MRI and motor evoked potential findings in nondisabled multiple sclerosis patients with and without symptoms of fatigue.

Abstract:

:Fatigue is a common symptom of multiple sclerosis (MS) even in the early phases of the disease, when neurological disability is usually still not present. To investigate the pathophysiology of fatigue we compared neurophysiological (motor evoked potentials of the four limbs, MEPs) and brain magnetic resonance imaging (MRI) findings in two groups of nondisabled MS patients, those with (n=15) and those without (n=15) fatigue. Fatigue was assessed by an interview and scored by the Fatigue Severity Scale. The two groups were matched for sex, age, disease duration, Expanded Disability Status Scale score, pyramidal Functional System (FS) score, and depression score. MEPs were abnormal in five patients with fatigue and in one patient without fatigue. A significant association was found between the patient scores on the Fatigue Severity Scale, and the burden of MRI lesions (r=0.5; P< 0.005). Significantly higher parietal lobe (P< 0.05), internal capsule (P< 0.05), and periventricular trigone (P< 0.05) lesion loads were found in patients with fatigue than in those without. Our results agree with a central nervous system origin of fatigue in MS patients. This symptom might be a consequence either of a functional deafferentation of the cortex due to cortico-subcortical interconnection damage or of a demyelination in critical sites of the CNS, such as the cortico-spinal tract.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Colombo B,Martinelli Boneschi F,Rossi P,Rovaris M,Maderna L,Filippi M,Comi G

doi

10.1007/s004150070148

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

506-9

issue

7

eissn

0340-5354

issn

1432-1459

journal_volume

247

pub_type

杂志文章
  • Treatment of chronic relapsing inflammatory demyelinating polyneuropathy by cyclosporin A and plasma exchange. A case report.

    abstract::A patient with chronic relapsing inflammatory demyelinating polyneuropathy was successfully treated with plasma exchanges and cyclosporin A (CsA). Dynamometric measurements of hand force during the time of CsA treatment showed a highly significant correlation between hand force and CsA blood levels. The largest influe...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00314752

    authors: Hefter H,Sprenger KB,Arendt G,Hafner D

    更新日期:1990-08-01 00:00:00

  • Neurocognitive dysfunction in adult moyamoya disease.

    abstract::We wanted to determine the neurocognitive profile of adult patients with moyamoya disease prior to neurosurgical intervention. The experience of three United States medical centers, Columbia University, University of Illinois at Chicago, and the University of Texas Southwestern Medical Center at Dallas, were combined....

    journal_title:Journal of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00415-009-5424-8

    authors: Festa JR,Schwarz LR,Pliskin N,Cullum CM,Lacritz L,Charbel FT,Mathews D,Starke RM,Connolly ES,Marshall RS,Lazar RM

    更新日期:2010-05-01 00:00:00

  • The development of ICF Core Sets for multiple sclerosis: results of the International Consensus Conference.

    abstract:UNLABELLED:To systematically and comprehensively describe functioning and disability in Multiple sclerosis (MS), practical tools based on the International Classification of Functioning, Disability and Health (ICF), such as ICF Core Sets, are needed. OBJECTIVE:To report on the results of an evidence-based Internationa...

    journal_title:Journal of neurology

    pub_type: 共识发展会议,杂志文章

    doi:10.1007/s00415-011-5963-7

    authors: Coenen M,Cieza A,Freeman J,Khan F,Miller D,Weise A,Kesselring J,Members of the Consensus Conference.

