Papen R, Warecka K
Neurologische Klinik, Medizinischen Universität zu Lübeck.
Psychiatr Neurol Med Psychol (Leipz). 1989 Jun;41(6):334-43.
With routine CSF determination of 21 patients with GBS the BBB and the intrathecal IgG synthesis was investigated when calculated CSF/serum albumin ratio and CSF IgG-index respectively. Only in 2 of 21 patients (9.5%) an intrathecal IgG synthesis and in 14 of 21 patients (67%) a BBB damage was found. The BBB was considered as an important pathogenetic factor in GBS. A hypothesis for the development of the albumino-cytological dissociation is presented.
对21例吉兰-巴雷综合征(GBS)患者进行常规脑脊液检测,分别计算脑脊液/血清白蛋白比值和脑脊液IgG指数,以研究血脑屏障(BBB)和鞘内IgG合成情况。21例患者中仅2例(9.5%)发现鞘内IgG合成,14例(67%)发现血脑屏障损伤。血脑屏障被认为是吉兰-巴雷综合征的一个重要发病因素。本文提出了蛋白细胞分离现象发生发展的一种假说。