• Xanthochromia is a yellow, orange, or pink discoloration of the CSF
  • Due to the breakdown products of haemoglobin (bilirubin) following lysis of red cells
  • Begins after RBCs have been in CSF for about two hours and can remain for up to 2-4 weeks
  • Ultraviolet light can cause degradation of bilirubin:
    • Can lead to false negatives
    • Samples should be kept in the dark until analysis