Bailey C S, Higgins R J
J Am Vet Med Assoc. 1986 Feb 15;188(4):414-7.
Results of cisternal CSF analyses of 77 dogs with primary brain tumors (1970 to 1984) were examined retrospectively. The types of primary brain tumors were astrocytomas, choroid plexus papillomas, ependymomas, meningiomas, and oligodendrogliomas. Fifty-three dogs had complete CSF analyses performed (total WBC count, total protein content, and pressure). Of these 53 CSF, 39.6% had a pattern of change consistent with current descriptions of CSF associated with brain neoplasia. Results of the remaining 60.4% of the 53 CSF were normal (9.4%) or had an atypical pattern of abnormality (50.9%). The CSF associated with meningiomas was unique in having CSF with a WBC count greater than 50 cells/microliter and a WBC differential count greater than 50% polymorphonuclear (PMN) cells. Within the meningioma group, a predominance of PMN cells in the CSF correlated with necrosis or PMN cell infiltration of the tumors. Additional correlations between specific CSF characteristics and histologic features of the tumors could not be made. Statistical analysis of the 77 CSF revealed that the mean CSF total WBC count of the oligodendroglioma group was significantly less than the mean WBC count of the choroid plexus papilloma group and the meningioma group. The mean CSF total protein contents of the astrocytoma group and the meningioma group were significantly less than the mean protein of the choroid plexus papilloma group. The mean CSF pressure of the tumor groups was not significantly different. For all 77 tumors, the most common abnormality was an increased total protein content (69.4%); the least common abnormality was an increased total WBC count (41.3%).(ABSTRACT TRUNCATED AT 250 WORDS)
对1970年至1984年间77只患有原发性脑肿瘤的犬的脑池脑脊液分析结果进行了回顾性研究。原发性脑肿瘤的类型包括星形细胞瘤、脉络丛乳头状瘤、室管膜瘤、脑膜瘤和少突胶质细胞瘤。53只犬进行了完整的脑脊液分析(白细胞总数、总蛋白含量和压力)。在这53份脑脊液中,39.6%的变化模式与目前关于脑肿瘤相关脑脊液的描述一致。其余60.4%的脑脊液结果正常(9.4%)或具有非典型异常模式(50.9%)。与脑膜瘤相关的脑脊液具有独特性,其白细胞计数大于50个/微升,白细胞分类计数中多形核(PMN)细胞大于50%。在脑膜瘤组中,脑脊液中PMN细胞占优势与肿瘤坏死或PMN细胞浸润相关。无法建立特定脑脊液特征与肿瘤组织学特征之间的其他相关性。对77份脑脊液的统计分析显示,少突胶质细胞瘤组的脑脊液白细胞平均总数显著低于脉络丛乳头状瘤组和脑膜瘤组。星形细胞瘤组和脑膜瘤组的脑脊液总蛋白平均含量显著低于脉络丛乳头状瘤组。肿瘤组的脑脊液平均压力无显著差异。对于所有77个肿瘤,最常见的异常是总蛋白含量增加(69.4%);最不常见的异常是白细胞总数增加(41.3%)。(摘要截短于250字)