PMID- 33210746 OWN - NLM STAT- MEDLINE DCOM- 20210219 LR - 20210219 IS - 1531-8249 (Electronic) IS - 0364-5134 (Linking) VI - 89 IP - 2 DP - 2021 Feb TI - Silent New Brain MRI Lesions in Children with MOG-Antibody Associated Disease. PG - 408-413 LID - 10.1002/ana.25957 [doi] AB - Anti-myelin oligodendrocyte glycoprotein immunoglobulin G (MOG-IgG) antibodies are associated clinically with either a monophasic or relapsing disease course. We investigated the frequency and clinical importance of acquired asymptomatic brain magnetic resonance imaging (MRI) lesions in a prospective incident cohort of 74 MOG-IgG positive children with serial MRI scans over a median of 5 years from presentation. Silent new lesions were detected in 14% of MOG-IgG positive participants, most commonly within the first months post-onset, with a positive predictive value for clinically relapsing disease of only 20%. Detection of asymptomatic lesions alone need not prompt initiation of chronic immunotherapy. ANN NEUROL 2021;89:408-413. CI - (c) 2020 American Neurological Association. FAU - Fadda, Giulia AU - Fadda G AUID- ORCID: 0000-0001-9658-815X AD - Center for Neuroinflammation and Neurotherapeutics, and Multiple Sclerosis Division, Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. FAU - Banwell, Brenda AU - Banwell B AD - Center for Neuroinflammation and Neurotherapeutics, and Multiple Sclerosis Division, Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. AD - Division of Child Neurology, Department of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. FAU - Waters, Patrick AU - Waters P AUID- ORCID: 0000-0003-4142-2667 AD - Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK. FAU - Marrie, Ruth A AU - Marrie RA AD - Departments of Internal Medicine and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. FAU - Yeh, E Ann AU - Yeh EA AD - Department of Pediatrics, University of Toronto, Toronto, ON, Canada. FAU - O'Mahony, Julia AU - O'Mahony J AD - Institute of Health Policy, Management and Evaluation, the University of Toronto, The Hospital for Sick Children, Toronto, ON, Canada. FAU - Arnold, Douglas A AU - Arnold DA AUID- ORCID: 0000-0003-4266-0106 AD - Montreal Neurological Institute, McGill University, Montreal, QC, Canada. FAU - Bar-Or, Amit AU - Bar-Or A AD - Center for Neuroinflammation and Neurotherapeutics, and Multiple Sclerosis Division, Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. AD - Division of Child Neurology, Department of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. AD - Montreal Neurological Institute, McGill University, Montreal, QC, Canada. CN - Canadian Pediatric Demyelinating Disease Network LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201130 PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (Autoantibodies) RN - 0 (Glucocorticoids) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunologic Factors) RN - 0 (Myelin-Oligodendrocyte Glycoprotein) RN - 0 (Oligoclonal Bands) SB - IM MH - Adolescent MH - *Asymptomatic Diseases MH - Autoantibodies/*immunology MH - Brain/*diagnostic imaging/physiopathology MH - Child MH - Demyelinating Autoimmune Diseases, CNS/*diagnostic imaging/immunology/physiopathology/therapy MH - Encephalomyelitis, Acute Disseminated/*diagnostic imaging/immunology/physiopathology/therapy MH - Female MH - Glucocorticoids/therapeutic use MH - Humans MH - Immunoglobulin G MH - Immunoglobulins, Intravenous/therapeutic use MH - Immunologic Factors/therapeutic use MH - Immunotherapy MH - Magnetic Resonance Imaging MH - Male MH - Multiple Sclerosis/*diagnostic imaging/immunology/physiopathology/therapy MH - Myelin-Oligodendrocyte Glycoprotein/*immunology MH - Oligoclonal Bands/cerebrospinal fluid MH - Plasma Exchange MH - Recurrence EDAT- 2020/11/20 06:00 MHDA- 2021/02/20 06:00 CRDT- 2020/11/19 08:47 PHST- 2020/08/11 00:00 [received] PHST- 2020/11/11 00:00 [revised] PHST- 2020/11/12 00:00 [accepted] PHST- 2020/11/20 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] PHST- 2020/11/19 08:47 [entrez] AID - 10.1002/ana.25957 [doi] PST - ppublish SO - Ann Neurol. 2021 Feb;89(2):408-413. doi: 10.1002/ana.25957. Epub 2020 Nov 30.