MSC Neuro 2025 P1
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Cisternalpuncture:BetweenC1and occiput(rare,specialized)
Ventricularpuncture: Neurosurgical,viaskullopening
CSFChangesinPathology |
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Condition |
CSF |
Protein |
Cells |
Glucos |
Notes |
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Appearance |
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(Pleocytosis |
e |
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) |
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Tensof |
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thousands, |
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Highprotein, |
Purulent |
Cloudy, |
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mainly |
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very high |
meningitis |
yellow-green |
↑↑ |
neutrophils |
↓ |
WBCs |
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|
|
|
Mildincrease |
Serous(viral) |
|
|
<100,mainly |
|
incellsand |
meningitis |
Clear |
Slight↑ |
lymphocytes |
Normal |
protein |
|
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|
Classic |
|
Clear, |
|
Hundreds, |
|
reduced |
Tuberculous |
sometimes |
↑(1–1.5 |
mostly |
|
glucoseand |
meningitis |
fibrinfilm |
g/L) |
lymphocytes |
↓ |
chloride |
Brain |
Clearor |
Markedl |
|
|
Protein-cell |
tumors/spina |
xanthochromi |
y↑(5–10 |
Usually |
|
dissociation |
ltumors |
c |
g/L) |
unchanged |
Normal |
syndrome |
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RBCsseen |
CNS |
Bloodyor |
|
|
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microscopicall |
hemorrhage |
reddish |
↑ |
Variable |
Normal |
y |
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Eosinophils |
Parasitic |
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suggest |
CNS |
Clearor |
|
Eosinophils |
|
parasitic |
infections |
cloudy |
Variable |
present |
Variable |
infections |
LiquorodynamicTests
TestName |
Description |
Interpretation |
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Manualjugularvein |
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compressionduring |
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lumbarpunctureto |
Normal: rapid,significant |
Queckenstedt |
observeCSFpressure |
pressureriseandreturn; |
Test |
response |
Blockade:noordelayedrise |
|
Patientflexesheadto |
IncreaseinCSFpressure |
|
compresscervicalveins; |
followedbynormalizationwith |
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monitoredCSFpressure |
headrepositioningindicates |
PussepTest |
changes |
patentsubarachnoidspace |
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Increasedintravertebral |
UsedtoassessCSFflowand |
StukkayTest |
pressuretestedindirectly |
blockages |