A 26-year-old woman presents with recurrent episodes of limb numbness and blurred vision over the past year. Vital signs: BP 118/76, HR 82, RR 16, Temp 37.2°C, SpO2 98%. Brain and cervical spine MRI reveal T2-hyperintense demyelinating plaques; CSF oligoclonal bands are present. She denies fever or recent infection. She takes no immunosuppressive medications. Which additional finding would most strongly support multiple sclerosis diagnosis?
- A)JC virus reactivation
- B)Rapid correction of chronic hyponatremia
- C)Anti aquaporin 4 antibodies
- D)Albuminocytologic dissociation
- E)Oligoclonal IgG bands in CSFGABARITO
Explicação
Oligoclonal IgG bands indicate intrathecal immunoglobulin production and are a classic supportive finding in multiple sclerosis. They complement the clinical requirement for lesions disseminated in time and space. Ver explicação completa e trilha adaptativa →