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HISTOLOGIC STUDIES IN MENINGITIS

HISTOLOGIC STUDIES IN MENINGITIS Abstract The term meningitis denotes an inflammation of the cerebrospinal meninges. The common form is leptomeningitis, an acute inflammation of the pia-arachnoid; a much rarer type is pachymeningitis, an inflammation of the dura mater, which is a chronic condition. The former is represented by the purulent, tuberculous or cerebrospinal form, while pachymeningitis is usually the result of a constitutional disorder, syphilis and occasionally tuberculosis. It is customary to include with the group of meningitis changes in the cerebrospinal membranes that are secondary to an invasion by spirochetes, Trichina, Torula and Cysticercus, and by carcinoma, sarcoma and other malignant growths. Whatever the etiologic factors, the meninges exhibit a manifest reaction. It pertains to the mesodermal components of the pia-arachnoid and dura, differing mainly in intensity and extensity. THE PIA-ARACHNOID In the pia, mainly of the spinal cord, Key and Retzius1 differentiated two main layers: an external, inconstant one, consisting of parallel References 1. Key, A., and Retzius, A.: Studien in der Anatomie des Nervensystems , Stockholm, P. A. Norstedt & Söner, 1875, vol. 1, p. 146. 2. Hassin, G. B.: (a) Notes on the Nature and Origin of the Cerebrospinal Fluid , J. Nerv. & Ment. Dis. 59:113 ( (Feb.) ) 1924 3. Effect of Organic Brain and Spinal Cord Changes on Subarachnoid Space, Choroid Plexus and Cerebrospinal Fluid , Arch. Neurol. & Psychiat. 14:468 ( (Oct.) ) 1925. 4. Funaoka, S.: Untersuchungen über das periphere Nervensystem , Serie A, Heft 1, Die Injektion des Nervensystems, Kyoto, Anatomical Institute of Kyoto Imperial University, 1930. 5. Hassin, G. B.: Cellular Changes in Various Forms of Acute Leptomeningitis , M. Rec. 93:760 ( (May 4) ) 1918. 6. Cerletti: Die histopathologische Veränderungen der Hirnrinde bei Malaria perniciosa , in Nissl and Alzheimer: Histologische und histopathologische Arbeiten ueber die Grosshirnrinde , Jena, Gustav Fischer, 1910, vol. 4. 7. Hassin, G. B.: Hydrocephalus: Studies of the Pathology and Pathogenesis, with Remarks on the Cerebrospinal Fluid , Arch. Neurol. & Psychiat. 24:1164 ( (Dec.) ) 1930. 8. Loewenstein, G.: Ueber die Veränderungen des Gehirns und Rückenmarks bei der Meningitis cerebrospinalis epidemica , Beitr. z. path. Anat. u. z. allg. Path. 47:282, 1910. 9. Walshe, F. M. R.: A Case of Secondary Carcinomatous Infiltration of the Pia-Arachnoid of the Brain, Presenting Exclusively Ocular Symptoms During Life: Meningitis Carcinomatosa , Brit. J. Ophth. 7:113 ( (March) ) 1923. 10. Rumpf, T.: Ueber die Einwirkung der Lymphe auf die Centralorgane , Arch. f. d. ges. Physiol. 26:415, 1881. 11. Wertham, F.: The Cerebral Lesions in Purulent Meningitis , Arch. Neurol. & Psychiat. 26:549 ( (Sept.) ) 1931. 12. Sittig, O.: Ueber herdförmige Destruktionsprozesse im Grosshirn und Veränderungen im Kleinhirn bei tuberkulöser Meningitis , Ztschr. f. d. ges. Neurol. u. Psychiat. 23:511, 1914 13. 33:294 and 301, 1916. 14. Bodechtel, G., and Opalski, A.: Gefässbedingte Herde bei der tuberkulösen Meningitis , Ztschr. f. d. ges. Neurol. u. Psychiat. 125:401, 1930. 15. Ayer, James B.: A Pathological Study of Experimental Meningitis from Subarachnoid Inoculation , Monograph, Rockefeller Institute for Medical Research, 1920, vol. 12, p. 26. 16. Essick, C. R.: Formation of Macrophages by Cells Lining the Arachnoid Cavity in Response to the Stimulus of Particulate Matter , Contrib. Embryol. 9:377, 1920. 17. Stone, T. T.: Leptomeningitis; Formation of Macrophages from Arachnoid Cells , Arch. Neurol. & Psychiat. 23:106 ( (Jan.) ) 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

