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The Effect of Corticosteroids for Acute Optic Neuritis on the Subsequent Development of Multiple Sclerosis
Journal article   Open access   Peer reviewed

The Effect of Corticosteroids for Acute Optic Neuritis on the Subsequent Development of Multiple Sclerosis

Roy W Beck, Patricia A Cleary, Jonathan D Trobe, David I Kaufman, Mark J Kupersmith, Donald W Paty and C Hendricks Brown
The New England Journal of Medicine, Vol.329(24), pp.1764-1769
12/09/1993
DOI: 10.1056/NEJM199312093292403
PMID: 8232485
url
https://doi.org/10.1056/NEJM199312093292403View
Published (Version of record) Open Access

Abstract

Optic neuritis is frequently the first manifestation of multiple sclerosis 1 . Even when optic neuritis occurs without other clinical signs of multiple sclerosis (“isolated optic neuritis”), magnetic resonance imaging (MRI) of the brain often demonstrates signal abnormalities of white matter, 2 – 5 and analysis of cerebrospinal fluid often shows oligoclonal bands 6 – 8 . Within 2 years of an attack of optic neuritis, the risk of multiple sclerosis is approximately 20 percent, 8 – 12 and within 15 years it is in the range of 45 to 80 percent 8 – 11 . The Optic Neuritis Treatment Trial, a multicenter, randomized clinical trial of corticosteroid treatment . . .

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