Clinical, radiological, immunological and pathological findings in inflammatory CNS demyelination -: possible markers for an antibody-mediated process

被引:35
作者
Brück, W
Neubert, K
Berger, T
Weber, JR
机构
[1] Humboldt Univ, Charite, Dept Neuropathol, D-13353 Berlin, Germany
[2] Humboldt Univ, Charite, Dept Neurol, D-13353 Berlin, Germany
[3] Univ Innsbruck, Dept Neurol, A-6020 Innsbruck, Austria
关键词
multiple sclerosis; antibody; plasmapheresis;
D O I
10.1177/135245850100700307
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The present report describes immunopathological, radiological and serological characteristics of antibody-mediated demyelination in a multiple sclerosis (MS) case with the main findings: (I) immunoglobulin and complement deposits in areas of active demyelination accompanied by massive macrophage activation; (2) ring-enhancing lesions in TI-weighted MRI after gadolinium application; (3) high titers of serum anti-myelin antibodies; and (4) signs of macrophage activation in the serum. Plasmapheresis may be a successful treatment for the type of inflammatory demyelination shown in the present case.
引用
收藏
页码:173 / 177
页数:5
相关论文
共 30 条
[1]
AARLI JA, 1975, IMMUNOLOGY, V28, P171
[2]
The N-terminal domain of the myelin oligodendrocyte glycoprotein (MOG) induces acute demyelinating experimental autoimmune encephalomyelitis in the Lewis rat [J].
Adelmann, M ;
Wood, J ;
Benzel, I ;
Fiori, P ;
Lassmann, H ;
Matthieu, JM ;
Gardinier, MV ;
Dornmair, K .
JOURNAL OF NEUROIMMUNOLOGY, 1995, 63 (01) :17-27
[3]
Serum levels of macrophage-derived protein MRP-8/14 are elevated in active multiple sclerosis [J].
Bogumil, T ;
Rieckmann, P ;
Kubuschok, B ;
Felgenhauer, K ;
Brück, W .
NEUROSCIENCE LETTERS, 1998, 247 (2-3) :195-197
[4]
BREITSCHOPF H, 1992, ACTA NEUROPATHOL, V84, P581
[5]
Inflammatory central nervous system demyelination: Correlation of magnetic resonance imaging findings with lesion pathology [J].
Bruck, W ;
Bitsch, A ;
Kolenda, H ;
Bruck, Y ;
Stiefel, M ;
Lassmann, H .
ANNALS OF NEUROLOGY, 1997, 42 (05) :783-793
[6]
MONOCYTE-MACROPHAGE DIFFERENTIATION IN EARLY MULTIPLE-SCLEROSIS LESIONS [J].
BRUCK, W ;
PORADA, P ;
POSER, S ;
RIECKMANN, P ;
HANEFELD, F ;
KRETZSCHMAR, HA ;
LASSMANN, H .
ANNALS OF NEUROLOGY, 1995, 38 (05) :788-796
[7]
Magnetic resonance imaging in multiple sclerosis [J].
Clanet, M ;
Berry, I .
CURRENT OPINION IN NEUROLOGY, 1998, 11 (04) :299-303
[8]
The contribution of magnetic resonance imaging to the diagnosis of multiple sclerosis [J].
Fazekas, F ;
Barkhof, F ;
Filippi, M ;
Grossman, RI ;
Li, DKB ;
McDonald, WI ;
McFarland, HF ;
Paty, DW ;
Simon, JH ;
Wolinsky, JS ;
Miller, DH .
NEUROLOGY, 1999, 53 (03) :448-456
[9]
BLOOD-BRAIN-BARRIER DAMAGE IN ACUTE MULTIPLE-SCLEROSIS PLAQUES - AN IMMUNOCYTOLOGICAL STUDY [J].
GAY, D ;
ESIRI, M .
BRAIN, 1991, 114 :557-572
[10]
Identification of autoantibodies associated with myelin damage in multiple sclerosis [J].
Genain, CP ;
Cannella, B ;
Hauser, SL ;
Raine, CS .
NATURE MEDICINE, 1999, 5 (02) :170-175