摘要
目的探讨脑脊液检查对诊断脑膜癌病的重要意义。方法对68例确证的脑膜癌病患者临床资料进行回顾性分析。结果本组患者主要临床表现为头痛、恶心呕吐,脑膜刺激征等;仅15例患者的头部MRI增强扫描显示脑膜异常强化;脑脊液压力均增高,细胞数增多45例,常呈中-重度增加,并以激活型单核细胞增加为主,68例患者在脑脊液中均发现肿瘤细胞。结论脑膜癌病的临床表现及影像学缺乏特异性,脑脊液检查尤其是细胞学检查是诊断该病的可靠依据,而进行多次脑脊液细胞学检查可提高诊断准确率。
Objective To investigate the value of cerebrospinal fluid(CSF) examinations in diagnosing meningeal carcinomatosis. Methods The clinical data in 68 patients with meningeal carcinomatosis were analyzes retrospectively. Results The clinical menifestations of 68 patients were characterized by headache ,nausea and vomit ,meningeal irritation sign. MRI enhancement scanning found abnomally mater enhancement only in 15 cases. Cerebrospinal pressure increased in all cases.Cell population of CSF in moderate-severe d...
出处
《脑与神经疾病杂志》
2009年第1期39-41,共3页
Journal of Brain and Nervous Diseases
关键词
脑膜癌病
脑脊液
细胞学
meningeal carcinomatosis
cerebrospinal fluid
cytology
