Xanthochromia
- PMID: 30252304
- Bookshelf ID: NBK526048
Xanthochromia
Excerpt
Xanthochromia is derived from the Greek word "xanthos," meaning yellow. The term was first used to describe the pink or yellow pigmentation of cerebrospinal fluid (CSF). This color change is attributed to varying concentrations of pigmented compounds such as oxyhemoglobin, bilirubin, and methemoglobin, which are typically the byproducts of red blood cell degradation. The term is now more widely accepted to represent the yellow color created by the presence of bilirubin in the CSF. The presence of bilirubin resulting in yellow discoloration of the CSF is the contemporary definition of xanthochromia. It can be diagnosed by 2 methods: the traditional visualization or eye test and the more sensitive and specific spectrophotometry.
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References
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- Shah KH, Edlow JA. Distinguishing traumatic lumbar puncture from true subarachnoid hemorrhage. J Emerg Med. 2002 Jul;23(1):67-74. - PubMed
-
- Seehusen DA, Reeves MM, Fomin DA. Cerebrospinal fluid analysis. Am Fam Physician. 2003 Sep 15;68(6):1103-8. - PubMed
-
- Chu KH, Bishop RO, Brown AF. Spectrophotometry, not visual inspection for the detection of xanthochromia in suspected subarachnoid haemorrhage: A debate. Emerg Med Australas. 2015 Jun;27(3):267-72. - PubMed
-
- Long B, Koyfman A, Runyon MS. Subarachnoid Hemorrhage: Updates in Diagnosis and Management. Emerg Med Clin North Am. 2017 Nov;35(4):803-824. - PubMed
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