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缺口与晚期多发性硬化症并发症有关
Lijie Zhang1,2, Xintong Yu1,2, Yexiang Zheng1,2
1Department of Neurology and Institute of Neurology of The First Affiliated Hospital, Institute of Neuroscience, Fuzhou, China.
Frontiers in neurology
|August 24, 2023
概括
多发性硬化症 (MS) 的持续时间是发展缺口的唯一确定的风险因素,缺口是小脑损伤. 缺口的MS患者经历了更多的攻击和更大的T2病变.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
背景情况:
- 多发性硬化症 (MS) 与血管事件和死亡率有关,但其与大脑小血管疾病 (CSVD) 的关联尚不清楚.
- 缺口是 CSVD 的一种病变类型.
研究的目的:
- 调查MS与缺口存在之间的关系.
- 为了确定MS患者中缺口发展的危险因素.
主要方法:
- 一项前性观察性研究包括112名参与者 (46名MS,66名CSVD).
- 进行了MRI (T2加权,T1加权,FLAIR) 和神经评估.
- 通过图像分析确定了缺口和黑洞.
主要成果:
- 在19.6%的MS患者中存在缺口.
- 多发性硬化症的持续时间是缺口的唯一显著风险因素 (OR=1.3,CI=1.1-1.6,p=0.008).
- 缺口的多发性硬化患者有更多的发作和更大的T2病变体积.
- 经过6年的疾病持续时间,Lacune病变显示出区分MS和CSVD的能力有限.
结论:
- 疾病持续时间是MS中缺口发展的关键因素.
- 缺口可能表明MS患者潜在的小动脉疾病.
- 需要进一步的研究来澄清MS-CSVD关系.
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