Rapid distinction of acute demyelinating disorders and central nervous system lymphoma by molecular analysis of cerebrospinal fluid cells.

Abstract:

:Polymerase chain reaction (PCR) based automated high-resolution fragment analysis of rearranged immunoglobulin heavy-chain genes is a highly sensitive means for identifying clonal B-cell responses. We used this technique to distinguish polyclonal inflammatory from monoclonal neoplastic B-cell populations in the cerebrospinal fluid (CSF) of three patients with acute demyelinating disorders of the central nervous system whose clinical, magnetic resonance imaging (MRI) and CSF features did not permit unequivocal exclusion of primary central nervous system lymphoma (pC-NSL). This approach is highly suitable for detecting CNS inflammation particularly when lymphomatous involvement cannot be ruled out by noninvasive diagnostic procedures alone.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Wildemann B,Jansen O,Haas J,Vogt-Schaden ME,Storch-Hagenlocher B

doi

10.1007/s004150170247

keywords:

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

127-30

issue

2

eissn

0340-5354

issn

1432-1459

journal_volume

248

pub_type

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