{"id":2430,"date":"2011-05-24T15:39:40","date_gmt":"2011-05-24T15:39:40","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuronmo\/"},"modified":"2025-05-13T20:28:59","modified_gmt":"2025-05-13T20:28:59","slug":"neuronmo","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neuronmo\/","title":{"rendered":"Criterios Diagn\u00f3stico Revisados para Neuromielitis \u00d3ptica (NMO)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La neuromielitis \u00f3ptica (NMO, s\u00edndrome de Devic) es definida cl\u00ednicamente, s\u00edndrome desmielinizante grave del SNC caracterizado por neuritis \u00f3ptica (NO) y mielitis aguda; la presencia de s\u00edntomas del SNC fuera de los nervios \u00f3pticos y la m\u00e9dula espinal hasta hace poco exclu\u00edan el diagn\u00f3stico.<br \/>\n<!--more--><br \/>\n<span class=\"hps\">El diagn\u00f3stico<\/span>\u00a0<span class=\"hps\">requiere todos los<\/span>\u00a0<span class=\"hps\">criterios<\/span>\u00a0<span class=\"hps\">absolutos<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">uno de los criterios<\/span>\u00a0<span class=\"hps\">principales<\/span>\u00a0<span class=\"hps\">de soporte<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">dos<\/span>\u00a0<span class=\"hps\">criterios<\/span>\u00a0<span class=\"hps\">de soporte<\/span>\u00a0<span class=\"hps\">menores<\/span><\/p>\n<p><span class=\"hps\">Criterios\u00a0<\/span><span class=\"hps\">Absolutos<\/span>:<\/p>\n<ul>\n<li>N<span class=\"hps\">euritis \u00f3ptica<\/span><\/li>\n<li><span class=\"hps\">Mielitis<\/span>\u00a0<span class=\"hps\">aguda<\/span><\/li>\n<li><span class=\"hps\">Ausencia de evidencia<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">enfermedad<\/span>\u00a0<span class=\"hps\">cl\u00ednica<\/span>\u00a0<span class=\"hps\">fuera<\/span>\u00a0<span class=\"hps\">del<\/span>\u00a0<span class=\"hps\">nervio \u00f3ptico<\/span>\u00a0<span class=\"hps\">o la m\u00e9dula<\/span>\u00a0<span class=\"hps\">espinal<\/span><\/li>\n<\/ul>\n<p><span class=\"hps\">Criterios<\/span>\u00a0<span class=\"hps\">de Soporte\u00a0<\/span><span class=\"hps\">Principales<\/span>:<\/p>\n<ul>\n<li><span class=\"hps\">Resonancia magn\u00e9tica (RM) de cerebro<\/span>\u00a0<span class=\"hps\">negativa\u00a0<\/span><span class=\"hps\">de inicio<\/span>\u00a0<span class=\"hps atn\">(<\/span>no cumple los criterios\u00a0<span class=\"hps\">para\u00a0<\/span><span class=\"hps\">esclerosis<\/span>\u00a0<span class=\"hps\">m\u00faltiple<\/span>)<\/li>\n<li>RM de m\u00e9dula espinal con alteraci\u00f3n de la se\u00f1al extendida a &gt;\/= 3 segmentos vertebrales<\/li>\n<li><span class=\"hps\">Pleocitosis en\u00a0<\/span><span class=\"hps\">LCR<\/span>\u00a0<span class=\"hps\">de\u00a0<\/span>&gt;\u00a0<span class=\"hps\">50<\/span>\u00a0<span class=\"hps\">GB\/mm3<\/span>\u00a0<span class=\"hps\">o\u00a0<\/span>&gt;\u00a0<span class=\"hps\">5\u00a0<\/span><span class=\"hps\">PMNs\/mm3<\/span><\/li>\n<\/ul>\n<p><span class=\"hps\">Criterios<\/span>\u00a0<span class=\"hps\">de Soporte\u00a0<\/span><span class=\"hps\">Menores:<\/span><\/p>\n<ul>\n<li><span class=\"hps\">Neuritis<\/span>\u00a0<span class=\"hps\">\u00f3ptica bilateral<\/span><\/li>\n<li>N<span class=\"hps\">euritis \u00f3ptica<\/span>\u00a0<span class=\"hps\">severa<\/span>\u00a0<span class=\"hps\">con<\/span>\u00a0<span class=\"hps\">la agudeza<\/span>\u00a0<span class=\"hps\">visual<\/span>\u00a0<span class=\"hps\">fijo<\/span>\u00a0<span class=\"hps\">inferior a 20\/200<\/span>\u00a0<span class=\"hps\">en al<\/span>\u00a0<span class=\"hps\">menos<\/span>\u00a0<span class=\"hps\">un<\/span>\u00a0<span class=\"hps\">ojo<\/span><\/li>\n<li>Debilidad relacionada con el ataque, severa, fija, (MRC &lt;\/= 2) en una o m\u00e1s extremidades<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Wingerchuk DM, Lennon VA, Pittock SJ, Lucchinetti CF, Weinshenker BG. Revised diagnostic criteria for neuromyelitis optica. Neurology. 2006 May 23;66(10):1485-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16717206\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Saiz A, Zuliani L, Blanco Y, Tavolato B, Giometto B, Graus F; Spanish-Italian NMO Study Group. Revised diagnostic criteria for neuromyelitis optica (NMO). Application in a series of suspected patients. J Neurol. 2007 Sep;254(9):1233-7.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17401734\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 24, 2011<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La neuromielitis \u00f3ptica (NMO, s\u00edndrome de Devic) es definida cl\u00ednicamente, s\u00edndrome desmielinizante grave del SNC caracterizado por neuritis \u00f3ptica (NO) y mielitis aguda; la presencia de s\u00edntomas del SNC fuera de los nervios \u00f3pticos y la m\u00e9dula espinal hasta hace poco exclu\u00edan el diagn\u00f3stico.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[16,15,14,13,1217,1216,1215,1214,8,7],"class_list":["post-2430","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-neuromielitis","tag-neuromyelitis","tag-nmo","tag-optica","tag-revisados","tag-revised"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2430"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2430\/revisions"}],"predecessor-version":[{"id":9334,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2430\/revisions\/9334"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2430"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2430"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}