Detection of Borrelia burgdorferi-specific antigen in antibody-negative cerebrospinal fluid in neurologic Lyme disease.

Abstract:

OBJECTIVE:To determine the potential of detection in CSF of specific Borrelia burgdorferi antigen, OspA, as a marker of infection in neurologic Lyme disease and compare this with the detection of antibody. DESIGN:CSF from 83 neurologic patients in an area highly endemic for Lyme disease was examined prospectively for (1) OspA by antigen capture ELISA and Western blot employing monoclonal antibodies, and for (2) B burgdorferi antibodies by ELISA. RESULTS:Of the 35 of 83 (42%) patients who were positive for OspA antigen in their CSF, 15 (43%) were antigen positive despite being antibody-negative in CSF. Seven of these 15 (47%) had otherwise normal routine CSF analyses. Six of these 15 (40%) patients met strict CDC surveillance criteria for Lyme disease; four (27%) patients had seroconversion coincident with new neurologic problems; and three (20%) with characteristic syndromes for Lyme disease were seronegative, but had complexed antibody to B burgdorferi. The final two patients (13%) were seropositive and had unexplained neurologic problems not characteristic of Lyme disease. CONCLUSIONS:B burgdorferi antigen can be detected in CSF that is otherwise normal by conventional methodology, and can be present without positive CSF antibody. Since CSF antigen implies intrathecal seeding of the infection, the diagnosis of neurologic infection by B burgdorferi should not be excluded solely on the basis of normal routine CSF or negative CSF antibody analyses.

journal_name

Neurology

journal_title

Neurology

authors

Coyle PK,Schutzer SE,Deng Z,Krupp LB,Belman AL,Benach JL,Luft BJ

doi

10.1212/wnl.45.11.2010

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

2010-5

issue

11

eissn

0028-3878

issn

1526-632X

journal_volume

45

pub_type

杂志文章
  • The in vivo development of plasma cells: a morphologic study of human cerebrospinal fluid.

    abstract::This is a case study of a patient with the clinical diagnosis of meningoencephalitis. It demonstrates the in vivo development of plasma cells in the central nervous system. All the stages of in vitro mitogen-induced lymphocyte transformation previously described by light and electron microscopy are recapitulated in th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.5.448

    authors: Glasser L,Payne C,Corrigan JJ Jr

    更新日期:1977-05-01 00:00:00

  • Measuring disease progression in frontotemporal lobar degeneration: a clinical and MRI study.

    abstract:OBJECTIVES:There is currently much interest in biomarkers of disease activity in frontotemporal lobar degeneration (FTLD). We assessed MRI and behavioral measures of progression in a longitudinal FTLD cohort. METHODS:Thirty-two patients with FTLD (11 behavioral variant frontotemporal dementia [bvFTD], 11 semantic deme...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d1a879

    authors: Gordon E,Rohrer JD,Kim LG,Omar R,Rossor MN,Fox NC,Warren JD

    更新日期:2010-02-23 00:00:00

  • On the cause of hyporeflexia in the Holmes-Adie syndrome.

    abstract::Electrophysiologic studies were carried out on 11 patients with Holmes-Adie syndrome, 8 of whom had reduced or absent ankle jerks. Conduction velocities and evoked nerve and muscle compound action potentials in the peroneal, posterior tibial, and sural nerves were normal. The H reflex was absent (or virtually absent) ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.2.262

    authors: Miyasaki JM,Ashby P,Sharpe JA,Fletcher WA

    更新日期:1988-02-01 00:00:00

  • Response to cancer therapy in a patient with a paraneoplastic choreiform disorder.

    abstract::The authors report a patient with chorea and multifocal neurologic abnormalities associated with a small-cell lung carcinoma. A previously unreported antibody directed at a 76-kD neuronal protein antigen was identified in both serum and CSF. Antitumor treatment resulted in dramatic and sustained clinical neurologic an...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.57.4.719

    authors: Croteau D,Owainati A,Dalmau J,Rogers LR

    更新日期:2001-08-28 00:00:00

  • Changes in referral pattern and its effect on outcome in patients with Guillain-Barré syndrome.

    abstract::The authors assessed the referral pattern and outcome in patients with Guillain-Barré syndrome (n = 266) after the introduction of intravenous immunoglobulin (IVIg). Fewer patients were transferred from small to large hospitals after the introduction of IVIg (p = 0.05). This did not result in a worse outcome in patien...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.4.564

    authors: Van Koningsveld R,Van Doorn PA,Schmitz PI,Van der Meché FG

    更新日期:2001-02-27 00:00:00

  • Clinical manifestations of intermediate allele carriers in Huntington disease.

    abstract:OBJECTIVE:There is controversy about the clinical consequences of intermediate alleles (IAs) in Huntington disease (HD). The main objective of this study was to establish the clinical manifestations of IA carriers for a prospective, international, European HD registry. METHODS:We assessed a cohort of participants at r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002944

    authors: Cubo E,Ramos-Arroyo MA,Martinez-Horta S,Martínez-Descalls A,Calvo S,Gil-Polo C,European HD Network.