HISTOLOGIC STUDIES IN MENINGITIS

Archives of Neurology & Psychiatry , Volume 28 (4) – Oct 1, 1932

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Publisher
American Medical Association
Copyright
Copyright © 1932 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1932.02240040034003
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Abstract

Abstract The term meningitis denotes an inflammation of the cerebrospinal meninges. The common form is leptomeningitis, an acute inflammation of the pia-arachnoid; a much rarer type is pachymeningitis, an inflammation of the dura mater, which is a chronic condition. The former is represented by the purulent, tuberculous or cerebrospinal form, while pachymeningitis is usually the result of a constitutional disorder, syphilis and occasionally tuberculosis. It is customary to include with the group of meningitis changes in the cerebrospinal membranes that are secondary to an invasion by spirochetes, Trichina, Torula and Cysticercus, and by carcinoma, sarcoma and other malignant growths. Whatever the etiologic factors, the meninges exhibit a manifest reaction. It pertains to the mesodermal components of the pia-arachnoid and dura, differing mainly in intensity and extensity. THE PIA-ARACHNOID In the pia, mainly of the spinal cord, Key and Retzius1 differentiated two main layers: an external, inconstant one, consisting of parallel References 1. Key, A., and Retzius, A.: Studien in der Anatomie des Nervensystems , Stockholm, P. A. Norstedt & Söner, 1875, vol. 1, p. 146. 2. Hassin, G. B.: (a) Notes on the Nature and Origin of the Cerebrospinal Fluid , J. Nerv. & Ment. Dis. 59:113 ( (Feb.) ) 1924 3. Effect of Organic Brain and Spinal Cord Changes on Subarachnoid Space, Choroid Plexus and Cerebrospinal Fluid , Arch. Neurol. & Psychiat. 14:468 ( (Oct.) ) 1925. 4. Funaoka, S.: Untersuchungen über das periphere Nervensystem , Serie A, Heft 1, Die Injektion des Nervensystems, Kyoto, Anatomical Institute of Kyoto Imperial University, 1930. 5. Hassin, G. B.: Cellular Changes in Various Forms of Acute Leptomeningitis , M. Rec. 93:760 ( (May 4) ) 1918. 6. Cerletti: Die histopathologische Veränderungen der Hirnrinde bei Malaria perniciosa , in Nissl and Alzheimer: Histologische und histopathologische Arbeiten ueber die Grosshirnrinde , Jena, Gustav Fischer, 1910, vol. 4. 7. Hassin, G. B.: Hydrocephalus: Studies of the Pathology and Pathogenesis, with Remarks on the Cerebrospinal Fluid , Arch. Neurol. & Psychiat. 24:1164 ( (Dec.) ) 1930. 8. Loewenstein, G.: Ueber die Veränderungen des Gehirns und Rückenmarks bei der Meningitis cerebrospinalis epidemica , Beitr. z. path. Anat. u. z. allg. Path. 47:282, 1910. 9. Walshe, F. M. R.: A Case of Secondary Carcinomatous Infiltration of the Pia-Arachnoid of the Brain, Presenting Exclusively Ocular Symptoms During Life: Meningitis Carcinomatosa , Brit. J. Ophth. 7:113 ( (March) ) 1923. 10. Rumpf, T.: Ueber die Einwirkung der Lymphe auf die Centralorgane , Arch. f. d. ges. Physiol. 26:415, 1881. 11. Wertham, F.: The Cerebral Lesions in Purulent Meningitis , Arch. Neurol. & Psychiat. 26:549 ( (Sept.) ) 1931. 12. Sittig, O.: Ueber herdförmige Destruktionsprozesse im Grosshirn und Veränderungen im Kleinhirn bei tuberkulöser Meningitis , Ztschr. f. d. ges. Neurol. u. Psychiat. 23:511, 1914 13. 33:294 and 301, 1916. 14. Bodechtel, G., and Opalski, A.: Gefässbedingte Herde bei der tuberkulösen Meningitis , Ztschr. f. d. ges. Neurol. u. Psychiat. 125:401, 1930. 15. Ayer, James B.: A Pathological Study of Experimental Meningitis from Subarachnoid Inoculation , Monograph, Rockefeller Institute for Medical Research, 1920, vol. 12, p. 26. 16. Essick, C. R.: Formation of Macrophages by Cells Lining the Arachnoid Cavity in Response to the Stimulus of Particulate Matter , Contrib. Embryol. 9:377, 1920. 17. Stone, T. T.: Leptomeningitis; Formation of Macrophages from Arachnoid Cells , Arch. Neurol. & Psychiat. 23:106 ( (Jan.) ) 1930.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1932

References