Resumos
Foram estudadas amostras de liqüido cefalorraqueano de 55 pacientes que apresentaram poliomielite anterior aguda. Os autores fizeram um estudo das alterações encontradas no primeiro exame do LCR, analisando particularizadamente os dados fornecidos pelos exames físico, citológico, químico e sorológico. Êsses elementos são discutidos em correlação com os encontrados na literatura.
The study of the cerebrospinal fluid (CSF) abnormalities in 55 patients with acute anterior poliomyelitis is made. The lumbar puncture was performed in the preparalytic stage or, at least, in the first week after onset of paralysis. The findings were much alike that one of the literature, but the authors emphasize some peculiarities. All 55 samples of CSF showed some abnormalities, generally pleocitosis of lymphocytic type and moderately increased protein content. The fibrin clot was a very common finding (60%), and in many cases (22%) it appeared in absence of increased protein content. In a case the only abnormality was a delicate fibrin clot. In two cases the only abnormality found in CSF was: in one, neutrophil granulocyte and in the other, eosinophil granulocyte in spite of normal cell count.
Antonio Bei; Harry Brandi Diniz
Assistentes
RESUMO
Foram estudadas amostras de liqüido cefalorraqueano de 55 pacientes que apresentaram poliomielite anterior aguda. Os autores fizeram um estudo das alterações encontradas no primeiro exame do LCR, analisando particularizadamente os dados fornecidos pelos exames físico, citológico, químico e sorológico. Êsses elementos são discutidos em correlação com os encontrados na literatura.
SUMMARY
The study of the cerebrospinal fluid (CSF) abnormalities in 55 patients with acute anterior poliomyelitis is made. The lumbar puncture was performed in the preparalytic stage or, at least, in the first week after onset of paralysis. The findings were much alike that one of the literature, but the authors emphasize some peculiarities. All 55 samples of CSF showed some abnormalities, generally pleocitosis of lymphocytic type and moderately increased protein content. The fibrin clot was a very common finding (60%), and in many cases (22%) it appeared in absence of increased protein content. In a case the only abnormality was a delicate fibrin clot. In two cases the only abnormality found in CSF was: in one, neutrophil granulocyte and in the other, eosinophil granulocyte in spite of normal cell count.
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Trabalho do Serviço de Neurologia da Escola Paulista de Medicina (Prof. Paulino W. Longo).
Serviço de Neurologia da Escola Paulista de Medicina - Caixa Postal 5496 - São Paulo, Brasil.
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- 2. FORD, G. D.; ELDRIGE, F.; GRULEE, C. G. - Spinal fluid in acute poliomyelitis. A. J. Dis. Child., 79:633-639, 1950.
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- 6. PEABODY, F.; DRAPER, G.; DOCHEZ, A. R. - Cit por Merritt e Fremont-Smith4
- 7. RHODES, A. J.; van ROO YEN, C. E. - Textbook of Virology. Williams & Wilkins Co., Baltimore, 1953, pág. 347.
- 8. RUDDER, B. - Akute Poliomyelitis ohne Liquorverànderung. Deutsch. Med. Wochenschr., 83:31, 1958.
- 9. COSGROVE, J. B. R. - An evaluation of the importance of symptoms, signs and spinal fluid findings in the diagnosis of poliomyelitis in the absence of paralysis. Canad. M. A. J., 72:808-811, 1955.
O líqüido cefalorraqueano inicial na poliomielite anterior aguda
Datas de Publicação
-
Publicação nesta coleção
09 Dez 2013 -
Data do Fascículo
Dez 1959
