{"id":15029,"date":"2023-07-13T15:24:25","date_gmt":"2023-07-13T13:24:25","guid":{"rendered":"https:\/\/www.apo.com/magazin\/?post_type=ratgeber&#038;p=15029"},"modified":"2024-07-24T09:56:20","modified_gmt":"2024-07-24T07:56:20","slug":"mcdonald","status":"publish","type":"ratgeber","link":"https:\/\/www.apo.com/magazin\/multiple-sklerose\/diagnose\/mcdonald","title":{"rendered":"Multiple Sklerose: Diagnosekriterien nach McDonald"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><p>Eine Multiple Sklerose (MS) zu diagnostizieren, ist kein einfaches Unterfangen. Es m\u00fcssen eine Reihe von Befunden vorliegen und erst wenn sich daraus ein typisches Bild ergibt, kann die \u00c4rztin oder der Arzt eine MS-Diagnose stellen. Als Basis f\u00fcr die Diagnose dienen die sogenannten McDonald-Kriterien f\u00fcr Multiple Sklerose, benannt nach einem ihrer Erfinder. Sie wurden bereits mehrmals \u00fcberarbeitet, zuletzt im Jahr 2017. Seither l\u00e4sst sich eine MS-Diagnose deutlich schneller und einfacher stellen. Hier erkl\u00e4ren wir leicht verst\u00e4ndlich, was genau man unter den McDonald-Kriterien f\u00fcr MS versteht und was sie in der Praxis bedeuten.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0 !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 30px;margin-top : 30px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-2\"><h3>Das Wichtigste in K\u00fcrze<\/h3>\n<\/div><div class=\"fusion-text fusion-text-3\"><ul>\n<li>Anhand der McDonald-Kriterien kann die Diagnose Multiple Sklerose zuverl\u00e4ssig gestellt werden.<\/li>\n<li>Zur Abgrenzung von anderen Erkrankungen muss eine r\u00e4umliche und zeitliche Verteilung (Dissemination) der Entz\u00fcndungen nachgewiesen werden.<\/li>\n<li>Der Nachweis erfolgt durch ein ausf\u00fchrliches Anamnesegespr\u00e4ch sowie neurologische und allgemeinmedizinische Untersuchungen (MRT, Lumbalpunktion, Blutuntersuchung, Nervenleitf\u00e4higkeits-Messung).<\/li>\n<li>Die McDonald-Kriterien wurden im Jahr 2017 \u00fcberarbeitet, sodass die Diagnosestellung im Schnitt nun nicht nach 7,4, sondern schon nach 2,3 Monaten erfolgen kann.<\/li>\n<li>Dank der schnelleren Diagnosestellung auf Basis der McDonald-Kriterien kann auch eher mit der entsprechenden Therapie begonnen werden.<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-4\"><h2>Was versteht man unter den McDonald-Kriterien f\u00fcr Multiple Sklerose?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-5\"><p>Die McDonald-Kriterien f\u00fcr Multiple Sklerose sind <strong>international anerkannte Kriterien f\u00fcr die Diagnose oder den Ausschluss einer MS<\/strong>. Bei der Multiplen Sklerose handelt es sich um eine chronisch-entz\u00fcndliche Erkrankung, die \u00fcber einen l\u00e4ngeren Zeitraum hinweg mehrere Bereiche (multipel = mehrfach) des Zentralnervensystems sch\u00e4digt. Bei der Diagnose der Erkrankung muss daher nachgewiesen werden, dass<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-1\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>die Entz\u00fcndungen <strong>r\u00e4umlich vertei<\/strong>lt auftreten, d. h. in verschiedenen Bereichen des Zentralnervensystems, und<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>dass sie <strong>zeitlich verteilt<\/strong> auftreten, d. h., dass im Zeitverlauf mehrmals Entz\u00fcndungen entstanden sind.<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-6\"><p>In der medizinischen Fachsprache ist auch von \u201er\u00e4umlicher und zeitlicher Dissemination\u201c (Dissemination = Verteilung, Verbreitung) die Rede.<\/p>\n<p>Die McDonald-Kriterien liefern nun eine <strong>Definition, wann eine solche r\u00e4umliche und zeitliche Dissemination gegeben ist<\/strong>. Je nachdem, welcher konkrete Ausgangsbefund vorliegt, sind dazu verschiedene medizinische Nachweise zu erbringen. Dabei spielen bildgebende Verfahren (MRT-Untersuchungen) eine zentrale Rolle.<\/p>\n<\/div><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.apo.com\/onlinearzt-teleclinic\" target=\"_self\" aria-label=\"banner_online-arzt_878x200px\"><img decoding=\"async\" width=\"878\" height=\"200\" alt=\"Banner Online Arzt\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px.jpg\" class=\"img-responsive wp-image-19058\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/07\/banner_online-arzt_878x200px.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-7\"><h2>Wie funktioniert die Anwendung der McDonald-Kriterien in der Praxis?