Comparison of Thalamus and Basal Ganglia Signs Between Multiple Sclerosis and Primary Angiitis of the Central Nervous System: An Exploratory Study

被引:0
作者
Chen, Ying [1 ]
Li, Rui [2 ]
Wu, Aimin [2 ]
Qiu, Wei [2 ]
Hu, Xueqiang [2 ]
Hu, Zhaoqi [3 ]
Yang, Qian [1 ]
Zhou, Zhiming [1 ]
机构
[1] Yijishan Hosp, Wannan Med Coll, Dept Neurol, Affiliated Hosp 1, Wuhu, Peoples R China
[2] Sun Yat Sen Univ, Dept Neurol, Affiliated Hosp 3, Guangzhou, Peoples R China
[3] Wuhu Tradit Chinese Med Hosp, Dept Orthopaed, Wuhu, Peoples R China
基金
中国国家自然科学基金;
关键词
multiple sclerosis; primary angiitis of the central nervous system; basal ganglia; MRI; comparison; DEMYELINATION; HIPPOCAMPAL; IMPAIRMENT; DISABILITY; DIAGNOSIS;
D O I
10.3389/fneur.2021.513253
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Based on the symptoms, especially those affecting small vessels, it is difficult to distinguish multiple sclerosis (MS) from primary angiitis of the central nervous system (PACNS). Magnetic resonance imaging (MRI) helps understand the characteristics of deep gray matter lesions (DGML) in MS and PACNS. We aimed to compare the MRI characteristics of thalamus and basal ganglia lesions between relapsing-remitting MS and PACNS. In our study, 49 relapsing-remitting MS patients and 16 PACNS with MRI-confirmed thalamus or basal ganglia lesions were enrolled. Among the DGMLs in basal ganglia, putamen had significantly higher (P = 0.037) involvement in PACNS than in MS. More importantly, larger lesion sizes in thalamus helps to distinguish PACNS (12.4 +/- 4.3 mm) from MS (7.9 +/- 3.7 mm) (P = 0.006). But using lesions in basal ganglia, researchers were unable to differentiate the two disorders. Presently, our study shows that MRI performances of deep gray matter differ between MS and PACNS.
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页数:5
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共 20 条
[1]   PRIMARY ANGIITIS OF THE CENTRAL NERVOUS-SYSTEM - REPORT OF 8 NEW CASES, REVIEW OF THE LITERATURE, AND PROPOSAL FOR DIAGNOSTIC-CRITERIA [J].
CALABRESE, LH ;
MALLEK, JA .
MEDICINE, 1988, 67 (01) :20-39
[2]   Exploring the origins of grey matter damage in multiple sclerosis [J].
Calabrese, Massimiliano ;
Magliozzi, Roberta ;
Ciccarelli, Olga ;
Geurts, Jeroen J. G. ;
Reynolds, Richard ;
Martin, Roland .
NATURE REVIEWS NEUROSCIENCE, 2015, 16 (03) :147-158
[3]   Early development of multiple sclerosis is associated with progressive grey matter atrophy in patients presenting with clinically isolated syndromes [J].
Dalton, CM ;
Chard, DT ;
Davies, GR ;
Miszkiel, KA ;
Altmann, DR ;
Fernando, K ;
Plant, GT ;
Thompson, AJ ;
Miller, DH .
BRAIN, 2004, 127 :1101-1107
[4]   Hippocampal and Deep Gray Matter Nuclei Atrophy Is Relevant for Explaining Cognitive Impairment in MS: A Multicenter Study [J].
Damjanovic, D. ;
Valsasina, P. ;
Rocca, M. A. ;
Stromillo, M. L. ;
Gallo, A. ;
Enzinger, C. ;
Hulst, H. E. ;
Rovira, A. ;
Muhlert, N. ;
De Stefano, N. ;
Bisecco, A. ;
Fazekas, F. ;
Arevalo, M. J. ;
Yousry, T. A. ;
Filippi, M. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (01) :18-24
[5]   Deep grey matter MRI abnormalities and cognitive function in relapsing-remitting multiple sclerosis [J].
