The Relationship Between Structural Measurements of the Corpus Callosum and Disability in Patients with Multiple Sclerosis

Abstract Purpose: The corpus callosum (CC) is the largest commissural pathway connecting both cerebral cortices. Materials and Methods: Forty MS patients and 40 healthy controls were included in this research, which was planned as a prospective and case-control study. Disability was evaluated with the expanded disability rating scale. The number of attacks, disease duration, and MS disease subtype were determined. CC genu, truncus, splenium, and anterior-posterior diameters were measured in brain magnetic resonance imaging TSE/T1 sagittal sequence, and the corpus callosum index (CCI) was calculated using these measurements. The relationship of all these parameters with each other was examined. Results: There were 40 patients (29 females, 11 males) with a mean age of 36.47±11.14 years in the study. In the CC morphometric measurements of the patients, the genu (mean±SD) was 11.46±1.60, truncus (median, min-max) 5.29 (4.6-6.52), splenium 11.09±1.82, anterior-posterior diameter 65.20 (63.64-67.22) and CCI was determined as 0.43±0.05 millimeters. The anterior-posterior diameter was smaller in MS patients (p=0.022). A negative correlation was determined between CCI and disease duration, the number of attacks, and EDSS scores in MS patients (p<0.05; r=-0.319; r=-0.316; r=-0.349; respectively). In the severe disability group, CC splenium, AP diameter, and CCI were lower (p=0.007; p=0.020; p=0.046; respectively). Conclusion: In MS disease, the CC structure is affected, as in many central nervous system regions. The study results revealed that changes in the corpus callosum could be examined as a parameter in evaluating the disease process in MS patients. Keywords: Multiple sclerosis; corpus callosum; morphometry; disability.

___

  • Referans1 Firat A, Tascioglu AB, Demiryurek MD et al. Evaluation of corpus callosum morphometry in patients with mesial temporal lobe epilepsy with hippocampal sclerosis. Surg Radiol Anat 2014;36:47-54.
  • Referans2 Giedd JN, Rumsey JM, Castellanos FX et al. A quantitative MRI study of the corpus callosum in children and adolescents. Brain Res Dev Brain Res 1996;91:274-80. Referans3 Kurkcuoglu A, Zagyapan R, Pelin C. Stereological evaluation of temporal lobe/telencephalon volume in temporal lobe epilepsy using the Cavalieri principle. Turk Neurosurg 2010;20:358-63.
  • Referans4 Sahin B, Ergur H. Assessment of the optimum section thickness for the estimation of liver volume using magnetic resonance images: a stereological gold standard study. Eur J Radiol 2006;57:96-101.
  • Referans5 Barboriak DP, Padua AO, York GE, Macfall JR. Creation of DICOM--aware applications using ImageJ. J Digit Imaging 2005;18:91-9.
Genel Tıp Dergisi-Cover
  • ISSN: 2602-3741
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1997
  • Yayıncı: SELÇUK ÜNİVERSİTESİ > TIP FAKÜLTESİ
Sayıdaki Diğer Makaleler

Investigation of the Relationship Between Health Promotion Behavior and Self-efficacy of Turkish Adolescents

Mehmet COŞGUN, Kemal Macit HİSAR

LABİOPLASTİ KONULU MAKALELERİN BİLİM HARİTALAMA TEKNİĞİ İLE ANALİZİ

Esra ÇABUK CÖMERT

Ayşegül DEMİR, Fettah EREN, Süeda Ecem YILMAZ, Necat İSLAMOĞLU

Amyotrofik lateral skleroz erken tanısında sinir iletim çalışmaları ve ayrık el bulgusunun önemi

Betül ÇEVİK, Orhan SÜMBÜL, Dürdane AKSOY, Semiha Gülsüm KURT

Pediatrik Ağır Travmatik Beyin Hasarında Mortaliteyi Etkileyen Faktörler

Emel UYAR, Harun DEMİRCİ, Pınar ÖZIŞIK, Serhan ÖZCAN, İrem BOZKURT, Seçil AKAY, Oktay PERK

Ateş ve Karın Ağrısı ile Başvuran Aort Koarktasyonu: Olgu Sunumu

Murat SÜTÇÜ, Mustafa SORAN, Nazmi ŞİMŞEK, Derya ARSLAN

Kolon Kanseri Kök Hücrelerinde Akteosid’in Inflamasyon yada Apoptoza Etkisi Var mıdır?

Fatma FIRAT, Canan TÜRKOĞLU, H. Seda VATANSEVER, Feyzan ÖZDAL KURT

OTİZMLİ BİR HASTADA RAPUNZEL SENDROMU

Metin GÜNDÜZ, Anna Carina ERGANİ, Meltem GÜMÜŞ, Reyhan GÜMÜŞTEKİN, Fatma ÖZCAN SIKI, Halil Haldun EMİROĞLU

Hematological Parameters and Inflammatory Markers in Children with Multisystem Inflammatory Syndrome

Gülsüm ALKAN, Ahmet SERT, Sadiye Kübra TÜTER ÖZ, Melike EMİROĞLU

68Ga-DOTATATE PET/BT görüntülemede somatostatin analogları ile tedavi normal hedef organların ve malign lezyonların alımında farklılık gösterir mi?

Farise YILMAZ, Hasan ÖNNER, Gonca KARA GEDİK, Özlem ŞAHİN, Ahmet Volkan ÇELİK, Çağlagül EROL