Proton nuclear magnetic resonance (NMR) spectroscopy was used to examine cerebrospinal fluid (CSF) from patients (n = 30) with actively progressive multiple sclerosis (MS). Metabolite concentrations obtained from the spectra were compared to those determined from the spectra of CSF from control patients (n = 27) with benign spinal disorders. No significant difference was found between the 2 groups for most constituents, including lactate, glutamine, citrate, creatine and creatinine, and glucose. Acetate levels were significantly higher in MS patients, while formate levels were significantly lower, than the controls. There were no significant differences in metabolite concentrations in CSF from early and longstanding MS patients. A peak due to an unidentified compound was found at 2.82 ppm in the spectra of CSF from patients with actively progressive MS, but not in the spectra of CSF from the controls. The peak was not found in spectra of CSF from patients with AIDS dementia complex (n = 9) or Parkinson's disease (n = 5), but it did appear in spectra of CSF from 1 patient with Jakob-Creutzfeldt disease (out of 3 examined) and from 1 patient (out of 7) with Guillan-Barre disease. The unidentified compound is volatile and, from the chemical shift of the observed NMR peak, is probably an N-methyl compound. As such, it may be an intermediate in the cholinoglycine cycle, in which an abnormality has been proposed to exist in MS patients. RESUME: Etude par resonance magnetique nucleaire du liquide cephalo-rachidien de patients atteints de sclerose en plaques. Nous avons utilise la spectroscopie par resonance magnetique nucleaire pour examiner le liquide cephalo-rachidien (LCR) de patients (n = 30) atteints de sclerose en plaques (SEP) en phase active. Les concentrations de certains metabolites, obtenues a partir du spectre, etaient comparees a celles obtenues du spectre du LCR de patients controles (n = 27) ayant des affections spinales benignes. II n'y avait pas de difference significative entre les deux groupes pour la plupart des metabolites, incluant le lactate, la glutamine, le citrate, la creatine et la creatinine, ainsi que le glucose. Les niveaux d'acetate etaient significativement plus eleves dans la SEP, alors que les niveaux de formate etaient significativement plus bas que ceux des controles. II n'y avait pas de difference significative dans les concentrations de metabolites dans le LCR des patients avec SEP au debut de la maladie par rapport a ceux qui etaient atteints depuis longtemps. Un pic du a un compose non identifie a ete observe a 2.82 ppm dans le spectre du LCR des patients en phase active de la SEP. Ce pic n'etait pas present dans le spectre du LCR des controles ou dans celui du LCR de patients atteints du complexe SIDA-demence (n = 9) ou de la maladie de Parkinson (n = 5). Cependant il etait present dans le spectre du LCR d'un patient atteint de la maladie de Jakob-Creutzfeldt (sur 3 patients examines) et d'un patient atteint du syndrome de Guillain-Barre (sur 7 patients examines). Le c...