    更新日期:2016-08-09 00:00:00

  • Reprogramming cells from Gulf War veterans into neurons to study Gulf War illness.

    abstract::Gulf War illness (GWI), which afflicts at least 25% of veterans who served in the 1990-1991 war in the Persian Gulf, is thought to be caused by deployment exposures to various neurotoxicants, including pesticides, anti-nerve gas pills, and low-level nerve agents including sarin/cyclosarin. GWI is a multisymptom disord...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003938

    authors: Qiang L,Rao AN,Mostoslavsky G,James MF,Comfort N,Sullivan K,Baas PW

    更新日期:2017-05-16 00:00:00

  • The effects of acute and chronic ethanol administration on twitch and tetanic force production by rat gastrocnemius muscle in situ.

    abstract::The effects of acute ethanol injection on force production were measured in normal and chronic alcoholic rats. Acutely injected normal rats, acutely injected chronic alcoholic rats, and noninjected chronic alcoholic rats were compared with control groups: normal nonalcoholic rats and a dietetically deprived control gr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.2.139

    authors: Martyn DA,Munsat TL

    更新日期:1980-02-01 00:00:00

  • Declining incidence of multiple sclerosis in the Orkney Islands.

    abstract::The incidence of MS in the Orkney Islands has been updated from 1941 to September 21, 1983. Since 1965, MS incidence rates have fallen significantly when compared with those for 1941 to 1964. Alterations in age-specific prevalence, mean duration of illness, and mean age of the MS population are consistent with the dec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.4.545

    authors: Cook SD,Cromarty JI,Tapp W,Poskanzer D,Walker JD,Dowling PC

    更新日期:1985-04-01 00:00:00

  • Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1.

    abstract:OBJECTIVE:To evaluate the safety and efficacy of l-serine in humans with hereditary sensory autonomic neuropathy type I (HSAN1). METHODS:In this randomized, placebo-controlled, parallel-group trial with open-label extension, patients aged 18-70 years with symptomatic HSAN1 were randomized to l-serine (400 mg/kg/day) o...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000006811

    authors: Fridman V,Suriyanarayanan S,Novak P,David W,Macklin EA,McKenna-Yasek D,Walsh K,Aziz-Bose R,Oaklander AL,Brown R,Hornemann T,Eichler F

    更新日期:2019-01-22 00:00:00

  • Striatal D2 receptors in symptomatic and asymptomatic carriers of dopa-responsive dystonia measured with [11C]-raclopride and positron-emission tomography.

    abstract::We tested the hypothesis that asymptomatic carriers of dopa-responsive dystonia (DRD) have increased dopamine D2 receptors in the striatum that protect them from the clinical manifestations of dopaminergic deficiency. We examined striatal D2-receptor binding in (1) symptomatic subjects (treated and untreated) and (2) ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.4.1028

    authors: Kishore A,Nygaard TG,de la Fuente-Fernandez R,Naini AB,Schulzer M,Mak E,Ruth TJ,Calne DB,Snow BJ,Stoessl AJ

    更新日期:1998-04-01 00:00:00

  • Hemiballism and metastatic brain tumor.

    abstract::We describe a 78-year-old man with right hemiballism as the presenting symptom of a metastatic occult adenocarcinoma of the lung. CT demonstrated two contrast-enhancing lesions: one in the left subthalamic region and the other in the left parietal region. Metastatic tumor was confirmed at autopsy. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.2.204

    authors: Glass JP,Jankovic J,Borit A

    更新日期:1984-02-01 00:00:00

  • Methylphenidate for gait impairment in Parkinson disease: a randomized clinical trial.

    abstract:BACKGROUND:There is a paucity of therapies for gait impairment in Parkinson disease (PD). Open-label studies have suggested improved gait after treatment with methylphenidate (MPD). OBJECTIVE:To evaluate the efficacy of MPD for the treatment of gait impairment in PD. METHODS:Twenty-seven subjects with PD and moderate...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0b013e3182143537

    authors: Espay AJ,Dwivedi AK,Payne M,Gaines L,Vaughan JE,Maddux BN,Slevin JT,Gartner M,Sahay A,Revilla FJ,Duker AP,Shukla R

