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At least 1,189 records · Page 66Linked to original sources
PubMed1984

Cerebrospinal-fluid abnormalities associated with migraine.

Cerebrospinal-fluid (CSF) abnormalities have been reported infrequently in patients with migraine. Four cases of CSF pleocytosis and raised pressure found in young women during the course of an attack of protracted prodromal migraine, which was followed by complete recovery, are reported. In the absence of any other detectable cause, the CSF changes were attributed to the effects of the migrainous process on meningeal vascular permeability.

Adult↗
PubMed1978

[An economical modification of radial immunodiffusion for the determination of immunoglobulins in the cerebrospinal fluid].

In a total of fifty cerebrospinal fluids, such immunoglobulins as IgG, IgA, and IgM were quantitatively determined in a parallel manner on LC partigen plates and on slides (SEVAC set of means of testing). The comparability of the two methods of test proved excellent with good precision. The sensitivity of IgA determination on slides was made higher, the measurability of all precipitates was improved, and the economic advantage increased by cutting the cost of one determination fifteen times.

Cerebrospinal Fluid Proteins↗
PubMed1981

Spinal cerebrospinal fluid leak demonstrated by retrograde myeloscintigraphy.

Cerebrospinal fluid (CSF) leaks may occur following spinal surgery and are commonly associated with infection. These leaks can be successfully evaluated with retrograde myeloscintigraphy using the same techniques applied in diagnosing CSF otorrhea and rhinorrhea. This report describes the utility of this procedure in differentiating a process due solely to postoperative infection from one that involves both an inflammatory site and a fistulous tract with the subarachnoid space.

Adult↗
PubMed1980

Cerebrospinal fluid glucose and protein values in normal rabbits.

In 35 normal rabbits the cerebrospinal fluid glucose values ranged between 56 and 135 mg/dl, mean and standard deviation 78 +/- 13 mg/dl. Cerebrospinal total protein values ranged from 16 to 66 mg/dl, mean values were similar to those reported for human cerebrospinal fluid. Depression of the cerebrospinal glucose level in the rabbit may parallel the human situation and prove to be a useful marker of purulent inflammation.

Animals↗
PubMed1981

Tuberculous meningitis: E-rosette-forming T lymphocytes in cerebrospinal fluid.

T-lymphocyte subpopulations in cerebrospinal fluid (CSF) and peripheral blood fo 20 tuberculous meningitis patients were enumerated by sheep erythrocyte rosette assays. There were fewer active and total T lymphocytes in peripheral blood in patients than in controls. But patient CSF T-lymphocyte subpopulations were significantly higher than their peripheral blood values and no different proportionally from normal peripheral blood values. The results support the concept of immunologic compartmentalization of the neuraxis from the rest of the body.

Adolescent↗
PubMed2005

Why human color vision cannot reliably detect cerebrospinal fluid xanthochromia.

BACKGROUND: Visual assessment of cerebrospinal fluid (CSF) for xanthochromia (yellow color) is practiced by the majority of laboratories worldwide as a means of diagnosing intracranical bleeds. METHODS: Colorimetric and spectrophotometric analysis of CSF samples for recognizing the presence of bilirubin either in low concentrations or in the presence of hemolysed blood. RESULTS: The experiments provide the physiological and colorimetric basis for abandoning visual assessment of CSF for xanthochromia. CONCLUSIONS: We strongly recommend relying on spectrophotometry as the analytical method of choice.

Bilirubin↗
PubMed1991

[Age changes in concentrations of monoamines and related substances in the cerebrospinal fluid].

We studied age changes of concentrations of thirteen substances including monoamines, their precursors and metabolites in the cerebrospinal fluid, using high performance liquid chromatography. Cerebrospinal fluid was obtained from 106 subjects without neurological diseases (44.2 +/- 17.3 years) who underwent minor operations under lumbar anesthesia. Concentrations of dopamine, norepinephrine, tyrosine and 3-methoxy-4-hydroxy-phenylalanine were significantly increased with age, while concentrations of other monoamine precursors and metabolites were unchanged. There was a significant positive correlation between concentrations of the following substances: dopamine and norepinephrine; tyrosine and tryptophan; tyrosine and 3-methoxy-4-hydroxy-phenylalanine; tyrosine and 5-hydroxytryptophan; homovanillic acid and 5-hydroxyindoleacetic acid. Norepinephrine concentrations were positively correlated with concentrations of 3-methoxy-4-hydroxy-phenylglycol, whereas dopamine concentrations were not with homovanillic acid concentrations. The significance of these results was discussed with regard to age changes of transmitter secretion and metabolism, the binding capacity of receptors and cerebrospinal fluid kinetics of the measured substances.

