Missoum A, Saout L, Leroy J P, Garre H, Vital C, Goas J Y
Sem Hop. 1982 May 20;58(20):1268-71.
The authors discuss the case of a 15-year-old girl suffering from intra-cranial hypertension. Neuroradiological examinations do not reveal any obstruction in the cerebral spinal fluid circulation. The CSF cylologic examination was the first to give etiological indications, showing the existence of malignant cells which the cerebral biopsy later enabled us to classify as glioblastoma. This case affords an opportunity to recall the three stages of the diagnosis: first, intra-cranial hypertension; secondly, chronic meningitis; thirdly, cytological difficulties in the examination of CSF in patients having undergone neuro-radiological examinations.
作者讨论了一名患有颅内高压的15岁女孩的病例。神经放射学检查未发现脑脊液循环有任何阻塞。脑脊液细胞学检查首先给出了病因学线索,显示存在恶性细胞,随后的脑活检使我们能够将其分类为胶质母细胞瘤。该病例提供了一个机会来回顾诊断的三个阶段:首先是颅内高压;其次是慢性脑膜炎;第三是在接受神经放射学检查的患者中脑脊液检查的细胞学困难。