CSF examination in a one day old term male infant with convulsions reveals cell count — 10 RBCs/HPF, 50 cells; protein — 70 mg/dl.; sugar — 30 mg/dl/Blood sugar 40 mg/di The child is likely to be suffering from
Correct Answer: Intracranial bleed
Description: (B) Intracranial bleed # RBCs are normally not present in the CSF and their presence indicates traumatic tap or subarachnoid hemorrhage.# CSF characteristics:> Idiopathic seizures --Clear CSF with normal protein, normal glucose, no WBC's, no RBC's, normal opening pressure and normal % Gamma globulin.> Bacterial meningitis --Milky CSF with increased protein, decreased glucose, high WBC's (PMN predominate), few RBC's, mildly increased opening pressure and normal % Gamma globulin.> Guillain Barre Syndrome --Yellow CSF with very high protein (up to a gram), normal glucose, no WBC's, no RBC's, normal opening pressure and normal % Gamma globulin> Subarachnoid haemorrhage -- Yellow CSF with increased protein, normal glucose, few WBC's, inumerable RBC's, mildly increased opening pressure & normal % Gamma globulin.> Benign intracranial hypertension --Clear CSF with normal protein, normal glucose, no WBC's, no RBC's, increased opening pressure and normal Gamma globulin.
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