Ferreira Alexandra
Department of Neurology, ChesterGates Veterinary Specialists, Telford Court, Unit E/F, Chester, CH1 6LT, United Kingdom.
Can Vet J. 2016 Oct;57(10):1081-1086.
This study aimed to determine whether creatine kinase (CK) activity in cerebrospinal fluid (CSF) has diagnostic value for various groups of neurological conditions or for different anatomical areas of the nervous system (NS). The age, breed, results of CSF analysis, and diagnosis of 578 canine patients presenting with various neurological conditions between January 2009 and February 2015 were retrospectively collected. The cases were divided according to anatomical areas of the nervous system, i.e., brain, spinal cord, and peripheral nervous system, and into groups according to the nature of the condition diagnosed: vascular, immune/inflammatory/infectious, traumatic, toxic, anomalous, metabolic, idiopathic, neoplastic, and degenerative. Statistical analysis showed that CSF-CK alone cannot be used as a diagnostic tool and that total proteins in the CSF and red blood cells (RBCs) do not have a significant relationship with the CSF-CK activity. CSF-CK did not have a diagnostic value for different disease groups or anatomical areas of the nervous system.
本研究旨在确定脑脊液(CSF)中的肌酸激酶(CK)活性对于各类神经系统疾病组或神经系统(NS)不同解剖区域是否具有诊断价值。回顾性收集了2009年1月至2015年2月间出现各种神经系统疾病的578例犬科患者的年龄、品种、脑脊液分析结果及诊断情况。这些病例根据神经系统的解剖区域,即脑、脊髓和周围神经系统进行划分,并根据诊断病情的性质分为:血管性、免疫/炎症/感染性、创伤性、中毒性、先天性、代谢性、特发性、肿瘤性和退行性。统计分析表明,仅脑脊液肌酸激酶不能用作诊断工具,且脑脊液中的总蛋白和红细胞(RBCs)与脑脊液肌酸激酶活性没有显著关系。脑脊液肌酸激酶对不同疾病组或神经系统解剖区域没有诊断价值。