Cortical atrophy in ALS related to cognitive dysfunction. Food for thought?

Cortical atrophy, as assessed by novel volumetric MRI techniques, have revealed inconsistent results in ALS.  Specifically, while cortical thinning, predominantly within the motor/frontal lobe regions, have been reported by some, absence of atrophy has been reported by others.  Mioshi and colleagues elegantly demonstrate a potential explanation for such discordant MRI findings.  Namely, ALS patients with […]

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MS and ALS: A common pathophysiological denominator?

Ismail and colleagues report on a high concurrence rate of multiple sclerosis (MS) and ALS.  Interestingly, the C9orf72 expansion was identified in 80% of the ALS-MS patients.  Given that the inflammatory system appears to be deregulated in patients expressing the c9orf72 expansion, with down-regulation of the neuroprotective CXCL10 chemokine and dysfunction of NF-kB activity,   the […]

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