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Radiology Nervous System f72d0618

What is false regarding McDonald criteria for diagnosis of MS?

A
Dissemination in space
B
Dissemination in time
C
Neurological disturbance consistent with MS
D
Oligoclonal IgG bands in serum
High-Yield Explanation
Ans DThe McDonald Criteria incorporates clinical evaluation with magnetic resonance imaging (MRI) scans in establishing MS:* Evidence of damage to the central nervous system (CNS; the brain, spinal cord and optic nerves) that is "disseminated in time," meaning damage that occurs on different dates;* Evidence of damage "disseminated in space," or found on two or more parts of the CNS.A 2010 revision to the McDonald Criteria (which followed a 2005 update) reflected better understanding of MS and improved MRI techniques and made possible a faster diagnosis -- one that is, for a first time, potentially based on only one demyelinating relapse or attack provided certain criteria are met. These new criteria are dissemination in time, if two lesions are evident at a first attack, and dissemination in both time and space if only one lesion is evident. Oligoclonal bands should be present in CSF and not serum in diagnosis of multiple sclerosis.

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