Volume 1039, Issue 1 p. 521-523

Abnormal Eye Movements Predict Disability in MS: Two-Year Follow-Up

JOY DERWENSKUS

JOY DERWENSKUS

Neurology Service, Louis Stokes Veterans Affairs Medical Center, and Case Western Reserve University, Cleveland 44106-1702, Ohio, USA

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JANET C. RUCKER

JANET C. RUCKER

Neurology Service, Louis Stokes Veterans Affairs Medical Center, and Case Western Reserve University, Cleveland 44106-1702, Ohio, USA

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ALESSANDRO SERRA

ALESSANDRO SERRA

Institute of Clinical Neurology-University of Sassari, Sassari, Italy

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JOHN S. STAHL

JOHN S. STAHL

Neurology Service, Louis Stokes Veterans Affairs Medical Center, and Case Western Reserve University, Cleveland 44106-1702, Ohio, USA

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DEBORAH L. DOWNEY

DEBORAH L. DOWNEY

Neurology Service, Louis Stokes Veterans Affairs Medical Center, and Case Western Reserve University, Cleveland 44106-1702, Ohio, USA

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NANCY L. ADAMS

NANCY L. ADAMS

Neurology Service, Louis Stokes Veterans Affairs Medical Center, and Case Western Reserve University, Cleveland 44106-1702, Ohio, USA

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R.JOHN LEIGH

Corresponding Author

R.JOHN LEIGH

Neurology Service, Louis Stokes Veterans Affairs Medical Center, and Case Western Reserve University, Cleveland 44106-1702, Ohio, USA

Address for correspondence: R. John Leigh, M.D., Neurology Service (127W), Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland OH 44106-1702. Voice: 216-844-3190; fax: 216-231-3461. [email protected]Search for more papers by this author
First published: 08 July 2009
Citations: 41

Abstract

Abstract: We conducted a two-year follow-up study of 40 patients with MS in whom we had reported that abnormal eye movements (AEM) were associated with greater general disability. AEM patients (17/40) remained significantly (p < .001) more disabled (median EDSS of 7.0) than those with normal eye movements (median EDSS of 5.0). AEM and great disability were associated with abnormal MRI signals in brainstem or cerebellum, where disease may involve control circuits for eye movements as well as descending motor pathways.