Monitoring and tentative diagnosis of herpetic encephalitis by protein analysis of cerebrospinal fluid. Particular relevance of the assays of ferritin and S-100

J Neurol Sci. 1985 Mar;67(3):359-69. doi: 10.1016/0022-510x(85)90161-3.

Abstract

The cerebrospinal fluid (CSF) of 9 patients with herpetic encephalitis was analyzed by particle counting immunoassay of ferritin, S-100, immunoglobulins, anti-herpes antibodies and immune complexes and by electrophoresis for the detection of oligoclonal bands. The main conclusions are: first, the simultaneous increase of both ferritin and S-100 in the presence of symptoms of encephalitis suggests strongly the infection is herpetic; second, high and increasing levels of S-100, probably related to the extent of the necrotic process, indicate a poor prognosis. In addition, 8-14 days after onset, locally produced anti-herpes antibodies were detectable, the IgG index increased and oligoclonal bands became visible.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antibodies, Viral / cerebrospinal fluid*
  • Cerebrospinal Fluid Proteins / analysis*
  • Encephalitis / cerebrospinal fluid*
  • Encephalitis / immunology
  • Female
  • Ferritins / cerebrospinal fluid
  • Herpes Simplex / cerebrospinal fluid*
  • Herpes Simplex / immunology
  • Humans
  • Immunoglobulins / cerebrospinal fluid*
  • Male
  • Middle Aged
  • Oligoclonal Bands
  • Prognosis
  • S100 Proteins / cerebrospinal fluid

Substances

  • Antibodies, Viral
  • Cerebrospinal Fluid Proteins
  • Immunoglobulins
  • Oligoclonal Bands
  • S100 Proteins
  • Ferritins