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-8\"><p>Konkret l\u00e4uft das meist so ab: Eine Person stellt sich aufgrund bestimmter Beschwerden, die auf MS hindeuten k\u00f6nnten, in einer neurologischen Praxis vor. Dabei k\u00f6nnte es sich beispielsweise um ein einseitiges Taubheitsgef\u00fchl handeln. Die \u00c4rztin oder der Arzt wird zun\u00e4chst in einem gr\u00fcndlichen Anamnesegespr\u00e4ch nach den aktuellen Beschwerden und der bisherigen Krankengeschichte fragen.<\/p>\n<p>Daran schlie\u00dfen sich verschiedene neurologische und allgemeinmedizinische Untersuchungen an. In der Regel kommen bei einem Verdacht auf Multiple Sklerose folgende Untersuchungen zum Einsatz:<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-2\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>eine <strong>Magnetresonanztomographie<\/strong> (MRT) von Gehirn und R\u00fcckenmark, um Entz\u00fcndungsherde (L\u00e4sionen) sichtbar zu machen<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>eine <strong>Lumbalpunktion<\/strong> zur Entnahme von Nervenwasser (Liquor), um bestimmte Abwehrstoffe (Antik\u00f6rper) nachzuweisen, die f\u00fcr Multiple Sklerose typisch sind<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>eine <strong>Blutuntersuchung<\/strong>, um andere Erkrankungen mit \u00e4hnlichen Symptomen auszuschlie\u00dfen<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>eventuell eine Nervenleitf\u00e4higkeits-Messung, auch \u201e<strong>Test auf evozierte Potentiale<\/strong>\u201c genannt, um Hinweise auf bereits bestehende Nervensch\u00e4den zu gewinnen<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-9\"><p>Sobald alle Untersuchungsergebnisse vorliegen, wird die \u00c4rztin oder der Arzt anhand der McDonald-Kriterien pr\u00fcfen, ob die f\u00fcr Multiple Sklerose typische r\u00e4umliche und zeitliche Verteilung gegeben ist. Dabei werden sowohl die Ergebnisse der Untersuchungen als auch die klinischen Befunde, also die von Betroffenen berichteten Beschwerden, ber\u00fccksichtigt.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-10\"><h3>Nachweis der r\u00e4umlichen Dissemination<\/h3>\n<\/div><div class=\"fusion-text fusion-text-11\"><p>Die Verteilung im Raum (r\u00e4umliche Dissemination) ist nach der Definition der McDonald-Kriterien f\u00fcr Multiple Sklerose in diesen zwei F\u00e4llen erwiesen:<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-3\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>MRT-gest\u00fctzter Nachweis:<\/strong> Im MRT zeigen sich Entz\u00fcndungsherde (L\u00e4sionen) in mindestens zwei von vier verschiedenen Regionen des Zentralnervensystems:<\/p>\n<ul>\n<li>im Bereich der Hirnrinde oder an der Grenze zur Hirnrinde (kortikal oder juxtakortikal)<\/li>\n<li>an die sogenannten Seitenventrikel angrenzend (periventrikul\u00e4r)<\/li>\n<li>im Bereich von Kleinhirn und Hirnstamm (infratentoriell)<\/li>\n<li>im R\u00fcckenmark (spinal)<\/li>\n<\/ul>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Klinischer Nachweis:<\/strong> Die Person berichtet \u00fcber Beschwerden in mehreren K\u00f6rperregionen, die von unterschiedlichen Bereichen des Zentralnervensystems gesteuert werden. Zus\u00e4tzlich zu einer Gef\u00fchlsst\u00f6rung k\u00f6nnte beispielsweise eine Sehst\u00f6rung auftreten.<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-4{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-4 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-4{width:100% !important;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-4{width:100% !important;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-5{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-12\"><h3>Nachweis der zeitlichen Dissemination<\/h3>\n<\/div><div class=\"fusion-text fusion-text-13\"><p>Der Nachweis einer zeitlichen Dissemination ist nach den aktuellen McDonald-Kriterien f\u00fcr MS erbracht, wenn einer der folgenden Punkte zutrifft:<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-4\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>MRT-gest\u00fctzter Nachweis mit Kontrastmittel:<\/strong> Durch die Gabe eines Kontrastmittels erh\u00e4lt man bei MRT-Untersuchungen Hinweise auf den zeitlichen Verlauf der Erkrankung. Denn nur akut entz\u00fcndlich aktive L\u00e4sionen nehmen Kontrastmittel auf, w\u00e4hrend \u00e4ltere L\u00e4sionen das nicht tun. Wenn in den MRT-Bildern daher sowohl Kontrastmittel aufnehmende L\u00e4sionen sichtbar werden als auch solche, die kein Kontrastmittel aufnehmen, dann m\u00fcssen diese Entz\u00fcndungsherde zu unterschiedlichen Zeitpunkten entstanden sein.