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Editorial
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Volume 346:199-200 January 17, 2002 Number 3
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The Lesions of Multiple Sclerosis

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 by Brex, P. A.
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 by Chang, A.
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The complex pathogenesis of multiple sclerosis includes inflammation and potentially disabling focal lesions that are associated with heterogeneous, often destructive pathologic changes disseminated throughout the white matter of the central nervous system.1 The usual pathologic changes include demyelination, some remyelination, axonal damage, and scar formation (gliosis). In recent years, researchers have refocused attention on axonal injury and its causes. Axons are damaged by bouts of autoimmune inflammation, the target of which seems to be myelin or the oligodendrocytes that form myelin.2 In addition, chronically demyelinated axons may become structurally and metabolically abnormal and vulnerable to other types of damage; gradually, . . . [Full Text of this Article]

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