Tracing immature myelin in acute disseminated encephalomyelitis

Inherent abnormalities of myelin have been suggested in the pathogenesis of multiple sclerosis (MS). We investigated myelin in acute disseminated encephalomyelitis (ADEM) patients by magnetic resonance spectroscopy (MRS) and cerebrospinal fluid (CSF) analysis for citrulline, a marker of immat...

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Bibliographic Details
Main Authors: Banu Anlar, Kader Karli-Oğuz, Osman Yücel Yurtyapan, Nesrin Senbil, Ozlem Hergüner, Sakir Altunbaşak, F Müjgan Sönmez, Pinar Ozdemir-Geyik
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2006-07-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2629
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Summary:Inherent abnormalities of myelin have been suggested in the pathogenesis of multiple sclerosis (MS). We investigated myelin in acute disseminated encephalomyelitis (ADEM) patients by magnetic resonance spectroscopy (MRS) and cerebrospinal fluid (CSF) analysis for citrulline, a marker of immature myelin. A citrulline peak was observed in the normal appearing white matter of 7/15 patients and of 1/10 age-matched neurological controls (p=0.08). CSF citrulline was elevated in 4/6 patients. Alterations in the composition of myelin might predispose to or follow acute inflammatory disorders of the central nervous system.
ISSN:0041-4301
2791-6421