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CSF Myelin Basic Protein Levels in Acute Optic Neuritis and Multiple Sclerosis

Published online by Cambridge University Press:  18 September 2015

K.G. Warren*
Affiliation:
The Multiple Sclerosis Research Clinic, Department of Medicine (Neurology), University of Alberta and Cross Cancer Institute, Edmonton
Ingrid Catz
Affiliation:
The Multiple Sclerosis Research Clinic, Department of Medicine (Neurology), University of Alberta and Cross Cancer Institute, Edmonton
T.A. McPherson
Affiliation:
The Multiple Sclerosis Research Clinic, Department of Medicine (Neurology), University of Alberta and Cross Cancer Institute, Edmonton
*
9-101A Clinical Sciences Building, 83rd Avenue at 112 Street, Edmonton, Alberta, Canada T6G 2G3.
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Normal CSF-MBP levels as determined by a RIA were <6.2 ng/ml CSF (mean 3.9). Eighty percent of patients with acute optic neuritis have CSF-MBP levels greater than 6.2 ng/ml (mean 7.6 ng/ml CSF). Five of 7 patients with acute internuclear ophthalmoplegia due to an initial exacerbation of demyelination have CSF-MBP levels above 6.2 ng/ml (mean 6.8 ng/ml). Fifty percent of MS patients with chronic progressive disease have CSF-MBP levels above 6.2 ng/ml (mean 6.7 ng/ml). MS patients experiencing monosymptomatic exacerbations show elevated CSF-MBP levels in 75% of cases (mean 8.2 ng/ml). MS patients experiencing polysymptomatic exacerbations show significantly higher levels of CSF-MBP (mean 22.3 ng/ml) than the patients with monosymptomatic exacerbations. Ninety-five percent of MS patients experiencing polysymptomatic exacerbations have elevated levels of CSF-MBP.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1983

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