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>MRT-gest\u00fctzter Nachweis durch Folgeaufnahmen:<\/strong> Alternativ ist die zeitliche Dissemination gem\u00e4\u00df den McDonald-Kriterien auch dann erwiesen, wenn in einer zweiten MRT-Aufnahme zu einem sp\u00e4teren Zeitpunkt neue Entz\u00fcndungsherde (L\u00e4sionen) auftauchen.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Nachweis im Liquor (Nervenwasser):<\/strong> Der Liquor ist eine Fl\u00fcssigkeit, die Gehirn und R\u00fcckenmark umgibt. Bei einer Multiplen Sklerose sind normalerweise bestimmte Abwehrstoffe (Antik\u00f6rper) im Liquor nachweisbar. Mediziner:innen sprechen hier von sogenannten \u201eoligoklonalen Banden\u201c oder kurz \u201eOKB\u201c. Ein Nachweis von OKB im Liquor ist ein Hinweis auf chronische, d. h. l\u00e4nger andauernde, Autoimmun-Prozesse im Zentralnervensystem.<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p><strong>Klinischer Nachweis:<\/strong> Die zeitliche Dissemination ist auch dann erwiesen, wenn Betroffene mindestens zwei Krankheitssch\u00fcbe erlitten haben oder wenn \u2013 im Fall der chronisch fortschreitenden Verlaufsform \u2013 die Beschwerden \u00fcber mindestens ein Jahr kontinuierlich zunehmen.<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-5{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-5 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-5{width:100% !important;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-5{width:100% !important;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-6{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-14\"><h2>Wann liegt laut McDonald-Kriterien eine Multiple Sklerose vor?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-15\"><p>Wieder zur\u00fcck in der Praxis: In welchen F\u00e4llen wird die \u00c4rztin oder der Arzt nun konkret eine MS-Diagnose stellen? Je nach Verlaufsform sind dazu unterschiedliche Nachweise n\u00f6tig:<\/p>\n<\/div><div class=\"fusion-text fusion-text-16\"><h3>Schubf\u00f6rmig remittierende Verlaufsform<\/h3>\n<\/div><div class=\"fusion-text fusion-text-17\"><p>In der Regel stellt sich der oder die Betroffene nach dem mutma\u00dflich ersten Schubereignis in der \u00e4rztlichen Praxis vor. Eine MS-Diagnose ist nach den aktuellen McDonald-Kriterien bereits nach dem ersten Schub m\u00f6glich, wenn:<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-5\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>im MRT Entz\u00fcndungsherde (L\u00e4sionen) in <strong>mindestens zwei Bereichen von Gehirn und R\u00fcckenmark<\/strong> vorliegen (= r\u00e4umliche Dissemination), <strong>oder<\/strong><\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>klinische Symptome in <strong>mindestens zwei verschiedenen K\u00f6rperbereichen<\/strong> auftreten (= r\u00e4umliche Dissemination), <strong>und <\/strong><\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>im <strong>Nervenwasser oligoklonale Banden<\/strong> (OKB) nachweisbar sind (= zeitliche Dissemination).<\/p>\n<\/div><\/li><\/ul><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-18\"><p>Wenn entweder die r\u00e4umliche oder die zeitliche Verteilung nicht sicher nachweisbar ist, besteht erst einmal nur der <strong>Verdacht auf MS.<\/strong> Der Arzt oder die \u00c4rztin wird dann zu einem sp\u00e4teren Zeitpunkt eine Kontrolluntersuchung vornehmen und erneut pr\u00fcfen, ob nach den McDonald-Kriterien eine MS-Diagnose gestellt werden kann \u2013 etwa weil neue L\u00e4sionen im MRT aufgetaucht sind.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-6{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-6 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-6{width:100% !important;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-6{width:100% !important;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-7{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-19\"><h3>Multiple Sklerose-Diagnose nach McDonald: Prim\u00e4r progrediente Verlaufsform<\/h3>\n<\/div><div class=\"fusion-text fusion-text-20\"><p>Die prim\u00e4r progrediente, also von Beginn an kontinuierlich fortschreitende Verlaufsform der Multiplen Sklerose kann nach den McDonald-Kriterien nicht sofort nach Beginn der ersten Beschwerden diagnostiziert werden. Denn Voraussetzung ist, dass eine Person <strong>mindestens ein Jahr lang zunehmende Beschwerden erlebt<\/strong>, die f\u00fcr MS typisch sind. Au\u00dferdem m\u00fcssen mindestens zwei der folgenden drei Punkte erf\u00fcllt sein:<\/p>\n<\/div><ul class=\"fusion-checklist