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Topics {✒️}

myelin-oligodendrocyte-glycoprotein antibody-seropositive patients myelin oligodendrocyte glycoprotein-specific myelin oligodendrocyte glycoprotein myelin-oligodendrocyte-glycoprotein optical coherence tomography clinical profile central nervous system aqp-4 igg-seropositive nmosd aqp4-igg seropositive nmosd view lcva low-contrast visusal acuity retro-illuminated light box ludwig-maximilians universität münchen guthy-jackson charitable foundation blood-brain barrier properties post-geniculate visual pathways bennett marianne-strauß-klinik grant numbers 01zz1603[a aqp4-abs-positive nmosd article download pdf pmb paillo-macular-bundle 20 mog-igg-positive patients 39 mog-igg-positive patients aquaporin-4-igg-positive nmosd established cell-based assays visual-evoked potentials active age-dependent neuroplasticity 39 mog-igg-positive adults 20 mog-igg-positive children age-dependent cortical neuroplasticity patient inter-eye correlation markus reindl adult retinal oct scans optic nerve lesions investigate age-related severity severe optic neuritis childhood optic neuritis recurrent optic neuritis joachim havla pediatric optic neuritis ana felipe-rucián age-related cortical neuroplasticity original author neuroimmunological diseases bilateral optic neuritis optic neuritis independent lotz-havla department article havla privacy choices/manage cookies relapsing mog antibody

Questions {❓}

• Age-dependent favorable visual recovery despite significant retinal atrophy in pediatric MOGAD: how much retina do you really need to see well?
• Age-dependent favorable visual recovery despite significant retinal atrophy in pediatric MOGAD: how much retina do you really need to see well?
• Is a preserved functional reserve a mechanism limiting clinical impairment in pediatric MS patients?

