2017 McDonald criteria for multiple sclerosis: Earlier diagnosis with reduced specificity?

Abstract:

BACKGROUND:McDonald criteria for multiple sclerosis (MS) diagnosis were revised in 2017. OBJECTIVE:Aim of our study was to evaluate and compare the sensitivity and specificity of 2017 and 2010 McDonald criteria in patients presenting with an initial demyelinating event (IDE). METHODS:We retrospectively identified patients with an IDE and collected clinical, MRI and CSF data in order to demonstrate fulfilment of 2010 and 2017 McDonald criteria. RESULTS:2017 McDonald criteria showed 100% (86.8-100%) sensitivity and 13.8% (3.9-31.7%) specificity. CONCLUSION:2017 McDonald criteria appear to have higher sensitivity but reduced specificity compared to 2010 McDonald criteria.

authors

Gobbin F,Zanoni M,Marangi A,Orlandi R,Crestani L,Benedetti MD,Gajofatto A

doi

10.1016/j.msard.2019.01.008

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

23-25

eissn

2211-0348

issn

2211-0356

pii

S2211-0348(19)30009-4

journal_volume

29

pub_type

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