SUMMARY A knowledge of the chemical composition of the central nervous system can assist the neuropathologist in detecting, describing and differentiating developmental myelin disorders of the neonate. In particular, the analysis of spinal cord lipids can be used as an aid in the diagnosis of the congenital tremor syndrome (CT) of piglets. An abnormally low content of lipid (especially cerebrosides) reflects a deficiency of myelin which occurs in all four known CT types. The presence of cholesterol esters having a particular fatty acid profile denotes demyelination and this distinguishes one of two types of CT that result from transplacental virus infection and one of the two hereditary types. Thus, a fairly simple neurochemical examination of the cord taken together with the epidemiological features of outbreaks and the gross pathology of affected piglets is shown to form a reliable system for the diagnosis of the congenital tremor syndrome.
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