Early and severe cognitive impairment in multiple sclerosis

ABSTRACT Objectives: To report on four new cases of severe cognitive impairment in the early stages of multiple sclerosis (MS) and to review data on the subject since few cases have been reported worldwide. Methods: Retrospective evaluation of medical records of patients with severe cognitive im...

Full description

Bibliographic Details
Main Authors: Maria Fernanda Mendes, Alessandro Finkelsztejn, Sidney Gomes, Yára Dadalti Fragoso
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100048&lng=en&tlng=en
_version_ 1819207304892907520
author Maria Fernanda Mendes
Alessandro Finkelsztejn
Sidney Gomes
Yára Dadalti Fragoso
author_facet Maria Fernanda Mendes
Alessandro Finkelsztejn
Sidney Gomes
Yára Dadalti Fragoso
author_sort Maria Fernanda Mendes
collection DOAJ
description ABSTRACT Objectives: To report on four new cases of severe cognitive impairment in the early stages of multiple sclerosis (MS) and to review data on the subject since few cases have been reported worldwide. Methods: Retrospective evaluation of medical records of patients with severe cognitive impairment within the first five years of MS diagnosis. Results on neuropsychological tests and magnetic resonance imaging (MRI) were disclosed. Results: Four patients from different Brazilian neurological departments in Brazil were evaluated, all presenting with severe cognitive dysfunction classified as rapidly developing dementia. MRI images showed severe brain atrophy and basal ganglia lesions in all patients. Conclusions: Although rare, severe cognitive impairment in MS represents an important disability and may ultimately constitute another form of the disease.
first_indexed 2024-12-23T05:21:22Z
format Article
id doaj.art-85fe4f689cc544a595ddd805847ff8b7
institution Directory Open Access Journal
issn 1980-5764
language English
last_indexed 2024-12-23T05:21:22Z
publisher Associação Neurologia Cognitiva e do Comportamento
record_format Article
series Dementia & Neuropsychologia
spelling doaj.art-85fe4f689cc544a595ddd805847ff8b72022-12-21T17:58:42ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-576461485210.1590/S1980-57642012DN06010008S1980-57642012000100048Early and severe cognitive impairment in multiple sclerosisMaria Fernanda MendesAlessandro FinkelsztejnSidney GomesYára Dadalti FragosoABSTRACT Objectives: To report on four new cases of severe cognitive impairment in the early stages of multiple sclerosis (MS) and to review data on the subject since few cases have been reported worldwide. Methods: Retrospective evaluation of medical records of patients with severe cognitive impairment within the first five years of MS diagnosis. Results on neuropsychological tests and magnetic resonance imaging (MRI) were disclosed. Results: Four patients from different Brazilian neurological departments in Brazil were evaluated, all presenting with severe cognitive dysfunction classified as rapidly developing dementia. MRI images showed severe brain atrophy and basal ganglia lesions in all patients. Conclusions: Although rare, severe cognitive impairment in MS represents an important disability and may ultimately constitute another form of the disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100048&lng=en&tlng=enmultiple sclerosiscognitiondementiabasal gangliabrain atrophy
spellingShingle Maria Fernanda Mendes
Alessandro Finkelsztejn
Sidney Gomes
Yára Dadalti Fragoso
Early and severe cognitive impairment in multiple sclerosis
Dementia & Neuropsychologia
multiple sclerosis
cognition
dementia
basal ganglia
brain atrophy
title Early and severe cognitive impairment in multiple sclerosis
title_full Early and severe cognitive impairment in multiple sclerosis
title_fullStr Early and severe cognitive impairment in multiple sclerosis
title_full_unstemmed Early and severe cognitive impairment in multiple sclerosis
title_short Early and severe cognitive impairment in multiple sclerosis
title_sort early and severe cognitive impairment in multiple sclerosis
topic multiple sclerosis
cognition
dementia
basal ganglia
brain atrophy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100048&lng=en&tlng=en
work_keys_str_mv AT mariafernandamendes earlyandseverecognitiveimpairmentinmultiplesclerosis
AT alessandrofinkelsztejn earlyandseverecognitiveimpairmentinmultiplesclerosis
AT sidneygomes earlyandseverecognitiveimpairmentinmultiplesclerosis
AT yaradadaltifragoso earlyandseverecognitiveimpairmentinmultiplesclerosis