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[脑肿瘤中的脑膜脑炎综合征]

[The meningoencephalitis syndrome in brain tumor].

作者信息

Brodkorb W, Wieczorek V, Schock G

出版信息

Psychiatr Neurol Med Psychol Beih. 1977;22-23:111-5.

PMID:122452
Abstract

In an evaluation of the medical records of 765 patients with brain tumours treated since 1951 in our clinic we selected those cases where there was a pleocytosis in the cerebrospinal fluid of more than 15/3 cells. We were interested to know whether a connection which would help diagnosis could be made between the occurrence and the degree of pleocytosis, the biological valence and the localisation of the tumour. In 181 cases (24%) there were more than 15/3 cells. Therefore, no conclusions about biological valence and tumour localisation could be drawn from the aspect of the cell picture which we observed and from the degree of pleocytosis. Basically, the occurrence of pleocytoses was more frequent in the case of malignant tumours and those tumours associated with the fluid canal system (plexus papillomata, ependymomata, craniopharyngeomata). Problems of unspecific meningeal irritative syndromes are being discussed in connection with brain tumours. These are being clarified on the basis of selected cases.

摘要

在对自1951年以来在我们诊所接受治疗的765例脑肿瘤患者的病历进行评估时,我们挑选出那些脑脊液中细胞增多超过15/3个细胞的病例。我们想知道细胞增多的发生情况、程度、生物学效价和肿瘤定位之间是否能建立有助于诊断的联系。在181例(24%)病例中,细胞超过15/3个。因此,从我们观察到的细胞图像和细胞增多程度方面,无法得出关于生物学效价和肿瘤定位的结论。基本上,细胞增多在恶性肿瘤以及与液道系统相关的肿瘤(乳头状瘤、室管膜瘤、颅咽管瘤)中更常见。与脑肿瘤相关的非特异性脑膜刺激综合征问题正在讨论中。这些问题将根据选定的病例进行阐明。

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