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Related Experiment Videos

Cognitive dysfunction lateralizes with NAA in multiple sclerosis.

J W Pan1, L B Krupp, L E Elkins

  • 1Medical Department, Brookhaven National Laboratory, Upton, New York, USA.

Applied Neuropsychology
|November 1, 2001
PubMed
Summary
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Magnetic resonance spectroscopic imaging reveals correlations between brain N-acetyl aspartate (NAA) levels and cognitive function in multiple sclerosis (MS) patients. This technique may offer a more comprehensive assessment of MS, beyond physical disability measures.

Area of Science:

  • Neuroimaging
  • Neurology
  • Cognitive Science

Background:

  • Multiple sclerosis (MS) assessment often overlooks cognitive impairments.
  • Current methods like the Expanded Disability Status Scale prioritize ambulation.
  • Cognitive deficits in memory and processing speed are prevalent in MS.

Purpose of the Study:

  • To investigate the relationship between cognitive function and N-acetyl aspartate (NAA) levels in MS patients.
  • To explore the utility of quantitative magnetic resonance (MR) spectroscopic imaging in assessing MS-related cognitive changes.
  • To determine if specific brain NAA concentrations correlate with performance on cognitive tests.

Main Methods:

  • Quantitative MR spectroscopic imaging was employed.
  • N-acetyl aspartate (NAA) concentrations were measured in periventricular (PV) regions.

Related Experiment Videos

  • Cognitive performance was assessed using the verbal Selective Reminding Test and the Tower of Hanoi.
  • Main Results:

    • A significant positive correlation was found between left PV NAA concentrations and verbal Selective Reminding Test performance (r = .63, p < .005).
    • Right PV NAA concentrations showed a significant correlation with Tower of Hanoi performance (r = .58, p < .02).

    Conclusions:

    • Quantitative MR spectroscopy, specifically NAA levels, shows promise for evaluating cognitive function in MS.
    • This neuroimaging approach may provide a more sensitive measure of disease impact than traditional scales.
    • MR spectroscopic imaging can help elucidate the neural underpinnings of cognitive deficits in multiple sclerosis.