PMID- 33276239 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 2211-0356 (Electronic) IS - 2211-0348 (Linking) VI - 47 DP - 2021 Jan TI - Variability of cerebrospinal fluid findings by attack phenotype in myelin oligodendrocyte glycoprotein-IgG-associated disorder. PG - 102638 LID - S2211-0348(20)30712-4 [pii] LID - 10.1016/j.msard.2020.102638 [doi] AB - BACKGROUND: The variability in cerebrospinal fluid (CSF) findings of myelin oligodendrocyte glycoprotein-IgG-associated disorder (MOGAD) is not fully elucidated. OBJECTIVE AND METHODS: We retrospectively analyzed 203 attack-associated CSFs from Mayo Clinic patients (2000-2019) with MOGAD. RESULTS: White-blood-cell (>5/mm(3)) elevation was less with clinically isolated optic neuritis (23%), compared to myelitis, brain/brainstem attacks, or combinations thereof (>70%), p<0.0001. CSF pleocytosis in optic neuritis was more common in patients with coexisting asymptomatic brain and/or spine MRI T2-lesions (53%) than in those without (16%), p=0.005. Abnormal CSF oligoclonal bands ranged from 1% (optic neuritis) to 18% (brain/brainstem attacks). CSF pleocytosis was less common after immunotherapy. CONCLUSIONS: CSF findings in MOGAD vary by attack phenotype and preceding treatment. CI - Copyright (c) 2020. Published by Elsevier B.V. FAU - Sechi, Elia AU - Sechi E AD - Department of Neurology, Mayo Clinic, Rochester, MN, USA; Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona, Verona, Italy. FAU - Buciuc, Marina AU - Buciuc M AD - Department of Neurology, Mayo Clinic, Rochester, MN, USA. FAU - Flanagan, Eoin P AU - Flanagan EP AD - Department of Neurology, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. FAU - Pittock, Sean J AU - Pittock SJ AD - Department of Neurology, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. FAU - Banks, Samantha A AU - Banks SA AD - Department of Neurology, Mayo Clinic, Rochester, MN, USA. FAU - Lopez-Chiriboga, A Sebastian AU - Lopez-Chiriboga AS AD - Department of Neurology, Mayo Clinic, Jacksonville, FL, USA. FAU - Bhatti, M Tariq AU - Bhatti MT AD - Department of Neurology and Ophthalmology, Mayo Clinic, Rochester, MN, USA. FAU - Chen, John J AU - Chen JJ AD - Department of Neurology and Ophthalmology, Mayo Clinic, Rochester, MN, USA. Electronic address: chen.john@mayo.edu. LA - eng PT - Letter DEP - 20201123 PL - Netherlands TA - Mult Scler Relat Disord JT - Multiple sclerosis and related disorders JID - 101580247 RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) RN - 0 (Myelin-Oligodendrocyte Glycoprotein) SB - IM MH - *Aquaporin 4 MH - Autoantibodies MH - Humans MH - Immunoglobulin G MH - Myelin-Oligodendrocyte Glycoprotein MH - *Neuromyelitis Optica MH - Phenotype MH - Retrospective Studies OTO - NOTNLM OT - (1) MOG OT - (2) CSF (3) neuromyelitis optica spectrum disorder OT - (4) NMOSD OT - (5) oligoclonal bands OT - (6) optic neuritis EDAT- 2020/12/05 06:00 MHDA- 2021/05/15 06:00 CRDT- 2020/12/04 20:10 PHST- 2020/10/11 00:00 [received] PHST- 2020/11/13 00:00 [revised] PHST- 2020/11/18 00:00 [accepted] PHST- 2020/12/05 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/12/04 20:10 [entrez] AID - S2211-0348(20)30712-4 [pii] AID - 10.1016/j.msard.2020.102638 [doi] PST - ppublish SO - Mult Scler Relat Disord. 2021 Jan;47:102638. doi: 10.1016/j.msard.2020.102638. Epub 2020 Nov 23.