Saturday, 1 March 2014

Cognitive Impairment Similar Across MS

Rosti-Otajarvi E et al. Cognitive performance profile in different phenotypes of MS with cognitive complaints. Mult Scler Rel Dis DOI: 10.1016/j.msard.2014.01.003

Background.The relationship between cognitive impairment and disease course and severity of multiple sclerosis (MS) is not well understood.
Objective. The aim of the study was to evaluate whether cognitive complaints in different clinical phenotypes and severity stages of MS are associated with differences in the profile of cognitive impairment.
Methods. 196 MS patients (relapsing-remitting RRMS n=138; secondary progressive SPMS n=32; primary progressive PPMS n=26) with perceived cognitive deficits underwent neuropsychological assessment with the brief repeatable battery of neuropsychological tests (BRBNT). Mood, impact of the disease, and quality of life were evaluated with self-reports.
Results. Only minor differences were observed in the cognitive impairment profile of different disease phenotypes and different disease severity stages. RRMS patients performed better only in one cognitive test of the BRBNT, than patients with progressive disease types. When RRMS, SPMS, and PPMS groups were evaluated separately, PPMS showed more pronounced cognitive impairments than RRMS and SPMS. The relationships between cognitive impairment and severity of disability as well as duration of disease were weak.
Conclusion. MS patients with cognitive complaints tend to have a relatively similar cognitive impairment profile, which is not dependent on the disease course and severity.

Highlights  •MS patients with cognitive complaints in different disease course had a relatively similar cognitive impairment profile.
•When the progressive groups were evaluated separately, the PPMS group was more impaired than the SPMS and RRMS groups.

•The relationships between cognitive impairment and severity of disability as well as duration of disease were weak


Wonder if this is progGs experience

5 comments:

  1. PPMS, we're the most cognitively impaired, most disabled (generally), fastest to sustain disability etc.. Yet the most ignored and least urgently considered group in the whole MS gamete. It's beyond disgraceful.

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    Replies
    1. I agree. It is the one type of MS you don't want t get.

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    2. With the cognition issues delineated, does MS therefore qualify as a learning disability?

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  2. Beautiful thumbnail, btw. I recently completed a 12 week study with Dr. Krupp at Stony Brook using Brain HQ computer games especially geared for MS patients, I think. I thought the difference between the pre and post study tests was astonishing.

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  3. Good question - Is this TeamG's experience?

    I had the impression that PPMSrs stay relatively unimpaired in the area of cognitive problems.

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