July 3, 2022

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Study Highlights Cognitive Challenges Among Clients With POMS

2 min read

Persons with pediatric-onset multiple sclerosis (POMS) exhibited lowered episodic memory effectiveness when in comparison with healthful controls (HC), although facets of episodic memory performance have been associated with hippocampal and thalamic quantity, research published in NeuroImage: Clinical uncovered.

“Children and adolescents with MS are notably vulnerable to cognitive and psychosocial impairment presented that the neuropathological processes concerned in MS disrupt primary central nervous system myelination and compromise cortical, white matter, and subcortical structural integrity,” researchers discussed.

Some preceding experiments have uncovered the hippocampus was smaller in individuals with POMS. In addition, in grownups with MS, minimized amygdala volume has earlier been related with impaired social cognition. The romantic relationship between psychological processing and MS is unclear and previous investigations have yielded blended results.

To assess regardless of whether men and women with POMS differed from matched controls with regard to precision and reaction time (RT) Penn Computerized Neurocognitive Battery (PCNB) steps of episodic memory and emotion identification, and regional mind volumes of the hippocampus, amygdala, and thalamus, researchers carried out a cross-sectional investigation.

Facts have been gleaned from the Canadian Pediatric Demyelinating Analyze, a longitudinal examine like 23 internet sites throughout Canada and the Children’s Healthcare facility of Philadelphia.

All members (n = 65) had a confirmed diagnosis of POMS, and a indicate (SD) age of 18.3 (3.9) years. The the vast majority of patients were being feminine (73.8%) while average sickness duration was 3.8 (3.8) a long time. Seventy-six age-matched HCs were also incorporated.

Sufferers and HCs concluded the PCNB and analyses were carried out on episodic memory, emotion identification, and composite area scores. “The 3 subtests in the episodic memory domain include things like: Word Memory, Object Memory, and Face Memory. The 3 subtests in the emotion identification area include: Age Differentiation, Emotion Identification, and Emotion Differentiation,” authors wrote.

Fifty-nine men and women with POMS and 69 HCs also accomplished 3T magnetic resonance imaging (MRI) scanning.

Analyses unveiled:

  • POMS participants had been each less exact (< .01) and slower (P = .05) than HCs on the episodic memory domain, after controlling for covariates
  • POMS participants showed reduced accuracy on word memory (P = .002) and slower performance on face memory (P = .04) subtests
  • POMS participants had smaller total and regional brain volumes of the hippocampus, amygdala, and thalamus (P ≤ .01)
  • Collapsing across groups, both hippocampal and thalamic volume were significant predictors of word memory accuracy
  • Hippocampal volume (B = 0.24 SE = 0.10 P = .02) was more strongly associated with word memory performance than thalamic volume (B = 0.16 SE = 0.05 P = .003), though the estimate with was less precise.

Overall, individuals with POMS exhibited reduced accuracy on a test of verbal recognition and were slower to recognize faces compared with HCs. Patients also had smaller normalized thalamic volume compared with controls “and this effect was most robust relative to other brain regions examined in our study,” researchers said.

The PCNB only assessed recognition and not recall memory, marking a limitation to the study. Because the tests included may have been too simple, authors also cannot conclude emotional identification abilities are unaffected in patients with POMS.


Fabri TL, Datta R, O’Mahony J, et al. Memory, processing of emotional stimuli, and volume of limbic structures in pediatric-onset multiple sclerosis. Neuroimage Clin. Published online July 9, 2021. doi:10.1016/j.nicl.2021.102753

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