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在冯·埃科诺莫病和脑炎后帕金森病中的星形胶质细胞增生支持可能的病毒病因。

Astrogliosis in von Economo's and postencephalitic Parkinson's diseases supports probable viral etiology.

作者信息

Elizan T S, Casals J

机构信息

Department of Neurology, Mount Sinai School of Medicine City University of New York, NY 10029.

出版信息

J Neurol Sci. 1991 Oct;105(2):131-4. doi: 10.1016/0022-510x(91)90135-t.

Abstract

A marked generalized astrogliosis was observed in the frontal and temporal white matter from a case of von Economo's disease and another of postencephalitic Parkinson's disease, which areas were otherwise devoid of any other demonstrable microscopic lesions. No similar astrocytic reaction of any severity was observed in the same areas in a number of other brain diseases or controls, except when other kinds of lesions were present in the same section, with reactive astrocytes being present within the primary or defining lesion or immediately close by. The marked astrogliosis in von Economo's and postencephalitic Parkinson's diseases in areas "distant" from the primary lesions seeming to indicate extensive pathological involvement, added to the strong qualitative and quantitative similarity of this reaction to that observed in concurrently studied cases of encephalitides caused by the human immunodeficiency virus, lend further factual support to the hypothesis of a viral etiology, albeit unspecified, in both von Economo's and postencephalitic Parkinson's diseases.

摘要

在一例冯·埃科诺莫病和另一例脑炎后帕金森病患者的额叶和颞叶白质中观察到明显的广泛性星形胶质细胞增生,而这些区域在其他方面没有任何其他可证实的微观病变。在许多其他脑部疾病或对照的相同区域中,未观察到任何严重程度的类似星形细胞反应,除非同一切片中存在其他类型的病变,且反应性星形细胞存在于原发性或决定性病变内或紧邻其旁。在与原发性病变“相距较远”的区域中,冯·埃科诺莫病和脑炎后帕金森病中明显的星形胶质细胞增生似乎表明存在广泛的病理累及,再加上这种反应与在同时研究的人类免疫缺陷病毒引起的脑炎病例中观察到的反应在质量和数量上的高度相似性,进一步为冯·埃科诺莫病和脑炎后帕金森病中病毒病因(尽管未明确)的假说提供了事实支持。

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