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多发性硬化症患者的大脑如何衰老? 一个系统的审查
Nataliya Tokarska1, Isabelle Tottenham2, Charbel Baaklini3
1Department of Anatomy, Physiology and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada.
Frontiers in neurology
|July 17, 2023
概括
老龄化可能会使多发性硬化症 (MS) 中的大脑缩恶化. 患有多发性硬化症的老年人表现出更多的灰质损失,特别是在体. 男性可能会比女性更严重地经历大脑缩.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 老年学是指老年学的学科.
背景情况:
- 多发性硬化症 (MS) 是一种神经系统疾病,其特征是中枢神经系统的脱髓化,病变和缩.
- 在MS中大脑缩与身体和认知症状相关,使MRI成为关键的结果衡量标准.
- 新兴研究调查了衰老对MS相关结构性大脑变化的影响.
研究的目的:
- 系统地审查现有的关于老化如何影响多发性硬化症患者的大脑结构的文献.
- 为了确定衰老是否会放大MS相关的大脑缩.
- 探索年轻和老年多发性硬化队伍之间以及按性别的缩模式的差异.
主要方法:
- 进行了系统的文献审查.
- 包括的研究使用磁共振成像 (MRI) 来评估MS成年人的衰老影响.
- 21项研究符合分析资格标准.
主要成果:
- 灰质缩在患有多发性硬化症的老年人中更为明显,特别是在皮层以下的区域,如 thalamus.
- 脑缩率在年轻和年长的队列中是相似的,但根据特定的大脑区域而异.
- 与MS的女性相比,男性可能会表现出更大的脑缩.
结论:
- 衰老似乎加剧了多发性硬化症中的大脑缩,特别影响老年人的灰质.
- 虽然缩率可能相似,但年龄组之间存在区域差异.
- 需要进一步的多式核磁共振成像研究来追踪男女的纵向变化,特别是在中年到老年成人阶段.
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