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041 _afre
042 _adc
100 1 0 _aNowicki, Nathan
_eauthor
700 1 0 _a Allouche, Stéphane
_eauthor
700 1 0 _a Bats, Marie-Lise
_eauthor
700 1 0 _a Bendavid, Claude
_eauthor
700 1 0 _a Bigot-Corbel, Edith
_eauthor
700 1 0 _a Brailova, Marina
_eauthor
700 1 0 _a Brunel, Valery
_eauthor
700 1 0 _a Chabanne, Russel
_eauthor
700 1 0 _a Descombes, Guillaume
_eauthor
700 1 0 _a Glady, Ludovic
_eauthor
700 1 0 _a Guergour, Dorra
_eauthor
700 1 0 _a Moisset, Xavier
_eauthor
700 1 0 _a Morineau, Gilles
_eauthor
700 1 0 _a Raynor, Alexandre
_eauthor
700 1 0 _a Bouvier, Damien
_eauthor
245 0 0 _aClinical-biological approaches to the spectrophotometric detection of oxyhemoglobin and bilirubin in CSF in the management of aneurysmal subarachnoid hemorrhage
260 _c2024.
500 _a3
520 _aThe diagnosis of subarachnoid hemorrhage (SAH) is extremely important for appropriate management. Cerebral computed tomography (CT), used as the first-line investigation to detect bleeding, has excellent sensitivity if performed promptly, but its sensitivity falls sharply with the time elapsed since the onset of SAH. Oxyhemoglobin and bilirubin, the breakdown products of heme, are detectable in cerebrospinal fluid (CSF) using spectrophotometric absorption, which defines the search for xanthochromia pigment in CSF. Both parameters can be sought when imaging is negative or doubtful with a strong suspicion of SAH based on clinical signs. In this context, our working group at the French Society for Clinical Biology (Société Française de Biologie Clinique, SFBC) is proposing recommendations to provide medical biologists with support in implementing and validating the “oxyhemoglobin and bilirubin in CSF” test and enabling them to play their part in the diagnostic process. From the pre-analytical stages through to the delivery of results, we will summarize the pitfalls to be avoided, the main decision values, and the different physiological and pathological profiles.
786 0 _nAnnales de Biologie Clinique | 82 | 5 | 2024-12-04 | p. 501-518 | 0003-3898
856 4 1 _uhttps://shs.cairn.info/journal-annales-de-biologie-clinique-2024-5-page-501?lang=en&redirect-ssocas=7080
999 _c1063534
_d1063534