PMID- 32559008 OWN - NLM STAT- MEDLINE DCOM- 20210625 LR - 20210625 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 27 IP - 11 DP - 2020 Nov TI - A comparative evaluation of different neuromyelitis optica spectrum disorder sets of criteria. PG - 2250-2256 LID - 10.1111/ene.14414 [doi] AB - BACKGROUND AND PURPOSE: Three different sets of criteria have been proposed for the diagnosis of neuromyelitis optica spectrum disorder (NMOSD). The objective was to compare the specificity, sensitivity and diagnostic accuracy of the three different sets of NMOSD criteria in patients presenting with inflammatory disorders of the central nervous system suggestive of NMOSD. METHODS: For 236 suspected NMOSD patients referred for serum aquaporin-4 immunoglobulin G antibody (AQP4-IgG) testing between 2012 and 2014, the three sets of NMOSD criteria [1999, 2006 NMO criteria and 2015 International Panel for NMO Diagnosis (IPND) criteria] were applied and compared to the final diagnosis. RESULTS: Seventy-six patients fulfilled at least one set of criteria and 28 patients fulfilled all NMOSD sets of criteria. The final diagnosis was NMOSD in 66 cases, multiple sclerosis according to the MacDonald 2010 criteria in 85 cases and another diagnosis in 85 cases. The 2006 NMO criteria have the highest specificity (99%) and the 2015 IPND NMOSD criteria the highest sensitivity (97%). For the 1999, 2006 and 2015 IPND NMOSD criteria, the accuracy was respectively 82%, 87% and 97%. CONCLUSIONS: Our study highlights the limitations of the first set of criteria that include the optico-spinal form of multiple sclerosis. The accuracy of NMOSD diagnostic criteria improved from 1999 to 2015. It confirms the increased performance of the last set of criteria which covers a larger spectrum of clinical presentation. This study raises some concerns for classifying patients with seronegative transverse myelitis or optic neuritis, and myelin oligodendrocyte glycoprotein (MOG) antibody- associated disease. CI - (c) 2020 European Academy of Neurology. FAU - Papeix, C AU - Papeix C AUID- ORCID: 0000-0003-4074-6125 AD - Assistance Publique Hopitaux de Paris (APHP), Sorbonne Universite, Department of Neurology, Centre de Reference des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Groupe Hospitalier Pitie Salpetriere, Paris, France. FAU - Beigneux, Y AU - Beigneux Y AD - Assistance Publique Hopitaux de Paris (APHP), Sorbonne Universite, Department of Neurology, Centre de Reference des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Groupe Hospitalier Pitie Salpetriere, Paris, France. FAU - Maillart, E AU - Maillart E AD - Assistance Publique Hopitaux de Paris (APHP), Sorbonne Universite, Department of Neurology, Centre de Reference des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Groupe Hospitalier Pitie Salpetriere, Paris, France. FAU - de Seze, J AU - de Seze J AD - Department of Neurology, University Hospital of Strasbourg, Centre Investigation Clinique (CIC) de Strasbourg, INSERM 1434, Strasbourg, France. FAU - Lubetzki, C AU - Lubetzki C AD - Assistance Publique Hopitaux de Paris (APHP), Sorbonne Universite, Department of Neurology, Centre de Reference des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Groupe Hospitalier Pitie Salpetriere, Paris, France. FAU - Vukusic, S AU - Vukusic S AD - Service de Neurologie, Sclerose en Plaques, Pathologies de la Myeline et Neuro-inflammation, Centre de Reference des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Hopital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon/Bron, France. AD - Centre des Neurosciences de Lyon, Observatoire Francais de la Sclerose en Plaques, INSERM 1028 et CNRS UMR5292, Lyon, France. AD - Universite Claude Bernard Lyon 1, Faculte de Medecine Lyon Est, Lyon, France. FAU - Collongues, N AU - Collongues N AUID- ORCID: 0000-0002-3683-5582 AD - Department of Neurology, University Hospital of Strasbourg, Centre Investigation Clinique (CIC) de Strasbourg, INSERM 1434, Strasbourg, France. FAU - Marignier, R AU - Marignier R AD - Service de Neurologie, Sclerose en Plaques, Pathologies de la Myeline et Neuro-inflammation, Centre de Reference des Maladies Inflammatoires Rares du Cerveau et de la Moelle (MIRCEM), Hopital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon/Bron, France. AD - Centre des Neurosciences de Lyon, Observatoire Francais de la Sclerose en Plaques, INSERM 1028 et CNRS UMR5292, Lyon, France. AD - Universite Claude Bernard Lyon 1, Faculte de Medecine Lyon Est, Lyon, France. LA - eng PT - Comparative Study PT - Journal Article DEP - 20200728 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) RN - 0 (Myelin-Oligodendrocyte Glycoprotein) SB - IM MH - Aquaporin 4 MH - Autoantibodies MH - Humans MH - Immunoglobulin G MH - *Multiple Sclerosis MH - Myelin-Oligodendrocyte Glycoprotein MH - *Neuromyelitis Optica/diagnosis OTO - NOTNLM OT - criteria OT - multiple sclerosis OT - neuromyelitis optica EDAT- 2020/06/20 06:00 MHDA- 2021/06/29 06:00 CRDT- 2020/06/20 06:00 PHST- 2020/04/07 00:00 [received] PHST- 2020/06/16 00:00 [accepted] PHST- 2020/06/20 06:00 [pubmed] PHST- 2021/06/29 06:00 [medline] PHST- 2020/06/20 06:00 [entrez] AID - 10.1111/ene.14414 [doi] PST - ppublish SO - Eur J Neurol. 2020 Nov;27(11):2250-2256. doi: 10.1111/ene.14414. Epub 2020 Jul 28.