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PubMed · 3976234

[Cerebrospinal fluid and multiple sclerosis].

Abstract

A survey of the relevant diagnostic methods in the cerebrospinal fluid in multiple sclerosis is given. In over 90% positive results are obtained, showing the inflammatory CNS-process or myelin break down. Personal findings demonstrate the relevance of lymphocytic transformation in CNS inflammatory diseases. In 73% of definitive MS cases transformed lymphocytes occurred, commonly associated with a pathological IgG/Albumin ratio, but in 23% of chronic progressive cases in isolation. Under unselected cerebrospinal fluids with transformed lymphocytes and a cell count under 16 per micro 1 multiple sclerosis was suspected clinically in 70%, in further 20% other inflammatory diseases were present while only 10% unspecific cases occurred.

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BibTeXRIS

P Pilz. 1985-01-31. [Cerebrospinal fluid and multiple sclerosis].. https://pubmed.ncbi.nlm.nih.gov/3976234/

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Cerebrospinal fluid dissecting into spinal epidural space after lumbar puncture causing cauda equina syndrome: review of literature and illustrative case.

OBJECTS: We report a case of epidural cerebrospinal fluid (CSF) leak after lumbar puncture caused by CSF dissecting into the spinal epidural space. The incidence of this phenomenon may be higher than suspected, although most cases may remain asymptomatic. MATERIALS AND METHODS: A 4-year-old girl with new-onset seizure underwent a diagnostic lumbar puncture, the results of which were normal; 3 h later, she began experiencing severe low-pressure headaches and lower back pain, bilateral lower extremity weakness, numbness, and pain, and urinary retention when upright. Spinal MRI demonstrated extensive epidural CSF collection posterior to the thecal sac extending from the cervicothoracic junction to the sacrum. After 48 h in the supine position and gradual mobilization, the patient had complete resolution of symptoms and no neurological sequelae. CONCLUSION: Patients usually recover without any neurological deficits after conservative treatment. Prone or lateral decubitus positioning immediately after lumbar puncture may decrease the incidence of this phenomenon.

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