頁籤選單縮合
題 名 | Recurrent Meningitis due to Spontaneous Rupture of Craniopharyngioma Cysts |
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作 者 | Hwang,Wen-juh; Ke,Teng-yao; Tsai,Jing-jane; | 書刊名 | Acta Neurologica Taiwanica |
卷 期 | 7:4 1998.12[民87.12] |
頁 次 | 頁287-292 |
分類號 | 415.938 |
關鍵詞 | Craniopharyngioma; Chemical meningitis; Cerebrospinal fluid findings; |
語 文 | 英文(English) |
英文摘要 | A 51-year-old man suffered from six episodes of recurrent meningismus and fever due to spontaneous rupture of craniopharyngioma cysts. The initial computed tomographic study of the head with contrast medium was non-diagnostic. Cerebrospinal fluid (CSF) data at various intervals from symptom onset and concomitant blood leukocyte counts were recorded and analyzed. We found that the CSF pictures of chemical meningitis associated with ruptured craniopharyngioma cysts varied from normal to occasionally decreased opening pressure in the absence of hydrocephalus, decreased to low normal glucose level, moderately to greatly increased total protein level, normal to mildly elevated lactate level, presence to absence of erythrocytes, and a mildly to markedly increased leukocyte count with either neutrophil or lymphocyte predominance. In this retrospective analysis, we found that normal to occasionally decreased CSF opening pressure, normal to mildly elevated lactate level, and a normal to occasionally mild elevation of blood leukocyte count without left shift should be helpful in differentiating meningismus due to ruptured craniopharyngioma cysts from acute bacterial meningitis. |
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