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Abstract #4061

Functional cognitive control load in multiple sclerosis

Paola Valsasina1, Maria Assunta Rocca1, Laura Vacchi1, Alessandro Meani1, Mariaemma Rodegher2, Vittorio Martinelli2, Giancarlo Comi2, Andrea Falini3, and Massimo Filippi1

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 3Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

In this study, we investigated behavioral and functional MRI (fMRI) correlates of a N-back task in 72 patients with multiple sclerosis (MS). We found a load-dependent alteration of executive network recruitment, varying according to the disease phenotype. Increased recruitment of frontal regions was associated to the early phase of MS. Conversely, the modulation of regions belonging to the default mode network was more evident in patients with long-lasting disease and was related to the global cognitive profile, suggesting an increased need of cognitive resources to cope with task-demand.

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