berat. Tanda-tanda klinisnya serupa dengan sklerosis multipel (*multiple sclerosis*/MS), sehingga sering kali sulit untuk membedakan keduanya dan berujung pada kesalahan diagnosis. Mengingat tata laksana dan prognosis NMOSD dan MS berbeda, penegakan diagnosis NMOSD yang akurat dan dini menjadi sangat krusial. *Optical coherence tomography* (OCT) merupakan teknik noninvasif yang memungkinkan studi kuantitatif terhadap perubahan yang dialami saraf optik dan makula pada beberapa penyakit neurodegeneratif. Banyak penelitian telah menunjukkan bahwa beberapa perubahan ini, seperti penipisan lapisan serat saraf retina (*retinal nerve fiber layer*) atau edema makula mikrosistik, dapat berkaitan dengan perubahan pada otak akibat gangguan neurodegeneratif. Tujuan dari tinjauan ringkas ini adalah untuk menunjukkan bagaimana OCT dapat bermanfaat untuk diagnosis NMOSD dan pemantauan pasien yang terdampak, serta untuk diagnosis banding dengan MS.
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mateo2017frontiersthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal journal of photochemistry and photobiology a: chemistry
Year 2017
DOI
10.3389/fneur.2017.00493
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