Adolescent↗
PubMed1976

The osteo-mucoperiosteal flap in repair of cerebrospinal fluid rhinorrhea.

Repair of fistulas producing cerebrospinal fluid rhinorrhea, as with any reconstructive operations, should take into account the basic principles of reconstructive surgery for best results: 1. tissue needing replacement should be replaced by like tissue; and 2. a flap is always superior to a graft. In the case of this disease, the tissue sealing the fistula should be a flap containing not only mucosa or mucoperiosteum, but also pedicled bone. Two kinds of regional flaps are described which successfully closed the fistula in each of three patients. Follow-up is long term.

Adult↗
PubMed1976

Hydrocephalus: possible role of an internal cerebrospinal fluid fistula in therapy.

Transfer of cerebrospinal fluid from the lateral ventricle transcerebrally to the distal subarachnoid space was performed in the hydrocephalic dog. These fistulae were formed with the aid of a small suction tip and the operating microscope. Clinical evaluation of the dogs was made daily until sacrifice at four to six weeks. Documentation of the clinical course and ventricular size of the shunted and control animals was made. The studies indicate that the microsurgically produced fistulae may be an effective form of treatment in the hydrocephalic animal.

Animals↗
PubMed1992

Spontaneous temporal bone cerebrospinal fluid leak.

Eight patients with spontaneous cerebrospinal fluid leak of temporal bone origin are presented. Pertinent history and surgical findings are reviewed and contrasted with 33 previously reported patients. Unilateral ear fullness and mild hearing loss are the most common presenting symptoms. Profuse clear otorrhea following myringotomy is virtually pathognomonic. Diagnostic methods including high-resolution computed tomography, magnetic resonance imaging, and contrast cisternography are discussed. The indications for transmastoid and combined transmastoid/middle fossa surgical repairs are compared. Both surgical approaches were found to be equally effective. We favor the transmastoid as the initial approach because of simplicity, safety, and the ability to visualize both the middle fossa and posterior fossa plates as well as the middle ear.

Adult↗
PubMed1986

Cerebrospinal fluid ferritin in malignant CNS involvement.

Cerebrospinal fluid (CSF) ferritin was measured in patients with benign inflammatory and noninflammatory neurologic disorders and in patients with malignant disease with and without documented central nervous system (CNS) involvement. CSF ferritin levels were increased in the majority of patients with inflammatory neurologic disease and in patients with malignant involvement of the CNS. In contrast, in patients with noninflammatory neurologic disorders and in malignant disease without CNS involvement, CSF ferritin levels were normal. These findings indicate that although the specificity of CSF ferritin measurement is limited, it is a highly sensitive test that may be useful in the initial evaluation of patients with malignant CNS involvement, and in assessing their response to therapy.

Adult↗
PubMedDate not supplied

Quantitative cytocentrifugation in the evaluation of cerebrospinal fluid.

Five hundred sixteen samples of cerebrospinal fluid (CSF) were subjected to cytocentrifugation to determine whether this technique is reliable in quantifying the cells present while simultaneously allowing precise cytologic identification of the types of malignant and atypical cells present. Cell counts obtained by the cytocentrifuge method were comparable to those obtained by the standard hemocytometer method. Because of the larger volume of fluid used in cytocentrifugation, cells (0.2/cu mm) were found in 264 specimens that would have been considered devoid of cells by hemocytometry. Six of these samples contained malignant cells. The Wright's-stained cytocentrifuged specimens also allowed precise identification of hematopoietic cell types. CSF cytocentrifugation offers the advantages of (1) a simple and rapid method of quantifying the number of cells present, (2) use of larger volumes than the hemocytometer method, thereby minimizing the possibility that the specimen will be classified as acellular, and (3) improved morphology of hematopoietic cell types by use of the Wright's stain. We conclude that the cytocentrifugation method is useful in the routine quantification and diagnosis of CSF specimens.

Cell Count↗
PubMed1995

Microscopical surgical management of cerebrospinal fluid rhinorrhoea with free grafts.

