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3meglutaconatecsfscnc

Published: August 9, 2026Updated: August 16, 2026

A specialized laboratory test that measures the level of 3-methylglutaconate in cerebrospinal fluid to help diagnose metabolic and neurological disorders.

Quick summary

{"Measures 3-methylglutaconate levels in brain and spinal fluid","Helps diagnose rare metabolic disorders affecting the nervous system","Collected via lumbar puncture (spinal tap)","Results assist healthcare providers in identifying genetic metabolic conditions","Abnormal results may indicate problems with energy metabolism in cells"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
72440-1
Short code
3MGC CSF
Synonyms
3Me-glutaconate CSF-sCnc
Category
chemistry
Sample
csf
Container
Polypropylene cryovial or sterile plastic container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Gas Chromatography-Mass Spectrometry (GC-MS) or Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
CPT
82131 (Organic acids, quantitative, single specimen)
SNOMED
12245004 (Cerebrospinal fluid specimen)
Specimen volume
0.5-1.0 mL of cerebrospinal fluid
Stability
Store at -20°C or -80°C. Stable for several weeks when properly frozen. Avoid repeated freeze-thaw cycles.
Hemolysis max
200
TAT
168–336 hours
Order
routine

What is this test?

The 3-methylglutaconate test measures the amount of a substance called 3-methylglutaconate in your cerebrospinal fluid (CSF). CSF is the clear liquid that surrounds and protects your brain and spinal cord. This test is a specialized biochemical analysis performed in reference laboratories with specific expertise in metabolic testing.

Why is it important?

3-Methylglutaconate is a type of organic acid that is normally processed by certain enzymes in your body. When the body cannot properly metabolize this substance, it can accumulate and cause health problems. Measuring this compound in CSF provides valuable information about your body's metabolic processes, particularly those affecting the nervous system.

How is the sample collected?

The sample is collected through a procedure called a lumbar puncture, commonly known as a spinal tap. During this procedure, a healthcare provider inserts a thin needle between the bones in your lower spine to collect a small amount of cerebrospinal fluid. The area is numbed with local anesthetic to minimize discomfort. The sample is then sent to a specialized laboratory for analysis.

What should I expect during the test?

Before the test, your healthcare provider will explain the procedure and answer any questions. During the lumbar puncture, you will lie on your side or sit bent forward. After the area is cleaned and numbed, the needle is inserted to collect the fluid. The procedure typically takes 15-30 minutes. You may feel some pressure or mild discomfort, but it is usually well-tolerated. After the procedure, you may be asked to lie flat for a short time to reduce the risk of headache.

Are there any risks?

Lumbar puncture is generally safe, but like all medical procedures, it carries some minor risks. These may include headache (the most common), back pain, bleeding, or very rarely, infection. Your healthcare provider will discuss these risks with you and take steps to minimize them. Most people recover quickly and can resume normal activities within a day or two.

Reference range

Reference range not well-established; result interpretation based on clinical context and comparison to reference laboratory values. Elevated levels may indicate 3-methylglutaconic aciduria or other mitochondrial disorders.N/A

Specimen: csf

No special preparation required. Inform patient about lumbar puncture procedure and obtain informed consent. No fasting necessary.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

Why do I need this specific test?
Your healthcare provider has ordered this test to help investigate symptoms that may be related to a metabolic disorder. The test provides unique information about how your body processes certain chemicals that is not available from routine blood tests. It helps determine if there is a problem with how your cells produce energy.
How long does it take to get results?
Results from this specialized test typically take longer than routine blood tests. Because the analysis requires specialized equipment and expertise, it may take anywhere from several days to a few weeks. Your healthcare provider will contact you with the results once they become available.
Do I need to fast before this test?
Unlike some blood tests, fasting is usually not required for this test. However, always follow the specific instructions given by your healthcare provider. It is important to inform your provider about any medications, supplements, or vitamins you are taking, as some substances may affect the test results.
What do abnormal results mean?
Abnormal results, specifically elevated levels of 3-methylglutaconate, may indicate a problem with your body's ability to process certain organic acids. This could be due to a genetic metabolic disorder. However, abnormal results must be interpreted in the context of your overall clinical situation, including your symptoms, medical history, and other test results. Your healthcare provider will discuss the meaning of your specific results with you.
Is this test only for children?
No, this test can be performed on patients of any age, including adults. Metabolic disorders can affect people of all ages, though some are identified in childhood. Adults with unexplained neurological symptoms may also undergo this testing.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy