{"id":962,"date":"2020-12-20T19:29:43","date_gmt":"2020-12-20T18:29:43","guid":{"rendered":"https:\/\/neurologie-afradi.de\/?p=962"},"modified":"2020-12-20T19:29:43","modified_gmt":"2020-12-20T18:29:43","slug":"kognition-und-multiple-sklerose-teil-ii","status":"publish","type":"post","link":"https:\/\/neurologie-afradi.de\/en\/kognition-und-multiple-sklerose-teil-ii\/","title":{"rendered":"Kognition und Multiple Sklerose (Teil II)"},"content":{"rendered":"<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kixgsm2j-27a705c2475e7f9373ed63b053a5245c\">\n#top .av-special-heading.av-kixgsm2j-27a705c2475e7f9373ed63b053a5245c{\npadding-bottom:10px;\ncolor:#c2991e;\n}\nbody .av-special-heading.av-kixgsm2j-27a705c2475e7f9373ed63b053a5245c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kixgsm2j-27a705c2475e7f9373ed63b053a5245c .special-heading-inner-border{\nborder-color:#c2991e;\n}\n.av-special-heading.av-kixgsm2j-27a705c2475e7f9373ed63b053a5245c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kixgsm2j-27a705c2475e7f9373ed63b053a5245c av-special-heading-h3 custom-color-heading  avia-builder-el-0  el_before_av_textblock  avia-builder-el-first'><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Kognition und Multiple Sklerose (Teil II)<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-kixgl7zn-35e3c9d9c662c5f967d8f76ac7277288'   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Die am Meisten betroffenen kognitiven Defizite bei MS sind folgenerma\u00dfen:<\/p>\n<ul>\n<li>kognitive Verarbeitungsgeschwindigkeit<\/li>\n<li>verbales und visuell-r\u00e4umliches Kurzzeitged\u00e4chtnis<\/li>\n<li>mentale Flexibilit\u00e4t (Multitasking)<\/li>\n<li>Arbeitsged\u00e4chtnis<\/li>\n<\/ul>\n<p>Besonders relevant ist hier die kognitive Verarbeitungsgeschwindigkeit, denn dies spielt eine gro\u00dfe Rolle in der Fr\u00fcherkennung und Follow-up der kognitiven Einschr\u00e4nkungen bei MS.<\/p>\n<p>Eine Beeintr\u00e4chtigung der genannten kognitiven Dom\u00e4nen kostet den Patienten erhebliche Einschr\u00e4nkungen beim allt\u00e4glichen Leben, insbesondere beim beruflichen Leben. \u00a0Folgende Bereiche des allt\u00e4glichen Lebens werden besonders betroffen:<\/p>\n<ul>\n<li>Arbeitsverh\u00e4ltnis<\/li>\n<li>Fahrerlaubnis<\/li>\n<li>Psychiatrische Komorbidit\u00e4ten<\/li>\n<li>Sexuelle Funktion<\/li>\n<\/ul>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kixgn8ol-220d577788aa27e5e407c21567b6a464\">\n.avia-image-container.av-kixgn8ol-220d577788aa27e5e407c21567b6a464 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kixgn8ol-220d577788aa27e5e407c21567b6a464 .av-caption-image-overlay-bg{\nopacity:0.4;\nbackground-color:#000000;\n}\n.avia-image-container.av-kixgn8ol-220d577788aa27e5e407c21567b6a464 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kixgn8ol-220d577788aa27e5e407c21567b6a464 av-styling- avia-align-center  avia-builder-el-2  el_after_av_textblock  el_before_av_textblock  noHover av-overlay-hover-deactivate'   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><div class=\"av-image-caption-overlay\"><div class=\"av-caption-image-overlay-bg\"><\/div><div class=\"av-image-caption-overlay-position\"><div class=\"av-image-caption-overlay-center\"><p>Abbildung 1<\/p>\n<\/div><\/div><\/div><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-963 avia-img-lazy-loading-not-963 avia_image' src=\"https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-300x300.jpg\" alt='' title='thumbnail (2)'  height=\"300\" width=\"300\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-300x300.jpg 300w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-1030x1030.jpg 1030w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-80x80.jpg 80w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-768x768.jpg 768w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-36x36.jpg 36w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-180x180.jpg 180w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2-705x705.jpg 705w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/thumbnail-2.jpg 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div><\/div><\/div>\n<section  class='av_textblock_section av-kixgoxyc-3dff06448dc15423ead52f7af8c5bc55'   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Der Grad des kognitiven R\u00fcckgangs bei MS-Patienten korreliert mit dem Schweregrad der zerebralen Pathologie und der L\u00e4sionsbelastung der MRT, einschlie\u00dflich der Persistenz von T1-Schwarzen L\u00f6chern (T1-Black holes), was auf einen Verlust der Gewebearchitektur hinweist, und der Atrophie des Corpus callosum und des Thalamus. Die mittels MRT gemessene kortikale Atrophie korreliert mit kognitiven Ver\u00e4nderungen, was darauf hindeutet, dass sowohl die Atrophie der grauen als auch der wei\u00dfen Substanz zum kognitiven R\u00fcckgang bei MS-Patienten beitragen kann.<\/p>\n<p>Dar\u00fcber hinaus scheint der kognitive R\u00fcckgang mit Krankheitsform zusammenzuh\u00e4ngen (Abb. 2).<\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kixgpiql-d8de99f2126ae61260d5a3daa1e8d6c0\">\n.avia-image-container.av-kixgpiql-d8de99f2126ae61260d5a3daa1e8d6c0 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kixgpiql-d8de99f2126ae61260d5a3daa1e8d6c0 .av-caption-image-overlay-bg{\nopacity:0.4;\nbackground-color:#000000;\n}\n.avia-image-container.av-kixgpiql-d8de99f2126ae61260d5a3daa1e8d6c0 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kixgpiql-d8de99f2126ae61260d5a3daa1e8d6c0 av-styling- avia-align-center  avia-builder-el-4  el_after_av_textblock  avia-builder-el-last  noHover av-overlay-hover-deactivate av-has-copyright av-copyright-always'   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><div class=\"av-image-caption-overlay\"><div class=\"av-caption-image-overlay-bg\"><\/div><div class=\"av-image-caption-overlay-position\"><div class=\"av-image-caption-overlay-center\"><p>Abbildung 2<\/p>\n<\/div><\/div><\/div><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-871 avia-img-lazy-loading-not-871 avia_image' src=\"https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/haeufigkeit-495x400.jpg\" alt='' title='H\u00e4ufigkeit der kognitiven St\u00f6rung bei MS-Formen'  height=\"400\" width=\"495\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/haeufigkeit-495x400.jpg 495w, https:\/\/neurologie-afradi.de\/wp-content\/uploads\/2020\/12\/haeufigkeit-845x684.jpg 845w\" sizes=\"(max-width: 495px) 100vw, 495px\" \/><\/div><small class=\"avia-copyright\">neurologie-afradi.de<\/small><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"class_list":["post-962","post","type-post","status-publish","format-standard","hentry","category-informativ"],"_links":{"self":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/posts\/962","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/comments?post=962"}],"version-history":[{"count":0,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/posts\/962\/revisions"}],"wp:attachment":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/media?parent=962"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/categories?post=962"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/tags?post=962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}