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The study will evaluate connectivity regardless whether patients present a clinical type that requires medical treatment. In this point, investigators will include patients with progressive evolution as well as initial forms of the disease (CIS) and properly established forms of multiple sclerosis (MS) in remittent-recidivant (RR) forms. The researches will not focus on medical treatment as some of these clinical forms have no indication for disease modifying drugs.
To date, no clear consensus has been reached related to default mode network (DMN) activity and different clinical types of MS. Due to this controversy on the literature regarding increment and decrement of DMN activity along the natural history of MS evolution, this study aim to add experimental information and more data that might help to disentangle this paradox, also correlating this DMN activity with anatomic and cognitive indexes. The investigators will also introduce a novel experimental design, including a prospective measure of the investigators connectivity and cognitive measures.
In this study, investigators aim to evaluate connectivity regardless whether patients present a clinical type that requires medical treatment. In this point, patients with progressive evolution as well as initial forms of the disease (CIS) will be included and properly established forms of MS in RR forms. Researchers will not focus on medical treatment as some of these clinical forms have no indication for disease modifying drugs. Nevertheless, investigators consider that the study of connectivity is worth regardless their pharmacological treatment.
The investigators also aim to offer data on the natural history of MS evolution for distinct MS type patients and healthy controls, as this study is planned to collect data longitudinally.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clinical measures | Experimental | MS patients recruited for this study will complete a resting state functional magnetic resonance image (rs-fMRI) session that will provide information on how DMN network works for each group and all MS patients will also complete a comprehensive neuropsychological battery including cognitive and behavioural tests of interest in MS |
|
| Control measures | Other | Healthy participants recruited for this study will complete a resting state functional magnetic resonance image (rs-fMRI) session that will provide information on how DMN network works |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| neuropsychological battery | Behavioral | neuropsychological battery including cognitive and behavioural tests |
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| Measure | Description | Time Frame |
|---|---|---|
| Change of functional connectivity of default mode network (DMN) | measure is taken with fMRI | at study entry and after 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Correlate grey matter indexes and cognitive functioning indexes | Two measures will be correlated: baseline and after 12 months | at study entry and after 12 months |
| Correlate grey matter indexes and emotional/behavioural indexes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| María Luisa Martínez-Ginés, MD | Contact | 34914269610 | marisamgines@hotmail.com | |
| Yolanda Higueras, PhD | Contact | 34914269610 | yolanda.higueras@iisgm.com |
| Name | Affiliation | Role |
|---|---|---|
| María Luisa Martínez-Ginés, MD | Hospital General Universitario Gregorio Marañón | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital General Universitario Gregorio Marañón | Recruiting | Madrid | 28007 | Spain |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| resting state functional magnetic resonance image (rs-fMRI) | Other | rs-fMRI |
|
Two measures will be correlated: baseline and after 12 months
| at study entry and after 12 months |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |