Cited by 627Multiple Sclerosis Research StudiesPeripheral Neuropathies and DisordersInfectious Diseases and Tuberculosis

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Recommended Standard of Cerebrospinal Fluid Analysis in the Diagnosis of Multiple Sclerosis: A Consensus Statement

Freedman, Mark S., Thompson, Edward J., Deisenhammer, Florian, Giovannoni, Gavin, Grimsley, Guy, Keir, Geoffrey, Öhman, Sten, Racke, Michael K., Sharief, Mohammad, Sindic, Christian J. M., Sellebjerg, Finn, Tourtellotte, Wallace W.·2005·Archives of Neurology

DOI 10.1001/archneur.62.6.865

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Abstract

New criteria for the diagnosis of multiple sclerosis (MS) were published as the result of an internationally formed committee. To increase the specificity of diagnosis and to minimize the number of false diagnoses, the committee recommended the use of both clinical and paraclinical criteria, the latter involving information obtained from magnetic resonance imaging, evoked potentials, and cerebrospinal fluid (CSF) analysis. Although rigorous magnetic resonance imaging requirements were provided, the "new criteria paper" fell short in terms of guidelines as to how the CSF analysis should be performed and simply equated the IgG index with isoelectric focusing, without any justification. The spectrum of parameters analyzed and methods for CSF analysis differ worldwide and often yield variable results in terms of sensitivity, specificity, accuracy, and reliability, with no decided "optimal" CSF test for the diagnosis of MS. To address this question specifically, an international panel of experts in MS and CSF diagnostic techniques was convened and the result was this article, representing a consensus of all the participants. These recommendations for establishing a standard for the evaluation of CSF in patients suspected of having MS should greatly complement the new criteria in ensuring that a correct diagnosis of MS is being made.

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Authors: Freedman, M. S., Thompson, E. J., Deisenhammer, F., Giovannoni, G., Grimsley, G., Keir, G., Öhman, S., Racke, M. K., Sharief, M., Sindic, C. J. M., Sellebjerg, F., & Tourtellotte, W. W.
Affiliations: University of Ottawa (CA)
ORCID: Freedman, Mark S.
Deisenhammer, Florian
Giovannoni, Gavin
Racke, Michael K.
Sellebjerg, Finn
Venue: Archives of Neurology
Publisher: American Medical Association (AMA)
Published: 2005-06-01
Volume: 62
Issue: 6
ISSN: 0003-9942 (ISSN-L)
DOI: 10.1001/archneur.62.6.865
OpenAlex: W2123646700
Cited by: 41
References: 34
Citations by year: 2023: 1 · 2020: 3 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 5
FWCI: 2.22
Type: journal article
Language: en
Open access: closed
Locations: Archives of Neurology (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
Health Sciences › Medicine › Clinical Neurology › Peripheral Neuropathies and Disorders
Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
Keywords: multiple sclerosis, cerebrospinal fluid analysis, diagnostic criteria, IgG index, isoelectric focusing, magnetic resonance imaging, evoked potentials, diagnostic standardization, false diagnosis

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Recommended Standard of Cerebrospinal Fluid Analysis in the Diagnosis of Multiple Sclerosis: A Consensus Statement

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