LP post-seizure – do white cells indicate infection?

Obviously, I’m excluding the rather large proportion of my workload where the presence of white cells in the CSF indicate metastatic disease … but in normal children, if you did an LP on a child after a seizure and got a total white cell count of 19, would you be treating for meningitis?

I have to say, I would. But there are a team from Australia that are considering the question: until then, what will you be doing?

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