Yıl: 2018 Cilt: 35 Sayı: 1 Sayfa Aralığı: 21 - 28 Metin Dili: İngilizce DOI: 10.5152/NSN.2018.10247 İndeks Tarihi: 15-05-2019

Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group

Öz:
Objective: This study aimed to evaluate laboratory oligoclonal band (OCB) patterns together with related IgG results andcompare these results with data obtained through final clinical diagnosis. Also, to evaluate electrophoretic patterns based onreibergrams and the diagnostic value of OCBs in patients with multiple sclerosis (MS).Methods: Patients were grouped based on their diagnosis. Six classic patterns were determined. Oligoclonal band patternsand related IgG results were evaluated and these results were later compared with final clinical diagnoses.Results: A total of 1022 patients with known diagnoses were studied. Electrophoretic patterns and band counting based onReibergram depictions were significantly different among patients with MS and other neurologic diseases. For all patients withMS, the OCB band positivity rate was 82.4%. Additionally, in the MS group, a significantly higher percentage (36.60%) of OCBpositivity with more than 10 bands was detected. When reibergram results in the intrathecal IgG synthesis area and OCB counts(>10) were evaluated together, the diagnostic sensitivity (37%) and specificity (95%) were increased.Conclusion: OCB positivity, band counts, and Reibergram depictions contribute further to the diagnosis of ms when per-formed together for the neurologic diseases spectrum. OCB count, IgG index values, and Reibergram depictions should all beincluded in cerebrospinal fluid electrophoresis reports. The combined use of several laboratory test results are expected toprovide valuable input for differential diagnosis of neurologic diseases.
Anahtar Kelime:

