Inflammatory Cortical Demyelination in Early Multiple Sclerosis
Author(s) -
Claudia F. Lucchinetti,
Bogdan F. Popescu,
Reem F. Bunyan,
Natalia Moll,
Shanu F. Roemer,
Hans Lassmann,
Wolfgang Brück,
Joseph E. Parisi,
Bernd W. Scheithauer,
Caterina Giannini,
Stephen D. Weigand,
Jay Mandrekar,
Richard M. Ransohoff
Publication year - 2011
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1100648
Subject(s) - medicine , multiple sclerosis , pathology , brain biopsy , magnetic resonance imaging , white matter , cortex (anatomy) , hyperintensity , autopsy , biopsy , radiology , immunology , neuroscience , biology
Cortical disease has emerged as a critical aspect of the pathogenesis of multiple sclerosis, being associated with disease progression and cognitive impairment. Most studies of cortical lesions have focused on autopsy findings in patients with long-standing, chronic, progressive multiple sclerosis, and the noninflammatory nature of these lesions has been emphasized. Magnetic resonance imaging studies indicate that cortical damage occurs early in the disease.
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