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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1975 Oct;28(10):828–833. doi: 10.1136/jcp.28.10.828

Diagnostic significance and source of lactate dehydrogenase and its isoenzymes in cerebrospinal fluid of children with a variety of neurological disorders.

P V Nelson, W F Carey, A C Pollard
PMCID: PMC475870  PMID: 1214017

Abstract

Two hundred and thirty-four cerebrospinal fluid (CSF) specimens from 183 different children were analysed for total lactate dehydrogenase (LD) activity and LD isoenzyme distribution. The LD activities were elevated in the CSF of patients with meningitis, especially with bacterial infections, and with central nervous system (CNS) leukaemia. The CSF LD isoenzyme patterns of both groups generally reflected the number and distribution of lymphocytes and granulocytes in the CSF. Increases in CSF LD levels also occurred in patients with other neurological disorders, such as hydrocephalus, raised intracranial pressure, and epileptic seizures. However, no significant increases in CSF LD activity nor abnormality of the isoenzyme distribution were noted in children who had had a non-specific febrile convulsion.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beaty H. N., Oppenheimer S. Cerebrospinal-fluid lactic dehydrogenase and its isoenzymes in infections of the central nervous system. N Engl J Med. 1968 Nov 28;279(22):1197–1202. doi: 10.1056/NEJM196811282792204. [DOI] [PubMed] [Google Scholar]
  2. Cruikshank J. A., Hay J. A rapid and reliable micro-method of leukoagglutination using papain. Tissue Antigens. 1973;3(1):57–62. doi: 10.1111/j.1399-0039.1973.tb00977.x. [DOI] [PubMed] [Google Scholar]
  3. Di Giorgio J. Determination of serum lactic dehydrogenase isoenzymes by use of the "Diagnostest" cellulose acetate electrophoresis system. Clin Chem. 1971 Apr;17(4):326–331. [PubMed] [Google Scholar]
  4. HENRY R. J., CHIAMORI N., GOLUB O. J., BERKMAN S. Revised spectrophotometric methods for the determination of glutamic-oxalacetic transaminase, glutamic-pyruvic transaminase, and lactic acid dehydrogenase. Am J Clin Pathol. 1960 Oct;34:381–398. doi: 10.1093/ajcp/34.4_ts.381. [DOI] [PubMed] [Google Scholar]
  5. JAKOBY R. K., JAKOBY W. B. Lactic dehydrogenase of cerebrospinal fluid in the differential diagnosis of cerebrovascular disease and brain tumor. J Neurosurg. 1958 Jan;15(1):45–51. doi: 10.3171/jns.1958.15.1.0045. [DOI] [PubMed] [Google Scholar]
  6. Katz R. M., Liebman W. Creatine phosphokinase activity in central nervous system disorders and infections. Am J Dis Child. 1970 Dec;120(6):543–546. doi: 10.1001/archpedi.1970.02100110091010. [DOI] [PubMed] [Google Scholar]
  7. LENDING M., SLOBODY L. B., MESTERN J. CEREBROSPINAL FLUID GLUTAMIC OXALACETIC TRANSAMINASE AND LACTIC DEHYDROGENASE ACTIVITIES IN CHILDREN WITH NEUROLOGIC DISORDERS. J Pediatr. 1964 Sep;65:415–421. doi: 10.1016/s0022-3476(64)80406-6. [DOI] [PubMed] [Google Scholar]
  8. Lisak R. P., Graig F. A. Lack of diagnostic value of creatine phosphokinase assay in spinal fluid. JAMA. 1967 Mar 6;199(10):750–751. [PubMed] [Google Scholar]
  9. MELLICK R. S., BASSETT R. L. THE CEREBROSPINAL-FLUID GLUTAMIC OXALOACETIC TRANSAMINASE ACTIVITY IN NEUROLOGICAL DISEASES. Lancet. 1964 Apr 25;1(7339):904–906. doi: 10.1016/s0140-6736(64)91629-0. [DOI] [PubMed] [Google Scholar]
  10. Pennock C. A., Passant L. P., Bolton F. G. Estimation of cerebrospinal fluid protein. J Clin Pathol. 1968 Jul;21(4):518–520. doi: 10.1136/jcp.21.4.518. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. VAN DER HELM H. J., ZONDAG H. A., KLEIN F. On the source of lactic dehydrogenase in cerebrospinal fluid. Clin Chim Acta. 1963 Mar;8:193–196. doi: 10.1016/0009-8981(63)90156-6. [DOI] [PubMed] [Google Scholar]
  12. Williams R. D., Hawkins R. The clinical value of cerebrospinal fluid lactic dehydrogenase determinations in children with bacterial meningitis and other neurological disorders. Dev Med Child Neurol. 1968 Dec;10(6):711–714. doi: 10.1111/j.1469-8749.1968.tb02968.x. [DOI] [PubMed] [Google Scholar]
  13. van der HELM H. Isoenzymes in different parts of the brain. J Neurochem. 1962 May-Jun;9:325–327. doi: 10.1111/j.1471-4159.1962.tb09456.x. [DOI] [PubMed] [Google Scholar]

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