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Abstract #3374

PATTERNS OF REGIONAL GRAY MATTER AND WHITE MATTER ATROPHY IN CORTICAL MULTIPLE SCLEROSIS

Maria A. Rocca 1 , Laura Parisi 1 , Flavia Mattioli 2 , Ruggero Capra 3 , and Massimo Filippi 1

1 Neuroimaging Research Unit, Institute of Experimental Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy, 2 Clinical Neuropsychology, Spedali Civili of Brescia, Brescia, BS, Italy, 3 MS Centre, Spedali Civili of Brescia, Brescia, BS, Italy

Voxel-based morphometry was used to assess the patterns of regional atrophy of the brain gray matter (GM) and white matter (WM) in patients with cortical variant of multiple sclerosis (cort-MS) in comparison to patients with classic MS (c-MS). Compared to c-MS, cort-MS patients had GM atrophy of fronto-temporal-parietal areas and cingulum and WM atrophy of cingulum, bilateral brainstem and associative fiber bundles. GM and WM atrophy of key brain regions known to be related to cognitive functions contribute to differentiate cort-MS from c-MS. Higher susceptibility to neurodegenerative processes in these areas could underlie the clinical presentation of this disease form.

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