Pediatric Neurology 53 (2015) 103e104

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Pediatric Neurology journal homepage: www.elsevier.com/locate/pnu

Editorial

Pediatric Neurology 2014 Trainee Publication Award Winner: Dr. Mitchel T. Williams

FIGURE. Dr. Mitchell T. Williams. (The color version of this figure is available in the online edition.)

* Communications should be addressed to: Dr. Ng; Division of Neurology; Department of Pediatrics; Children’s Hospital of San Antonio; Baylor College of Medicine; 315 N San Saba #1135; San Antonio, TX 78207. E-mail address: [email protected] 0887-8994/$ e see front matter Ó 2015 Elsevier Inc. All rights reserved. http://dx.doi.org/10.1016/j.pediatrneurol.2015.04.010

Please join the editors in congratulating Dr. Mitchel T. Williams (Figure) of Detroit, MI, the recipient of this year’s Pediatric Neurology Trainee Publication Award. His article was selected by the journal’s associate editors from more than 20 eligible articles published in 2014 by North American child neurology and neurosurgery residents and fellows. We hope that this award, which recognizes an excellent scholarly publication by an individual in training, will encourage and motivate other residents and fellows who aspire to make scholarly contributions to clinical pediatric neuroscience. Dr. Williams’ article “Use of the 2010 McDonald Criteria Can Facilitate Early Diagnosis of Pediatric Multiple Sclerosis in a Predominantly Black Cohort” reminds us about the constantly changing and improving face of medicine.1 Multiple sclerosis has been described as a disease with lesions separated in space and time, and this is still essentially true, but multiple sclerosis can now be diagnosed from a single clinically apparent event. Williams and his colleagues from the Children’s Hospital of Michigan, Wayne State University School of Medicine, found that the revised, less stringent, 2010 McDonald criteria had a considerably higher diagnostic sensitivity than the 2005 McDonald criteria (92% versus 32%) in a cohort of 25 children with clinically definite multiple sclerosis, particularly in black children. Fifty percent of their black patients had experienced previous attacks, while none of the white patients had previous attacks. They hypothesized that the disparity in their evaluation by the appropriate specialty was due to the mistaken assumption that multiple sclerosis is primarily a disease of whites that does not occur in blacks or other ethnicities. They also reiterated the need for contrast enhancement when performing neuroimaging in these individuals.1 This year, like the year before, we had a number of very good articles written by trainees, making the selection process difficult. All of these authors deserve congratulations. Dr. Williams’ article was selected as the most outstanding because it may change in the way we approach this clinical problem.

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Editorial / Pediatric Neurology 53 (2015) 103e104 b

Departments of Neurology and Pediatrics University of Washington Seattle, Washington

Reference 1. Williams MT, Tapos DO, Juhasz C. Use of the 2010 McDonald criteria can facilitate early diagnosis of pediatric multiple sclerosis in a predominantly black cohort. Pediatr Neurol. 2014;51: 826-830.

Yu-Tze Ng, MDa,* Sidney M. Gospe Jr., MD, PhDb,c Mustafa Sahin, MD, PhDd a Department of Pediatrics, Baylor College of Medicine Children’s Hospital of San Antonio San Antonio, Texas

c Division of Neurology Seattle Children’s Hospital Seattle, Washington d

Department of Neurology, Harvard Medical School Boston Children’s Hospital Boston, Massachusetts

Pediatric Neurology 2014 Trainee Publication Award Winner: Dr. Mitchel T. Williams.

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