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 gr...

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Main Author: Hansotto Reiber
Format: Article
Language:English
Published: Thieme Revinter Publicações 2016-06-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000600501&tlng=en
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author Hansotto Reiber
author_facet Hansotto Reiber
author_sort Hansotto Reiber
collection DOAJ
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 This review may help to replace the outdated ideas like “leakage” models of the barriers, linear immunoglobulin Index Interpretations or CSF electrophoresis.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.
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spelling doaj-art-b3da2530e8d544dca69b1fa45519e3c42025-08-20T02:23:15ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272016-06-0174650151210.1590/0004-282x20160066Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatryHansotto ReiberABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000600501&tlng=encerebrospinal fluidreference valuesimmunoglobulinalbumins
spellingShingle Hansotto Reiber
Knowledge-base for interpretation of cerebrospinal fluid data patterns. Essentials in neurology and psychiatry
Arquivos de Neuro-Psiquiatria
cerebrospinal fluid
reference values
immunoglobulin
albumins
title 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_short 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
topic cerebrospinal fluid
reference values
immunoglobulin
albumins
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000600501&tlng=en
work_keys_str_mv AT hansottoreiber knowledgebaseforinterpretationofcerebrospinalfluiddatapatternsessentialsinneurologyandpsychiatry