A 25 years old lady with a history of fever for 1 month presents with headache and ataxia.Brain imaging shows dilated ventricles and significant basal exudates. Which of the following will be the most likely CSF finding?
(A) Lymphocytosis, Low Glucose, High protein (B) Lymphocytosis, Normal Glucose, High protein (C) Lymphocytosis, Low Glucose, Normal protein (D) Neutrophilia, Low glucose, Low Protein
(A) Ans. A (Lymphocytosis, Low Glucose, High protein)Presence of significant basal exudates, together with dilated ventricles (hydrocephalus) in a young female with a prolonged history of fever and headache suggests a diagnosis of Tubercular Meningitis.Tubercular Meningitis is characterized by Lymphocytic Pleocytosis, Low Glucose and High Protein within the CSF.The pathological hallmark of Tubercular Meningitis is the predominant involvement of basal cisterns that are observed by the presence of basal inflammatory tissue exudate.