作者
刘盼盼,杨 佳
文章摘要
多发性硬化(MS)是一种慢性炎性脱髓鞘疾病,而认知障碍是MS患者在临床上最常见的非运动症状。早期的常规磁共振成像(MRI)可以显示明显的脱髓鞘病灶,大脑网络的广泛变化会导致认知功能障碍,但是常规核磁可见的白质异常程度并不能完全解释多发性硬化症患者认知障碍的严重程度。多种MRI技术能够评估大脑中微结构损伤,对于早期发现MS患者认知功能障碍,并对认知障碍进行干预有重要意义。本文对MS患者的认知功能磁共振成像研究展开综述。
文章关键词
多发性硬化;认知功能;脑萎缩;磁共振成像
参考文献
[1]Pinter D. , Khalil M. , Pirpamer L et al. Long-term course and morphological MRI correlates of cognitive function in multiple sclerosis. Mult. Scler. J. 2020: 135245852094147. [2]Schoonheim M.M., Ciccarelli O. The value of including thalamic atrophy as a clinical trial endpoint in multiple sclerosis. Neurology. 2018;90:677–678. [3]Bernabéu-Sanz Á, Morales S, Naranjo V, et al.Contribution of Gray Matter Atrophy and White Matter Damage to Cognitive Impairment in Mildly Disabled Relapsing-Remitting Multiple Sclerosis Patients. Diagnostics (Basel). 2021 Mar 23;11(3):578. [4]Lagana MM, Pelizzari L, Baglio F. Relationship between MRI perfusion and clinical severity in multiple sclerosis. Neural Regen Res. 2020 Apr;15(4):646-652.[5]Pitteri M, Galazzo IB, Brusini L, et al. Microstructural MRI Correlates of Cognitive Impairment in Multiple Sclerosis: The Role of Deep Gray Matter. Diagnostics (Basel). 2021 Jun 16;11(6):1103. [6]Zhang J, Cortese R, De Stefano N, et al. Structural and Functional Connectivity Substrates of Cognitive Impairment in Multiple Sclerosis. Front Neurol. 2021 Jul 8;12:671894. [7]Meca-Lallana V, Gascón-Giménez F, Ginestal-López RC, et al. Cognitive impairment in multiple sclerosis: diagnosis and monitoring. Neurol Sci. 2021 Dec;42(12):5183-5193. [8]Meca-Lallana V, Gascón-Giménez F, Ginestal-López RC, et al. Cognitive impairment in multiple sclerosis: diagnosis and monitoring. Neurol Sci. 2021 Dec;42(12):5183-5193. [9]Strober L, Englert E, Munschauer F, et al. Sensitivity of conventional memory tests in multiple sclerosis: comparing the Rao Brief
Repeatable Neuropsychological Battery and the Minimal Assessmentof Cognitive Function in MS.Mult Scler.2009;15:1077–1084. [10]Lisak M, Špiljak B, Pašić H, Trkanjec Z. Cognitive Aspects in Multiple Sclerosis. Psychiatr Danub. 2021 Dec;33(Suppl 13):177-182. PMID: 35150483.
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