The discrimination between different blood-CSF barrier dysfunctions and inflammatory reactions of the CNS by a recent evaluation graph for the protein profile of cerebrospinal fluid

J Neurol. 1980;224(2):89-99. doi: 10.1007/BF00313347.

Abstract

A graph for the evaluation of the CSF-protein profile is presented as a basic program for the clinical-neurochemical laboratory. The graph has the following advantages: Simultaneous information on the functional state of the blood-CSF barrier and the inflammatory response of the CNS; maximal sensitivity for the determination of a pathological local IgG production in CNS--with the possibility of calculating the IgG fraction in CSF originating from the CNS; minimal number of protein assays necessary (albumin and IgG in serum and CSF); suitable for the demonstration of the course of the disease in a single patient as well as for demonstration of a group of cases for statistical purposes. Complementary chemical investigations and the correspondence with the clinical diagnosis are discussed for a number of typical cases. Two different types of blood-CSF barrier dysfunctions are discriminated by a proportional and a dis-proportionate increase of the CSF/serum protein concentration gradients.

Publication types

  • Comparative Study

MeSH terms

  • Albumins / cerebrospinal fluid
  • Blood-Brain Barrier*
  • Central Nervous System Diseases / cerebrospinal fluid*
  • Cerebrospinal Fluid Proteins / analysis*
  • Humans
  • Immunoglobulin G / cerebrospinal fluid
  • Inflammation
  • Reference Values

Substances

  • Albumins
  • Cerebrospinal Fluid Proteins
  • Immunoglobulin G