    更新日期:2011-08-01 00:00:00

  • Heterozygous carriers of Pseudoxanthoma elasticum were not found among patients with cervical artery dissections.

    abstract::In this study of patients with spontaneous cervical artery dissections (sCAD) we searched for mutations in ABCC6, the candidate gene for Pseudoxanthoma elasticum (PXE). Genomic DNA samples from 12 sCAD patients with pronounced electron microscopic alterations in their dermal connective tissue and from 2 patients with ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-003-1139-4

    authors: Morcher M,Hausser I,Brandt T,Grond-Ginsbach C

    更新日期:2003-08-01 00:00:00

  • Pallidal deep brain stimulation in juvenile Huntington's disease: local field potential oscillations and clinical data.

    abstract:BACKGROUND:Recently, therapeutic attempts to control motor choreatic hyperkinesia of Huntington's disease (HD) by means of pallidal deep brain stimulation (Gp-DBS) were successful. With respect to the clinical effects of Gp-DBS in juvenile hypokinetic-rigid HD (jHD; Westphal variant), only one single-case has been repo...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-018-8880-1

    authors: Ferrea S,Groiss SJ,Elben S,Hartmann CJ,Dunnett SB,Rosser A,Saft C,Schnitzler A,Vesper J,Wojtecki L,Surgical Approaches Working Group of the European Huntington’s Disease Network (EHDN).

    更新日期:2018-07-01 00:00:00

  • [Intracranial and spinal hemorrhage in haemophilia (author's transl)].

    abstract::Among 234 hemophiliacs, 14 patients (5.9%) with intracranial and 1 patient (0.4%) with intramedullary hemorrhage were observed and examined. The average age at the time of hemorrhage was 17 years in patients with severe hemophilia and 43 years in patients with moderate hemophilia. The patients with mild hemophilia and...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313358

    authors: Mamoli B,Sonneck G,Lechner K

    更新日期:1976-01-14 00:00:00

  • How well do we recognise non-motor symptoms in a British Parkinson's disease population?

    abstract::Although awareness of non-motor symptoms in Parkinson's disease (PD) has recently increased, little is known about their recognition and treatment in routine clinical practice. We therefore applied non-motor rating scales for dementia, depression, anxiety and excessive daytime sleepiness to a community-ascertained coh...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-011-5972-6

    authors: Hu M,Cooper J,Beamish R,Jones E,Butterworth R,Catterall L,Ben-Shlomo Y

    更新日期:2011-08-01 00:00:00

  • Nerve ultrasound in hereditary transthyretin amyloidosis: red flags and possible progression biomarkers.

    abstract:BACKGROUND:Diagnostic delay of hereditary transthyretin amyloidosis (ATTRv, v for variant) prevents timely treatment and, therefore, concurs to the mortality of the disease. The aim of the present study was to explore with nerve ultrasound (US) possible red flags for early diagnosis in ATTRv patients with carpal tunnel...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-020-10127-8

    authors: Salvalaggio A,Coraci D,Cacciavillani M,Obici L,Mazzeo A,Luigetti M,Pastorelli F,Grandis M,Cavallaro T,Bisogni G,Lozza A,Gemelli C,Gentile L,Ermani M,Fabrizi GM,Plasmati R,Campagnolo M,Castellani F,Gasparotti R,Marti

    更新日期:2021-01-01 00:00:00

  • Specific B- and T-cell populations are associated with cognition in patients with epilepsy and antibody positive and negative suspected limbic encephalitis.

    abstract:OBJECTIVE:Neuropsychological impairments are major symptoms of autoimmune limbic encephalitis (LE) epilepsy patients. In LE epilepsy patients with an autoimmune response against intracellular antigens as well as in antibody-negative patients, the antibody findings and magnetic resonance imaging pathology correspond poo...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-020-10158-1

    authors: Helmstaedter C,Hansen N,Leelaarporn P,Schwing K,Oender D,Widman G,Racz A,Surges R,Becker A,Witt JA

    更新日期:2020-08-20 00:00:00

  • Visual hallucinations and illusions in Parkinson's disease: the role of ocular pathology.

