Clinically relevant cranio-caudal patterns of cervical cord atrophy evolution in MS.
Adolescent
Adult
Aged
Atrophy
Cervical Vertebrae
Demyelinating Diseases
/ diagnostic imaging
Disease Progression
Female
Humans
Longitudinal Studies
Magnetic Resonance Imaging
Male
Middle Aged
Multiple Sclerosis
/ diagnostic imaging
Multiple Sclerosis, Chronic Progressive
/ diagnostic imaging
Multiple Sclerosis, Relapsing-Remitting
/ diagnostic imaging
Spinal Cord
/ diagnostic imaging
Young Adult
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
12 11 2019
12 11 2019
Historique:
received:
07
11
2018
accepted:
04
06
2019
pubmed:
16
10
2019
medline:
6
2
2020
entrez:
16
10
2019
Statut:
ppublish
Résumé
To characterize the distribution and regional evolution of cervical cord atrophy in patients with multiple sclerosis (MS) in a multicenter dataset. MRI and clinical evaluations were acquired from 179 controls and 435 patients (35 clinically isolated syndromes [CIS], 259 relapsing-remitting multiple sclerosis [RRMS], 99 secondary progressive multiple sclerosis [SPMS], and 42 primary progressive multiple sclerosis [PPMS]). Sixty-nine controls and 178 patients underwent a 1-year MRI and clinical follow-up. Patients were classified as clinically stable/worsened according to their disability change. Longitudinal changes of cord atrophy were investigated with linear mixed-effect models. Sample size calculations were performed using age-, sex- and site-adjusted annualized percentage normalized cord cross-sectional area (CSAn) changes. Baseline CSAn was lower in patients with MS vs controls ( Cord atrophy increased in MS during 1 year, except for CIS. Faster atrophy contributed to explain clinical worsening.
Identifiants
pubmed: 31611336
pii: WNL.0000000000008466
doi: 10.1212/WNL.0000000000008466
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1852-e1866Investigateurs
Nicola De Stefano
(N)
Christian Enzinger
(C)
Jette L. Frederiksen
(JL)
Claudio Gasperini
(C)
Ludwig Kappos
(L)
Jaume Sastre- Garriga
(J)
Tarek Yousry
(T)
Informations de copyright
© 2019 American Academy of Neurology.