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Published Online First: 30 March 2006. doi:10.1136/jnnp.2005.085126
Journal of Neurology, Neurosurgery, and Psychiatry 2006;77:1195-1196
Copyright © 2006 by the BMJ Publishing Group Ltd.

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LETTER

Cerebrospinal fluid findings in multiple sclerosis patients before, during and after pregnancy

M Saraste1, J Ryynänen1, A Alanen2, J Multanen3, M Färkkilä3, R Kaaja4, L Airas5

1 MediCity Research Laboratory, University of Turku, Turku, Finland
2 Department of Gynecology and Obstetrics, University of Turku
3 Department of Neurology, University of Helsinki, Helsinki, Finland
4 Department of Gynecology and Obstetrics, University of Helsinki
5 MediCity Research Laboratory, Department of Neurology, University of Turku

Correspondence to:
Correspondence to:
Dr Laura Airas
Department of Neurology, University of Turku, PO Box 52, 20521 Turku, Finland; laura.airas@utu.fi

The first 150 words of the full text of this article appear below.

The mechanisms responsible for the lower relapse rate of multiple sclerosis during pregnancy and an increased relapse rate during the postpartum period are still undefined. Putative explanations include pregnancy-related alterations in the function of the immune system, such as a shift towards T helper (Th)2-type immune reactivity and expansion of regulatory T lymphocytes.1,2 Analysis of the cerebrospinal fluid (CSF) offers a unique opportunity to characterise immunological pathways in the pathogenesis of multiple sclerosis. The inflammatory activity in the central nervous system (CNS) of patients with multiple sclerosis is reflected in the composition of CSF cells and one hallmark of the disease is the production of intrathecal antibodies. The aim of our study was to investigate the alterations that take place in the CSF of patients with multiple sclerosis during pregnancy. To our knowledge, no previous attempts have been made to analyse the components of the CSF of pregnant patients with . . . [Full text of this article]







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