CSF showed pleocytosis and hypoglycorrhachia
with elevated protein levels.
Six of 11 patients also had hypoglycorrhachia
(CSF glucose <40 mg/dL) at the time of initial evaluation.
Two had very low TLC and elevated protein and hypoglycorrhachia
Three patients had tuberculous meningitis (Figure 3); all of whom had presented with altered behavior and were diagnosed based on CSF pleocytosis, elevated protein count, and hypoglycorrhachia
, and all of whom showed clinical improvement with anti-tuberculous treatment.
 Consistent CSF findings with acute bacterial meningitis include a polymorphonuclear pleocytosis, hypoglycorrhachia
and a raised CSF protein level.
(5) Pleural/ascitic fluid analysis showing evidence of lymphocytic exudative effusion and CSF showing lymphocytic pleocytosis with hypoglycorrhachia
(low CSF glucose).
Thus, impairment of GLUT-1 results in a low glucose concentration in the CSF and causes hypoglycorrhachia
with clinical symptoms like seizures, mental retardation, and compromised brain development in children.
is seen rarely with enterovirus (as low as 10 mg/dL), low CSF glucose values are usually due to bacterial or tuberculous meningitis.
Diagnosis of neurocysticercosis CSF analysis * Hypoglycorrhachia
. * Elevated CSF protein.
In view of Bell's palsy, meningeal symptoms, thoracic sensory level, areflexic flaccid paralysis, pleocytosis with neutrophilic predominance, hypoglycorrhachia
, and elevated protein in CSF, CMV infection in nervous system (specifically PRAM) was considered and intravenous ganciclovir was started.
CSF contained 127 leukocytes (61% lymphocytes) and showed hypoglycorrhachia
. Investigations for toxoplasmosis, cryptococcosis, histoplasmosis, tuberculosis, and CMV showed negative results, but ITS-targeting PCR results were positive on CSF.
The trend was toward less testing among patients for whom CSF pleocytosis was higher (p = 0.017) and for those with hypoglycorrhachia
(CSF glucose <45 mg/dL; p = 0.005).