Publications

Authors:

Gajofatto, Alberto; Turatti, Marco; Bianchi, Maria Rachele; Forlivesi, Stefano; Gobbin, Francesca; Azzarà, A.; Monaco, Salvatore; Benedetti, Maria Donata

Title:

Benign multiple sclerosis: physical and cognitive impairment follow distinct evolutions

Year:

2016

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

Acta Neurologica Scandinavica

ISSN of journal:

0001-6314

N° Volume:

133

Number or Folder:

3

Page numbers:

183-191

Keyword:

multiple sclerosis;benign course;cognitive impairment;physical disability

Short description of contents:

BACKGROUND: Benign multiple sclerosis (BMS) definitions rely on physical disability level but do not account sufficiently for cognitive impairment which, however, is not rare.OBJECTIVE: To study the evolution of physical disability and cognitive performance of a group of patients with BMS followed at an University Hospital Multiple Sclerosis Center.METHODS: A consecutive sample of 24 BMS cases (diagnosis according to 2005 McDonald's criteria, relapsing-remitting course, disease duration ≥10 years, and expanded disability status scale [EDSS] score ≤2.0) and 13 sex- and age-matched non-BMS patients differing from BMS cases for having EDSS score 2.5-5.5 were included. Main outcome measures were as follows: (i) baseline and 5-year follow-up cognitive impairment defined as failure of at least two tests of the administered neuropsychological battery; (ii) EDSS score worsening defined as confirmed increase ≥1 point (or 0.5 point if baseline EDSS score = 5.5).RESULTS: At inclusion, BMS subjects were 41 ± 8 years old and had median EDSS score 1.5 (range 0-2), while non-BMS patients were 46 ± 8 years old and had median EDSS score 3.0 (2.5-5.5). At baseline 16% of patients in both groups were cognitively impaired. After 5 years, EDSS score worsened in 8% of BMS and 46% of non-BMS patients (P = 0.008), while the proportion of cognitively impaired subjects increased to 25% in both groups.CONCLUSIONS: Patients with BMS had better physical disability outcome at 5 years compared to non-BMS cases. However, cognitive impairment frequency and decline over time appeared similar. Neuropsychological assessment is essential in patients with BMS given the distinct pathways followed by disease progression in cognitive and physical domains.

Web page:

http://dx.doi.org/10.1111/ane.12442

Product ID:

90363

Handle IRIS:

11562/934255

Last Modified:

November 11, 2022

Bibliographic citation:

Gajofatto, Alberto; Turatti, Marco; Bianchi, Maria Rachele; Forlivesi, Stefano; Gobbin, Francesca; Azzarà, A.; Monaco, Salvatore; Benedetti, Maria Donata, Benign multiple sclerosis: physical and cognitive impairment follow distinct evolutions «Acta Neurologica Scandinavica» , vol. 133 , n. 3 , 2016 , pp. 183-191

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