Dharker S R, Dharker R S, Chaurasia B D
J Neurol Neurosurg Psychiatry. 1976 Nov;39(11):1081-5. doi: 10.1136/jnnp.39.11.1081.
The diagnostic value of CSF lactate dehydrogenase and aspartate transaminase in cases of brain tumours (except for CSF AST in the benign tumours), congenital hydrocephalus, and brain abscess is established. Tumour cyst fluids show a higher enzymatic activity than does the CSF. The two enzyme estimations do not help in differentiating the supratentorial from the infratentorial tumours. CSF AST is superior to CSF LD in discriminating the malignant and benign tumours, in so far as the AST is increases selectively in malignancy. Estimates of CSF LD are slightly superior to those of CSF AST, both in incidence of abnormality and the degree of their rise.
脑脊液乳酸脱氢酶和天冬氨酸转氨酶在脑肿瘤(良性肿瘤的脑脊液天冬氨酸转氨酶除外)、先天性脑积水及脑脓肿病例中的诊断价值已得到确认。肿瘤囊液的酶活性高于脑脊液。这两种酶的测定无助于区分幕上肿瘤和幕下肿瘤。在鉴别恶性和良性肿瘤方面,脑脊液天冬氨酸转氨酶优于脑脊液乳酸脱氢酶,因为天冬氨酸转氨酶在恶性肿瘤中选择性升高。脑脊液乳酸脱氢酶的测定在异常发生率及其升高程度方面均略优于脑脊液天冬氨酸转氨酶。