    abstract:INTRODUCTION:Whether different mechanisms, particularly ocular pathology, could lead to the emergence of visual hallucinations (VH) (defined as false perceptions with no external stimulus) versus visual illusions (VI) (defined as a misperception of a real stimulus) in Parkinson's disease (PD) remains debated. We assess...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-020-09925-x

    authors: Marques A,Beze S,Pereira B,Chassain C,Monneyron N,Delaby L,Lambert C,Fontaine M,Derost P,Debilly B,Rieu I,Lewis SJG,Chiambaretta F,Durif F

    更新日期:2020-10-01 00:00:00

  • Neopterin concentrations in serum and cerebrospinal fluid in HTLV-I infected individuals.

    abstract::The concentration of neopterin was measured in serum samples taken from individuals infected with HTLV-I: 5 from asymptomatic individuals, 1 from a patient with adult T-cell leukaemia and 30 from patients with tropical spastic paraparesis (TSP). In addition, cerebrospinal fluid (CSF) was available from 22 of the TSP p...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00810351

    authors: Ali A,Rudge P,Dalgleish AG

    更新日期:1992-05-01 00:00:00

  • Decompressive hemicraniectomy in severe cerebral venous thrombosis: a prospective case series.

    abstract::Small retrospective case series suggest that decompressive hemicraniectomy can be life saving in patients with cerebral venous thrombosis (CVT) and impending brain herniation. Prospective studies of consecutive cases are lacking. Thus, a single centre, prospective study was performed. In 2006 we adapted our protocol f...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-011-6307-3

    authors: Zuurbier SM,Coutinho JM,Majoie CB,Coert BA,van den Munckhof P,Stam J

    更新日期:2012-06-01 00:00:00

  • Transcranial direct current stimulation for post-stroke dysphagia: a systematic review and meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Transcranial direct current stimulation (tDCS) has been investigated as a tool for dysphagia recovery after stroke in several single-center randomized controlled trials (RCT). OBJECTIVE:The aim of this investigation was to quantitatively evaluate the effect of tDCS on dysphagia recovery after a stroke utili...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-020-10142-9

    authors: Marchina S,Pisegna JM,Massaro JM,Langmore SE,McVey C,Wang J,Kumar S

    更新日期:2021-01-01 00:00:00

  • Experimental porta-caval anastomosis and motor nerve conduction velocity in the rat.

    abstract::The influence of portal-systemic shunting on maximal motor nerve conduction velocity (MCV) was analyzed in rats with portacaval shunts. At 3 and 8 weeks after the shunting there was a marked but transient fall in MCV. This was not prevented by colectomy. At 16 weeks the MCV had almost normalized, despite sustained por...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313181

    authors: Hindfelt B,Holmin T

    更新日期:1980-01-01 00:00:00

  • The role of mutations in COL6A3 in isolated dystonia.

    abstract::Specific mutations in COL6A3 have recently been reported as the cause of isolated recessive dystonia, which is a rare movement disorder. In all patients, at least one mutation was located in Exons 41 and 42. In an attempt to replicate these findings, we assessed by direct sequencing the frequency of rare variants in E...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-016-8046-y

    authors: Lohmann K,Schlicht F,Svetel M,Hinrichs F,Zittel S,Graf J,Lohnau T,Schmidt A,Mir P,Krause P,Lang AE,Jabusch HC,Wolters A,Kamm C,Zeuner KE,Altenmüller E,Naz S,Chung SJ,Kostic VS,Münchau A,Kühn AA,Brüggemann N,Kl

    更新日期:2016-04-01 00:00:00

  • An update on MSA: premotor and non-motor features open a window of opportunities for early diagnosis and intervention.

    abstract::In this review, we describe the wide clinical spectrum of features that can be seen in multiple system atrophy (MSA) with a focus on the premotor phase and the non-motor symptoms providing an up-to-date overview of the current understanding in this fast-growing field. First, we highlight the non-motor features at dise...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-020-09881-6

    authors: Chelban V,Catereniuc D,Aftene D,Gasnas A,Vichayanrat E,Iodice V,Groppa S,Houlden H

