Consensus statement on the diagnosis of multiple system atrophy

被引：224

作者：

Gilman, S ^{[1
]}

Low, P ^{[1
]}

Quinn, N ^{[1
]}

Albanese, A ^{[1
]}

Ben-Shlomo, Y ^{[1
]}

Fowler, C ^{[1
]}

Kaufmann, H ^{[1
]}

Klockgether, T ^{[1
]}

Lang, A ^{[1
]}

Lantos, P ^{[1
]}

Litvan, I ^{[1
]}

Mathias, C ^{[1
]}

Oliver, E ^{[1
]}

Robertson, D ^{[1
]}

Schatz, I ^{[1
]}

Wenning, G ^{[1
]}

机构：

[1] Univ Michigan, Ctr Med, Dept Neurol, Ann Arbor, MI 48109 USA

来源：

CLINICAL AUTONOMIC RESEARCH | 1998年 / 8卷 / 06期

基金：

美国国家卫生研究院;

关键词：

multiple system atrophy; parkinsonism; cerebellar ataxia; autonomic insufficiency; urinary dysfunction; glial cytoplasmic inclusions;

D O I：

10.1007/BF02309628

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report the results of a consensus conference on the diagnosis of multiple system atrophy (MSA). We describe the clinical features of the disease, which include four domains: autonomic failure/urinary dysfunction, parkinsonism and cerebellar ataxia, and corticospinal dysfunction. We set criteria to define the relative importance of these features. The diagnosis of possible MSA requires one criterion plus two features from separate domains. The diagnosis of probable MSA requires the criterion for autonomic failure/urinary dysfunction plus poor levodopa responsive parkinsonism or cerebellar ataxia The diagnosis of definite MSA requires pathological confirmation.

引用

页码：359 / 362

页数：4

共 26 条

[1] MULTIPLE SYSTEM ATROPHY PRESENTING AS PARKINSONISM - CLINICAL-FEATURES AND DIAGNOSTIC-CRITERIA [J].

ALBANESE, A ;

COLOSIMO, C ;

BENTIVOGLIO, AR ;

FENICI, R ;

MELILLO, G ;

COLOSIMO, C ;

TONALI, P .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1995, 59 (02) :144-151

[2] GENITOURINARY DYSFUNCTION IN MULTIPLE SYSTEM ATROPHY - CLINICAL-FEATURES AND TREATMENT IN 62 CASES [J].

BECK, RO ;

BETTS, CD ;

FOWLER, CJ .

JOURNAL OF UROLOGY, 1994, 151 (05) :1336-1341

[3]

DANIEL SE, 1992, AUTONOMIC FAILURE TX, P564

[4]

Fahn S., RECENT DEV PARKINSON, V2, P153, DOI DOI 10.1002/ANA.410220556

[5]

GILMAN S, 1998, PARKINSONS DIS MOVEM, P245

[6] ORTHOSTATIC HYPOTENSION AND NICOTINE SENSITIVITY IN A CASE OF MULTIPLE SYSTEM ATROPHY [J].

GRAHAM, JG ;

OPPENHEIMER, DR .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1969, 32 (01) :28-+

[7] THE DOPAMINERGIC RESPONSE IN MULTIPLE SYSTEM ATROPHY [J].

HUGHES, AJ ;

COLOSIMO, C ;

KLEEDORFER, B ;

DANIEL, SE ;

LEES, AJ .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1992, 55 (11) :1009-1013

[8] The natural history of degenerative ataxia:: a retrospective study in 466 patients [J].

Klockgether, T ;

Lüdtke, R ;

Kramer, B ;

Bürk, K ;

Schöls, L ;

Riess, O ;

Laccone, F ;

Boesch, S ;

Lopes-Cendes, I ;

Brice, A ;

Inzelberg, R ;

Zilber, N ;

Dichgans, J .

BRAIN, 1998, 121 :589-600

[9] Characteristics of the dysarthria of multiple system atrophy [J].

Kluin, KJ ;

Gilman, S ;

Lohman, M ;

Junck, L .

ARCHIVES OF NEUROLOGY, 1996, 53 (06) :545-548

[10] STRIATONIGRAL DEGENERATION - IRON DEPOSITION IN PUTAMEN CORRELATES WITH THE SLIT-LIKE VOID SIGNAL OF MAGNETIC-RESONANCE-IMAGING [J].

LANG, AE ;

CURRAN, T ;

PROVIAS, J ;

BERGERON, C .

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1994, 21 (04) :311-318

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