fusion-checklist-6\" style=\"font-size:16px;line-height:27.2px;\"><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>mindestens ein Entz\u00fcndungsherd (L\u00e4sion) in einer f\u00fcr MS typischen Hirnregion<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>mindestens zwei L\u00e4sionen im R\u00fcckenmark<\/p>\n<\/div><\/li><li class=\"fusion-li-item\"><span style=\"height:27.2px;width:27.2px;margin-right:11.2px;\" class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" style=\"color:#eae43d;\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\" style=\"margin-left:38.4px;\">\n<p>Nachweis MS-typischer Antik\u00f6rper (oligoklonale Banden) im Liquor<\/p>\n<\/div><\/li><\/ul><div ><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.apo.com\/e-rezept\" target=\"_self\" aria-label=\"e-rezept_banner_apo-magazin_878x200_v1\"><img decoding=\"async\" width=\"878\" height=\"200\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1.jpg\" class=\"img-responsive wp-image-18349\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/12\/e-rezept_banner_apo-magazin_878x200_v1.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-7{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-7 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-7{width:100% !important;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-7{width:100% !important;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-8{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-21\"><h3>Multiple Sklerose-Diagnose nach McDonald: Sekund\u00e4r progrediente Verlaufsform<\/h3>\n<\/div><div class=\"fusion-text fusion-text-22\"><p>Die sekund\u00e4r progrediente Verlaufsform der Multiplen Sklerose ist durch die McDonald-Kriterien leider nicht ganz klar definiert. \u00dcblicherweise sagt man: Die sekund\u00e4r progrediente MS baut auf der gesicherten Diagnose einer schubf\u00f6rmig remittierenden MS auf. Zus\u00e4tzlich m\u00fcssen \u00fcber mindestens sechs bis zw\u00f6lf Monate <strong>kontinuierlich zunehmende Beschwerden<\/strong> unabh\u00e4ngig von den Sch\u00fcben vorliegen.<\/p>\n<\/div><div class=\"fusion-text fusion-text-23\"><p>Neben Sportarten wie Yoga, Aquasport, Radfahren und Tanzen k\u00f6nnen auch ganzheitliche Therapieans\u00e4tze wie stressreduzierende Ma\u00dfnahmen (z. B. Achtsamkeits\u00fcbungen) und eine gesunde Ern\u00e4hrung zur Symptommilderung beitragen.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-8{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-8 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-8{width:100% !important;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-8{width:100% !important;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-9{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#ffffff;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-24\"><h2>Welche Vorteile hat die \u00dcberarbeitung der McDonald-Kriterien 2017 gebracht?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-25\"><p>Die McDonald-Kriterien f\u00fcr Multiple Sklerose wurden im Jahr 2001 erstmals eingef\u00fchrt und seither mehrfach revidiert, um wissenschaftlichen und medizintechnischen Fortschritten Rechnung zu tragen. Zuletzt hat ein internationales Gremium die McDonald-Kriterien im Jahr 2017 \u00fcberarbeitet.<\/p>\n<p>Eine f\u00fcr die Praxis wichtige \u00c4nderung war dabei die <strong>Aufwertung der Liquoranalyse<\/strong>: Fr\u00fcher waren zur Beurteilung der zeitlichen Dissemination nur klinische Befunde oder MRT-Befunde zul\u00e4ssig, die nach dem ersten Schub aber oft noch keine eindeutigen Nachweise liefern. Betroffene mussten dann nicht selten auf eine Folgeuntersuchung oder gar auf einen zweiten Schub warten, bevor sie eine gesicherte Diagnose erhielten. Nach den aktualisierten McDonald-Kriterien f\u00fcr Multiple Sklerose z\u00e4hlt auch der Nachweis von oligoklonalen Banden im Nervenwasser (Liquor). Dadurch ist es viel h\u00e4ufiger m\u00f6glich, direkt nach dem ersten Schub eine MS-Diagnose zu stellen.<\/p>\n<\/div><div class=\"fusion-text fusion-text-26\"><h3>Beschleunigte Diagnose<\/h3>\n<\/div><div class=\"fusion-text fusion-text-27\"><p>Wie eine aktuelle Vergleichsstudie zeigt, erlauben die \u00fcberarbeiteten McDonald-Kriterien eine <strong>deutlich schnellere Diagnose der Multiplen Sklerose<\/strong>: W\u00e4hrend es nach den \u201ealten\u201c Kriterien im Schnitt 7,4 Monate gedauert hat, bis eine endg\u00fcltige Diagnose vorlag, betr\u00e4gt die Dauer bis zur Diagnose mit den \u201eneuen\u201c McDonald-Kriterien aus 2017 nur noch durchschnittlich 2,3 Monate. In vielen F\u00e4llen erhalten Betroffene ihre Diagnose bereits unmittelbar nach dem ersten Schubereignis.