Klonoff H, Clark C, Oger J, Paty D, Li D
Department of Psychiatry, University of British Columbia, Vancouver, Canada.
J Nerv Ment Dis. 1991 Mar;179(3):127-31. doi: 10.1097/00005053-199103000-00002.
Although changes in cognitive function in patients with multiple sclerosis (MS) have been reported, these changes have been traditionally associated with the later stages of the disease. In the current study, a comprehensive neuropsychological battery was administered to MS patients (N = 86) in whom the disease progression was relatively mild and in remission and a demographically well-matched control group (N = 46). Besides the expected differences in tests of motor function, the two groups also differed on a number of cognitive tests with no motor demands. The two cognitive functions that appear impaired were learning and memory. Given that similar deficits have been found in MS patients with more severe symptoms, it is argued that changes in cognitive function can occur in the mild stages of the disease.
尽管已有报道称多发性硬化症(MS)患者存在认知功能变化,但这些变化传统上一直被认为与疾病的后期阶段有关。在本研究中,对疾病进展相对较轻且处于缓解期的MS患者(N = 86)以及人口统计学特征匹配良好的对照组(N = 46)进行了全面的神经心理测试。除了运动功能测试中预期的差异外,两组在一些无运动要求的认知测试中也存在差异。出现受损的两项认知功能是学习和记忆。鉴于在症状更严重的MS患者中也发现了类似的缺陷,有人认为认知功能变化可能在疾病的轻度阶段就会出现。