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Anacsfqlhep2subst

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

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.

Quick summary

{"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)"}

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

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

Specimen: csf

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?
You may feel some discomfort or pressure during the lumbar puncture. Local anesthesia is usually used to numb the area, which helps reduce pain. Most patients experience only mild soreness afterward that resolves within a day or two.
Do I need to fast before this test?
No special preparation, including fasting, is typically required for this test. However, you should follow any specific instructions provided by your healthcare provider.
Can this test diagnose lupus definitively?
No, a positive CSF ANA test alone cannot definitively diagnose lupus or any other specific disease. It is one of several tests doctors use to evaluate autoimmune conditions. A definitive diagnosis requires consideration of your complete clinical picture, including symptoms, physical examination findings, and multiple laboratory tests.
What is the difference between CSF ANA and blood ANA testing?
Blood ANA testing is more commonly performed and detects antinuclear antibodies in the bloodstream. CSF ANA specifically tests the cerebrospinal fluid and is used when neurological symptoms are present and an autoimmune cause affecting the central nervous system is suspected. The two tests provide different information and are not interchangeable.
Are there any risks associated with this test?
The main risks of lumbar puncture include headache (which may last a few days), back pain, bleeding, or rarely, infection. Serious complications are uncommon. Your healthcare provider will discuss the risks and benefits with you before the procedure.
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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