Cerebrospinal fluid protein concentrations related to clinical findings in patients with sciatica caused by disk herniation.
The protein concentration in the cerebrospinal fluid (CSF) is often increased in patients with sciatica, probably due to leaking of plasma proteins through the blood-nerve root barrier into CSF. Positive straight leg raising test, paresis, altered sensibility, reduced reflexes, and type of treatment were related to the CSF protein concentrations in 180 patients with sciatica caused by verified lumbar disk herniation. Significantly higher values of the CSF/serum albumin ratio and the CSF/serum immunoglobulin G ratio were found both in patients with positive straight leg raising test results and paresis compared with patients with no clinical findings. In the patients who had undergone emergency surgery, the same ratio parameters were significantly higher when compared with those who had undergone routine surgery and those had not undergone surgery. Elevated CSF proteins seem to be important indicators of the functional status of the nerve root and a measure of the degree of seriousness of sciatica. The interaction of smoking on CSF proteins was also studied.
Skouen
J S
JS
Department of Diagnostic Radiology, Haukeland University Hospital, Bergen, Norway.
Larsen
J L
JL
Vollset
S E
SE
D000328:Adult; D002555:Cerebrospinal Fluid / Q000166:cytology; D002556:Cerebrospinal Fluid Proteins / Q000032:analysis*; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000134:cerebrospinal fluid; D007405:Intervertebral Disc Displacement / Q000134:cerebrospinal fluid* / Q000150:complications; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000134:cerebrospinal fluid* / Q000209:etiology; D010291:Paresis / Q000209:etiology; D010808:Physical Examination; D012021:Reflex, Abnormal; D012585:Sciatica / Q000134:cerebrospinal fluid* / Q000209:etiology; D012678:Sensation Disorders / Q000209:etiology; D012709:Serum Albumin / Q000134:cerebrospinal fluid; D012907:Smoking / Q000009:adverse effects; D013126:Spinal Nerve Roots / Q000503:physiopathology
D002556:Cerebrospinal Fluid Proteins; D007074:Immunoglobulin G; D012709:Serum Albumin