白质异常追踪多系统缩中的疾病进展
Sheelakumari Raghavan1, Timothy G Lesnick2, Anna M Castillo2
1Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Movement disorders clinical practice
|June 26, 2024
概括
白质异常是多系统缩 (MSA) 进展的核心,同样影响两种亚型. 纵向MRI可以在临床试验中跟踪这些大脑变化.
科学领域:
- 神经成像是一种神经成像.
- 神经学 神经学
- 神经退行发生神经退行.
背景情况:
- 白质 (WM) 异常与多重系统缩 (MSA) 的功能衰退有关.
- 了解这些变化对于跟踪疾病进展至关重要.
研究的目的:
- 在MSA中识别白质 (WM) 和灰质 (GM) 异常.
- 评估纵向结构和扩散MRI变化作为疾病进展的替代标记.
主要方法:
- 对27名早期MSA患者 (MSA-C和MSA-P) 和14名对照进行了前性纵向研究.
- 利用结构和扩散MRI (DT-MRI,NODDI) 来分析大脑的变化.
- 评估时间成像轨迹,最多每年进行三次后续扫描.
主要成果:
- MSA患者的WM变化比GM变化更为广泛,特别是在小脑和脑干.
- 小脑WM和大脑干的结构和扩散措施随着疾病的进展而恶化.
- 在MSA亚型中,进展率相似,表明临床特征重叠.
结论:
- WM异常是MSA进展的关键特征,在亚型中以类似的速度进展.
- 多模式MRI提供了MSA大脑异常及其进展的见解.
- 选择的MRI测量显示了在临床试验中跟踪MSA进展的潜力.
相关概念视频
Multiple Sclerosis l: Introduction
Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
Alzheimer Disease ll: Pathophysiology
Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Alterations in Muscle Tone lll
Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...


