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Acta Neurológica Colombiana

versión impresa ISSN 0120-8748

Resumen

DIAZGRANADOS SANCHEZ, Jesús Alberto et al. Mc Donald 2010 criteria in the diagnosis of multiple sclerosis in Cali, Colombia. Acta Neurol Colomb. [online]. 2013, vol.29, n.4, pp.247-254. ISSN 0120-8748.

Introduction. Multiple Sclerosis (MS) is a disease with devastating consequences on patients, diagnostic confirmation based on clinical and paraclinical criteria, unified in the McDonald 2010 criteria is not easy. Objective. To improve the quality of the diagnostic and therapeutic process of MS patients determining compliance of clinical and imaging criteria of MS and compare the initial diagnosis with the end results of 52 patients diagnosed with MS who were evaluated between April 2010 and November 2011 at the outpatient clinic "Neurologos de Occidente" in Cali-Colombia. Materials and Methods. Retrospective observational study with N=52 patients, with presumptive or confirmed MS diagnosis ( CIE-10:G35X). Patients and medical records were reviewed to determine whether they meet criteria of the revised McDonald 2010 criteria, establishing dichotomous variables according to the clinical and radiological assessment and definitive diagnosis. Results: The ratio by gender was 1.5:1 in favour of women. The age ranged from 18 to 69 years, with an average of 44,7 years (DS ± 12,193) with a prevalent age group between 41-69 years. Out of 52 patients 41 (78,8%) showed symptoms suggestive of MS, but when reviewing and applying the radiological criteria it was found that only 30/52 (57%) met them and from the total number of patients in accordance with the McDonald-2010 criteria, 33/52 were validated. (63.4%) Conclusion. This study showed that and intermediate proportion of patients fulfill Mc Donald 2010 criteria for multiple sclerosis.

Palabras clave : Multiple Sclerosis; Diagnostic Errors; 2010 McDonald Criteria; Patient Selection (MeSH).

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