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NEUROLOGY 1980;30:702
© 1980 American Academy of Neurology

Prolonged effects of large-dose methylprednisolone infusion in multiple sclerosis

John L. Trotter, M.D. and William F. Gamey, B.A.

Department of Neurology and Neurosurgery (Neurology), Washington University School of Medicine, St. Louis, MO.

Three daily 1-gm doses of methylprednisolone were administered to 12 patients with multiple sclerosis. Granulocytes, lymphocytes, T and B lymphocytes, lymphocyte transformation in response to several mitogens and one antigen, plasma cortisol, and serum IgM and IgA all returned to baseline within a few days. However, total white blood count, unstimulated lymphocyte incorporation of 3H-thymidine, hematocrit, serum IgM, and cerebrospinal fluid IgG synthesis remained altered 1 week after the infusion. The relationship of these changes to any clinical effects is unknown.

Address correspondence and reprint requests to Dr. Trotter, Department of Neurology and Neurosurgery (Neurology), Box 8111, Washington University School of Medicine, 660 S. Euclid, St. Louis, MO 63110.

Accepted for publication October 11, 1979.

Dr. Trotter is a recipient of a PHS Teacher-Investigator Award No. 5 KO7 NS00221–02 from NINCDS, NIH. This work was supported by the Kroc Foundation and the Washington University CRC Grant-PHS No. RR-36.




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