Cerebrospinal fluids from patients with neurological diseases have been studied. It appeared that the detectability of immunoglobulin G subclasses 1, 2, 3, 4, and the occurrence of oligoclonal bands in the IgG region increased with increasing concentration of IgG in the spinal fluid. No specific pattern emerged in the different disease groups. The reference intervals were determined for: Sp-Albumin(66,OOO): 0.08-4.4 pmol/l; Sp-IgG(160,OOO): 0.06-0.26 pmoV1; S-Albumin : 120413, Sp-AlbuminSp-IgG X S-Albumin within the reference interval, while S-IgG Sp-Albumin was increased.
Sp: spinal fluid
S-AlbuminSp-IgG X S-Albumin Sp-Albumin S-IgG X Sp-Albumin In these ratios the variability of the concentration of albumin and IgG in serum is taken into account and corrected for.Reference intervals and the values obtained in a variety of neurological diseases for these parameters are presented.
and MATERIAL
Reference interval samplesCerebrospinal fluid specimens with Sp-Protein (ref. int. 0.15-0.50 g/l), Sp-Erythrocytes and Sp-Leucocytes (ref. int. 0-3 X 106/1) within the reference interval were used to determine the reference intervals for Sp-Albumin(66,000) Sp-Immunoglobulin G S-Albumin Sp-IgG X S-Albumin (160,000), Sp-Albumin and S-IgG Sp-Albumin according to Delpech & Lichtblau (1972)
Spinal fluid controlsA pool of 60 reference interval samples of spinal fluid was prepared. The Sp-IgG was 0.15 pmol/l and the Sp-Albumin was 3 pmolll. Part of the pool was concentrated 10 times by dialysis against Carbowax 20 M, and nonconcentrated as well as 10 times concentrated pool was used as control. The pools were stored at -20°C in portions of 1 ml.