    更新日期:2020-09-01 00:00:00

  • Higher frequencies of HLA DQB1*05:01 and anti-glycosphingolipid antibodies in a cluster of severe Guillain-Barré syndrome.

    abstract::Few regional and seasonal Guillain-Barré syndrome (GBS) clusters have been reported so far. It is unknown whether patients suffering from sporadic GBS differ from GBS clusters with respect to clinical and paraclinical parameters, HLA association and antibody response to glycosphingolipids and Campylobacter jejuni (Cj)...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-016-8237-6

    authors: Schirmer L,Worthington V,Solloch U,Loleit V,Grummel V,Lakdawala N,Grant D,Wassmuth R,Schmidt AH,Gebhardt F,Andlauer TF,Sauter J,Berthele A,Lunn MP,Hemmer B

    更新日期:2016-10-01 00:00:00

  • Progressive multifocal leukoencephalopathy and natalizumab.

    abstract::Natalizumab (TYSABRI(®)), a specific α4-integrin antagonist, is approved as a second-line treatment of relapsing-remitting MS (RRMS) patients who fail therapy with interferons or as first-line treatment of patients with highly active relapsing-remitting disease. Since the market introduction of natalizumab as a monoth...

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/s00415-011-6116-8

    authors: Hellwig K,Gold R

    更新日期:2011-11-01 00:00:00

  • Changing patterns of glucose metabolism during the course of subacute sclerosing panencephalitis as measured with 18FDG-positron-emission tomography.

    abstract::18FDG-positron emission tomography performed at different stages in the course of subacute sclerosing panencephalitis revealed a changing pattern of metabolic disturbance. In clinical stage II patients the inflammation in the basal ganglia appeared to lead to neuronal excitation accompanied by hypermetabolism. Widespr...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00833917

    authors: Huber M,Pawlik G,Bamborschke S,Fink GR,Karbe H,Schlenker M,Bewermeyer H,Heiss WD

    更新日期:1992-03-01 00:00:00

  • Longitudinal study on MRI intensity changes of Machado-Joseph disease: correlation between MRI findings and neuropathological changes.

    abstract::To disclose the neuropathological progression course of Machado-Joseph disease (MJD), magnetic resonance imaging (MRI) findings of six genetically confirmed MJD cases (four males and two females, including an autopsied female, all unrelated to one another) were further investigated on neurodegeneration. Brain MRI stud...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-011-5992-2

    authors: Horimoto Y,Matsumoto M,Akatsu H,Kojima A,Yoshida M,Nokura K,Yuasa H,Katada E,Yamamoto T,Kosaka K,Hashizume Y,Yamamoto H,Mitake S

    更新日期:2011-09-01 00:00:00

  • Novel CLCN1 mutations in Taiwanese patients with myotonia congenita.

    abstract::We have performed genetic screening on the skeletal muscle chloride channel gene (CLCN1) in Taiwanese population. A total of four patients with myotonia congenita (MC) together with 106 normal individuals were examined. All 23 exons of the CLCN1 gene were analysed by direct sequencing of PCR products to detect the nuc...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-004-0383-6

    authors: Jou SB,Chang LI,Pan H,Chen PR,Hsiao KM

    更新日期:2004-06-01 00:00:00

  • On the effect of brain phospholipase A1 on specifically labelled glycerophospholipids in the course of subacute sclerosing panencephalitis.

    abstract::The effect of phospholipase A1 of human brain on 1,2-diacyl-sn-glycero-3-phosphorylcholine, -ethanolamine and -serine, specifically labelled with different fatty acids at either the 1 or 2 position, was determined in subacute sclerosing panencephalitis. An increase of approximately 40% in the specific activity of phos...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00312524

    authors: Morgott UJ,Woelk H

    更新日期:1975-01-01 00:00:00

  • Intrafamilial phenotype variation in Friedreich's disease: possible exceptions to diagnostic criteria.

