Hi ,



My wife was dianosed to have Foramen Magnum Meningioma with Cervicomedullary Compression. The surgery was conducted with a 85% resection. The biopsy showed that it was Meningiothelial Meningioma.



She started to develop fever after the surgery which was conducted 2 months ago and the doctor insisted that it was to do with a Urinary Infection she had. It took 45 days for the UTI to be completely cured. However, the fever still persisted. After various tests of Typhoid, TB, Jondis etc. he performed a Spinal tap and had the following results:



Appearance- Colourless (Clear)

XANTHOCHROMIA – NIL

CELLS – 132

RBCS – NIL

Protein – 388

Glucose – 57

Differential –

Neutrophils – 24%

Lymphocytes : 76%

Blood Sugar – 108

Quantity – 3 Ml

Z.N.Stain – Negative (No AFB)





The CSF culture did not yield anything and the Bacteria and TB test were negative.



He immediately started the following medication:



Inj- Dexona – 2 Vial

Inj Vancotec CP 500mg – every 6 hours

IVF NS 100ml – 5

Inj Meromer (meropenem) 1Gm – every 8 hours

Inj Hizole R 20mg - 2



On a second spinal tap after 7 days, we found the cell count reduced to 32 and Lymphocytes and neutrophils at 96% and 4% respectively. However, we were unable to test the protein count due to the shortage of fluid. We continued the medication with the following changes.



Inj Vancotec CP 500mg – every 6 hours

Inj Meromer (meropenem) 1Gm – every 8 hours



We had a 3rd spinal tap today after 14 days of the medication and the result showed Lymphocytes at 100% with no Neutrophils. However, the Cell Count has increased to 100 and Protein at 270.



The doctor is still continuing with the same medication with a lower doze. Can someone advise on the reason of the elevation of Protein and Cell count on the 3rd tap??



I am available on +91-0000 or YYYY@YYYY .





Looking forward to hear from you all ASAP.



Thanks and Regards

Anto