Iatrogenic cerebrospinal fluid (CSF) rhinorrhoea can occur after intranasal ethmoidectomy or removal of pituitary tumours using a transsphenoidal approach, and is categorized as intraoperative or post-operative according to the time of onset. From 1989 to 1992 at Severance Hospital, Seoul, Korea, we successfully repaired nine cases of CSF rhinorrhoea using fibrin-glue-coated fascia or inferior turbinate mucosa under a surgical microscope. Neither recurrent leaks nor post-operative complications were associated with the free graft. Our results indicate that repair of CSF rhinorrhoea using free grafts under a surgical microscope is as successful as using a local flap, and it is a simple and very effective method in managing CSF rhinorrhoea. The surgical technique is discussed in detail.

Adult↗
PubMed2000

Detecting polysaccharide antigen of Neisseria meningitidis group C in cerebrospinal fluid by dot-ELISA assay.

Cerebrospinal fluid (CSF) samples from 210 patients (200 with clinical evidence of bacterial meningitis, 10 with other clinical neurologic disease) were tested by a Dot-ELISA assay for detection of polysaccharide antigen of N. meningitidis group C. CSF samples were treated with EDTA 0.1 M, at pH 7.5 and heated to 90>C for 10 min. Polyclonal antiserum was purified by use of ethanol fractionation. The results were compared to those using bacterial culture (BC), latex agglutination (LA), counterimmunoelectrophoresis (CIE), and direct microscopy (DM) methods. Test results showed a correlation of 93.3%, 94.3%, 91.0% and 69.5% respectively, and sensitivity of 0.947 and specificity of 0.930. This study suggests that the dot-ELISA assay of CSF is a useful alternative technique for the diagnosis of group C meningitis.

Cerebrospinal Fluid↗
PubMed1993

CT cisternography in the investigation of cerebrospinal fluid rhinorrhoea.

Eighteen consecutive patients with cerebrospinal fluid (CSF) rhinorrhoea investigated by computed tomographic cisternography (CTC) are reported and the literature is reviewed. Twenty-one CTC studies were performed without complications on nine patients presenting with spontaneous CSF rhinorrhoea, six with head injury and three who had undergone craniotomy. Two meningoceles and two encephaloceles were found in patients with spontaneous rhinorrhoea. The site of the CSF leak was identified in 17 examinations (81%) and verified at operation in 14 patients--no surgery was performed following two examinations--and in one the site of leakage was not identified at operation. No defect was identified in three (14.3%) examinations and in one the result was equivocal (4.7%). CTC is an accurate, well-tolerated procedure and should be regarded as the method of choice for investigation of this condition.

Adolescent↗
PubMed1976

Protein patterns of the cerebrospinal fluid in children with cerebral palsy.

Cerebrospinal fluid in 69 children with cerebral palsy (CP) of different etiology was examined by an improved method of agarose-gel electrophoresis. The protein pattern was normal in 12 cases only. In children with CP caused by congenital and postnatal infections raised psi-globulin fractions and the appearance of oligoclonal phi-globulin bands were the most obvious finding. In patients with CP due to malformations or perinatal brain damage and in children with CP of unknown etiology decreased prealbumin and increased albumin values were combined with hydrocephalus e vacuo in about half of the cases. Less frequent changes of the beta-globulin fractions were found, an increase of the beta-fraction being more rare than a decrease of the tau-globulin.

Age Factors↗
PubMed1989

Evidence of high concentrations of melatonin in lateral ventricular cerebrospinal fluid of sheep.

In this study we examined the cerebrospinal fluid (CSF) for regional differences in the concentration of melatonin. Cerebrospinal fluid samples were collected at hourly intervals from either the lateral ventricle or the cisterna magna of nine Merino ewes and were compared against jugular plasma. The study revealed that the CSF of the cisterna magna and the lateral ventricle had temporal patterns of melatonin that were similar to those found in jugular plasma. However, the concentrations of melatonin within the CSF obtained from the lateral ventricle were one order of magnitude higher than those of the jugular plasma, as verified by gas chromatography and mass spectrometry, while the melatonin concentrations within the CSF obtained from the cisterna magna were comparable to those of the jugular plasma. The data from this study suggest that there may be regional differences in the concentration of melatonin within the CSF and indicate that this medium is an important route of transport for melatonin from the pineal gland to putative target tissues.

Animals↗