First the investigators will examine if the blood flow in the brain is different in patients with Multiple Sclerosis compared to healthy volunteers. HOW? \- The blood flow of the subjects is imaged by use of a special MRI-technique. Secondly, the investigators will examine if the blood flow can determine disease progression. HOW? - Multiple Sclerosis patients are asked for a follow-up visit after two years. The main goal is to understand the effect of transcranial Direct Current Stimulation (tDCS) on the cerebral blood flow. * Does tDCS result in a different blood flow, in which brain regions? * Is there a difference between healthy volunteers and Multiple Sclerosis patients? HOW? \- Participants get two session of tDCS. Before, during and after stimulation MRI scans are performed.
Comparison of CBF between healthy volunteers and MS patients: \- Arterial spin labelling (ASL) is used to investigate cerebral blood flow in patients with MS and healthy volunteers. The effect of transcranial direct current stimulation (tDCS) on cerebral blood flow: * ASL scans are performed before-, during-, and after tDCS * Each subject will receive active and sham tDCS (seperated by at least two days) (cross-over design). Follow-up visit: * After two years, patients with MS are re-invited. * This visit will include a new neuropsychological evaluation, blood sampling and additional brain scans.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
100
Stimulation intensity: Variable (between 1 mA and 2 mA), Electrode placement: Dorsolateral prefrontal cortex, Duration: 10 minutes
University hospital of Brussels
Brussels, Belgium
National MS Center Melsbroek
Melsbroek, Belgium
Cerebral blood flow (CBF)
Measure of brain perfusion. CBF is measured at baseline and after two years. Additionally, the investigators will measure CBF before-, during-, and after tDCS.
Time frame: Visit 1 (baseline), visit 2 (+-1 week after visit 1), visit 3 (2 years after visit 1)
Symbol Digit Modalities Test (SDMT)
Measure of information processing speed
Time frame: Baseline and after 2 years
California Verbal Learning Test (CVLT-II)
Measure of verbal memory
Time frame: Baseline and after 2 years
Controlled Oral Word Association Test (COWAT)
Measure of verbal fluency
Time frame: Baseline and after 2 years
Brief visuospatial Memory Test (BVMT-R)
Measure of spatial memory
Time frame: Baseline and after 2 years
Fatigue Scale for Motor and Cognitive Function (FSMC)
Measure of fatigue
Time frame: Baseline and after 2 years
Beck's depression inventory (BDI)
Measure of depression
Time frame: Baseline and after 2 years
MRI T1 scan
Cortical volume, volumes of white matter and deep grey matter
Time frame: Baseline and after 2 years
MRI T2 FLAIR scan
Lesion load, lesion volume
Time frame: Baseline and after 2 years
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