Clinically isolated demyelinating syndromes (CIS) can evolve into multiple sclerosis (MS). Cognitive deficiencies could occur at this early stage and concern mainly information processing speed (IPS) and their mechanisms are not fully understood. Diffusion Tensor Imaging (DTI) can help in the understanding of these mechanisms.
This is a prospective cohort, observational, longitudinal, monocentric study. This study will include 60 patients with CIS followed for 1 year and 60 healthy subjects.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
117
* Clinical evaluation (EDSS, MSFC) * Cognitive evaluation with tests of information processing speed, attention, working memory, episodic memory and executive functions, assessment of confounding factors (depression (BDI) and anxiety (HAD), mood (EHD), fatigue (M-FIS) and assessment of quality of life (SEP-59) * Brain MRI (3 Tesla): FLAIR, 3D MPRAGE T1 and DTI
Assessment of eye Movements (EyeBrain software) for only the group of 15 healthy subjects at baseline and at 12 months
CHU de Bordeaux
Bordeaux, France
Correlation between fractional anisotropy (FA) value and cognitive z scores or cognitive impairment indexes for each domains
IPS, attention, working memory, episodic memory and executive functions), established by voxel-wise statistics (TBSS) in CIS patients
Time frame: visit 2 - 1 year after inclusion
Comparison of skeleton of FA between CIS patients and healthy subjects
Time frame: V2 - 1 year after the inclusion
Comparison of cognitive scores at each test between CIS patients and controls
Time frame: D0 and V2 - 1 year after the inclusion
Proportion of patients with cognitive impairment (≥ 3 tests impaired) and correlations with anxiety, depressive syndrome and fatigue
Time frame: D0 and V2 - 1 year after the inclusion
Comparison of statistical maps of FA
mean cortical thickness and deep grey nuclei volumes with cognitive indexes in the 3 pre-define groups: cognitively preserved CIS patients at baseline and after one year; cognitively impaired CIS patients only after one year and cognitively impaired CIS patients at the two evaluations.
Time frame: D0 and V2 - 1 year after the inclusion
Correlations between cognitive scores and mean cortical thickness and deep grey nuclei volumes in CIS patients
Time frame: D0 and V2 - 1 year after the inclusion
Comparison of cognitive scores at each test and eye movements scores
Time frame: D0 and V2 - 1 year after the inclusion
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.