Please use this identifier to cite or link to this item: https://hdl.handle.net/10216/111714
Author(s): Ruano, L
Branco, M
Portaccio, E
Goretti, B
Niccolai, C
Patti, F
Chisari, C
Gallo, P
Ghezzi, A
Roscio, M
Mattioli, F
Stampatori, C
Simone, M
Viterbo, RG
Amato, MP
Title: Patients with paediatric-onset multiple sclerosis are at higher risk of cognitive impairment in adulthood: an Italian collaborative study
Publisher: SAGE
Issue Date: 2017
Abstract: Background: Patients with paediatric-onset multiple sclerosis (POMS) could be at an increased risk for cognitive impairment (CI), given the potential harmful effects of disease activity in neurodevelopment. However, there is scarce information on their long-term cognitive outcomes. Objective: To compare the prevalence and profile of CI between adults with a history of POMS and those with classic, adult-onset multiple sclerosis (AOMS). Methods: Cognitive performance was assessed through the Brief Repeatable Battery (BRB) and the Stroop Test in consecutive patients referred to six Italian MS centres. CI was defined as impairment in ⩾2 cognitive domains. Results: In all, 119 patients with POMS and 712 with AOMS were included in this analysis. The prevalence of CI was 48.0% in AOMS, 44.5% in POMS; with similar neuropsychological profile between the two groups. However, when adjusting for current age, we found a significantly increased risk for CI (odds ratio (OR) = 1.71; p = 0.02) and for impairment in information processing speed (OR = 1.86; p < 0.01) in patients with POMS. A higher Expanded Disability Status Scale (EDSS) was also identified in POMS (p = 0.03) compared with AOMS patients.
Subject: Multiple sclerosis
Cognitive impairment
URI: http://hdl.handle.net/10216/111714
Series: Mult Scler, vol. 23(8), p. NP1
Document Type: Artigo em Revista Científica Internacional
Rights: openAccess
Appears in Collections:ISPUP - Artigo em Revista Científica Internacional

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