[Cerebrospinal fluid cytologic diagnosis--possibilities and limits].

R M Olischer
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Abstract

Findings of functionally active and proliferating cells in CSF, such as granulocytes, macrophages, lymphoid cells and blastoma cells are of diagnostic importance in pathological reactions of meninges. Such findings have a special significance in different phases in the course of meningoencephalitis, subarachnoid haemorrhage and infiltrations of neoplasms with subependymal localization which can not be obtained even by modern methods in neuroradiology. A correct diagnostic assessment is only given by knowledge and in consideration of all clinical and laboratory findings. The diagnostic value is limited in cases of deeply intracerebral localized diseases, of chronic recurrent processes, of cases with previous lesions or of concommitant symptoms because the results are atypical.

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[脑脊液细胞学诊断——可能性和局限性]。
脑脊液中功能活跃和增殖的细胞如粒细胞、巨噬细胞、淋巴样细胞和母细胞瘤细胞对脑膜病理反应的诊断有重要意义。这些发现在脑膜脑炎、蛛网膜下腔出血和室管膜下肿瘤浸润的不同阶段具有特殊的意义,即使用现代神经放射学方法也无法获得。正确的诊断评估只能通过知识和对所有临床和实验室结果的考虑来给出。由于结果不典型,在深部脑内局限性疾病、慢性复发过程、既往病变或伴随症状的病例中诊断价值有限。
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