[Magnetic resonance imaging correlates of cognitive dysfunction in patients with multiple sclerosis].

Abstract:

INTRODUCTION AND DEVELOPMENT:Studies with conventional magnetic resonance imaging (MRI) support the hypothesis that cognitive impairment in multiple sclerosis (MS) patients is related with the lesion burden. Patterns of frontal lobe cognitive decline were also found to be related with the corresponding regional lesion load, although the total lesion load on T2-weighted MRI scans of the brain seems to be more relevant in determining frontal lobe deficits. Other non-conventional MRI techniques with a higher specificity to the heterogeneous substrates of MS pathology, such as the assessment of hypointense lesion load on T1-weighted scans and the histogram analysis of magnetization transfer ratio maps, have recently been applied to MS cognitive studies. CONCLUSIONS:Results from these studies suggest that three factors play a role in the pathogenesis of MS dementia: the burden of MS lesions, the severity of the pathological damage within individual lesions and that of the normal-appearing white matter.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Filippi M

subject

Has Abstract

pub_date

2000-06-16 00:00:00

pages

1253-6

issue

12

eissn

0210-0010

issn

1576-6578

journal_volume

30

pub_type

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