@article{oai:kanazawa-u.repo.nii.ac.jp:00026962,
 author = {坂井, 健二 and 吉田, 光宏 and 見崎, 孝一 and 中田, 光俊 and Samuraki, Miharu and Sakai, Kenji and Odake, Yasuko and Yoshita, Mitsuhiro and Misaki, Kouichi and Nakada, Mitsutoshi and Yamada, Masahito},
 journal = {Multiple Sclerosis and Related Disorders},
 month = {Apr},
 note = {An 80-year-old man developed dysarthria, quadriplegia, sensory disturbance and ataxia in all limbs. Brain and spinal magnetic resonance imaging (MRI) revealed multiple enhanced lesions. Cerebrospinal fluid (CSF) levels of adenosine deaminase (ADA) remarkably elevated. Tuberculosis DNA was not detected, and tuberculosis was not cultured either in the CSF. Brain biopsy revealed the inflammatory demyelinating lesions. With the diagnosis of multiple sclerosis, corticosteroid therapy resulted in rapid improvement of his symptoms and MRI abnormalities. CSF levels of ADA also decreased. Multiple sclerosis should be included in differential diagnosis of disorders with ADA elevation in the CSF. © 2017 Elsevier B.V., Embargo Period 12 months},
 pages = {44--46},
 title = {Multiple sclerosis showing elevation of adenosine deaminase levels in the cerebrospinal fluid},
 volume = {13},
 year = {2017}
}