Cerebrospinal fluid syndromes in patients with acute consciousness compromise
We reviewed the laboratorycards of 200 analysis of cerebrospinal fluid (CSF) performed to evaluate acute alterations of consciousness in adult patients attended in a neurological emergency room. 61% were men; the mean age was 46 years. The most common clinical data were infective and neurologic. The...
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Thieme Revinter Publicações
1998-06-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000200003&tlng=en |
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| author | MARCUS SABRY AZAR BATISTA AFONSO CARLOS NEVES RICARDO C.C. SESSO JOÃO BATISTA DOS REIS-FILHO |
| author_facet | MARCUS SABRY AZAR BATISTA AFONSO CARLOS NEVES RICARDO C.C. SESSO JOÃO BATISTA DOS REIS-FILHO |
| author_sort | MARCUS SABRY AZAR BATISTA |
| collection | DOAJ |
| description | We reviewed the laboratorycards of 200 analysis of cerebrospinal fluid (CSF) performed to evaluate acute alterations of consciousness in adult patients attended in a neurological emergency room. 61% were men; the mean age was 46 years. The most common clinical data were infective and neurologic. The CSF was abnormal in 149 (74.5%) patients and the most common syndromes were: compressive (21%), hemorrhagic (11.5%), "viral" (8.5%), septic (7.5%), moderate hyperglycorrachia (6.5%), hydroelectrolytic disturbances (5.5%). There were some statistically significant correlations between CSF syndromes and clinical data: septic syndrome and fever and meningeal signs, hemorrhagic syndrome and headache and meningeal signs, CSF hydroelectrolytic disturbance syndrome and seizures, severe hyperproteinorrachia and headache, fever, meningeal signs and vomiting, moderate hyperproteinorrachia and age over 65 and male sex. We classified the abnormal results in two groups: 1 - sufficient for an immediate clinical decision; 2 - nonspecific. The former group was found in 27.5% of the patients and in 36.9% of the abnormal CSF results. In patients attending to neurologic emergency rooms with acute alterations of consciousness, the examination of the CSF frequently could contribute to an etiologic diagnosis. It must be performed after a rigorous clinical evaluation of the patient. |
| format | Article |
| id | doaj-art-e1a9f1e1f9404567984d2c60771d31fd |
| institution | DOAJ |
| issn | 1678-4227 |
| language | English |
| publishDate | 1998-06-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e1a9f1e1f9404567984d2c60771d31fd2025-08-20T03:20:59ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42271998-06-0156218418710.1590/S0004-282X1998000200003Cerebrospinal fluid syndromes in patients with acute consciousness compromiseMARCUS SABRY AZAR BATISTA0AFONSO CARLOS NEVES1RICARDO C.C. SESSO2JOÃO BATISTA DOS REIS-FILHO3Universidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloWe reviewed the laboratorycards of 200 analysis of cerebrospinal fluid (CSF) performed to evaluate acute alterations of consciousness in adult patients attended in a neurological emergency room. 61% were men; the mean age was 46 years. The most common clinical data were infective and neurologic. The CSF was abnormal in 149 (74.5%) patients and the most common syndromes were: compressive (21%), hemorrhagic (11.5%), "viral" (8.5%), septic (7.5%), moderate hyperglycorrachia (6.5%), hydroelectrolytic disturbances (5.5%). There were some statistically significant correlations between CSF syndromes and clinical data: septic syndrome and fever and meningeal signs, hemorrhagic syndrome and headache and meningeal signs, CSF hydroelectrolytic disturbance syndrome and seizures, severe hyperproteinorrachia and headache, fever, meningeal signs and vomiting, moderate hyperproteinorrachia and age over 65 and male sex. We classified the abnormal results in two groups: 1 - sufficient for an immediate clinical decision; 2 - nonspecific. The former group was found in 27.5% of the patients and in 36.9% of the abnormal CSF results. In patients attending to neurologic emergency rooms with acute alterations of consciousness, the examination of the CSF frequently could contribute to an etiologic diagnosis. It must be performed after a rigorous clinical evaluation of the patient.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000200003&tlng=encerebrospinal fluidconsciousnessemergency room |
| spellingShingle | MARCUS SABRY AZAR BATISTA AFONSO CARLOS NEVES RICARDO C.C. SESSO JOÃO BATISTA DOS REIS-FILHO Cerebrospinal fluid syndromes in patients with acute consciousness compromise Arquivos de Neuro-Psiquiatria cerebrospinal fluid consciousness emergency room |
| title | Cerebrospinal fluid syndromes in patients with acute consciousness compromise |
| title_full | Cerebrospinal fluid syndromes in patients with acute consciousness compromise |
| title_fullStr | Cerebrospinal fluid syndromes in patients with acute consciousness compromise |
| title_full_unstemmed | Cerebrospinal fluid syndromes in patients with acute consciousness compromise |
| title_short | Cerebrospinal fluid syndromes in patients with acute consciousness compromise |
| title_sort | cerebrospinal fluid syndromes in patients with acute consciousness compromise |
| topic | cerebrospinal fluid consciousness emergency room |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000200003&tlng=en |
| work_keys_str_mv | AT marcussabryazarbatista cerebrospinalfluidsyndromesinpatientswithacuteconsciousnesscompromise AT afonsocarlosneves cerebrospinalfluidsyndromesinpatientswithacuteconsciousnesscompromise AT ricardoccsesso cerebrospinalfluidsyndromesinpatientswithacuteconsciousnesscompromise AT joaobatistadosreisfilho cerebrospinalfluidsyndromesinpatientswithacuteconsciousnesscompromise |