Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry

ABSTRACT The analysis of intrathecal IgG, IgA and IgM synthesis in cerebrospinal fluid (CSF) and evaluation in combined quotient diagrams provides disease-related patterns. The compilation with complementary parameters (barrier function, i.e., CSF flow rate, cytology, lactate, antibodies) in a cumul...

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Main Author: Hansotto Reiber
Format: Article
Language:English
Published: Thieme Revinter Publicações 2016-04-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400012&lng=en&tlng=en
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author Hansotto Reiber
author_facet Hansotto Reiber
author_sort Hansotto Reiber
collection DOAJ
description ABSTRACT The analysis of intrathecal IgG, IgA and IgM synthesis in cerebrospinal fluid (CSF) and evaluation in combined quotient diagrams provides disease-related patterns. The compilation with complementary parameters (barrier function, i.e., CSF flow rate, cytology, lactate, antibodies) in a cumulative CSF data report allows a knowledge-based interpretation and provides analytical and medical plausibility for the quality assessment in CSF laboratories. The diagnostic relevance is described for neurological and psychiatric diseases, for which CSF analysis can’t be replaced by other diagnostic methods without loss of information. Dominance of intrathecal IgM, IgA or three class immune responses give a systematic approach for Facial nerve palsy, Neurotrypanosomiasis, Opportunistic diseases, lymphoma, Neurotuberculosis, Adrenoleucodystrophy or tumor metastases. Particular applications consider the diagnostic power of the polyspecific antibody response (MRZ-antibodies) in multiple sclerosis, a CSF-related systematic view on differential diagnostic of psychiatric diseases and the dynamics of brain- derived compared to blood-derived molecules in CSF for localization of paracytes.
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spelling doaj-art-e2d5fc80459d4e5c9ed9f0a2745552b32025-08-20T03:21:06ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272016-04-0174433735010.1590/0004-282X20160044S0004-282X2016000400012Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatryHansotto ReiberABSTRACT The analysis of intrathecal IgG, IgA and IgM synthesis in cerebrospinal fluid (CSF) and evaluation in combined quotient diagrams provides disease-related patterns. The compilation with complementary parameters (barrier function, i.e., CSF flow rate, cytology, lactate, antibodies) in a cumulative CSF data report allows a knowledge-based interpretation and provides analytical and medical plausibility for the quality assessment in CSF laboratories. The diagnostic relevance is described for neurological and psychiatric diseases, for which CSF analysis can’t be replaced by other diagnostic methods without loss of information. Dominance of intrathecal IgM, IgA or three class immune responses give a systematic approach for Facial nerve palsy, Neurotrypanosomiasis, Opportunistic diseases, lymphoma, Neurotuberculosis, Adrenoleucodystrophy or tumor metastases. Particular applications consider the diagnostic power of the polyspecific antibody response (MRZ-antibodies) in multiple sclerosis, a CSF-related systematic view on differential diagnostic of psychiatric diseases and the dynamics of brain- derived compared to blood-derived molecules in CSF for localization of paracytes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400012&lng=en&tlng=enliquido cefalorraquidianoimunoglobulinasanticorposdoenças do sistema nervosodoenças neurológicasficha clínica
spellingShingle Hansotto Reiber
Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry
Arquivos de Neuro-Psiquiatria
liquido cefalorraquidiano
imunoglobulinas
anticorpos
doenças do sistema nervoso
doenças neurológicas
ficha clínica
title Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry
title_full Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry
title_fullStr Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry
title_full_unstemmed Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry
title_short Cerebrospinal fluid data compilation and knowledge-based interpretation of bacterial, viral, parasitic, oncological, chronic inflammatory and demyelinating diseases. Diagnostic patterns not to be missed in neurology and psychiatry
title_sort cerebrospinal fluid data compilation and knowledge based interpretation of bacterial viral parasitic oncological chronic inflammatory and demyelinating diseases diagnostic patterns not to be missed in neurology and psychiatry
topic liquido cefalorraquidiano
imunoglobulinas
anticorpos
doenças do sistema nervoso
doenças neurológicas
ficha clínica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400012&lng=en&tlng=en
work_keys_str_mv AT hansottoreiber cerebrospinalfluiddatacompilationandknowledgebasedinterpretationofbacterialviralparasiticoncologicalchronicinflammatoryanddemyelinatingdiseasesdiagnosticpatternsnottobemissedinneurologyandpsychiatry