Case Reports in Neurological Medicine / 2020 / Article / Tab 1

Case Report

Acute Confusional Migraine: Unusual Great Masquerader—Case Report and Literature Review

Table 1

The patient’s laboratory test results.

Test (normal range/unit)Result

WBC (4–11 x 10  3/ul)H 13.4
RBC (2.8–4.8 x 10  6/ul)5.1
Hb (12–15 gm/dL)14.9
Platelets (150–400 x 10  3/ul)235
Urea (2.7–8 mmol/L)3.20
Creatinine (44–80 umol/L)68
Sodium (135–145 mmol/L)138
Potassium (mmol/L 3.5–5.1)3.7
Glucose (3.3–5.5 mmol/L)8.1
ALT (05–5 U/L)25
AST (04–0 U/L)25
TSH (0.3–4.2 IU/L)0.18
Free T3 (3.7–6.4 pmol/L)5.2
Free T4 (11.6–21.9 pmol/L)18.8
Acetaminophen (66.0-199.0)Below level of detection
Ethanol <10,9 mmol/L<2.2
Salicylate (150–300 mg/L)Below level of detection
Cholesterol (<5.2 mmol/L)4.0
Triglyceride (<1.7 mmol/L)0.5
HDL (>1.0 mmo/L)0.9
LDL-calc <3.36 mmol/L2.9 mmol/L
HbA1C % 4.8-5.95.6 %
Lactic acid (0.5–2.2 mmol/L)1.0
CRP (0–5 mg/L)<5
CSF glucose (2.22–3.89 mmol/L)3.84
CSF protein (0.15–0.45 gm/L)0.32
CSF colorColorless
CSF appearanceClear
CSF WBC (0–5 uL)1
CSF RBC (0–2 uL)460
Protein C activity (70–140%)73.2%
Protein S activity (72–126%)96%
Factor VNegative factor V Leiden mutation
Anticardiolipin ab IgM/IgGNegative

RBCs in the CSF were likely traumatic given the difficulty encountered while performing the lumbar puncture. WBC = white blood cells, RBC = red blood cells, Hb = hemoglobin, ALT = alanine aminotransferase, AST = aspartate aminotransferase, TSH = thyroid stimulating hormone, T3 = triiodothyronine, T4 = thyroxine, HDL = high-density lipoprotein, LDL = low-density lipoprotein, CRP = C-reactive protein, CSF = cerebrospinal fluid.

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