The Diagnostic Value of Oligoclonal Band Detection in Viral Encephalitis
- 1 Department of Neurology, Liaocheng Hospital Affiliated to Shandong First Medical University (Liaocheng People’s Hospital), Liaocheng, China
- 2 Department of Neurology, Liaocheng Hospital Affiliated to Shandong First Medical University (Liaocheng People’s Hospital), Liaocheng, China
- 3 Department of Neurology, Liaocheng Hospital Affiliated to Shandong First Medical University (Liaocheng People’s Hospital), Liaocheng, China
Abstract
Objective: This study aims to explore the differences in cerebrospinal fluid oligoclonal band (CSF-OCB) expression among different age groups in viral encephalitis and its reference value for diagnosis. Methods: Forty-two patients with viral encephalitis were divided into two groups: 25 adults and 17 children. The presence of oligoclonal bands in the cerebrospinal fluid (CSF) was detected using polyacrylamide gel electrophoresis, and CSF routine analysis was conducted for comparative analysis. Results: The CSF-OCB positivity rate was higher in the adult group (48%) compared with the pediatric group (11.76%), with a statistically significant difference (P Conclusion: 1) The expression of CSF-OCB positivity in patients with viral encephalitis is age-related, with higher positivity rates observed in adults compared to children. 2) Although CSF oligoclonal band detection is not a specific diagnostic marker for viral encephalitis in adults, it still holds certain reference value.
- Potharaju, N.R. (2014) Who’s Failure? Encephalitis Kills! Indian Journal of Public Health, 58, 147-155. https://doi.org/10.4103/0019-557X.138618
- Kasai, A., Kobayashi, J., Nishioka, M., Kubota, N., Inaba, Y. and Motobayashi, M. (2022) Early Phase Increase in Serum TIMP-1 in Patients with Acute Encephalopathy with Biphasic Seizures and Late Reduced Diffusion. Children (Basel), 10, 78. https://doi.org/10.3390/children10010078
- Ghimire, S., Bhattarai, M., Ghimire, S., Bista, K.B., Sharma, P., Kharel, A. and Gautam, N. (2023) Nonparaneoplastic Anti-NMDA Receptor Encephalitis in an Adolescent Girl: A Case Report. Annals of Medicine and Surgery (Lond), 85, 2010-2013. https://doi.org/10.1097/MS9.0000000000000542
- Li, X., Li, J., Wu, G., Wang, M. and Jing, Z. (2022) Detection of Japanese Encephalitis by Metagenomic Next-Generation Sequencing of Cerebrospinal Fluid: A Case Report and Literature Review. Frontiers in Cellular Neuroscience, 16, 856512. https://doi.org/10.3389/fncel.2022.856512
- Cabrera, C.M. (2022) Oligoclonal Bands: An Immunological and Clinical Approach. Advances in Clinical Chemistry, 109, 129-163. https://doi.org/10.1016/bs.acc.2022.03.004
- Boufidou, F., Vakrakou, A.G., Anagnostouli, M., Patas, K., Paraskevas, G., Chatzipanagiotou, S., Stefanis, L. and Evangelopoulos, M.E. (2023) An Updated Evaluation of Intrathecal IgG Synthesis Markers in Relation to Oligoclonal Bands. Diagnostics (Basel), 13, 389. https://doi.org/10.3390/diagnostics13030389
- Michetti, L., Maffina, F., Ravasio, R., Barcella, V., Radaelli, M., Chiudinelli, L., Sessa, M. and Alessio, M.G. (2023) Free Light Chains as a Reliable Biomarker of Intrathecal Synthesis in the Diagnosis of CNS Inflammatory Diseases. Journal of Neuroimmunology, 379, 578091. https://doi.org/10.1016/j.jneuroim.2023.578091
- Khan, F., Sharma, N., Ud Din, M. and Akabalu, I.G. (2022) Clinically Isolated Brainstem Progressive Multifocal Leukoencephalopathy: Diagnostic Challenges. American Journal of Case Reports, 23, e935019. https://doi.org/10.12659/AJCR.935019
- Chen, S., Ren, H., Lin, F., Fan, S., Cao, Y., Zhao, W., Guan, H. and Encephalitis Collaborative Group (2023) Anti-Metabotropic Glutamate Receptor 5 Encephalitis: Five Case Reports and Literature Review. Brain and Behavior, 13, e3003. https://doi.org/10.1002/brb3.3003
- Jarius, S., Lechner, C., Wendel, E.M., Baumann, M., Breu, M., Schimmel, M., Karenfort, M., Marina, A.D., Merkenschlager, A., Thiels, C., Blaschek, A., Salandin, M., Leiz, S., Leypoldt, F., Pschibul, A., Hackenberg, A., Hahn, A., Syrbe, S., Strautmanis, J., Häusler, M., Krieg, P., Eisenkölbl, A., Stoffels, J., Eckenweiler, M., Ayzenberg, I., Haas, J., Höftberger, R., Kleiter, I., Korporal-Kuhnke, M., Ringelstein, M., Ruprecht, K., Siebert, N., Schanda, K., Aktas, O., Paul, F., Reindl, M., Wildemann, B., Rostásy, K. and In Cooperation with the BIOMARKER Study Group and the Neuromyelitis Optica Study Group (NEMOS) (2020) Cerebrospinal Fluid Findings in Patients with Myelin Oligodendrocyte Glycoprotein (MOG) Antibodies. Part 2: Results from 108 Lumbar Punctures in 80 Pediatric Patients. Journal of Neuroinflammation, 17, Article No. 262. https://doi.org/10.1186/s12974-020-01825-1