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Gross xanthochromia on lumbar puncture may not represent an acute subarachnoid hemorrhage.
Am J Emerg Med. 2009 Jun; 27(5):621-3.AJ

Abstract

Headache is a common presenting complaint in the emergency department (ED) that sometimes requires a diagnostic workup including a lumbar puncture (LP). An LP is often used to evaluate patients in the ED for an acute neurologic process. Xanthochromia seen on cerebrospinal fluid from an LP is often considered to be highly suggestive of a subarachnoid hemorrhage. We describe 2 cases where gross xanthochromia was noted during LP but the patients did not have an acute subarachnoid hemorrhage.

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Authors+Show Affiliations

Lo BM
Department of Emergency Medicine, Eastern Virginia Medical School, Emergency Physicians of Tidewater, Norfolk, VA 23507, USA. brucelo1@yahoo.com
Quinn SM
No affiliation info available

MeSH

AdultAgedCerebral AngiographyCerebrospinal FluidErythrocytesFemaleHeadacheHumansMagnetic Resonance ImagingSpinal PunctureSubarachnoid HemorrhageTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19497470

Citation

Lo, Bruce M., and Stephen M. Quinn. "Gross Xanthochromia On Lumbar Puncture May Not Represent an Acute Subarachnoid Hemorrhage." The American Journal of Emergency Medicine, vol. 27, no. 5, 2009, pp. 621-3.
Lo BM, Quinn SM. Gross xanthochromia on lumbar puncture may not represent an acute subarachnoid hemorrhage. Am J Emerg Med. 2009;27(5):621-3.
Lo, B. M., & Quinn, S. M. (2009). Gross xanthochromia on lumbar puncture may not represent an acute subarachnoid hemorrhage. The American Journal of Emergency Medicine, 27(5), 621-3. https://doi.org/10.1016/j.ajem.2008.05.024
Lo BM, Quinn SM. Gross Xanthochromia On Lumbar Puncture May Not Represent an Acute Subarachnoid Hemorrhage. Am J Emerg Med. 2009;27(5):621-3. PubMed PMID: 19497470.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gross xanthochromia on lumbar puncture may not represent an acute subarachnoid hemorrhage. AU - Lo,Bruce M, AU - Quinn,Stephen M, PY - 2008/05/22/received PY - 2008/05/23/accepted PY - 2009/6/6/entrez PY - 2009/6/6/pubmed PY - 2009/7/8/medline SP - 621 EP - 3 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 27 IS - 5 N2 - Headache is a common presenting complaint in the emergency department (ED) that sometimes requires a diagnostic workup including a lumbar puncture (LP). An LP is often used to evaluate patients in the ED for an acute neurologic process. Xanthochromia seen on cerebrospinal fluid from an LP is often considered to be highly suggestive of a subarachnoid hemorrhage. We describe 2 cases where gross xanthochromia was noted during LP but the patients did not have an acute subarachnoid hemorrhage. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/19497470/Gross_xanthochromia_on_lumbar_puncture_may_not_represent_an_acute_subarachnoid_hemorrhage_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(08)00476-2 DB - PRIME DP - Unbound Medicine ER -