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疏螺旋体引起的脑脊神经根炎——该疾病的两种不同形式。

Borrelia-induced meningoradiculitis--two different forms of the disease.

作者信息

Klöter I, Adam T, Schabet M, Wiethölter H, Peiffer J

出版信息

Eur Neurol. 1986;25(4):262-8. doi: 10.1159/000116019.

DOI:10.1159/000116019
PMID:3720802
Abstract

The pattern of CSF cytological findings in the acute stage and after 10 days of antibiotic and steroid treatment was examined in 14 patients with meningoradiculitis due to an arthropode-transmitted infection with Borrelia duttoni (burgdorferi). At the acute onset of neurological symptoms, 12 patients revealed lymphocytic pleocytosis (cell count 50-500 X 10(6) cells/l) with numerous plasma cells (5-12% of the total cell count) and neutrophilic granulocytes (0.2-3.4%). 10-14 days after the onset of penicillin infusion and steroid treatment, cell count was reduced by at least 50% in 8 patients. Plasma cells then varied between 2 and 8%, whereas the neutrophilic granulocytes had disappeared. Two patients with slowly progressive neurological symptoms had a normal cell count, and inflammatory changes in CSF cytology were not observed.

摘要

对14例因节肢动物传播的达顿疏螺旋体(伯氏疏螺旋体)感染导致的脑脊神经根炎患者,检查了急性期以及抗生素和类固醇治疗10天后的脑脊液细胞学检查结果模式。在神经症状急性发作时,12例患者显示淋巴细胞增多(细胞计数50 - 500×10⁶个细胞/升),伴有大量浆细胞(占总细胞计数的5 - 12%)和嗜中性粒细胞(0.2 - 3.4%)。青霉素输注和类固醇治疗开始10 - 14天后,8例患者的细胞计数至少减少了50%。此时浆细胞占比在2%至8%之间变化,而嗜中性粒细胞已消失。两名神经症状进展缓慢的患者细胞计数正常,脑脊液细胞学检查未观察到炎症变化。

相似文献

1
Borrelia-induced meningoradiculitis--two different forms of the disease.疏螺旋体引起的脑脊神经根炎——该疾病的两种不同形式。
Eur Neurol. 1986;25(4):262-8. doi: 10.1159/000116019.
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[Meningoradiculitis caused by a spirochete (Borrelia burgdorferi) after arthropod bite].节肢动物叮咬后由螺旋体(伯氏疏螺旋体)引起的脑脊神经根炎
Rev Neurol (Paris). 1985;141(12):780-5.
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[Meningoradiculitis after a tick bite. Study of 31 cases].
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J Infect Dis. 1986 Feb;153(2):304-14. doi: 10.1093/infdis/153.2.304.
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Chronic muscle weakness caused by Borrelia burgdorferi meningoradiculitis.由伯氏疏螺旋体脑脊神经根炎引起的慢性肌肉无力。
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引用本文的文献

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Cerebral angiopathy and recurrent strokes following Borrelia burgdorferi infection.伯氏疏螺旋体感染后的脑血管病和复发性中风
J Neurol Neurosurg Psychiatry. 1987 Dec;50(12):1703-4. doi: 10.1136/jnnp.50.12.1703.
2
Borrelia burgdorferi antibodies in patients with relapsing/remitting form and chronic progressive form of multiple sclerosis.复发缓解型和慢性进展型多发性硬化症患者体内的伯氏疏螺旋体抗体
J Neurol Neurosurg Psychiatry. 1988 Sep;51(9):1215-8. doi: 10.1136/jnnp.51.9.1215.
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Unusual neurological manifestations of Lyme disease: a case report.
莱姆病的不寻常神经表现:一例报告
Ital J Neurol Sci. 1989 Aug;10(4):455-6. doi: 10.1007/BF02334953.