    更新日期:2011-04-05 00:00:00

  • Lesch-Nyhan syndrome: CSF neurotransmitter abnormalities.

    abstract::Serial determinations of spinal fluid homovanillic acid (HVA) and 5-hydroxyindoleacetic acid (5-HIAA) were made in four patients with the Lesch-Nyhan syndrome over a 5-year period. Control spinal fluids for age-matched comparison were obtained from 194 neurologic and nonneurologic pediatric patients. A rapid decline i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.6.907

    authors: Silverstein FS,Johnston MV,Hutchinson RJ,Edwards NL

    更新日期:1985-06-01 00:00:00

  • DAG1 mutations associated with asymptomatic hyperCKemia and hypoglycosylation of α-dystroglycan.

    abstract:OBJECTIVES:To identify gene mutations in patients with dystroglycanopathy and prove pathogenicity of those mutations using an in vitro cell assay. METHODS:We performed whole-exome sequencing on 20 patients, who were previously diagnosed with dystroglycanopathy by immunohistochemistry and/or Western blot analysis. We a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001162

    authors: Dong M,Noguchi S,Endo Y,Hayashi YK,Yoshida S,Nonaka I,Nishino I

    更新日期:2015-01-20 00:00:00

  • The impact of neuropathic pain on health-related quality of life: review and implications.

    abstract::A number of high-quality studies have recently been published that examine the association between neuropathic pain and health-related quality of life (HRQoL). The current review identified 52 such studies in patients with six neuropathic pain conditions associated with lesions of either the peripheral (postsurgical n...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/01.wnl.0000259085.61898.9e

    authors: Jensen MP,Chodroff MJ,Dworkin RH

    更新日期:2007-04-10 00:00:00

  • Impaired insulin secretion increases the risk of Alzheimer disease.

    abstract:OBJECTIVE:Subjects with diabetes are reported to have an increased risk of dementia and cognitive impairment. However, the underlying causes remain unknown. We investigated the longitudinal associations between midlife insulin secretion, glucose metabolism, and the subsequent development of Alzheimer disease (AD) and d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000310646.32212.3a

    authors: Rönnemaa E,Zethelius B,Sundelöf J,Sundström J,Degerman-Gunnarsson M,Berne C,Lannfelt L,Kilander L

    更新日期:2008-09-30 00:00:00

  • Teaching the next generation of neurologists.

    abstract::Educators of the next generation of neurologists will face several challenges, including changes in academic medical centers and hospitals, changes in the scope and practice of neurology itself, and changes in trainees, related to both access to information technology and professional goals. This article, which origin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000342516.08077.55

    authors: Elkind MS

    更新日期:2009-02-17 00:00:00

  • Medial plantar neuropathy.

    abstract::We have described four cases of medial plantar neuropathy that was confirmed by the near-nerve sensory nerve conduction study. The common compression site in medial plantar neuropathy is at the entrance to the fibromuscular tunnel behind the navicular tuberosity, distal to the tarsal tunnel, where Tinel's sign is loca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.8.1408

    authors: Oh SJ,Lee KW

    更新日期:1987-08-01 00:00:00

  • Relationship between Meige syndrome and alpha-methyldopa-induced parkinsonism.

    abstract::We studied two patients with Meige syndrome who developed alpha-methyldopa-induced parkinsonism. Opposite responses of parkinsonian and dystonic symptoms to antiparkinson drugs in some cases suggest a functionally reciprocal relationship between these disorders. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.11.1668

    authors: Sechi GP,Demontis G,Rosati G

    更新日期:1985-11-01 00:00:00

  • Alcohol intake and the risk of intracerebral hemorrhage in the elderly: The MUCH-Italy.

    abstract:OBJECTIVE:To investigate the role of alcohol as a causal factor for intracerebral hemorrhage (ICH) and whether its effects might vary according to the pathogenic mechanisms underlying cerebral bleeding. METHODS:We performed a case-control analysis, comparing a cohort of consecutive white patients with ICH aged 55 year...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000005814

    authors: Costa P,Grassi M,Iacoviello L,Zedde M,Marcheselli S,Silvestrelli G,DeLodovici ML,Sessa M,Zini A,Paciaroni M,Azzini C,Gamba M,Del Sette M,Toriello A,Gandolfo C,Bonifati DM,Tassi R,Cavallini A,Chiti A,Calabrò RS,Gri

    更新日期:2018-07-17 00:00:00

  • Rapidly progressive hippocampal atrophy: evidence for a seizure-induced mechanism.

