Siemes H, Lison H, Bliefernicht M
Monatsschr Kinderheilkd (1902). 1975 Sep;123(9):648-55.
The increased permeability of the blood-brain barrier during acute inflammation of the central nervous system leads to changes of the cerebrospinal fluid (C.S.F.) protein pattern. Initially, in the cases of bacterial meningitis, cellulos acetate electrophoresis revealed decreased prealbumin, albumin and tau-globulin fraktion whereas alpha- and gamma-globulin fractions were found increased. In later stages of purulent inflammation a hydrocephalus occurred in five children, associated with an increased amount of albumin in the C.S.F. Cases of viral meningoencephalitis had a characteristic decrease of prealbumin and increase of gamma-globulin, the lowered prealbumin values were found more often. In three cases of congenital encephalitis pathological patterns of C.S.F. proteins were still found 1--1 1/2 years postpartum. Children with acute peripheral facial palsy and febrile convulsions had a normal C.S.F. protein profile.
中枢神经系统急性炎症期间血脑屏障通透性增加会导致脑脊液(C.S.F.)蛋白质模式发生变化。最初,在细菌性脑膜炎病例中,醋酸纤维素电泳显示前白蛋白、白蛋白和τ球蛋白组分减少,而α和γ球蛋白组分增加。在化脓性炎症后期,5名儿童出现脑积水,同时脑脊液中白蛋白含量增加。病毒性脑膜脑炎病例的特点是前白蛋白减少和γ球蛋白增加,前白蛋白值降低更为常见。在3例先天性脑炎病例中,产后1至1年半仍可发现脑脊液蛋白质的病理模式。急性周围性面瘫和热性惊厥患儿的脑脊液蛋白质谱正常。