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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1972 Oct;35(5):726–729. doi: 10.1136/jnnp.35.5.726

Cerebrospinal fluid creatine kinase in acutely psychotic patients 1

William A Martin 1, Richard E Garey 1, Robert G Heath 1
PMCID: PMC494157  PMID: 5084141

Abstract

Significantly elevated serum creatine phosphokinase concentrations have been demonstrated in 70% of patients with acute psychosis. Elevations in spinal fluid creatine phosphokinase (CPK) activity have been reported in several neurological diseases, often in association with otherwise normal routine spinal fluid studies. Spinal fluid and serum were obtained simultaneously from 11 patients with acute psychosis, the majority being schizophrenic. Although the serum CPK was elevated in eight of the 11 subjects, spinal fluid glucose, protein, colloidal gold, and CPK were normal in all cases. The theoretical implications of these results are discussed.

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Selected References

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

  1. Coffey J. W., Heath R. G., Guschwan A. F. Serum creatine kinase, aldolase, and copper in acute and chronic schizophrenics. Biol Psychiatry. 1970 Oct;2(4):331–339. [PubMed] [Google Scholar]
  2. Eisen A. A., Sherwin A. L. Serum creatine phosphokinase activity in cerebral infarction. Neurology. 1968 Mar;18(3):263–268. doi: 10.1212/wnl.18.3.263. [DOI] [PubMed] [Google Scholar]
  3. Fischman D. A., Meltzer H. Y., Poppei R. W. Disruption of myofibrils in the skeletal muscle of psychotic patients. Arch Gen Psychiatry. 1970 Dec;23(6):503–515. doi: 10.1001/archpsyc.1970.01750060023003. [DOI] [PubMed] [Google Scholar]
  4. Fowler W. M., Jr, Gardner G. W., Kazerunian H. H., Lauvstad W. A. The effect of exercise on serum enzymes. Arch Phys Med Rehabil. 1968 Oct;49(10):554–565. [PubMed] [Google Scholar]
  5. Heath R. G., Guschwan A. F., Coffey J. W. Relation to taraxein to schizophrenia. Dis Nerv Syst. 1970 Jun;31(6):391–395. [PubMed] [Google Scholar]
  6. Hudgson P., Gardner-Medwin D., Pennington R. J., Walton J. N. Studies of the carrier state in the Duchenne type of muscular dystrophy. I. Effect of exercise on serum creatine kinase activity. J Neurol Neurosurg Psychiatry. 1967 Oct;30(5):416–419. doi: 10.1136/jnnp.30.5.416. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Meltzer H. Y., Engel W. K. Histochemical abnormalities of skeletal muscle in acutely psychotic patients. II. Arch Gen Psychiatry. 1970 Dec;23(6):492–502. doi: 10.1001/archpsyc.1970.01750060012002. [DOI] [PubMed] [Google Scholar]
  8. Meltzer H. Y., Moline R. Muscle abnormalities in acute psychoses. Arch Gen Psychiatry. 1970 Dec;23(6):481–491. doi: 10.1001/archpsyc.1970.01750060001001. [DOI] [PubMed] [Google Scholar]
  9. Meltzer H. Y., Moline R. Plasma enzymatic activity after exercise. Study of psychiatric patients and their relatives. Arch Gen Psychiatry. 1970 May;22(5):390–397. doi: 10.1001/archpsyc.1970.01740290006002. [DOI] [PubMed] [Google Scholar]
  10. Meltzer H. Creatine kinase and aldolase in serum: abnormality common to acute psychoses. Science. 1968 Mar 22;159(3821):1368–1370. doi: 10.1126/science.159.3821.1368. [DOI] [PubMed] [Google Scholar]
  11. Meltzer H. Muscle enzyme release in the acute psychoses. Arch Gen Psychiatry. 1969 Jul;21(1):102–112. doi: 10.1001/archpsyc.1969.01740190104015. [DOI] [PubMed] [Google Scholar]
  12. Morgenstern S., Oklander M., Auerbach J., Kaufman J., Klein B. Automated determination of serum glutamic oxaloacetic transaminase. Clin Chem. 1966 Feb;12(2):95–111. [PubMed] [Google Scholar]
  13. Sherwin A. L., Norris J. W., Bulcke J. A. Spinal fluid creatine kinase in neurologic disease. Neurology. 1969 Oct;19(10):993–999. doi: 10.1212/wnl.19.10.993. [DOI] [PubMed] [Google Scholar]
  14. Wilkinson P. C., Zeromski J. Immunofluorescent detection of antibodies against neurones in sensory carcinomatous neuropathy. Brain. 1965 Sep;88(3):529–583. doi: 10.1093/brain/88.3.529. [DOI] [PubMed] [Google Scholar]
  15. Wolintz A. H., Jacobs L. D., Christoff N., Solomon M., Chernik N. Serum and cerebrospinal fluid enzymes in cerebrovascular disease. Creatine phosphokinase, aldolase, and lactic dehydrogenase. Arch Neurol. 1969 Jan;20(1):54–61. doi: 10.1001/archneur.1969.00480070064007. [DOI] [PubMed] [Google Scholar]

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