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脑脊液在结核性脑膜脑炎诊断中的应用:文献综述

The cerebrospinal fluid in the diagnosis of tuberculous meningoencephalitis: review of the literature.

作者信息

Macucci M, Sità D

机构信息

Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Firenze.

出版信息

Ital J Neurol Sci. 1992 Sep;13(6):487-91. doi: 10.1007/BF02230869.

DOI:10.1007/BF02230869
PMID:1428786
Abstract

We review the literature on the biochemical, cytological and immunological changes in the cerebrospinal fluid (CSF) in tuberculous meningoencephalitis, emphasizing the inconsistency and low specificity of the CSF findings described in classic accounts of this disease. We consider separately the possible causes of yellow or bloody fluid. The development of accurate techniques of analysis does not diminish the importance of the clinical findings and history in the early diagnosis of this disease.

摘要

我们回顾了关于结核性脑膜脑炎患者脑脊液(CSF)生化、细胞学及免疫学改变的文献,强调了在该病经典描述中所提及的脑脊液检查结果的不一致性及低特异性。我们分别考虑了脑脊液呈黄色或血性的可能原因。精确分析技术的发展并未降低临床检查结果及病史在该病早期诊断中的重要性。

相似文献

1
The cerebrospinal fluid in the diagnosis of tuberculous meningoencephalitis: review of the literature.脑脊液在结核性脑膜脑炎诊断中的应用:文献综述
Ital J Neurol Sci. 1992 Sep;13(6):487-91. doi: 10.1007/BF02230869.
2
[Phenomenon of cerebrospinal fluid lymphocyte blast-transformation in several inflammatory diseases of the nervous system].[几种神经系统炎性疾病中脑脊液淋巴细胞的母细胞转化现象]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(11):1646-9.
3
[Cytomorphology of the cerebrospinal fluid in nervous system infections studied with the method of cell sedimentation on slides].[用玻片细胞沉降法研究神经系统感染时脑脊液的细胞形态学]
Lab Delo. 1983(11):53-6.
4
[Cytologic examination of cerebrospinal fluid in the diagnosis of tuberculous meingoencephalitis].
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Neuropatol Pol. 1975 Jan-Mar;13(1):121-35.
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Mayo Clin Proc. 2000 Apr;75(4):403-8. doi: 10.4065/75.4.403.
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[Diagnosis and treatment of tuberculous meningoencephalitis (author's transl)].
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8
[The diagnostic value of cytology of the CSF (author's transl)].脑脊液细胞学检查的诊断价值(作者译)
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[Clinical contribution and cerebrospinal fluid study in reticulo-histiocytic meningoencephalitis].[网状组织细胞性脑膜脑炎的临床贡献及脑脊液研究]
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[Inorganic phosphorus in cerebrospinal fluid; clinical findings].[脑脊液中的无机磷;临床发现]
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本文引用的文献

1
Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 2-1982. A young man with confusion and abnormal cerebrospinal fluid.马萨诸塞州总医院病例记录。每周临床病理讨论。病例2 - 1982。一名伴有意识模糊和脑脊液异常的青年男性。
N Engl J Med. 1982 Jan 14;306(2):91-7. doi: 10.1056/NEJM198201143060209.
2
Mycobacterium bovis meningitis.牛型分枝杆菌脑膜炎
JAMA. 1982 Apr 23;247(16):2270-1.
3
Tuberculosis in the 1980s.20世纪80年代的结核病。
N Engl J Med. 1980 Jun 26;302(26):1441-50. doi: 10.1056/NEJM198006263022603.
4
Computed tomography of tuberculous meningitis in infants and children.婴幼儿结核性脑膜炎的计算机断层扫描
J Comput Assist Tomogr. 1980 Apr;4(2):211-6. doi: 10.1097/00004728-198004000-00016.
5
[Clinical and pathological study of a peculiar form of tuberculous meningitis: diagnostic and therapeutic problems (author's transl)].一种特殊类型结核性脑膜炎的临床与病理研究:诊断与治疗问题(作者译)
Sem Hop. 1982 Feb 25;58(8):473-4.
6
Rapid diagnosis of tuberculous meningitis by latex particle agglutination.
Lancet. 1984 Dec 1;2(8414):1229-31. doi: 10.1016/s0140-6736(84)92792-2.
7
Detection of mycobacterial antigens in cerebrospinal fluid of patients with tuberculous meningitis by enzyme-linked immunosorbent assay.采用酶联免疫吸附测定法检测结核性脑膜炎患者脑脊液中的分枝杆菌抗原。
Lancet. 1983 Sep 17;2(8351):651-2. doi: 10.1016/s0140-6736(83)92532-1.
8
Tuberculostearic acid as a diagnostic marker in tuberculous meningitis.结核硬脂酸作为结核性脑膜炎的诊断标志物
Lancet. 1983 Feb 12;1(8320):367. doi: 10.1016/s0140-6736(83)91676-8.
9
[Anatomical evolution of tuberculous meningitis].[结核性脑膜炎的解剖学演变]
Sem Hop. 1966 Oct 20;42(43):2537-43.
10
Tuberculosis as a cause of transient aseptic meningitis.
Lancet. 1973 Aug 4;2(7823):234-6. doi: 10.1016/s0140-6736(73)93136-x.