Myelinating oligodendrocytes have been studied extensively [5,30] (see Chap. 4). Examination of the CNS during myelinogenesis (Fig. 1-15) reveals connections between the cell body and the myelin sheath [31]; however, connections between these elements have never been demonstrated in a normal adult animal, unlike the PNS counterpart, the Schwann cell. In contrast to the Schwann cell (see below), the oligodendrocyte is capable of producing many internodes of myelin simultaneously. It is estimated that oligodendrocytes in the optic nerve produce between 30 and 50 internodes of myelin [5]. In addition to this heavy structural commitment, the oligodendrocyte possesses a slow mitotic rate and a poor regenerative capacity. Damage to only a few oligodendrocytes, therefore, can be expected to produce an appreciable area of primary demyelination. In most CNS diseases in which myelin is a target, oligodendrocytes are among the most vulnerable elements and the first to degenerate