| Functional MRI in multiple sclerosis. | |
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MedLine Citation:
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PMID: 17425733 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There is increasing evidence that the severity of the clinical manifestations of multiple sclerosis (MS) does not simply depend on the extent of tissue destruction, but rather represents a complex balance among tissue damage, tissue repair, and cortical reorganization. Functional magnetic resonance imaging (fMRI) provides information about the extent and nature of brain plasticity, which follows MS structural injury and might have the potential to limit the clinical manifestations of the disease. An altered recruitment of regions normally devoted to the performance of a given task and/or the recruitment of additional areas, which are not typically activated by healthy people for performing that given task, have been described in patients with MS, independent of their clinical phenotype when investigating the visual, cognitive, and motor systems. These functional changes have been related to the extent and severity of brain damage within and outside T2-visible lesions and to the involvement of specific central nervous system (CNS) structures, including the spinal cord and the optic nerve. Brain functional changes have been shown to be dynamic over time, not only after an acute relapse, but also in clinically stable patients. An increased recruitment of the cerebral networks might represent a first step of cortical reorganization with the potential to maintain a normal level of function in the course of MS. The progressive failure of these mechanisms might, on the one hand, result in the activation of previously silent "second-order" compensatory areas, and, on the other, contribute to the clinical manifestations of the disease. |
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Authors:
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Maria A Rocca; Massimo Filippi |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of neuroimaging : official journal of the American Society of Neuroimaging Volume: 17 Suppl 1 ISSN: 1051-2284 ISO Abbreviation: J Neuroimaging Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-04-11 Completed Date: 2007-06-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102705 Medline TA: J Neuroimaging Country: United States |
Other Details:
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Languages: eng Pagination: 36S-41S Citation Subset: IM |
Affiliation:
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Neuroimaging Research Unit, Department of Neurology, Scientific Institute and University Ospedale San Raffaele, Milan, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Cortex
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physiopathology* Humans Magnetic Resonance Imaging / methods* Multiple Sclerosis / physiopathology* Neuronal Plasticity* |
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