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Prevalence of cerebrospinal fluid oligoclonal IgG bands in Greek patients with clinically isolated syndrome and multiple sclerosis
Abstract
Unlabelled Lower prevalence of cerebrospinal fluid oligoclonal IgG bands (IgG-OCBs) has been reported in multiple sclerosis (MS) patients from Southern Europe compared to other western countries. Objectives We aimed to determine the prevalence of CSF OCBs in Greek MS patients and to examine their relation with some selected clinical and demographical features. Methods Included patients fulfilled the 2005 McDonald criteria for definite MS (CDMS) or clinically isolated syndrome (CIS) and had a spinal tap performed between 2006 and 2010. Paired CSF and plasma samples were analyzed using isoelectric focusing followed by IgG-specific immunofixation. A pattern of two or more bands present only in the CSF was defined as positive. OCB status was correlated with age at disease onset, initial symptomatology, relapse rate, disease subtype, disease duration, medication, EDSS score and MSSS. Results Of the 231 included patients (53.2% with CDMS and 48.6% with CIS) 67.5% had OCBs. The prevalence of positive patterns did not differ between CIS and CDMS patients (67.6% vs. 67.5%, respectively). OCB-positive patients were younger than OCB-negative patients (35.2±10.3 vs. 38.7±11.8 years respectively, p=0.022) and had more frequently cervical spinal cord lesions (x2=7.08, p=0.008). No difference was observed between the two subgroups in the other studied disease parameters. Conclusion Despite the lower frequency of positive IgG-OCB patterns in our patients, both subgroups were mostly similar w…
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“Multiple studies provide evidence that in adult patients with CIS, CSF OCBs are an independent predictor of the risk of a second attack when controlling for demographic, clinical, treatment, and MRI variables. 61-69”
From Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria (2018) · cites this paper as [67]
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Cited by
Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria
Thompson, A. J., Banwell, B. L., Barkhof, F., Carroll, W. M., Coetzee, T., Comi, G., Correale, J., Fazekas, F., Filippi, M., Freedman, M. S., et al. (2018) · The Lancet Neurology · doi:10.1016/s1474-4422(17)30470-2 · Cited by 8,167
Metadata
- Authors
- Andreadou, E., Chatzipanagiotou, S., Constantinides, V. C., Rombos, A., Stamboulis, E., & Nicolaou, C.
- Affiliations
- Eginition Hospital (GR)
- Corresponding author
- Andreadou, E.
- Venue
- Clinical Neurology and Neurosurgery
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 115
- Issue
- 10
- Pages
- 2094-2098
- ISSN
- 0303-8467 (ISSN-L)
- OpenAlex
- W2104218092
- Cited by
- 19
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Neurology and Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Oncology › Polyomavirus and related diseases
- Health Sciences › Medicine › Clinical Neurology › Peripheral Neuropathies and Disorders
- Keywords
- multiple sclerosis, clinically isolated syndrome, prevalence, Greek patients, cervical spinal cord injury, age of onset, prognostic value, disease subtypes, Expanded Disability Status Scale
- MeSH terms
- Adult, Age Factors, Female, Greece, Humans, Immunoglobulin G, Immunoelectrophoresis, Male, Middle Aged, Multiple Sclerosis, Recurrence, Spinal Cord, Prevalence, Age of Onset, Oligoclonal Bands
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- Andreadou, E., Chatzipanagiotou, S., Constantinides, V. C., Rombos, A., Stamboulis, E., & Nicolaou, C. (2013). Prevalence of cerebrospinal fluid oligoclonal IgG bands in Greek patients with clinically isolated syndrome and multiple sclerosis. Clinical Neurology and Neurosurgery. https://doi.org/10.1016/j.clineuro.2013.07.026
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