复发性复发性多发性硬化症患者的认知表型与不同的疾病持续时间,应用国际认知障碍的MS分类 (IC-CoDiMS)
Cláudia Sousa1,2,3, Teresa Jacques2, Márcia França3
1Department of Neurology, Centro Hospitalar Universitário São João Porto, EPE, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
The Clinical neuropsychologist
|May 8, 2024
概括
使用IC-CoDiMS的复发性转发性多发性硬化症 (RRMS) 患者中识别认知表型揭示了认知障碍的独特模式,有助于向治疗.
科学领域:
- 神经科学是一个神经科学.
- 临床神经学 临床神经学
- 心理学 心理学 心理学
背景情况:
- 认知障碍影响多发性硬化症 (MS) 患者的40-70%,主要影响信息处理速度和记忆.
- 目前对认知障碍的二分类分类 (受损与未受损) 限制了对异质多发性硬化群体中特定认知领域变化的理解.
- 在MS认知障碍国际分类 (IC-CoDiMS) 为详细的认知表型提供了一个框架.
研究的目的:
- 使用IC-CoDiMS在患有复发性复发性硬化症 (RRMS) 的成年患者中识别认知表型.
- 描述与RRMS中识别的认知表型相关的临床特征.
- 完善认知表型的分类,以改善治疗和干预开发.
主要方法:
- 一组300名RRMS患者接受了全面的神经心理评估.
- 评估包括神经心理测试的简要重复电池 (BRBN-T) 和简要国际认知多发性硬化症 (BICAMS).
- 在-1 SD和-1.5 SD值时,使用IC-CoDiMS标准确定认知表型.
主要成果:
- 在 -1 SD 值时,49%的人在认知上是完整的,25%的人具有单域,17%的双域和9%的多域损伤.
- 处理速度是 -1 SD 最常见的单域损伤,其次是记忆和语言流性.
- 在-1.5 SD值时,74.7%的人在认知上是完整的,具有单域 (17%),双域 (6%) 和多域 (3%) 的障碍;记忆是最常见的单域障碍.
结论:
- 这项研究验证了IC-CoDiMS在RRMS中确定认知表型的实用性.
- 表型化增强了RRMS患者认知变化的分类.
- 改进的分类支持开发更有效的治疗方法和认知干预措施,用于MS相关的认知障碍.
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