Stokol Tracy, Divers Thomas J, Arrigan Jessica W, McDonough Sean P
Department of Population Medicine, College of Veterinary Medicine, Cornell University, Ithaca, New York 14850, USA.
Vet Clin Pathol. 2009 Mar;38(1):103-12. doi: 10.1111/j.1939-165X.2008.00094.x. Epub 2008 Nov 12.
Cerebrospinal fluid (CSF) analysis is routinely used to aid in the diagnosis of central nervous system (CNS) disease in animals. There is little comprehensive information available on the diagnostic utility of CSF analysis in cattle.
The purpose of this retrospective study was to review the characteristic CSF findings of specific CNS diseases in cattle.
Medical records of cattle in which CSF analysis had been performed between 1990 and 2008 were reviewed. Cattle were included in the study if they had a confirmed diagnosis of CNS disease (based on clinical signs, laboratory testing, and/or histopathologic results). Cattle were categorized as having infectious or noninfectious causes of CNS disease and subgrouped based on specific disease diagnosis. CSF results were summarized and compared using nonparametric statistical tests.
Data from 102 cattle, mostly female Holsteins, were included in the study. Bacterial infections, particularly listeriosis and neonatal meningitis, were the most common cause of CNS disease. Neonatal meningitis was characterized by a marked, predominantly neutrophilic, pleocytosis. Mild mononuclear pleocytosis was typical of listeriosis, but was also seen with abscesses, viral infections, salt poisoning, and trauma. Variable CSF results were seen in cattle with otitis-related meningitis and thromboembolic meningoencephalitis. CSF results were usually normal with toxic, metabolic, degenerative, and neoplastic disorders.
CSF analysis is a useful adjunctive test for the diagnosis of CNS diseases in cattle. When interpreted together with signalment and clinical signs, CSF results can assist clinicians in the antemortem diagnosis of specific bovine CNS disorders.
脑脊液(CSF)分析常用于辅助诊断动物中枢神经系统(CNS)疾病。关于牛脑脊液分析的诊断效用,现有的综合信息很少。
这项回顾性研究的目的是回顾牛特定中枢神经系统疾病的脑脊液特征性表现。
回顾了1990年至2008年间进行脑脊液分析的牛的病历。如果牛确诊患有中枢神经系统疾病(基于临床症状、实验室检测和/或组织病理学结果),则纳入本研究。牛被分为中枢神经系统疾病的感染性或非感染性病因,并根据特定疾病诊断进行亚组分类。使用非参数统计检验总结和比较脑脊液结果。
102头牛的数据纳入了研究,其中大多为雌性荷斯坦奶牛。细菌感染,尤其是李斯特菌病和新生儿脑膜炎,是中枢神经系统疾病最常见的病因。新生儿脑膜炎的特征是显著的、以中性粒细胞为主的细胞增多。轻度单核细胞增多是李斯特菌病的典型表现,但在脓肿、病毒感染、盐中毒和创伤中也可见到。与中耳炎相关的脑膜炎和血栓栓塞性脑膜脑炎的牛脑脊液结果各不相同。中毒、代谢、退行性和肿瘤性疾病的脑脊液结果通常正常。
脑脊液分析是诊断牛中枢神经系统疾病的一项有用的辅助检查。当与动物特征和临床症状一起解读时,脑脊液结果可协助临床医生对特定牛中枢神经系统疾病进行生前诊断。