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Episode 269: Neurology VMR – Headache and altered mental status

The Clinical Problem Solvers

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Is It an Infection or a Cancer?

The CSF was transparent. We found 140 leukocytes, 65% were mononuclear and there were 15 red blood cells, 51 proteins and glucose was 20. Lefto meningial enhancement on the MRI. Was there hydrocephalus or no? No, there was just a diffuse cerebrolydema. The Dema. Okay. So we're sort of down to trying to figure out now is this an infection or involvement of the cancer? Does this profile lead you in any particular direction? I'm not really, but I'm going to think that investigate for, I would think for infectious here, even like the 140 leukocyte.

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