Document 0077 DOCN M9470077 TI Cerebrovascular and neurological disorders associated with antiphospholipid antibodies in CSF and serum. DT 9409 AU Gallo P; Sivieri S; Ferrarini AM; Giometto B; Ruffatti A; Ritter E; Chizzolini C; Tavolato B; Institute of Neurology, University of Padua, School of Medicine,; Italy. SO J Neurol Sci. 1994 Mar;122(1):97-101. Unique Identifier : AIDSLINE MED/94253843 AB Paired serum and cerebrospinal fluid (CSF) samples from 70 patients with inflammatory and non-inflammatory neurological diseases, as well as 10 sera from patients with primary antiphospholipid syndrome (PAS), six of which presented with cerebrovascular ischemic syndromes, were studied for the presence of anticardiolipin antibodies (ACA) of the G and M classes. PAS sera and some selected paired CSF and serum specimens, were also analyzed for the presence of anti-phosphatidylserine (PS) and anti-phosphatidylethanolamine (PE) antibodies. High levels of IgG and IgM ACA were synthesized intrathecally only in patients with neurosyphilis. Patients with other infectious or inflammatory neurological diseases very rarely showed detectable levels of ACA in serum and/or CSF. ACA were found not only in patients with untreated PAS but also in the serum of 3/7 patients with migraine, thus confirming a relationship between ACA and vascular disorders. The search for PS and PE antibodies disclosed that in PAS patients the serum titers of these antibodies mirrored ACA IgG and IgM titers, while they were never found in the CSF. DE Adolescence Adult Antibodies, Anticardiolipin/ANALYSIS/BLOOD/CEREBROSPINAL FLUID Antibodies, Antiphospholipid/*ANALYSIS/BLOOD/CEREBROSPINAL FLUID Cerebral Ischemia/BLOOD/CEREBROSPINAL FLUID/IMMUNOLOGY Cerebrovascular Disorders/BLOOD/CEREBROSPINAL FLUID/*IMMUNOLOGY Enzyme-Linked Immunosorbent Assay Female Human HIV Infections/BLOOD/CEREBROSPINAL FLUID/IMMUNOLOGY HIV-1 IgG/BIOSYNTHESIS/CEREBROSPINAL FLUID IgM/BIOSYNTHESIS/CEREBROSPINAL FLUID Lipid Metabolism, Inborn Errors/BLOOD/CEREBROSPINAL FLUID/ METABOLISM Male Middle Age Migraine/BLOOD/CEREBROSPINAL FLUID/IMMUNOLOGY Nervous System Diseases/BLOOD/CEREBROSPINAL FLUID/*IMMUNOLOGY Neurosyphilis/BLOOD/CEREBROSPINAL FLUID/IMMUNOLOGY Phosphatidylethanolamines/IMMUNOLOGY/METABOLISM Phosphatidylserines/IMMUNOLOGY/METABOLISM Support, Non-U.S. Gov't JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).