Low myo-inositol indicating astrocytic damage in a case series of neuromyelitis optica

Autor: Ciccarelli, O, Thomas, DL, De Vita, E, Wheeler-Kingshott, CAM, Kachramanoglou, C, Kapoor, R, Leary, S, Matthews, L, Palace, J, Chard, D, Miller, DH, Toosy, AT, Thompson, AJ
Jazyk: angličtina
Rok vydání: 2016
DOI: 10.1002/ana.23909
Popis: Astrocytic necrosis is a prominent pathological feature of neuromyelitis optica (NMO) lesions and is clinically relevant. We report 5 NMO-related cases, all with longitudinally extensive lesions in the upper cervical cord, who underwent cervical cord 1H-magnetic resonance spectroscopy. Lower myo-inositol/creatine values, suggesting astrocytic damage, were consistently found within the NMO lesions when compared with healthy controls and patients with multiple sclerosis (MS), who showed at least 1 demyelinating lesion at the same cord level. Therefore, the in vivo quantification of myo-inositol may distinguish NMO from MS. This is an important step toward developing imaging markers for clinical trials in NMO. © 2013 American Neurological Association.
Databáze: OpenAIRE