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Abstract #4611

ABNORMALITIES OF THE BRAIN FUNCTIONAL CONNECTOME IN PEDIATRIC PATIENTS WITH MULTIPLE SCLEROSIS

Maria A. Rocca 1,2 , Paola Valsasina 1 , Sara Sala 1 , Vittorio Martinelli 3 , Angelo Ghezzi 4 , Pierangelo Veggiotti 5 , Andrea Falini 6 , Giancarlo Comi 3 , and Massimo Filippi 1,3

1 Neuroimaging Research Unit, Institute of Experimental Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy, 2 Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Mi, Italy, 3 Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy, 4 UO Neurologia 2 - Centro Studi Sclerosi Multipla, Ospedale di Gallarate, Gallarate, VA, Italy, 5 Child Neuropsychiatry Unit, National Neurologic Institute "C. Mondino", Pavia, PV, Italy, 6 Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, MI, Italy

Resting state functional MRI (RS fMRI) and graph theory were applied to investigate the functional organization of large-scale brain networks (connectome) in 52 pediatric patients with multiple sclerosis (MS) and 16 healthy controls (HC). Pediatric MS patients compared with HC showed a relatively preserved global topology of functional network organization. The local reorganization of functional network in pediatric MS patients involved only a few infratentorial and supratentorial brain regions including the cerebellum, basal ganglia and paritetal/occipital areas. The limited reorganization of brain topology found in pediatric MS patients might contribute to explain their better clinical outcome.

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