    abstract::Three families are described which include members with "typical" Friedreich's disease (FD) and others who are ataxic but do not satisfy all the diagnostic criteria for that disease. In family A two patients have an early-onset, rapidly progressive FD, while two others have a late-onset, more benign form. In families ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00319681

    authors: Filla A,De Michele G,Cavalcanti F,Santorelli F,Santoro L,Campanella G

    更新日期:1991-06-01 00:00:00

  • Cerebrotendinous xanthomatosis: evidence of lipomatous hypertrophy of the atrial septum.

    abstract::Premature atherosclerosis and cardiac complications have been reported among the systemic manifestations of cerebrotendinous xanthomatosis (CTX), a rare bile acid disorder with predominantly neurological features. In some cases, myocardial infarction has been the cause of sudden death. We examined nine CTX patients to...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s004150050274

    authors: Dotti MT,Mondillo S,Plewnia K,Agricola E,Federico A

    更新日期:1998-11-01 00:00:00

  • Transcortical sensory aphasia following left frontal infarction.

    abstract::Two right-handed patients who exhibited language disability after left frontal infarction are described. The patients spoke fluently and exhibited excellent repetition ability from the onset of infarction without exhibiting any oral apraxia, but had deficits in auditory comprehension, naming, reading and writing. In b...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s004150050180

    authors: Otsuki M,Soma Y,Koyama A,Yoshimura N,Furukawa H,Tsuji S

    更新日期:1998-02-01 00:00:00

  • Palatal myoclonus occurring during complex partial status epilepticus.

    abstract::Palatal myoclonus is thought to occur after damage to certain brain-stem structures, and with a delay following the causative lesion. A case of palatal myoclonus, probably of epileptic nature, is described. ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00839145

    authors: Emre M

    更新日期:1992-04-01 00:00:00

  • DWI and FLAIR imaging in herpes simplex encephalitis: a comparative and topographical analysis.

    abstract::DWI has been described in some reports to be superior to FLAIR in early stage herpes simple virus encephalitis (HSE). Few data exist on detailed topographical MRI analysis in HSE. Our aim was to study DWI and FLAIR, and analyse topographically these sequences in non-neonatal HSE patients with MRI performed within 60 d...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-015-7818-0

    authors: Renard D,Nerrant E,Lechiche C

    更新日期:2015-09-01 00:00:00

  • Lactate production upon short-term non-ischemic forearm exercise in mitochondrial disorders and other myopathies.

    abstract:BACKGROUND:The nonischemic forearm exercise test (NIFET) has been shown to be as effective as the classic ischemic forearm exercise test (IFET) in the diagnosis of patients with McArdle disease. Recently, the lactate increase normalized to the mechanical energy production in NIFET was suggested to have a intermediate s...

    journal_title:Journal of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00415-006-0101-7

    authors: Hanisch F,Eger K,Bork S,Lehnich H,Deschauer M,Zierz S

    更新日期:2006-06-01 00:00:00

  • MRI findings of small subcortical "lacunar-like" infarction resulting from large vessel disease.

    abstract::Small subcortical infarctions resulting from large-vessel disease are often observed. It is important to distinguish these from pure lacunar infarction resulting from small-vessel disease because the investigations and examinations differ. We investigated the differences on brain magnetic resonance imaging (MRI) betwe...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s004150050584

    authors: Adachi T,Kobayashi S,Yamaguchi S,Okada K

    更新日期:2000-04-01 00:00:00

  • Spatial correlation and segregation of multimodal MRI abnormalities in multiple system atrophy.

    abstract:OBJECTIVE:The variability of the severity and regional distribution of pathological process in basal ganglia (BG) and brainstem-cerebellar systems results in clinical heterogeneity and represents the motor subtype of multiple system atrophy (MSA). This study aimed to quantify spatial patterns of multimodal MRI abnormal...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-018-8874-z

    authors: Lee MJ,Kim TH,Mun CW,Shin HK,Son J,Lee JH

    更新日期:2018-07-01 00:00:00