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脑脊液病毒抗体。多发性硬化症的诊断指标?

Cerebrospinal fluid virus antibodies. A diagnostic indicator for multiple sclerosis?

作者信息

Felgenhauer K, Schädlich H J, Nekic M, Ackermann R

出版信息

J Neurol Sci. 1985 Dec;71(2-3):291-9. doi: 10.1016/0022-510x(85)90067-x.

Abstract

Specific antibody activities (antibody per weight unit IgG) of serum and CSF against a broad variety of viruses were compared in multiple sclerosis and certain inflammatory diseases of the central nervous system, e.g. neurosyphilis, as well as herpes simplex and zoster encephalitis. No "unspecific" antiviral activities within the CSF compartment were found in the non-MS diseases. The most frequent antibodies locally produced were directed against measles, rubella and zoster antigens. A diagnostic test with these three viruses would give positive results in about 80% of patients with MS. This finding is not as frequent as the oligoclonal pattern of the CSF gamma-globulins but would have a considerably greater diagnostic significance.

摘要

在多发性硬化症以及中枢神经系统的某些炎症性疾病(如神经梅毒、单纯疱疹性脑炎和带状疱疹性脑炎)中,对血清和脑脊液针对多种病毒的特异性抗体活性(每重量单位IgG的抗体量)进行了比较。在非多发性硬化症疾病的脑脊液区域未发现“非特异性”抗病毒活性。局部产生最常见的抗体是针对麻疹、风疹和带状疱疹抗原的。用这三种病毒进行诊断测试,约80%的多发性硬化症患者会得到阳性结果。这一发现不如脑脊液γ球蛋白的寡克隆模式常见,但具有更大的诊断意义。

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