Konular: Nörolojik Bilimler
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Deisenhammer F, Egg R, Giovannoni G, et al. EFNS guidelines on disease-specific CSF investigations. Eur J Neurol 2009; 16: 760-770. [CrossRef ]
  • Trbojevic-Cepe M, Poljakovic Z, Franjic J, Bielen I, Vranes Z. Detection of oligoclonal IgG bands in unconcentrated CSF in multiple sclerosis and other neurological diseases by isoelectric focusing on ultrathin-layer polyacrylamide gel immunofixation and silver staining. Neurologija 1989; 38: 11-21.
  • Kamp HH, Bar PR, van den Doel EH, Elderson A. Albumin and immunoglobulin-G in the cerebrospinal fluid and the diagnosis of multiple sclerosis. Clin Neurol Neurosurg 1985; 87: 3-10. [CrossRef ]
  • Dobson R, Ramagopalan S, Davis A, Giovannoni G. Cerebrospinal fluid oligoclonal bands in multiple sclerosis and clinically isolated syndromes: a meta-analysis of prevalence, prognosis and effect of latitude. J Neurol Neurosurg Psychiatry 2013; 84: 909-914. [CrossRef ]
  • Freedman MS, Thompson EJ, Deisenhammer F, et al. Recommended standard of cerebrospinal fluid analysis in the diagnosis of multiple sclerosis: a consensus statement. Arch Neurol 2005; 62: 865-870. [CrossRef ]
  • Petzold A. Intrathecal oligoclonal IgG synthesis in multiple sclerosis. J Neuroimmunol 2013; 262: 1-10. [CrossRef ]
  • Mayringer I, Timeltaler B, Deisenhammer F. Correlation between the IgG index, oligoclonal bands in CSF, and the diagnosis of demyelinating diseases. Eur J Neurol 2005; 12: 527-530. [CrossRef ]
  • Polman CH, Reingold SC, Banwell B, et al. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 2011; 69: 292-302. [CrossRef ]
  • Link H, Tibbling G. Principles of albumin and IgG analyses in neurological disorders. III. Evaluation of IgG synthesis within the central nervous system in multiple sclerosis. Scand J Clin Lab Invest 1977; 37: 397-401. [CrossRef ]
  • Reiber H, Peter JB. Cerebrospinal fluid analysis: disease-related data patterns and evaluation programs. J Neurol Sci 2001; 184: 101-122. [CrossRef ]
  • Hacohen Y, Singh R, Forsyth V, Absoud M, Lim M. CSF albumin and immunoglobulin analyses in childhood neurologic disorders. Neurol Neuroimmunol Neuroinflamm 2014; 1: e-10. [CrossRef]
  • Link H, Huang YM. Oligoclonal bands in multiple sclerosis cerebrospinal fluid: an update on methodology and clinical usefulness. J Neuroimmunol 2006; 180: 17-28. [CrossRef ]
  • Andreadou E, Chatzipanagiotou S, Constantinides VC, et al. Prevalence of cerebrospinal fluid oligoclonal IgG bands in Greek patients with clinically isolated syndrome and multiple sclerosis. Clin Neurol Neurosurg 2013; 115: 2094-2098. [CrossRef ]
  • Kira J, Kanai T, Nishimura Y, et al. Western versus Asian types of multiple sclerosis: immunogenetically and clinically distinct disorders. Ann Neurol 1996; 40: 569-574. [CrossRef ]
  • Idiman E, Ozakbas S, Dogan Y, Kosehasanogullari G. The significance of oligoclonal bands in multiple sclerosis: relevance of demographic and clinical features, and immunogenetic backgrounds. J Neuroimmunol 2009; 212: 121-124. [CrossRef ]
  • Ellidag HY, Eren E, Erdogan N, Ture S, Yilmaz N. Comparison of neurophysiological and MRI findings of patients with multiple sclerosis using oligoclonal band technique. Ann Neurosci 2013; 20: 149-154. [CrossRef ]
  • Regeniter A, Kuhle J, Mehling M, et al. A modern approach to CSF analysis: pathophysiology, clinical application, proof of concept and laboratory reporting. Clin Neurol Neurosurg 2009; 111: 313-318. [CrossRef ]
  • Saruhan-Direskeneli G, Yentur SP, Mutlu M, et al. Intrathecal oligoclonal IgG bands are infrequently found in neuro-Behcet's disease. Clin Exp Rheumatol 2013; 31(3 Suppl 77): 25-27.
  • Reiber H. Flow rate of cerebrospinal fluid (CSF)--a concept common to normal blood-CSF barrier function and to dysfunction in neurological diseases. J Neurol Sci 1994; 122: 189-203. [CrossRef]
  • Andersson M, Alvarez-Cermeno J, Bernardi G, et al. Cerebrospinal fluid in the diagnosis of multiple sclerosis: a consensus report. J Neurol Neurosurg Psychiatry 1994; 57: 897-902. [CrossRef]
APA PINAR A, TUNCER KURNE A, LAY İ, ACAR ÖZEN N, Karahan S, KARABUDAK R, Akbıyık F (2018). Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. , 21 - 28. 10.5152/NSN.2018.10247
Chicago PINAR Aslı,TUNCER KURNE Aslı,LAY İNCİLAY,ACAR ÖZEN NAZİRE PINAR,Karahan Sevilay,KARABUDAK Rana,Akbıyık Filiz Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. (2018): 21 - 28. 10.5152/NSN.2018.10247
MLA PINAR Aslı,TUNCER KURNE Aslı,LAY İNCİLAY,ACAR ÖZEN NAZİRE PINAR,Karahan Sevilay,KARABUDAK Rana,Akbıyık Filiz Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. , 2018, ss.21 - 28. 10.5152/NSN.2018.10247
AMA PINAR A,TUNCER KURNE A,LAY İ,ACAR ÖZEN N,Karahan S,KARABUDAK R,Akbıyık F Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. . 2018; 21 - 28. 10.5152/NSN.2018.10247
Vancouver PINAR A,TUNCER KURNE A,LAY İ,ACAR ÖZEN N,Karahan S,KARABUDAK R,Akbıyık F Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. . 2018; 21 - 28. 10.5152/NSN.2018.10247
IEEE PINAR A,TUNCER KURNE A,LAY İ,ACAR ÖZEN N,Karahan S,KARABUDAK R,Akbıyık F "Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group." , ss.21 - 28, 2018. 10.5152/NSN.2018.10247
ISNAD PINAR, Aslı vd. "Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group". (2018), 21-28. https://doi.org/10.5152/NSN.2018.10247
APA PINAR A, TUNCER KURNE A, LAY İ, ACAR ÖZEN N, Karahan S, KARABUDAK R, Akbıyık F (2018). Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. Neurological sciences and neurophysiology (Online), 35(1), 21 - 28. 10.5152/NSN.2018.10247
Chicago PINAR Aslı,TUNCER KURNE Aslı,LAY İNCİLAY,ACAR ÖZEN NAZİRE PINAR,Karahan Sevilay,KARABUDAK Rana,Akbıyık Filiz Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. Neurological sciences and neurophysiology (Online) 35, no.1 (2018): 21 - 28. 10.5152/NSN.2018.10247
MLA PINAR Aslı,TUNCER KURNE Aslı,LAY İNCİLAY,ACAR ÖZEN NAZİRE PINAR,Karahan Sevilay,KARABUDAK Rana,Akbıyık Filiz Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. Neurological sciences and neurophysiology (Online), vol.35, no.1, 2018, ss.21 - 28. 10.5152/NSN.2018.10247
AMA PINAR A,TUNCER KURNE A,LAY İ,ACAR ÖZEN N,Karahan S,KARABUDAK R,Akbıyık F Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. Neurological sciences and neurophysiology (Online). 2018; 35(1): 21 - 28. 10.5152/NSN.2018.10247
Vancouver PINAR A,TUNCER KURNE A,LAY İ,ACAR ÖZEN N,Karahan S,KARABUDAK R,Akbıyık F Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group. Neurological sciences and neurophysiology (Online). 2018; 35(1): 21 - 28. 10.5152/NSN.2018.10247
IEEE PINAR A,TUNCER KURNE A,LAY İ,ACAR ÖZEN N,Karahan S,KARABUDAK R,Akbıyık F "Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group." Neurological sciences and neurophysiology (Online), 35, ss.21 - 28, 2018. 10.5152/NSN.2018.10247
ISNAD PINAR, Aslı vd. "Cerebrospinal fluid oligoclonal banding patterns and intrathecal immunoglobulin synthesis: Data comparison from a wide patient group". Neurological sciences and neurophysiology (Online) 35/1 (2018), 21-28. https://doi.org/10.5152/NSN.2018.10247