D. Biou et al., Cerebrospinal fluid protein concentrations in children: Age-related valuesin patients without disorders of the central nervous system, CLIN CHEM, 46(3), 2000, pp. 399-403
Background: The published reference values for cerebrospinal fluid (CSF) to
tal protein concentrations in children suffer from two major drawbacks: (a)
the age-related range often is too broad when applied to the steeply falli
ng concentrations in early infancy; and (b) no values have been published f
or widely used dry chemistry methods.
Methods: We conducted a 2-year retrospective survey of CSF results obtained
in a children's hospital with a dry chemistry-based method set up on the V
itros 700 analyzer.
Results: The data related to ambulatory children up to 16 years of age and
term neonates with no clinical or biological signs of brain disease (n = 10
74). Seven age groups with significantly different CSF protein values were
identified, and their age-related percentiles (5th, 50th, and 95th) were de
termined. On the basis of the upper 95th percentile, from age 0 to 6 months
the CSF protein concentrations fell rapidly from 1.08 to 0.40 g/L. A plate
au (0.32 g/L) was reached from age 6 months to 10 years, followed by a slig
ht increase (0.41 g/L) in the 10-16 years age range.
Conclusions: These results imply that CSF total protein concentrations in t
he pediatric setting, particularly in infants, must always be interpreted w
ith regard to narrow age-related reference values to avoid false-positive r
esults.
(C) 2000 American Association for Clinical Chemistry.