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Lymphocytic pleocytosis is an abnormal increase in the amount of lymphocytes in the cerebrospinal fluid (CSF). It is usually considered to be a sign of infection or inflammation within the nervous system , and is encountered in a number of neurological diseases , such as pseudomigraine, Susac's syndrome, and encephalitis.
If tested in the prodromal phase, cerebrospinal fluid pleocytosis is found in more than 80% of cases, [6] [7] with mainly lymphocytes. [7] This pleocytosis resolves in about 8 weeks even if chronic uveitis persists. [7] Functional tests may include electroretinogram and visual field testing. [2]
Any CSF leak is most often characterized by orthostatic headaches, which worsen when standing, and improve when lying down. Other symptoms can include neck pain or stiffness, nausea, vomiting, dizziness, fatigue, and a metallic taste in the mouth. A CT myelography scan can identify the site of a cerebrospinal fluid leakage.
Absence of well-characterized autoantibodies in blood serum and cerebrospinal fluid, and at least two of the following criteria: Magnetic resonance imaging suggestive of encephalitis; CSF pleocytosis, oligoclonal bands or elevated cerebrospinal fluid IgG index, or both; Brain biopsy showing inflammatory infiltrates and excluding other disorders
Similarly, raised CSF protein levels and pleocytosis are frequent but non-specific. It was originally thought [5] that raised CSF protein without pleocytosis ('albuminocytological dissociation') was a characteristic feature, as it is in Guillain–Barré syndrome, but this has not been supported in more recent work. [7]
The presence of white blood cells in cerebrospinal fluid is called pleocytosis. A small number of monocytes can be normal; the presence of granulocytes is always an abnormal finding. A large number of granulocytes often heralds bacterial meningitis .
In medicine, pleocytosis (or pleiocytosis) is an increased cell count (from Greek pleion, "more"), particularly an increase in white blood cell count, in a bodily fluid, such as cerebrospinal fluid. [1] It is often defined specifically as an increased white blood cell count in cerebrospinal fluid. [2]
Mollaret's meningitis is characterized by chronic, recurrent episodes of headache, stiff neck, meningismus, and fever; cerebrospinal fluid (CSF) pleocytosis with large "endothelial" cells, neutrophil granulocytes, and lymphocytes; and attacks separated by symptom-free periods of weeks to years; and spontaneous remission of symptoms and signs.