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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]
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]
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
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.
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Chronic meningitis is defined by signs and symptoms being present longer than four weeks and includes pleocytosis, or the presence of inflammatory cells in the cerebrospinal fluid. [2] The initial test is usually a lumbar puncture to collect cerebrospinal fluid for analysis.
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