Radiological characteristics of myelin oligodendrocyte glycoprotein antibody disease.


Journal

Multiple sclerosis and related disorders
ISSN: 2211-0356
Titre abrégé: Mult Scler Relat Disord
Pays: Netherlands
ID NLM: 101580247

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 01 11 2018
revised: 02 01 2019
accepted: 07 01 2019
pubmed: 19 1 2019
medline: 17 7 2019
entrez: 19 1 2019
Statut: ppublish

Résumé

MOG antibody disease is an autoimmune disease of the central nervous system (CNS) characterized by the presence of a serological antibody against myelin oligodendrocyte glycoprotein (MOG). MRI is instrumental in distinguishing neuromyelitis optica spectrum disorder (NMOSD) from multiple sclerosis (MS), but MRI features of MOG disease appear to overlap with NMOSD and MS. In this study we aim to characterize the radiological features of MOG antibody disease and compare the findings with those previously described. This is a retrospective study of 26 MOG positive patients. We aim to describe their brain, spinal and orbital MRI features and compare our findings with those previously reported in the literature. The majority of the abnormal findings was located on orbital MRIs, with more involvement of the anterior structures and bilateral involvement of the optic nerves. Brain abnormalities were distinct from both NMOSD and MS lesions. Spinal cord was the least affected. This is a dedicated radiological study aiming to characterize the features of MOG antibody disease which might aid in the proper investigation of cases presenting with acquired demyelinating disorders.

Sections du résumé

BACKGROUND BACKGROUND
MOG antibody disease is an autoimmune disease of the central nervous system (CNS) characterized by the presence of a serological antibody against myelin oligodendrocyte glycoprotein (MOG). MRI is instrumental in distinguishing neuromyelitis optica spectrum disorder (NMOSD) from multiple sclerosis (MS), but MRI features of MOG disease appear to overlap with NMOSD and MS.
OBJECTIVES OBJECTIVE
In this study we aim to characterize the radiological features of MOG antibody disease and compare the findings with those previously described.
METHODS METHODS
This is a retrospective study of 26 MOG positive patients. We aim to describe their brain, spinal and orbital MRI features and compare our findings with those previously reported in the literature.
RESULTS RESULTS
The majority of the abnormal findings was located on orbital MRIs, with more involvement of the anterior structures and bilateral involvement of the optic nerves. Brain abnormalities were distinct from both NMOSD and MS lesions. Spinal cord was the least affected.
CONCLUSIONS CONCLUSIONS
This is a dedicated radiological study aiming to characterize the features of MOG antibody disease which might aid in the proper investigation of cases presenting with acquired demyelinating disorders.

Identifiants

pubmed: 30658259
pii: S2211-0348(19)30021-5
doi: 10.1016/j.msard.2019.01.021
pmc: PMC6431795
mid: NIHMS1518838
pii:
doi:

Substances chimiques

Autoantibodies 0
MOG protein, human 0
Myelin-Oligodendrocyte Glycoprotein 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

15-22

Subventions

Organisme : NINDS NIH HHS
ID : K08 NS078555
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI130548
Pays : United States

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

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Auteurs

Sara Salama (S)

Department of Neurology, University of Alexandria, Alexandria, Egypt; Department of Neurology, Johns Hopkins University, Baltimore, MD, USA. Electronic address: ssalamafouad@gmail.com.

Majid Khan (M)

Department of Radiology, Johns Hopkins University, Baltimore, MD, USA.

Michael Levy (M)

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA; Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Izlem Izbudak (I)

Department of Radiology, Johns Hopkins University, Baltimore, MD, USA.

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Classifications MeSH