ECTRIMS eLearning

Identification of cortical and subcortical correlates of cognitive performance in multiple sclerosis using voxel-based morphometry
Author(s): ,
V. Pytel
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
A. Cortés
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
J.A. Matias-Guiu
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
P. Montero- Escribano
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
T. Moreno-Ramos
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
M. Jorquera
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
M. Yus
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
,
J. Arrazola
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
J. Matias-Guiu
Affiliations:
Hospital Clinico San Carlos, Madrid, Spain
ECTRIMS Learn. Pytel V. 10/10/18; 229365; EP1527
Vanesa Pytel
Vanesa Pytel
Contributions
Abstract

Abstract: EP1527

Type: Poster Sessions

Abstract Category: Pathology and pathogenesis of MS - MRI and PET

Objective: To identify correlations between specific brain regions andperformance in neuropsychological tests evaluating different cognitive functions in a large series of patients with multiple sclerosis (MS).
Methods: A total of 375 patients were evaluated with a comprehensive neuropsychological battery and with magnetic resonance imaging. Voxel-based morphometry with Statistical Parametric Mapping was conducted to analyse the correlation between cognitive performance and grey matter damage.
Results: The following correlations were found: Corsi block-tapping test with right insula; Trail Making Test with caudate nucleus, thalamus, and several cortical regions including the posterior cingulate and inferior frontal gyrus; Symbol Digit Modalities Test with caudate nucleus, thalamus, posterior cingulate, several frontal regions, insula, and cerebellum; Stroop Color and Word Test with caudate nucleus and putamen; Free and Cued Selective Reminding Test and Rey-Osterrieth Complex Figure with thalamus, precuneus, and parahippocampal gyrus; Boston Naming Test with thalamus, caudate nucleus, and hippocampus; semantic verbal fluency with thalamus and phonological verbal fluency with caudate nucleus; and Tower of Londontest with frontal lobe, caudate nucleus, and posterior cingulate.
Disclosure: Our study provides valuable data on the cortical and subcortical basis of cognitive function in MS. Neuropsychological tests mainly assessing attention and executive function showed a stronger association with caudate volume, while tests primarily evaluating memory were more strongly correlated with the thalamus. Other relevant regions were the posterior cingulate/precuneus, which were associated with attentional tasks, and several frontal regions, which were found to be correlated with planning and higher order executive functioning.

Abstract: EP1527

Type: Poster Sessions

Abstract Category: Pathology and pathogenesis of MS - MRI and PET

Objective: To identify correlations between specific brain regions andperformance in neuropsychological tests evaluating different cognitive functions in a large series of patients with multiple sclerosis (MS).
Methods: A total of 375 patients were evaluated with a comprehensive neuropsychological battery and with magnetic resonance imaging. Voxel-based morphometry with Statistical Parametric Mapping was conducted to analyse the correlation between cognitive performance and grey matter damage.
Results: The following correlations were found: Corsi block-tapping test with right insula; Trail Making Test with caudate nucleus, thalamus, and several cortical regions including the posterior cingulate and inferior frontal gyrus; Symbol Digit Modalities Test with caudate nucleus, thalamus, posterior cingulate, several frontal regions, insula, and cerebellum; Stroop Color and Word Test with caudate nucleus and putamen; Free and Cued Selective Reminding Test and Rey-Osterrieth Complex Figure with thalamus, precuneus, and parahippocampal gyrus; Boston Naming Test with thalamus, caudate nucleus, and hippocampus; semantic verbal fluency with thalamus and phonological verbal fluency with caudate nucleus; and Tower of Londontest with frontal lobe, caudate nucleus, and posterior cingulate.
Disclosure: Our study provides valuable data on the cortical and subcortical basis of cognitive function in MS. Neuropsychological tests mainly assessing attention and executive function showed a stronger association with caudate volume, while tests primarily evaluating memory were more strongly correlated with the thalamus. Other relevant regions were the posterior cingulate/precuneus, which were associated with attentional tasks, and several frontal regions, which were found to be correlated with planning and higher order executive functioning.

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