MRI in multiple sclerosis during the menstrual cycle: Relationship with sex hormone patterns

被引:68
作者
Pozzilli, C
Falaschi, P
Mainero, C
Martocchia, A
D'Urso, R
Proietti, A
Frontoni, M
Bastianello, S
Filippi, M
机构
[1] Univ Roma La Sapienza, Dept Neurol Sci, I-00185 Rome, Italy
[2] Univ Roma La Sapienza, Med Clin 1, I-00185 Rome, Italy
[3] Univ Milan, Sci Inst Osped S Raffaele, Dept Neurosci, Neuroimaging Res Unit, I-20122 Milan, Italy
关键词
D O I
10.1212/WNL.53.3.622
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We investigated MRI activity in MS during the menstrual cycle in relation to physiologic sex hormone fluctuations. Eight women with relapsing-remitting MS were submitted to serial brain gadolinium-enhanced MRI examinations over a 3-month period in two alternate follicular and luteal phases of the menstrual cycle. The ratio of progcsterone/17-beta-estradiol during the luteal phase was significantly associated with both number (r = 0.6, p = 0.03) and volume (r = 0.7, p = 0.009) of enhancing lesions, providing support for a role of these hormones as immunomodulatory factors in MS.
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页码:622 / 624
页数:3
相关论文
共 10 条
[1]   EFFECT OF ORAL CONTRACEPTIVES ON EXPERIMENTAL DEMYELINATING DISEASE [J].
ARNASON, BG ;
RICHMAN, DP .
ARCHIVES OF NEUROLOGY, 1969, 21 (01) :103-&
[2]   Rate of pregnancy-related relapse in multiple sclerosis [J].
Confavreux, C ;
Hutchinson, M ;
Hours, MM ;
Cortinovis-Tourniaire, P ;
Moreau, T .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (05) :285-291
[3]  
DUQUETTE P, 1993, CURR OPIN NEUROL NEU, V6, P195
[4]   A multi-centre longitudinal study comparing the sensitivity of monthly MRI after standard and triple dose gadolinium-DTPA for monitoring disease activity in multiple sclerosis -: Implications for phase II clinical trials [J].
Filippi, M ;
Rovaris, M ;
Capra, R ;
Gasperini, C ;
Yousry, TA ;
Sormani, MP ;
Prandini, F ;
Horsfield, MA ;
Martinelli, V ;
Bastianello, S ;
Kühne, I ;
Pozzilli, C ;
Comi, G .
BRAIN, 1998, 121 :2011-2020
[5]  
Gilmore W, 1997, J IMMUNOL, V158, P446
[6]  
MARTIN MC, 1986, BASIC CLIN ENDOCRINO, P476
[7]  
PICCINNI MP, 1995, J IMMUNOL, V155, P128
[8]   CLINICAL WORSENING IN MULTIPLE-SCLEROSIS IS ASSOCIATED WITH INCREASED FREQUENCY AND AREA OF GADOPENTETATE DIMEGLUMINE ENHANCING MAGNETIC-RESONANCE-IMAGING LESIONS [J].
SMITH, ME ;
STONE, LA ;
ALBERT, PS ;
FRANK, JA ;
MARTIN, R ;
ARMSTRONG, M ;
MALONI, H ;
MCFARLIN, DE ;
MCFARLAND, HF .
ANNALS OF NEUROLOGY, 1993, 33 (05) :480-489
[9]   MAGNETIC-RESONANCE EVALUATION OF DISEASE-ACTIVITY DURING PREGNANCY IN MULTIPLE-SCLEROSIS [J].
VANWALDERVEEN, MAA ;
TAS, MW ;
BARKHOF, F ;
POLMAN, CH ;
FREQUIN, STFM ;
HOMMES, OR ;
VALK, J .
NEUROLOGY, 1994, 44 (02) :327-329
[10]   Menstrually related worsening of symptoms in multiple sclerosis [J].
Zorgdrager, A ;
DeKeyser, J .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1997, 149 (01) :95-97