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The Cerebrospinal Fluid in Multiple Sclerosis

Deisenhammer, F. (author)
Zetterberg, Henrik, 1973 (author)
Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
Fitzner, B. (author)
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Zettl, U. K. (author)
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 (creator_code:org_t)
2019-04-12
2019
English.
In: Frontiers in Immunology. - : Frontiers Media SA. - 1664-3224. ; 10
  • Research review (peer-reviewed)
Abstract Subject headings
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  • Investigation of cerebrospinal fluid (CSF) in the diagnostic work-up in suspected multiple sclerosis (MS) patients has regained attention in the latest version of the diagnostic criteria due to its good diagnostic accuracy and increasing issues withmisdiagnosis ofMS based on over interpretation of neuroimaging results. The hallmark of MS-specific changes in CSF is the detection of oligoclonal bands (OCB) which occur in the vast majority of MS patients. Lack of OCB has a very high negative predictive value indicating a red flag during the diagnostic work-up, and alternative diagnoses should be considered in such patients. Additional molecules of CSF can help to support the diagnosis of MS, improve the differential diagnosis of MS subtypes and predict the course of the disease, thus selecting the optimal therapy for each patient.

Subject headings

NATURVETENSKAP  -- Biologi -- Immunologi (hsv//swe)
NATURAL SCIENCES  -- Biological Sciences -- Immunology (hsv//eng)

Keyword

CSF (cerebrospinal fluid)
biomarker
multiple sclerosis
oligoclonal band (OCB)
neurofilament light
clinically isolated syndrome
intrathecal igm-synthesis
soluble
adhesion molecules
neurofilament light-chain
oligoclonal bands
disease-activity
axonal damage
natalizumab treatment
neuromyelitis-optica
diagnostic-criteria
Immunology
lman ch
1987
journal of neurology
v234
p19

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Deisenhammer, F.
Zetterberg, Henr ...
Fitzner, B.
Zettl, U. K.
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NATURAL SCIENCES
NATURAL SCIENCES
and Biological Scien ...
and Immunology
Articles in the publication
Frontiers in Imm ...
By the university
University of Gothenburg

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