Mitsui Takao, Ohno Ryozo
Department of Neurology, Saitama Medical School.
Nihon Rinsho. 2003 Aug;61(8):1335-9.
Recently, a revised diagnostic criteria for multiple sclerosis(MS) was published. In this paper, the cerebrospinal fluid(CSF) findings in MS were reviewed, with reference to this criteria. CSF abnormality was defined by the presence of oligoclonal IgG bands and/or the presence of an elevated IgG index in the criteria. Some differences in the grade of pleocytosis and protein content, and the frequency of IgG abnormalities were revealed between Japanese and western MS patients. Other CSF findings such as antibodies against myelin proteins, cytokines and chemokines were also discussed.
最近,多发性硬化症(MS)的修订诊断标准已发布。本文参照该标准,对MS患者的脑脊液(CSF)检查结果进行了综述。在该标准中,CSF异常定义为存在寡克隆IgG带和/或IgG指数升高。日本和西方MS患者在细胞数增多程度、蛋白质含量以及IgG异常频率方面存在一些差异。还讨论了其他CSF检查结果,如抗髓鞘蛋白抗体、细胞因子和趋化因子。