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August 30, 2016; 87 (9 Supplement 2) Article

Consensus definitions for pediatric MS and other demyelinating disorders in childhood

Marc Tardieu, Brenda Banwell, Jerry S. Wolinsky, Daniela Pohl, Lauren B. Krupp
First published August 29, 2016, DOI: https://doi.org/10.1212/WNL.0000000000002877
Marc Tardieu
From the National Reference Center for Inflammatory Diseases of the Brain (M.T.), Hôpitaux Universitaires Paris-Sud, University Paris-Sud, France; Perelman School of Medicine (B.B.), The Children's Hospital of Philadelphia, University of Pennsylvania; University of Texas Health Science Center at Houston (J.W.); Department of Neurology (D.P.), Children's Hospital of Eastern Ontario, University of Ottawa, Canada; and Lourie Center for Pediatric MS (L.B.K.), Stony Brook Children's, NY.
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Brenda Banwell
From the National Reference Center for Inflammatory Diseases of the Brain (M.T.), Hôpitaux Universitaires Paris-Sud, University Paris-Sud, France; Perelman School of Medicine (B.B.), The Children's Hospital of Philadelphia, University of Pennsylvania; University of Texas Health Science Center at Houston (J.W.); Department of Neurology (D.P.), Children's Hospital of Eastern Ontario, University of Ottawa, Canada; and Lourie Center for Pediatric MS (L.B.K.), Stony Brook Children's, NY.
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Jerry S. Wolinsky
From the National Reference Center for Inflammatory Diseases of the Brain (M.T.), Hôpitaux Universitaires Paris-Sud, University Paris-Sud, France; Perelman School of Medicine (B.B.), The Children's Hospital of Philadelphia, University of Pennsylvania; University of Texas Health Science Center at Houston (J.W.); Department of Neurology (D.P.), Children's Hospital of Eastern Ontario, University of Ottawa, Canada; and Lourie Center for Pediatric MS (L.B.K.), Stony Brook Children's, NY.
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Daniela Pohl
From the National Reference Center for Inflammatory Diseases of the Brain (M.T.), Hôpitaux Universitaires Paris-Sud, University Paris-Sud, France; Perelman School of Medicine (B.B.), The Children's Hospital of Philadelphia, University of Pennsylvania; University of Texas Health Science Center at Houston (J.W.); Department of Neurology (D.P.), Children's Hospital of Eastern Ontario, University of Ottawa, Canada; and Lourie Center for Pediatric MS (L.B.K.), Stony Brook Children's, NY.
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Lauren B. Krupp
From the National Reference Center for Inflammatory Diseases of the Brain (M.T.), Hôpitaux Universitaires Paris-Sud, University Paris-Sud, France; Perelman School of Medicine (B.B.), The Children's Hospital of Philadelphia, University of Pennsylvania; University of Texas Health Science Center at Houston (J.W.); Department of Neurology (D.P.), Children's Hospital of Eastern Ontario, University of Ottawa, Canada; and Lourie Center for Pediatric MS (L.B.K.), Stony Brook Children's, NY.
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Citation
Consensus definitions for pediatric MS and other demyelinating disorders in childhood
Marc Tardieu, Brenda Banwell, Jerry S. Wolinsky, Daniela Pohl, Lauren B. Krupp
Neurology Aug 2016, 87 (9 Supplement 2) S8-S11; DOI: 10.1212/WNL.0000000000002877

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Abstract

In light of the published 2012 International Pediatric Multiple Sclerosis Group definitions for pediatric multiple sclerosis (MS) and related disorders and given that pediatric-onset MS is now formally included in the 2010 McDonald criteria for MS, we sought to review these criteria and summarize their application in children with acquired CNS demyelination. In addition, proposals are made for definitions of no evidence of disease activity and inadequate treatment response that are important because of new therapeutic options and trials.

GLOSSARY

ADEM=
acute disseminated encephalomyelitis;
ARR=
annualized relapse rate;
CIS=
clinically isolated syndrome;
DIS=
dissemination of inflammatory lesions in space;
DIT=
dissemination of inflammatory lesions in time;
EDSS=
Expanded Disability Status Scale;
IPMSSG=
International Pediatric Multiple Sclerosis Study Group;
MOG=
myelin oligodendroglial glycoprotein;
MS=
multiple sclerosis;
NEDA=
no evidence of disease activity;
NMO=
neuromyelitis optica;
RIS=
radiologically isolated syndrome

Footnotes

  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Received August 19, 2015.
  • Accepted in final form March 1, 2016.
  • © 2016 American Academy of Neurology
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  • Article
    • Abstract
    • GLOSSARY
    • EVALUATIONS OF 2012 IPMSSG AND 2010 MCDONALD CRITERIA TO DIAGNOSE MS IN CHILDREN
    • DEFINITION OF NO EVIDENCE OF DISEASE ACTIVITY (NEDA) IN PEDIATRIC MS
    • DEFINITION OF TREATMENT RESPONSE
    • PERSPECTIVES
    • AUTHOR CONTRIBUTIONS
    • STUDY FUNDING
    • DISCLOSURE
    • Footnotes
    • REFERENCES
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