    abstract::Hippocampal formation atrophy (HFA) developed in an adult, who did not have epilepsy previously, after the occurrence of new-onset partial seizures from acute thrombosis of an ipsilateral parietal venous angioma. There was no evidence of hippocampal injury, and the patient had only one brief, generalized tonic-clonic ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.10.1553

    authors: Worrell GA,Sencakova D,Jack CR,Flemming KD,Fulgham JR,So EL

    更新日期:2002-05-28 00:00:00

  • Does hypothermia influence the predictive value of bilateral absent N20 after cardiac arrest?

    abstract:BACKGROUND:Bilateral absent N20 responses of median nerve somatosensory evoked potentials (SEPs) reliably predict poor prognosis after cardiac arrest. However, the studies supporting this fact were carried out before hypothermia was established as standard treatment. Recent evidence suggests that hypothermia treatment ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d5a631

    authors: Leithner C,Ploner CJ,Hasper D,Storm C

    更新日期:2010-03-23 00:00:00

  • Acquired aphasia with convulsive disorder: course and prognosis.

    abstract::Acquired aphasia with convulsive disorder is an unusual condition in childhood, characterized by loss of language function associated with a paroxysmal electroencephalogram. To determine the course and outcome of this disorder, we evaluated nine patients 10 to 28 years after the onset of aphasia. Four patients had rec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.5.524

    authors: Mantovani JF,Landau WM

    更新日期:1980-05-01 00:00:00

  • Hyperglycemia predicts poststroke infections in acute ischemic stroke.

    abstract:OBJECTIVE:To investigate whether admission hyperglycemia predicts poststroke infections and, if so, whether poststroke infections modify the effect of admission hyperglycemia on functional outcome in ischemic stroke. METHODS:We used data from acute ischemic stroke patients in the Preventive Antibiotics in Stroke Study...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000003811

    authors: Zonneveld TP,Nederkoorn PJ,Westendorp WF,Brouwer MC,van de Beek D,Kruyt ND,PASS Investigators.

    更新日期:2017-04-11 00:00:00

  • Apolipoprotein E epsilon 4 and the pattern of regional brain atrophy in Alzheimer's disease.

    abstract:BACKGROUND:Although the APOE epsilon 4 allele increases the risk of developing AD, the effects of the epsilon 4 allele on brain atrophy in clinical AD patients are controversial. OBJECTIVE:To investigate a possible relationship between the genetic variants of APOE and brain atrophy in patients with AD. METHODS:Using ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.8.1461

    authors: Hashimoto M,Yasuda M,Tanimukai S,Matsui M,Hirono N,Kazui H,Mori E

    更新日期:2001-10-23 00:00:00

  • High risk of postpartum relapses in neuromyelitis optica spectrum disorder.

    abstract:OBJECTIVE:To study the effect of pregnancy on the frequency of neuromyelitis optica spectrum disorder (NMOSD) relapse and evaluate rates of pregnancy-related complications in an international multicenter setting. METHODS:We administered a standardized survey to 217 women with NMOSD from 7 medical centers and reviewed ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000004681

    authors: Klawiter EC,Bove R,Elsone L,Alvarez E,Borisow N,Cortez M,Mateen F,Mealy MA,Sorum J,Mutch K,Tobyne SM,Ruprecht K,Buckle G,Levy M,Wingerchuk D,Paul F,Cross AH,Jacobs A,Chitnis T,Weinshenker B

    更新日期:2017-11-28 00:00:00

  • A PET study of photophobia during spontaneous migraine attacks.

    abstract:BACKGROUND:Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigemi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182074a57

    authors: Denuelle M,Boulloche N,Payoux P,Fabre N,Trotter Y,Géraud G

    更新日期:2011-01-18 00:00:00

  • Effects of cannabis on cognitive function in patients with multiple sclerosis.

    abstract:BACKGROUND:While neuropsychological deficits have been reported in healthy individuals who use street cannabis, data in patients with multiple sclerosis (MS) are lacking. Given that MS is associated with cognitive deterioration, the aim of this study was to determine the neuropsychological effects of cannabis use in th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318212ab0c

    authors: Honarmand K,Tierney MC,O'Connor P,Feinstein A

    更新日期:2011-03-29 00:00:00

  • The 5-year risk of MS after optic neuritis. Experience of the optic neuritis treatment trial.

    abstract::The objective of our study was to assess the 5-year risk of and prognostic factors for the development of clinically definite multiple sclerosis (CDMS) following optic neuritis. In a prospective cohort study design, 388 patients, who did not have probable or definite MS at study entry enrolled in the Optic Neuritis Tr...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/wnl.49.5.1404

    authors: Optic Neuritis Study Group.

    更新日期:1997-11-01 00:00:00