Mietens C, Quarcoo H
Klin Padiatr. 1977 Mar;189(2):151-4.
75 children of different age groups were examined for immunglobulin concentrations in spinal fluid. No statistical significant differences were found between the age groups a) 1 month to 1 year, b) 1 year to 5 years and c) 5 years to 12 years. The average level for IgG was 1,41 +/- 0,8 mg%, for total protein 34,8 +/- 9,6 mg%. IgA and IgM were detectable not or only in small quantities even when the spinal fluid was concentrated. Furthermore 21 children with viral and 9 with purulent meningitis and 2 with encephalitis were examined. Patients with meningitis had a distinct increase in IgG, IgA and IgM. The increase was more pronounced in purulent than in viral meningitis. Children with encephalitis had an increase of IgG and in one case an increase of IgA. Continous examination of immunglobulins in spinal fluid from a child with inoperable hydrocephalus revealed a steady increase of all 3 immunglobulins which was probably a result of elevated vascular permeability.
对75名不同年龄组的儿童进行了脑脊液免疫球蛋白浓度检测。在以下年龄组之间未发现统计学上的显著差异:a)1个月至1岁、b)1岁至5岁和c)5岁至12岁。IgG的平均水平为1.41±0.8mg%,总蛋白的平均水平为34.8±9.6mg%。即使脑脊液浓缩后,IgA和IgM也未检测到或仅少量检测到。此外,对21名患有病毒性脑膜炎的儿童、9名患有化脓性脑膜炎的儿童和2名患有脑炎的儿童进行了检查。患有脑膜炎的患者IgG、IgA和IgM明显升高。化脓性脑膜炎中的升高比病毒性脑膜炎中更明显。患有脑炎的儿童IgG升高,在1例中IgA升高。对一名患有无法手术的脑积水儿童的脑脊液免疫球蛋白进行连续检测,发现所有三种免疫球蛋白均持续升高,这可能是血管通透性升高的结果。