Reactive Pleocytosis After Repeated Lumbar Puncture—Implications for Clinical Practice Article Swipe
Martin Schmidauer
,
Fabian Föttinger
,
Klaus Berek
,
Michael Auer
,
Robert Barket
,
Franziska Di Pauli
,
Nik Krajnc
,
Laura Stichaller
,
Sina Zaic
,
Anne Zinganell
,
Florian Deisenhammer
,
Janette Walde
,
Gabriel Bsteh
,
Harald Hegen
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/ene.70117
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/ene.70117
Introduction Lumbar puncture (LP) is a routine clinical procedure and, in some cases, is repeatedly performed for diagnostic or therapeutic reasons. The impact of repeated LP on cerebrospinal fluid (CSF) findings is not clear. Objective To investigate whether repeated LP is associated with reactive pleocytosis and disruption of blood–CSF barrier function and to determine the role of interval between repeated LP. Methods Patients with non‐inflammatory neurological disease (NIND) and at least two consecutive LP were included. Longitudinal changes in CSF white blood cell count (WBC), CSF total protein (TP), and CSF/serum albumin quotient (Q alb ) were assessed depending on the time interval between the LP. Results A total of 73 patients with a median age of 35 years (25th–75th percentile: 25–45) and a female predominance of 75% had second LP after 6 (3–19) days. Twenty (27%) patients developed pleocytosis with an increase of WBC count to 8/μl (6–15) with a maximum of 30/μl. Patients with pleocytosis had the follow‐up LP significantly earlier than patients without pleocytosis, 3.5 (3–7) versus 7 (3–28) days. The majority of patients (90%) with CSF pleocytosis had the second LP within 10 days. Further repeated LP in a subgroup of patients revealed similar findings. CSF TP and Q alb slightly increased in patients with pleocytosis. Conclusion Mild “reactive” CSF pleocytosis occurred in approximately one‐third of patients after repeated LP, mostly when performed within 10 days.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ene.70117
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.70117
- OA Status
- gold
- References
- 11
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409190357
All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W4409190357Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/ene.70117Digital Object Identifier
- Title
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Reactive Pleocytosis After Repeated Lumbar Puncture—Implications for Clinical PracticeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-01Full publication date if available
- Authors
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Martin Schmidauer, Fabian Föttinger, Klaus Berek, Michael Auer, Robert Barket, Franziska Di Pauli, Nik Krajnc, Laura Stichaller, Sina Zaic, Anne Zinganell, Florian Deisenhammer, Janette Walde, Gabriel Bsteh, Harald HegenList of authors in order
- Landing page
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https://doi.org/10.1111/ene.70117Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.70117Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.70117Direct OA link when available
- Concepts
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Pleocytosis, Medicine, CSF pleocytosis, Lumbar puncture, Cerebrospinal fluid, White blood cell, Confidence interval, Gastroenterology, Internal medicine, ImmunologyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(NIND) | 68 |
| abstract_inverted_index.(WBC), | 85 |
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| abstract_inverted_index.Twenty | 136 |
| abstract_inverted_index.cases, | 13 |
| abstract_inverted_index.clear. | 34 |
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| abstract_inverted_index.barrier | 50 |
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| abstract_inverted_index.whether | 38 |
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| abstract_inverted_index.(3–28) | 172 |
| abstract_inverted_index.(6–15) | 149 |
| abstract_inverted_index.25–45) | 122 |
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| abstract_inverted_index.clinical | 8 |
| abstract_inverted_index.findings | 31 |
| abstract_inverted_index.function | 51 |
| abstract_inverted_index.increase | 143 |
| abstract_inverted_index.interval | 58, 103 |
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| abstract_inverted_index.occurred | 216 |
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| abstract_inverted_index.slightly | 205 |
| abstract_inverted_index.subgroup | 194 |
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| abstract_inverted_index.one‐third | 219 |
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| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 14 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.16641155 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |