在非复发性MOG-IgG相关疾病患者的认知功能的长度评估
Mario Risi1, Manuela Altieri1, Alvino Bisecco1
1Division of Neurology, Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli", Naples, Italy.
Journal of the neurological sciences
|February 6, 2025
概括
非复发性MOGAD (nr-MOGAD) 的认知缺陷随着时间的推移而改善,特别是在年轻的患者中. 这与在复发性缓解性多发性硬化症 (pwRRMS) 中观察到的持续性认知障碍形成鲜明对比.
科学领域:
- 神经免疫学 神经免疫学
- 神经心理学 神经心理学
- 脱线性疾病 脱线性疾病
背景情况:
- 非复发性髓寡细胞糖蛋白抗体相关疾病 (nr-MOGAD) 是一种影响年轻个体的中枢神经系统炎症性脱髓化疾病.
- nr-MOGAD对认知功能的长期影响尚不清楚.
研究的目的:
- 为了比较nr-MOGAD,复发性复发性多发性硬化 (pwRRMS) 和健康对照 (HCs) 患者的认知概况和随时间变化.
主要方法:
- 一组由8名nr-MOGAD患者,32名pwRRMS患者和22名HC患者组成的队列完成了基线和12个月后续的神经心理测试.
- 使用了神经心理测试的简短可重复电池 (BRBN) 和Stroop测试.
主要成果:
- 在nr-MOGAD的基线认知缺陷是中度的,影响了口头记忆和处理速度,在pWRRMS和HCs之间.
- nr-MOGAD患者,特别是患有儿科发病的患者,在随访时表现出显著的认知恢复.
- 相比之下,pwRRMS患者在同一时期表现出稳定的认知障碍.
结论:
- 在nr-MOGAD的认知障碍不同于 pwRRMS.
- 年轻的nr-MOGAD患者经常经历认知逆转,与pWRRMS中常见的持续性损伤不同.
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