<\/p>\n<p>Dass die Multiple Sklerose dank der neuen McDonald-Kriterien deutlich schneller diagnostiziert werden kann, bringt zwei gro\u00dfe Vorteile mit sich: Erstens haben Betroffene fr\u00fcher Klarheit, ob sie nun an MS leiden oder nicht. Und zweitens erlaubt eine fr\u00fchzeitige Diagnosestellung, <strong>m\u00f6glichst schnell die erforderliche Therapie einzuleiten<\/strong>. Wie man heute wei\u00df, kann ein rechtzeitiger Therapiebeginn den langfristigen Krankheitsverlauf der Multiplen Sklerose entscheidend verbessern.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-9{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-9 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-9{width:100% !important;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-9{width:100% !important;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-10{ padding-top : 0px;margin-top : 8px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-11 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span id=\"kairion_data\" data-kairion=\"multiple sklerose\" style=\"display: none;\"><\/span><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-10{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-10 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-10{width:100% !important;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-10{width:100% !important;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-11{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-12 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">.fusion-accordian  #accordion-15029-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian  #accordion-15029-1 .panel-title a .fa-fusion-box:before{ font-size: 16px; width: 16px;}.fusion-accordian  #accordion-15029-1 .panel-title a{font-size:28px;}.fusion-accordian  #accordion-15029-1 .fa-fusion-box { background-color: #212934;border-color: #212934;}.fusion-accordian  #accordion-15029-1 .panel-title a:hover, #accordion-15029-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #65bc7b;}.fusion-accordian  #accordion-15029-1 .panel-title .active .fa-fusion-box,.fusion-accordian  #accordion-15029-1 .panel-title a:hover .fa-fusion-box { background-color: #65bc7b!important;border-color: #65bc7b!important;}<\/style><div class=\"accordian fusion-accordian\"><div class=\"panel-group\" id=\"accordion-15029-1\"><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"0162a094173c2f007\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-15029-1\" data-target=\"#0162a094173c2f007\" href=\"#0162a094173c2f007\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Quellen<\/span><\/a><\/h4><\/div><div id=\"0162a094173c2f007\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li>Deutsche Gesellschaft f\u00fcr Neurologie (DGN) (Hrsg.). (2021). Diagnose und Therapie der Multiplen Sklerose, Neuromyelitis-optica-Spektrum-Erkrankungen und MOG-IgG-assoziierten Erkrankungen, S2k-Leitlinie.<\/li>\n<li>Deutsche Gesellschaft f\u00fcr Neurologie (DGN) (Hrsg.). (2022). Leitlinie Multiple Sklerose f\u00fcr Patientinnen und Patienten. AWMF Registernr. 030 \u2013 050.<\/li>\n<li>Faissner, S. &amp; Weber, M. (2018): \u00dcberarbeitung der McDonald Diagnose-Kriterien: Revision 2017. Aktuelle Neurologie, 45, 215 \u2013 217. https:\/\/doi.org\/10.1055\/a-0563-0560<\/li>\n<li>McNicholas, N., Lockhart, A., Yap, S., O\u00b4Connell, K., Tubridy, N., Hutchinson, M. &amp; McGuigan, C. (2019): New versus old: Implications of evolving diagnostic criteria for relapsing\u2013remitting multiple sclerosis. Multiple Sclerosis Journal, 25 (6), 867 \u2013 870. https:\/\/doi: 10.1177\/1352458518770088<\/li>\n<li>Thompson, A., Banwell, B., Barkhof, F., Carroll, W., Coetzee, T., Comi, G., Correale, J., Fazekas, F., Filippi, M., Freedman, M., Fujihara, K., Galetta, S., Hartung, H., Kappos, L., Lublin, F., Marrie, R., Miller, A., Miller, D., Montalban, X., (\u2026) &amp; Cohen, J. (2018): Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. The Lancet Neurology, 17, 162 \u2013 173. <a href=\"http:\/\/dx.doi.org\/10.1016\/S1474-4422(17)30470-2\">http:\/\/dx.doi.org\/10.1016\/S1474-4422(17)30470-2<\/a><\/li>\n<li><a href=\"https:\/\/www.fokus-ms.de\/ms-wissen\/diagnostik-verlaufskontrolle\">https:\/\/www.fokus-ms.de\/ms-wissen\/diagnostik-verlaufskontrolle<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-11{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-11 