Abstract
Demyelinating disorders are a group of diseases characterized by myelin loss. Normally, the white matter before the myelination process is hydrophilic (contains a lot of water), which is detected as high T2 signal intensity and low T1 signal intensity on MRI at birth. After axonal myelination, the white matter becomes hydrophobic (contains a lot of fat), producing normal MRI signal as high T1 and relatively low T2 signal intensities. In demyelinating diseases, the normal myelin is lost, making the affected parts of the white matter to be hydrophilic again, producing high signal intensity on T2W images (signal of water).
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Bielekova B, Kadom N et al MRI as a marker for disease heterogeneity in multiple sclerosis. Neurology. 2005;65:1071–6
Houtchens MK et al Thalamic atrophy and cognitive in multiple sclerosis. Neurology. 2007;69:1213–23
González Sánchez JJ et al A case of malignant monophasic multiple sclerosis (Marburg's disease type) successfully treated with decompressive hemicraniectomy. J Neurol Neurosurg Psychiatry. 2008. doi:10.1136/jnnp.2007. 142133
Johnson MD et al Fulminant monophasic multiple sclero sis, Marburg's type. J Neurol Neurosurg Psychiatry. 1990;53:918–21
Schwarz U et al Marburg's encephalitis in a young woman. Eur Neurol 2002;48:42–4
Capello E et al Marburg type and Baló concentric sclerosis: rare and acute variants of multiple sclerosis. Neurol Sci. 2004;25:S361–63
Hanemann CO et al Baló concentric sclerosis followed by MRI and positron emission tomography. Neuroradiology. 1993.;35:578–80
Hulcombe JE et al Baló concentric sclerosis. J Clin Neurosci. 1999;6:46–8
Fitzgerald MJ et al Recurrent myelinoclastic diffuse sclerosis: a case report of a child with Schilder's variant of multiple sclerosis. Pediatr Radiol. 2000;30:861–5
Barbareschi M et al Schilder disease (1912): report of a case. Ital J Neurol Sci. 1988;9:157–60
Kastrup O et al Balo's concentric sclerosis demonstrated by MRI. Neurology. 2001;57:1610
Erer S et al The first Susac's syndrome case in Turkey. J Neurol Sci 2006;251:134–7
Murata Y et al Susac syndrome. Am J Opthalmol. 2000; 129:682–4
Maddestra M et al Encephalopathy, hearing loss and retinal occlusions (Susac's syndrome): a new case. Ital J Neurol Sci. 1998;19:225–7
Eluvathingal Muttikkal TJ et al Susac syndrome in a young child. Pediatr Radiol. 2007;37:710–3
Jacob A et al Neuromyelitis optica.Ann Indian Acad Neurol. 2007;10:231–9
Wingerchuk DM et al Neuromyelitis optica: clinical predictors of a relapsing course and survival. Neurology. 2003; 60:848–53
Wingerchuk DM et al The clinical course of neuromyelitis optica (Devic's syndrome). Neurology. 1999;53:1107–14
Hahn CD et al MRI criteria for multiple sclerosis: evalua tion in a pediatric cohort. Neurology. 2004;62:806–8
Li DKB et al MRI T2 lesion burden in multiple sclerosis: a plateauing relationship with clinical disability. Neurology. 2006;66:1384–9
Humm AM et al Quantificat ion of Uhthoff 's phenomenon in multiple sclerosis: a magnetic stimulation study. Clin Neurophysiol. 2004;115:2493–501
Iwata E et al MR imaging in Gullian-Barré syndrome. Pediatr Radiol. 1997;27:36–8
Alkan O et al Spinal MR findings of Gullian-Bar ré sy n- drome. Radiol Case. Mar 2009; 3:25–8
Vucic S et al Gullian-Barré syndrome: an update. J Clin Neurosci. 2009. doi:10.1016/j.jocn.2008.08.033
Morosini A et al Polyneuritis cranialis with contrast enhancement of cranial nerves on magnetic resonance imaging. J Paediatr Child Health. 2003;39:69–72
Gupta SS et al Pictorial essay: neurological application and physics of diffusion tensor imaging with 3D fiber tractog-raphy. Indian J Radiol Imaging. 2008;18:37–44
Bougias C et al Theory of diffusion tensor imaging and fiber tractography analysis. Eur J Radiogr. 2009;1:37–41
Filippi M et al Diffusion tensor magnetic resonance imag ing in multiple sclerosis. Neurology. 2001;56:304–11
Roccatagliata L et al Multiple sclerosis: hy perintense dentate nucleus on unenhanced T1-weighted MR images is associated with the secondary progressive subtype. Radiology. 2009;251:503–10
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Al-Tubaikh, J.A. (2010). Multiple Sclerosis and Other Demyelinating Diseases. In: Al-Tubaikh, J.A. (eds) Internal Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03709-2_13
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DOI: https://doi.org/10.1007/978-3-642-03709-2_13
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