Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators

The cerebrospinal fluid (CSF) analysis in ruptured aneurysms can be greatly affected by subarachnoid hemorrhage (SAH), making the diagnosis of intracranial infection more difficult after surgery. This study aimed to identify the reference value range of CSF in the pathological state following sponta...

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Main Authors: Huichao You, Wenqi Li, Qianxue Chen
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/5/778
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author Huichao You
Wenqi Li
Qianxue Chen
author_facet Huichao You
Wenqi Li
Qianxue Chen
author_sort Huichao You
collection DOAJ
description The cerebrospinal fluid (CSF) analysis in ruptured aneurysms can be greatly affected by subarachnoid hemorrhage (SAH), making the diagnosis of intracranial infection more difficult after surgery. This study aimed to identify the reference value range of CSF in the pathological state following spontaneous SAH. A retrospective analysis of demographic and CSF data of all spontaneous SAH patients treated between January 2018 and January 2023 was conducted. A total of 101 valid CSF specimen data were collected for analysis. Our results indicate that in 95% of patients after spontaneous SAH, the leukocyte count in CSF was less than 880 × 10<sup>6</sup>/L. Additionally, the proportion of neutrophils, lymphocytes, and monocytes did not exceed 75%, 75%, and 15%, respectively, in 95% of the population. Furthermore, in 95% of the specimens, the concentration of chloride, glucose, and protein was >115 mmol/L, >2.2 mmol/L, and <2.3 g/L, respectively. Compared to the normal reference values, the CSF indexes after spontaneous SAH showed significant changes, especially in the leukocyte count, chloride concentration, and glucose concentration. Using “white blood cell count < 880/mm<sup>3</sup>, glucose > 2.2 mmol/L, chloride > 115” as the reference values for SAH pathological status is more meaningful for reference purposes.
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spelling doaj.art-edce7cb5de8341f0bb7b62e0fdcc633a2023-11-18T00:42:40ZengMDPI AGBrain Sciences2076-34252023-05-0113577810.3390/brainsci13050778Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid IndicatorsHuichao You0Wenqi Li1Qianxue Chen2Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Ultrasound, Hubei No. 3 People’s Hospital of Jianghan University, Wuhan 430033, ChinaDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaThe cerebrospinal fluid (CSF) analysis in ruptured aneurysms can be greatly affected by subarachnoid hemorrhage (SAH), making the diagnosis of intracranial infection more difficult after surgery. This study aimed to identify the reference value range of CSF in the pathological state following spontaneous SAH. A retrospective analysis of demographic and CSF data of all spontaneous SAH patients treated between January 2018 and January 2023 was conducted. A total of 101 valid CSF specimen data were collected for analysis. Our results indicate that in 95% of patients after spontaneous SAH, the leukocyte count in CSF was less than 880 × 10<sup>6</sup>/L. Additionally, the proportion of neutrophils, lymphocytes, and monocytes did not exceed 75%, 75%, and 15%, respectively, in 95% of the population. Furthermore, in 95% of the specimens, the concentration of chloride, glucose, and protein was >115 mmol/L, >2.2 mmol/L, and <2.3 g/L, respectively. Compared to the normal reference values, the CSF indexes after spontaneous SAH showed significant changes, especially in the leukocyte count, chloride concentration, and glucose concentration. Using “white blood cell count < 880/mm<sup>3</sup>, glucose > 2.2 mmol/L, chloride > 115” as the reference values for SAH pathological status is more meaningful for reference purposes.https://www.mdpi.com/2076-3425/13/5/778subarachnoid hemorrhageintracranial infectioncerebrospinal fluid routinecerebrospinal fluid biochemistryleukocyte
spellingShingle Huichao You
Wenqi Li
Qianxue Chen
Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators
Brain Sciences
subarachnoid hemorrhage
intracranial infection
cerebrospinal fluid routine
cerebrospinal fluid biochemistry
leukocyte
title Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators
title_full Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators
title_fullStr Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators
title_full_unstemmed Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators
title_short Effect of Spontaneous Subarachnoid Hemorrhage on Cerebrospinal Fluid Indicators
title_sort effect of spontaneous subarachnoid hemorrhage on cerebrospinal fluid indicators
topic subarachnoid hemorrhage
intracranial infection
cerebrospinal fluid routine
cerebrospinal fluid biochemistry
leukocyte
url https://www.mdpi.com/2076-3425/13/5/778
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AT wenqili effectofspontaneoussubarachnoidhemorrhageoncerebrospinalfluidindicators
AT qianxuechen effectofspontaneoussubarachnoidhemorrhageoncerebrospinalfluidindicators