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-12{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-13 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-28\"><h3><strong>Gepr\u00fcft durch unser pharmazeutisches Team<\/strong><\/h3>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-12{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-12 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_5 1_5 fusion-flex-column fusion-flex-align-self-flex-start\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-center fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img decoding=\"async\" width=\"1200\" height=\"1200\" alt=\"Felix Hoffman, pharmazeutischer Experte\" title=\"Felix Hoffman\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg\" class=\"img-responsive wp-image-19286\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-200x200.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-400x400.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-600x600.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-800x800.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg 1200w\" sizes=\"(max-width: 640px) 100vw, 200px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-13{width:20% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-13 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 9.6%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 9.6%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-13{width:20% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 9.6%;margin-left : 9.6%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-13{width:100% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_4_5 4_5 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-29\"><p>\u201e<i><span data-contrast=\"auto\">An der Pharmazie fasziniert mich am meisten, wie alles zusammenspielt. Von Zusammenh\u00e4ngen im Stoffwechsel hin zur Einnahme von Medikamenten. Wer sich damit auskennt, kann sein Leben positiv beeinflussen.\u201c<\/span><\/i><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><div class=\"fusion-text fusion-text-30\"><p><a href=\"https:\/\/de.linkedin.com\/in\/hoffmannfelix90\"><b><span data-contrast=\"none\">Felix Hoffmann<\/span><\/b><\/a>\u00a0<span data-contrast=\"auto\">lebt f\u00fcr die Pharmazie und bringt eine gro\u00dfe Expertise in der Beratung mit. Mit seinem fundierten Wissen garantiert er die hohen Qualit\u00e4tsstandards der pharmazeutischen Inhalte auf\u00a0<\/span><a href=\"https:\/\/www.apo.com\/\"><span data-contrast=\"none\">apo.com<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-14{width:80% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-14 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.4%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.4%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-14{width:80% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 2.4%;margin-left : 2.4%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-31\"><div class=\"fusion-text fusion-text-31\"><\/div>\n<p>Wichtiger Hinweis: Unsere Artikel und Grafiken werden von unserem Expertenteam f\u00fcr chronische Erkrankungen \u00fcberpr\u00fcft. Grundlage sind stets seri\u00f6se Quellen, wissenschaftliche Artikel, Leitlinien und \u00e4rztliche Aussagen. Die Inhalte werden in regelm\u00e4\u00dfigen Abst\u00e4nden aktualisiert und dienen weder der Selbstdiagnose noch ersetzen sie einen Arztbesuch.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-15{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-15 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-15{width:100% !important;order : 0;}.fusion-builder-column-15 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-15{width:100% !important;order : 0;}.fusion-builder-column-15 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-13{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":10,"featured_media":15035,"parent":14822,"menu_order":0,"template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[69],"class_list":["post-15029","ratgeber","type-ratgeber","status-publish","has-post-thumbnail","hentry","category-multiple-sklerose"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multiple Sklerose: Diagnose nach McDonald | apo.com Magazin<\/title>\n<meta name=\"description\" content=\"Diagnose von Multiple Sklerose nach den McDonald-Kriterien \u25ba Informieren Sie sich hier \u00fcber alle Erl\u00e4uterungen\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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