Abnormal level of enzymes in cerebrospinal fluid
ICD-10 R83.0 is a billable code used to indicate a diagnosis of abnormal level of enzymes in cerebrospinal fluid.
Abnormal levels of enzymes in cerebrospinal fluid (CSF) can indicate various underlying neurological conditions. Enzymes such as lactate dehydrogenase (LDH), creatine kinase (CK), and others may be elevated due to inflammation, infection, or other pathological processes affecting the central nervous system (CNS). Common symptoms associated with abnormal enzyme levels in CSF may include headache, fever, neck stiffness, and altered mental status. The presence of elevated enzymes can suggest conditions such as meningitis, encephalitis, or demyelinating diseases. A thorough clinical evaluation, including a detailed history and neurological examination, is essential for determining the underlying cause. Laboratory findings, including CSF analysis through lumbar puncture, are critical for diagnosis. Abnormal enzyme levels should be interpreted in conjunction with other CSF parameters, such as cell count, protein concentration, and glucose levels, to provide a comprehensive understanding of the patient's condition.
Detailed patient history, neurological examination findings, and rationale for lumbar puncture.
Patients presenting with unexplained neurological symptoms, requiring CSF analysis for diagnosis.
Ensure correlation between clinical symptoms and laboratory findings to support the diagnosis.
Acute care documentation including vital signs, neurological status, and immediate interventions.
Patients with acute onset of neurological symptoms, such as severe headache or altered mental status, necessitating rapid CSF analysis.
Document the urgency of the situation and the rationale for immediate CSF analysis.
Used to obtain CSF for analysis when abnormal enzyme levels are suspected.
Document indication for lumbar puncture, patient consent, and procedure details.
Ensure compliance with procedural guidelines and documentation standards.
Common causes include infections (such as meningitis), autoimmune disorders, traumatic brain injury, and demyelinating diseases.