Collect


CSF, CSF Tube

Preferred Draw Volume

1 mL

Minimum Draw Volume

0.5 mL CSF

Unacceptable Conditions

Specimen types other than CSF. Contaminated, heat-inactivated or hemolyzed specimens; Bloody CSF (Per ARUP medical director, we cannot complete testing on CSF specimens which exhibit the presence of blood. Blood in CSF indicates gross serum contamination which can potentially introduce serum antibodies into the CSF.)

https://ltd.aruplab.com/Tests/Pub/0050394

Collection Comments

Indicate source on test request form.

Specimen Preparation

Transfer 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated CSF

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

Indicate source on test request form.

Ordering Recommendations

For suspected and/or active herpes simplex virus (HSV) infection, molecular testing is preferred (refer to Herpes Simplex Virus by PCR (0060041)). If pursuing antibody testing, refer to Herpes Simplex Virus Type 1 Glycoprotein G-Specific Antibody, IgG by ELISA, CSF (0050379) and Herpes Simplex Virus Type 2 Glycoprotein G-Specific Antibody, IgG by ELISA, CSF (0050359). If acute HSV infection is suspected, molecular testing is preferred (refer to Herpes Simplex Virus by PCR (0060041)).

Performed

Sunday - Saturday

Methodology

Chemiluminescence Immunoassay

Reported

2 days

Performing Lab

Send Outs

Referral Lab

ARUP Laboratories

Synonyms

  • 5617
  • Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgG, CSF
  • ARUP 0050394

Interpretive Data

The detection of antibodies to herpes simplex virus in CSF may indicate central nervous system infection. However, consideration must be given to possible contamination by blood or transfer of serum antibodies across the blood-brain barrier.

Fourfold or greater rise in CSF antibodies to herpes on specimens at least 4 weeks apart are found in 74-94% of patients with herpes encephalitis. Specificity of the test based on a single CSF testing is not established. Presently PCR is the primary means of establishing a diagnosis of herpes encephalitis.

NOTE:  Not generally recommended. If acute and/or active herpes simplex virus (HSV) infection is suspected, molecular testing is preferred.

Clinical Interpretation

CPT Codes

86694

LOINC Codes

  NAME LOINC
Order Herpes Simplex Virus 1/2 Ab, IgG, CSF 13249-8

Test Code (Outreach Synonym)

5617

Catalog Code

1420588458
Collection

Collect


CSF, CSF Tube

Preferred Draw Volume

1 mL

Minimum Draw Volume

0.5 mL CSF

Unacceptable Conditions

Specimen types other than CSF. Contaminated, heat-inactivated or hemolyzed specimens; Bloody CSF (Per ARUP medical director, we cannot complete testing on CSF specimens which exhibit the presence of blood. Blood in CSF indicates gross serum contamination which can potentially introduce serum antibodies into the CSF.)

https://ltd.aruplab.com/Tests/Pub/0050394

Collection Comments

Indicate source on test request form.

Specimen Preparation

Transfer 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated CSF

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

Indicate source on test request form.
Ordering

Ordering Recommendations

For suspected and/or active herpes simplex virus (HSV) infection, molecular testing is preferred (refer to Herpes Simplex Virus by PCR (0060041)). If pursuing antibody testing, refer to Herpes Simplex Virus Type 1 Glycoprotein G-Specific Antibody, IgG by ELISA, CSF (0050379) and Herpes Simplex Virus Type 2 Glycoprotein G-Specific Antibody, IgG by ELISA, CSF (0050359). If acute HSV infection is suspected, molecular testing is preferred (refer to Herpes Simplex Virus by PCR (0060041)).

Performed

Sunday - Saturday

Methodology

Chemiluminescence Immunoassay

Reported

2 days

Performing Lab

Send Outs

Referral Lab

ARUP Laboratories

Synonyms

  • 5617
  • Herpes Simplex Virus Type 1 and/or 2 Antibodies, IgG, CSF
  • ARUP 0050394
Result Interpretation

Interpretive Data

The detection of antibodies to herpes simplex virus in CSF may indicate central nervous system infection. However, consideration must be given to possible contamination by blood or transfer of serum antibodies across the blood-brain barrier.

Fourfold or greater rise in CSF antibodies to herpes on specimens at least 4 weeks apart are found in 74-94% of patients with herpes encephalitis. Specificity of the test based on a single CSF testing is not established. Presently PCR is the primary means of establishing a diagnosis of herpes encephalitis.

NOTE:  Not generally recommended. If acute and/or active herpes simplex virus (HSV) infection is suspected, molecular testing is preferred.

Clinical Interpretation

Additional Information

CPT Codes

86694

LOINC Codes

  NAME LOINC
Order Herpes Simplex Virus 1/2 Ab, IgG, CSF 13249-8

Test Code (Outreach Synonym)

5617

Catalog Code

1420588458