Schema {🗺️}

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         headline:Age-dependent favorable visual recovery despite significant retinal atrophy in pediatric MOGAD: how much retina do you really need to see well?
         description:To investigate age-related severity, patterns of retinal structural damage, and functional visual recovery in pediatric and adult cohorts of myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) optic neuritis (ON). All MOGAD patients from the 5 participating centers were included. Patients with initial manifestation <18 years were included in the pediatric (MOGADped) cohort and patients with ≥18 years in the adult (MOGADadult) cohort. For patients with MOGAD ON, examinations at least ≥6 months after ON onset were included in the analyses. Using spectral domain optical coherence tomography (SD-OCT), we acquired peripapillary retinal nerve fiber layer thickness (pRNFL) and volumes of combined ganglion cell and inner plexiform layer (GCIPL). High- and 2.5% low-contrast visual acuity (HCVA, LCVA) and visual-evoked potentials (VEP) were obtained. Twenty MOGADped (10.3±3.7 years, 30 MOGAD ON eyes) and 39 MOGADadult (34.9±11.6 years, 42 MOGAD ON eyes) patients were included. The average number of ON episodes per ON eye was similar in both groups (1.8±1.3 and 2.0±1.7). In both pediatric and adult MOGAD, ON led to pronounced neuroaxonal retinal atrophy (pRNFL: 63.1±18.7 and 64.3±22.9 μm; GCIPL: 0.42±0.09 and 0.44±0.13 mm3, respectively) and moderate delay of the VEP latencies (117.9±10.7 and 118.0±14.5 ms). In contrast, visual acuity was substantially better in children (HCVA: 51.4±9.3 vs. 35.0±20.6 raw letters, p=0.001; LCVA: 22.8±14.6 vs. 13.5±16.4, p=0.028). Complete visual recovery (HCVA-logMAR 0.0) occurred in 73.3% of MOGADped and 31% MOGADadults ON eyes, while 3.3% and 31% demonstrated moderate to severe (logMAR > 0.5) visual impairment. Independent of retinal atrophy, age at ON onset significantly correlated with visual outcome. Pediatric MOGAD ON showed better visual recovery than adult MOGAD ON despite profound and almost identical neuroaxonal retinal atrophy. Age-related cortical neuroplasticity may account for the substantial discrepancy between structural changes and functional outcomes.
         datePublished:2021-05-29T00:00:00Z
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            Optical coherence tomography
            Optic neuritis
            Myelin oligodendrocyte glycoprotein IgG
            MOGAD
            Neurosciences
            Neurology
            Neurobiology
            Immunology
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      headline:Age-dependent favorable visual recovery despite significant retinal atrophy in pediatric MOGAD: how much retina do you really need to see well?
      description:To investigate age-related severity, patterns of retinal structural damage, and functional visual recovery in pediatric and adult cohorts of myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) optic neuritis (ON). All MOGAD patients from the 5 participating centers were included. Patients with initial manifestation <18 years were included in the pediatric (MOGADped) cohort and patients with ≥18 years in the adult (MOGADadult) cohort. For patients with MOGAD ON, examinations at least ≥6 months after ON onset were included in the analyses. Using spectral domain optical coherence tomography (SD-OCT), we acquired peripapillary retinal nerve fiber layer thickness (pRNFL) and volumes of combined ganglion cell and inner plexiform layer (GCIPL). High- and 2.5% low-contrast visual acuity (HCVA, LCVA) and visual-evoked potentials (VEP) were obtained. Twenty MOGADped (10.3±3.7 years, 30 MOGAD ON eyes) and 39 MOGADadult (34.9±11.6 years, 42 MOGAD ON eyes) patients were included. The average number of ON episodes per ON eye was similar in both groups (1.8±1.3 and 2.0±1.7). In both pediatric and adult MOGAD, ON led to pronounced neuroaxonal retinal atrophy (pRNFL: 63.1±18.7 and 64.3±22.9 μm; GCIPL: 0.42±0.09 and 0.44±0.13 mm3, respectively) and moderate delay of the VEP latencies (117.9±10.7 and 118.0±14.5 ms). In contrast, visual acuity was substantially better in children (HCVA: 51.4±9.3 vs. 35.0±20.6 raw letters, p=0.001; LCVA: 22.8±14.6 vs. 13.5±16.4, p=0.028). Complete visual recovery (HCVA-logMAR 0.0) occurred in 73.3% of MOGADped and 31% MOGADadults ON eyes, while 3.3% and 31% demonstrated moderate to severe (logMAR > 0.5) visual impairment. Independent of retinal atrophy, age at ON onset significantly correlated with visual outcome. Pediatric MOGAD ON showed better visual recovery than adult MOGAD ON despite profound and almost identical neuroaxonal retinal atrophy. Age-related cortical neuroplasticity may account for the substantial discrepancy between structural changes and functional outcomes.
      datePublished:2021-05-29T00:00:00Z
      dateModified:2021-05-29T00:00:00Z
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      pageEnd:10
      license:http://creativecommons.org/publicdomain/zero/1.0/
      sameAs:https://doi.org/10.1186/s12974-021-02160-9
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         Optical coherence tomography
         Optic neuritis
         Myelin oligodendrocyte glycoprotein IgG
         MOGAD
         Neurosciences
         Neurology
         Neurobiology
         Immunology
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         name:Institute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
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         name:Department of Neurology & Stroke and Hertie Institute for Clinical Brain Research, University Hospital of Tübingen, Tübingen, Germany
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      name:Olgaspital Stuttgart
      address:
         name:Department of Pediatric Neurology, Olgaspital Stuttgart, Stuttgart, Germany
         type:PostalAddress
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         name:Clinical Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria
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      address:
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      address:
         name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
         type:PostalAddress
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      address:
         name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
         type:PostalAddress
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      address:
         name:Department of Pediatric Neurology, Children’s Hospital Datteln, University Witten/Herdecke, Witten, Germany
         type:PostalAddress
      name:Ruhr-University Bochum
      address:
         name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
         type:PostalAddress
      name:Sechenov First Moscow State Medical University
      address:
         name:Department of Neurology, Sechenov First Moscow State Medical University, Moscow, Russia
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Person:
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      url:http://orcid.org/0000-0002-4386-1340
      affiliation:
            name:Ludwig-Maximilians Universität München
            address:
               name:Institute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
               type:PostalAddress
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            name:Ludwig-Maximilians Universität München
            address:
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               type:PostalAddress
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      name:Thivya Pakeerathan
      affiliation:
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            address:
               name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
               type:PostalAddress
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      name:Carolin Schwake
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            address:
               name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
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            name:Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke
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            name:Universitat Autònoma de Barcelona
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      name:Tania Kümpfel
      affiliation:
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            address:
               name:Institute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
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               name:Department of Pediatric Neurology, Olgaspital Stuttgart, Stuttgart, Germany
               type:PostalAddress
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      name:Markus Reindl
      affiliation:
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            address:
               name:Clinical Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria
               type:PostalAddress
            type:Organization
      name:Charlotte Thiels
      affiliation:
            name:Ruhr-University
            address:
               name:Department of Neuropaediatrics and Social Pediatrics, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University, Bochum, Germany
               type:PostalAddress
            type:Organization
      name:Thomas Lücke
      affiliation:
            name:Ruhr-University
            address:
               name:Department of Neuropaediatrics and Social Pediatrics, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University, Bochum, Germany
               type:PostalAddress
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      name:Kerstin Hellwig
      affiliation:
            name:Ruhr-University Bochum
            address:
               name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
               type:PostalAddress
            type:Organization
      name:Ralf Gold
      affiliation:
            name:Ruhr-University Bochum
            address:
               name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
               type:PostalAddress
            type:Organization
      name:Kevin Rostasy
      affiliation:
            name:University Witten/Herdecke
            address:
               name:Department of Pediatric Neurology, Children’s Hospital Datteln, University Witten/Herdecke, Witten, Germany
               type:PostalAddress
            type:Organization
      name:Ilya Ayzenberg
      affiliation:
            name:Ruhr-University Bochum
            address:
               name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
               type:PostalAddress
            type:Organization
            name:Sechenov First Moscow State Medical University
            address:
               name:Department of Neurology, Sechenov First Moscow State Medical University, Moscow, Russia
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:Institute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
      name:Data Integration for Future Medicine (DIFUTURE) Consortium, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
      name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Departments of Neurology and Ophthalmology, Programs in Neuroscience and Immunology, University of Colorado Anschutz Medical Campus, Denver, USA
      name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Marianne-Strauß-Klinik, Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke, Berg, Germany
      name:Department of Pediatric Neurology, Vall d’Hebron Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
      name:Experimental Eye Research Institute, University Eye Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Dr. von Hauner Children’s Hospital, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
      name:Institute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians Universität München, Munich, Germany
      name:Department of Neurology & Stroke and Hertie Institute for Clinical Brain Research, University Hospital of Tübingen, Tübingen, Germany
      name:Department of Pediatric Neurology, Olgaspital Stuttgart, Stuttgart, Germany
      name:Clinical Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria
      name:Department of Neuropaediatrics and Social Pediatrics, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University, Bochum, Germany
      name:Department of Neuropaediatrics and Social Pediatrics, University Hospital of Pediatrics and Adolescent Medicine, Ruhr-University, Bochum, Germany
      name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Department of Pediatric Neurology, Children’s Hospital Datteln, University Witten/Herdecke, Witten, Germany
      name:Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany
      name:Department of Neurology, Sechenov First Moscow State Medical University, Moscow, Russia

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