Elisabetta Pagani1,
Maria A. Rocca1, Paolo Preziosa1, Sarlota Mesaros2,
Dusan Damjanovic3, Tatjana Stosic-Opincal3, Jelena
Drulovic2, Massimo Filippi1
1Neuroimaging
Research Unit, Institute of Experimental Neurology, San Raffaele Scientific
Institute, Vita-Salute San Raffaele University, Milan, MI, Italy; 2Clinic
of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, BG,
Yugoslavia; 3Clinic of Radiology, Faculty of Medicine, University
of Belgrade, Belgrade, BG, Yugoslavia
Using Tensor Based Morphometry, we investigated the patterns of regional gray matter (GM) and white matter (WM) atrophy and their changes over one year in patients with clinically isolated syndrome (CIS) suggestive of multiple sclerosis (MS). We found that WM loss followed a linear evolution from disease onset, while a transient increase of GM volume in a few regions was detectable early in the disease course followed by the development of GM atrophy, thus possibly reflecting structural plasticity to damage.