An outline of modern views on the aetiology of multiple sclerosis is followed by a discussion of diagnosis. Examination of the cerebrospinal fluid, visual evoked potentials, and other electrophysiological tests are considered. The special problems of optic neuritis, spastic paraparesis, and psychological disorder receive more detailed attention. It is concluded that while the supplementary tests are valuable the diagnosis remains essentially clinical.
Get full access to this article
View all access options for this article.
References
1.
BatchelorR. Histocompatibility antigens and their relevance to multiple sclerosis. Br Med Bull1977; 33: 72.
FieldEJShentonBKJoyceG. Specific laboratory tests for diagnosis of multiple sclerosis. Br Med J.1974; 1: 412.
4.
McAlpineDAchesonEDLumsdenCE. Multiple Sclerosis; a reappraisal, 2nd Ed. Edinburgh: Churchill-Livingstone1972.
5.
ThompsonEJ. Laboratory diagnosis of multiple sclerosis; immunological and biochemical aspects. Br Med Bull1977; 33: 28.
6.
HallidayAMMcDonaldWIMushinT. Visual evoked response in diagnosis of multiple sclerosis. Br Med J1973; 4: 661.
7.
AsselmanPChadwickDWMarsdenCD. Visual evoked responses in the diagnosis and management of patients suspected of multiple sclerosis. Brain1975; 98: 261.
8.
MatthewsWBSmallDGSmallMPountneyE. Pattern-reversed evoked potentials in the diagnosis of multiple sclerosis. J Neurol Neurosurg Psychiatry1977; 40: 1009.
9.
DesmedtJE ed. Visual evoked potentials in man; new developments. Oxford: Clarendon Press1977.
10.
FrickerSJSandersJJ. Internuclear ophthalmoplegia and associated abnormalities in eye motion tuning (differential delays). Neurology1975; 25: 281.
11.
MastagliaFLBlackJLCalaLACollinsDWK. Evoked potentials, saccadic velocities and computerised tomography in the diagnosis of multiple sclerosis. Br Med J1977; 1: 1315.
12.
LumsdenCE. The neuropathology of multiple sclerosis. In: VinkerPJBruynGW. eds Handbook of clinical Neurology. Amsterdam: New Holland1970; 9: 211.
13.
AshworthBTownsendHRA. An evaluation of the visual evoked potential in the diagnosis of multiple sclerosis. J Electrophysiol Tech1979; in press.
14.
ArdenGBGuocukogluAG. Grating test of contrast sensitivity in patients with retrobulbar neuritisArch Ophthalmol1978; 96: 1626.
15.
HoytWF, Fundoscopic changes in the retinal nerve-fibre layer in chronic and acute optic neuropathies. Trans Opthalmol Soc UK1976; 96: 368.