Cerebrospinal fluid pleocytosis in infectious and noninfectious central nervous system disease: A retrospective cohort study

TY - JOUR

T1 - Cerebrospinal fluid pleocytosis in infectious and noninfectious central nervous system disease

T2 - A retrospective cohort study

AU - Baunbæk Egelund, Gertrud

AU - Ertner, Gideon

AU - Langholz Kristensen, Kristina

AU - Vestergaard Jensen, Andreas

AU - Benfield, Thomas L

AU - Brandt, Christian T

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Cerebrospinal fluid (CSF) analysis is the most important tool for assessing central nervous system (CNS) disease. An elevated CSF leukocyte count rarely provides the final diagnosis, but is almost always an indicator of inflammation within the CNS. The present study investigated the variety of diseases associated with CSF pleocytosis. CSF analyses were identified through the biochemical database used in the capital region of Denmark in the period from 2003 to 2010. In patients >15 years, clinical diagnoses associated with the finding of a CSF leukocyte count >10 × 10 6 cells/L were obtained from discharge records and patient files. A total of 1058 CSF samples from 1054 patients were included in the analysis. The median age was 50 (interquartile range: 36-67) and 53% were male. Eighty-one different diagnoses were identified in 1058 cases with an elevated CSF leukocyte count, besides unknown causes. Infections were the most common cause of CSF pleocytosis (61.4%) followed by miscellaneous causes (12.7%), vascular (9.7%), neurodegenerative (7%), neoplastic (5%), and inflammatory conditions (4.2%). Only infections presented with leukocyte counts >10,000 × 10 6 /L. Infections represented 82.6% of all cases with a leukocyte count >100 × 10 6 /L whereas 56.3% of cases with at leukocyte counts <100 × 10 6 /L were dominated by disease not related to infection. The present study may serve as a reminder to clinicians of what diseases and disease categories to suspect when patients present with CSF biochemistry indicating CNS inflammation.

AB - Cerebrospinal fluid (CSF) analysis is the most important tool for assessing central nervous system (CNS) disease. An elevated CSF leukocyte count rarely provides the final diagnosis, but is almost always an indicator of inflammation within the CNS. The present study investigated the variety of diseases associated with CSF pleocytosis. CSF analyses were identified through the biochemical database used in the capital region of Denmark in the period from 2003 to 2010. In patients >15 years, clinical diagnoses associated with the finding of a CSF leukocyte count >10 × 10 6 cells/L were obtained from discharge records and patient files. A total of 1058 CSF samples from 1054 patients were included in the analysis. The median age was 50 (interquartile range: 36-67) and 53% were male. Eighty-one different diagnoses were identified in 1058 cases with an elevated CSF leukocyte count, besides unknown causes. Infections were the most common cause of CSF pleocytosis (61.4%) followed by miscellaneous causes (12.7%), vascular (9.7%), neurodegenerative (7%), neoplastic (5%), and inflammatory conditions (4.2%). Only infections presented with leukocyte counts >10,000 × 10 6 /L. Infections represented 82.6% of all cases with a leukocyte count >100 × 10 6 /L whereas 56.3% of cases with at leukocyte counts <100 × 10 6 /L were dominated by disease not related to infection. The present study may serve as a reminder to clinicians of what diseases and disease categories to suspect when patients present with CSF biochemistry indicating CNS inflammation.

KW - Adult

KW - Aged

KW - Area Under Curve

KW - Central Nervous System Diseases/cerebrospinal fluid

KW - Denmark

KW - Diagnosis, Differential

KW - Female

KW - Humans

KW - Leukocyte Count

KW - Leukocytosis/cerebrospinal fluid

KW - Male

KW - Middle Aged

KW - ROC Curve

KW - Retrospective Studies

U2 - 10.1097/MD.0000000000006686

DO - 10.1097/MD.0000000000006686

M3 - Journal article

C2 - 28471963

SN - 0025-7974

VL - 96

JO - Medicine

JF - Medicine

IS - 18

M1 - e6686

ER -