Debernard, Laetitia ;
Melzer, Tracy R. ;
Alla, Sridhar ;
Eagle, Jane ;
Van Stockum, Saskia ;
Graham, Charlotte ;
Osborne, Jonathan R. ;
Dalrymple-Alford, John C. ;
Miller, David H. ;
Mason, Deborah F. .
PSYCHIATRY RESEARCH-NEUROIMAGING, 2015, 234 (03) :352-361
[6]   Hypoperfusion of the thalamus is associated with disability in relapsing remitting multiple sclerosis [J].
Doche, Emilie ;
Lecocq, Angele ;
Maarouf, Adil ;
Duhamel, Guillaume ;
Soulier, Elisabeth ;
Confort-Gouny, Sylviane ;
Rico, Audrey ;
Guye, Maxime ;
Audoin, Bertrand ;
Petletier, Jean ;
Ranjeva, Jean-Philippe ;
Zaaraoui, Wafaa .
JOURNAL OF NEURORADIOLOGY, 2017, 44 (02) :158-164
[7]   Predicting cognitive decline in multiple sclerosis: a 5-year follow-up study [J].
Eijlers, Anand J. C. ;
van Geest, Quinten ;
Dekker, Iris ;
Steenwijk, Martijn D. ;
Meijer, Kim A. ;
Hulst, Hanneke E. ;
Barkhof, Frederik ;
Uitdehaag, Bernard M. J. ;
Schoonheim, Menno M. ;
Geurts, Jeroen J. G. .
BRAIN, 2018, 141 :2605-2618
[8]   Deep gray matter volume loss drives disability worsening in multiple sclerosis [J].
Eshaghi, Arman ;
Prados, Ferran ;
Brownlee, Wallace J. ;
Altmann, Daniel R. ;
Tur, Carmen ;
Cardoso, M. Jorge ;
De Angelis, Floriana ;
van de Pavert, Steven H. ;
Cawley, Niamh ;
De Stefano, Nicola ;
Stromillo, M. Laura ;
Battaglini, Marco ;
Ruggieri, Serena ;
Gasperini, Claudio ;
Filippi, Massimo ;
Rocca, Maria A. ;
Rovira, Alex ;
Sastre-Garriga, Jaume ;
Vrenken, Hugo ;
Leurs, Cyra E. ;
Killestein, Joep ;
Pirpamer, Lukas ;
Enzinger, Christian ;
Ourselin, Sebastien ;
Wheeler-Kingshott, Claudia A. M. Gandini ;
Chard, Declan ;
Thompson, Alan J. ;
Alexander, Daniel C. ;
Barkhof, Frederik ;
Ciccarelli, Olga .
ANNALS OF NEUROLOGY, 2018, 83 (02) :210-222
[9]   Central vein sign differentiates Multiple Sclerosis from central nervous system inflammatory vasculopathies [J].
Maggi, Pietro ;
Absinta, Martina ;
Grammatico, Matteo ;
Vuolo, Luisa ;
Emmi, Giacomo ;
Carlucci, Giovanna ;
Spagni, Gregorio ;
Barilaro, Alessandro ;
Repice, Anna Maria ;
Emmi, Lorenzo ;
Prisco, Domenico ;
Martinelli, Vittorio ;
Scotti, Roberta ;
Sadeghi, Niloufar ;
Perrotta, Gaetano ;
Sati, Pascal ;
Dachy, Bernard ;
Reich, Daniel S. ;
Filippi, Massimo ;
Massacesi, Luca .
ANNALS OF NEUROLOGY, 2018, 83 (02) :283-294
[10]   Inhibition of GABA A receptor improved special memory impairment in the local model of demyelination in rat hippocampus [J].
Majd, Alireza Mousavi ;
Tabar, Forough Ebrahim ;
Afghani, Arghavan ;
Ashrafpour, Sahand ;
Dehghan, Samaneh ;
Gol, Mohammad ;
Ashrafpour, Manouchehr ;
Pourabdolhossein, Fereshteh .
BEHAVIOURAL BRAIN RESEARCH, 2018, 336 :111-121