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Cognitive dysfunction lateralizes with NAA in multiple sclerosis

  • Albert Einstein College of Medicine

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

Recent studies have demonstrated the utility of magnetic resonance (MR) spectroscopic imaging to evaluate axonal integrity in patients with multiple sclerosis (MS). Patient status in MS is frequently assessed by the Expanded Disability Status Scale, which emphasizes ambulation but underestimates the contribution of cognitive factors. Yet, cognitive functions of memory and processing are known to be impaired in MS. We used quantitative MR spectroscopy to determine this relation between cognitive function and N-acetyl aspartate (NAA) levels. We find a significant correlation (r = .63, p < .005) for the left periventricular (PV) NAA concentrations with performance on the verbal Selective Reminding Test. Right PV NAA was significantly (p < .02) correlated with the Tower of Hanoi performance, with r = .58.

Original languageEnglish
Pages (from-to)155-160
Number of pages6
JournalApplied Neuropsychology
Volume8
Issue number3
DOIs
StatePublished - 2001

Keywords

  • Cognitive function
  • Lateralization
  • Multiple sclerosis
  • N-acetyl aspartate

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