Our patient did have evidence of possible bleeding as reflected by the xanthochromia
in the CSF, as well as evidence of a venous infarct as indicated by the occipital low-density area on CT of the brain.
Shah and colleagues (3) also emphasized using xanthochromia
by spectrophotometry rather than visual techniques.
Pseudo-SAH should be considered in patients with suspected SAH on CT scan of the head whose lumbar puncture does not demonstrate xanthochromia
or in whom the clinical history is atypical for SAH but suggestive of another diagnosis, such as infection.
23) The camomile is an effective cure for Xanthochromia
These include elevated opening pressure of the lumbar puncture, the presence of red blood cells (RBCs) in the CSF, and the presence of xanthochromia
No plasma abnormalities such as haemolysis, turbidity, chylosis, xanthochromia
or jaundice were seen on visual inspection.
It is often difficult if not impossible to distinguish between SAH and TLP (1, 2) by available CSF tests such as (a) measurement of xanthochromia
of the supernatant after centrifugation, (b) counting of erythrocytes in the first and last tubes of collected CSF, or (c) searching of CSF microscopically for crenated erythrocytes (3-5).
Lumbar puncture to detect red blood cells acutely or xanthochromia
subacutely may be necessary when the clinical history is convincing and a CT scan is negative.
The opening pressure was modestly elevated at 28.5 cm but no xanthochromia
A negative CTA in the face of xanthochromia
or a negative CTA in the face of SAH on CT warrants a DSA.
Cerebrospinal fluid (CSF) obtained by cisternal puncture showed slight xanthochromia
; a nucleated cell count of 2094/[micro]L (54% lymphocytes); glucose, 2 mg/dL; and protein, 368 mg/dL.
Q Our pathologist is interested in offering a semiquantitative assay for cerebrospinal fluid (CSF) xanthochromia
. Other than visual inspection, is there an available method for this?