More MS news articles for Feb 2002

Irreversible Disability and Tissue Loss in Multiple Sclerosis

Arch Neurol. 2002;59:250-255
Vol. 59 No. 2,
February 2002

A Conventional and Magnetization Transfer Magnetic Resonance Imaging Study of the Optic Nerves
Matilde Inglese, MD; Angelo Ghezzi, MD; Stefania Bianchi, MD; Simonetta Gerevini, MD; Maria Pia Sormani, PhD; Vittorio Martinelli, MD; Giancarlo Comi, MD; Massimo Filippi, MD


To assess, by magnetic resonance imaging, the volumes and magnetization transfer ratio (MTR) values of optic nerves (ONs) from patients with multiple sclerosis (MS) who had incomplete or no visual recovery after optic neuritis; and to compare these quantities with those derived from ONs from patients with MS who showed a marked clinical recovery after optic neuritis, ONs from healthy volunteers, and ONs from patients with Leber hereditary optic neuropathy (LHON).


Conventional and magnetization transfer magnetic resonance images of the ONs were obtained from 30 patients with MS, 18 healthy volunteers, and 10 patients with LHON. The ON from patients with MS were classified as clinically unaffected (n = 18); clinically affected with recovery (n = 20; visual acuity 20/25 at least 6 months after optic neuritis); and clinically affected with incomplete or no recovery (n = 22; visual acuity <20/25 at least 6 months after optic neuritis). The ON volumes and MTR values were measured.


Volumes (P = .002) and MTR values (P<.001) of the ONs from patients with MS and incomplete or no recovery were both lower than those of the ONs from patients with MS and recovery, but not different from those of the ONs from patients with LHON. Volumes and MTR values of the affected ONs from patients with MS and recovery did not differ from those of clinically unaffected ONs, which were similar to those of healthy volunteers.


These findings suggest that, in patients with MS, neurodegeneration is associated with persistent functional deficits secondary to incomplete recovery from relapses.

© 2002 American Medical Association