Anacsfqlhep2subst
This test detects antinuclear antibodies (ANA) in the fluid surrounding the brain and spinal cord to help diagnose autoimmune conditions affecting the central nervous system.
{"The test looks for antinuclear antibodies (ANA) in cerebrospinal fluid","It helps diagnose autoimmune diseases that affect the brain and nervous system","A positive result may indicate conditions like lupus (SLE) with nervous system involvement","The test uses HEp-2 cells as a substrate to detect antibody binding","Results are reported as positive or negative (titer values may also be provided)"}
Key facts at a glance
- LOINC
- 63295-0
- Short code
- ANA CSF Ql HEp2 subst
- Synonyms
- ANA CSF Ql HEp2 subst
- Category
- chemistry
- Sample
- csf
- Container
- Sterile tube
- Units
- N/A
- Ref low
- 1.5
- Ref high
- 9
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- hep-substrate
- CPT
- 83002
- Specimen volume
- 1-2 mL
- Stability
- Immediate analysis required, Refrigerated: 1h
- Hemolysis max
- 200
- TAT
- 4–24 hours
- Order
- routine
What is this test?
The Cerebrospinal Fluid Nuclear Antibody test, also known as CSF ANA, detects the presence of antinuclear antibodies in the fluid that surrounds your brain and spinal cord. Antinuclear antibodies are proteins produced by your immune system that may mistakenly attack your body's own cells. This test uses HEp-2 cells (human epithelial cells grown in the laboratory) as a substrate to detect these antibodies through immunofluorescence techniques.
Why is this test performed?
This test is primarily ordered when your doctor suspects an autoimmune disorder affecting your central nervous system. It is particularly useful in evaluating patients with symptoms such as unexplained headaches, seizures, cognitive changes, psychiatric symptoms, or other neurological signs that may be related to autoimmune conditions like systemic lupus erythematosus (SLE), also known as lupus.
How is the test done?
The test requires a sample of cerebrospinal fluid, which is collected through a procedure called a lumbar puncture (spinal tap). During this procedure, a healthcare provider inserts a thin needle into the lower back to withdraw a small amount of CSF from the space surrounding the spinal cord. The sample is then sent to a laboratory where it is tested using the HEp-2 cell indirect immunofluorescence method.
What do the results mean?
Results are typically reported as either positive or negative. A positive result means that antinuclear antibodies were detected in your cerebrospinal fluid, which may suggest that you have an autoimmune condition affecting your nervous system. A negative result means no ANA were detected. However, it is important to note that a positive result does not automatically mean you have a specific disease, and a negative result does not completely rule out autoimmune conditions. Your doctor will interpret these results in conjunction with your clinical symptoms, other test results, and medical history.
Reference range
Follicular: 1.5-9.0 mIU/mLN/A
For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Frequently asked questions
Is the lumbar puncture procedure painful?
Do I need to fast before this test?
Can this test diagnose lupus definitively?
What is the difference between CSF ANA and blood ANA testing?
Are there any risks associated with this test?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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