Differentiating Subarachnoid Hemorrhage from traumatic lumbar puncture-2000



Differentiating feature Subarachnoid hemorrhage Traumatic puncture
Number of RBCs in successive tubes Constant Decreases
Clotted blood Absent Present (if RBC count>250,000 cells per mL
Xanthchromia Present (>12 hours after bleed) Absent
Relative proportion of WBCs Increased Normal
RBC/hemosiderin-containing macrophages Present Absent
CSF protien Elevated Normal
D-dimer assay Positive Negative

 


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