Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry

ABSTRACT The physiological and biophysical knowledge base for interpretations of cerebrospinal fluid (CSF) data and reference ranges are essential for the clinical pathologist and neurochemist. With the popular description of the CSF flow dependent barrier function, the dynamics and concentration gradients of blood-derived, brain-derived and leptomeningeal proteins in CSF or the specificity-independent functions of B-lymphocytes in brain also the neurologist, psychiatrist, neurosurgeon as well as the neuropharmacologist may find essentials for diagnosis, research or development of therapies. This review may help to replace the outdated ideas like “leakage” models of the barriers, linear immunoglobulin Index Interpretations or CSF electrophoresis. Calculations, Interpretations and analytical pitfalls are described for albumin quotients, quantitation of immunoglobulin synthesis in Reibergrams, oligoclonal IgG, IgM analysis, the polyspecific ( MRZ- ) antibody reaction, the statistical treatment of CSF data and general quality assessment in the CSF laboratory. The diagnostic relevance is documented in an accompaning review.

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Main Author: Reiber,Hansotto
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000600501
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spelling oai:scielo:S0004-282X20160006005012017-01-11Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatryReiber,Hansotto cerebrospinal fluid reference values immunoglobulin albumins ABSTRACT The physiological and biophysical knowledge base for interpretations of cerebrospinal fluid (CSF) data and reference ranges are essential for the clinical pathologist and neurochemist. With the popular description of the CSF flow dependent barrier function, the dynamics and concentration gradients of blood-derived, brain-derived and leptomeningeal proteins in CSF or the specificity-independent functions of B-lymphocytes in brain also the neurologist, psychiatrist, neurosurgeon as well as the neuropharmacologist may find essentials for diagnosis, research or development of therapies. This review may help to replace the outdated ideas like “leakage” models of the barriers, linear immunoglobulin Index Interpretations or CSF electrophoresis. Calculations, Interpretations and analytical pitfalls are described for albumin quotients, quantitation of immunoglobulin synthesis in Reibergrams, oligoclonal IgG, IgM analysis, the polyspecific ( MRZ- ) antibody reaction, the statistical treatment of CSF data and general quality assessment in the CSF laboratory. The diagnostic relevance is documented in an accompaning review.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.74 n.6 20162016-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000600501en10.1590/0004-282x20160066
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region America del Sur
libraryname SciELO
language English
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author Reiber,Hansotto
spellingShingle Reiber,Hansotto
Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
author_facet Reiber,Hansotto
author_sort Reiber,Hansotto
title Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
title_short Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
title_full Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
title_fullStr Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
title_full_unstemmed Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
title_sort knowledge-base for interpretation of cerebrospinal fluid data patterns. essentials in neurology and psychiatry
description ABSTRACT The physiological and biophysical knowledge base for interpretations of cerebrospinal fluid (CSF) data and reference ranges are essential for the clinical pathologist and neurochemist. With the popular description of the CSF flow dependent barrier function, the dynamics and concentration gradients of blood-derived, brain-derived and leptomeningeal proteins in CSF or the specificity-independent functions of B-lymphocytes in brain also the neurologist, psychiatrist, neurosurgeon as well as the neuropharmacologist may find essentials for diagnosis, research or development of therapies. This review may help to replace the outdated ideas like “leakage” models of the barriers, linear immunoglobulin Index Interpretations or CSF electrophoresis. Calculations, Interpretations and analytical pitfalls are described for albumin quotients, quantitation of immunoglobulin synthesis in Reibergrams, oligoclonal IgG, IgM analysis, the polyspecific ( MRZ- ) antibody reaction, the statistical treatment of CSF data and general quality assessment in the CSF laboratory. The diagnostic relevance is documented in an accompaning review.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000600501
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