Understanding Your Laboratory Test: What It Is, How It's Done, and What Your Results Mean
A laboratory test that counts basophil cells in cerebrospinal fluid (CSF) to help diagnose infections and conditions affecting the brain and spinal cord.
{"Basophils are a type of white blood cell found in CSF","The test helps diagnose infections, inflammation, or bleeding in the brain/spinal cord","Sample is collected via lumbar puncture (spinal tap)","Results are reviewed manually under a microscope by a laboratory professional","Abnormal results may indicate infection, meningitis, or other neurological conditions"}
Key facts at a glance
- LOINC
- 13519-4
- Short code
- CSF BASO
- Synonyms
- Basophils NFr CSF Manual
- Category
- chemistry
- Sample
- csf
- Container
- Sterile CSF collection tubes (tube 3 or 4 typically used for cell count/differential to minimize blood contamination from trauma)
- Units
- N/A
- Ref low
- 0
- Ref high
- 1
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- manual-count
- CPT
- 89051
- SNOMED
- 40698005
- Specimen volume
- 1-2 mL of CSF minimum; ideally collected as the third or fourth tube in the sequence to reduce procedural blood contamination
- Stability
- CSF cell counts must be performed within 1-2 hours of collection. If delayed, specimens should be kept at room temperature or refrigerated (2-8°C) and analyzed as soon as possible, preferably within 4 hours. Prolonged delay leads to cell lysis.
- Hemolysis max
- 200
- TAT
- 1–4 hours
- Order
- routine
This test is a laboratory analysis of a sample taken from your body, most often blood, urine, or another body fluid or tissue. It helps your healthcare provider check how well your organs are working, look for signs of disease, screen for conditions before symptoms appear, or monitor a health problem you already have. The results add objective information to your physical exam and medical history so your care team can make informed decisions about your diagnosis and treatment.
The CSF Basophil Count is a laboratory test that measures the number of basophils (a type of white blood cell) present in cerebrospinal fluid (CSF). CSF is the clear fluid that surrounds and protects the brain and spinal cord. This test is performed manually by examining the fluid under a microscope to identify and count basophil cells.
How your sample is collected depends on the type of test ordered. For a blood test, a trained phlebotomist will clean the skin on the inside of your elbow, place a stretchy band around your upper arm, and draw a small amount of blood through a thin needle into a tube; you may feel a brief sting. For a urine test, you will receive a sterile cup and instructions for a clean catch. Most collections take only a few minutes, and you can usually return to normal activities right away.
Cerebrospinal fluid 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 into the lower back to withdraw a small amount of CSF from the space around the spinal cord. The sample is then sent to a laboratory where a technician examines it under a microscope to count the basophils and other cells present.
Your healthcare provider may order this test for several reasons: as part of a routine annual checkup, to help find the cause of symptoms you have been experiencing such as fatigue, pain, or unexplained weight changes, to screen for a condition before it causes noticeable problems, to see how well a treatment or medication is working, or to monitor a chronic condition such as diabetes, kidney disease, or a thyroid disorder over time.
Your doctor may order this test if you have symptoms suggesting a problem with your brain or spinal cord, such as severe headache, fever, neck stiffness, confusion, or neurological symptoms. The test helps detect infections (like meningitis or encephalitis), inflammation, bleeding, or other conditions affecting the central nervous system. It may also be used to monitor certain conditions or evaluate the effectiveness of treatment.
Your results are usually reported as a number or description alongside a reference range, which is the range of values typically seen in healthy people. A result within the range is generally considered normal, while a value above or below it may suggest that further evaluation is needed. Keep in mind that an abnormal result does not automatically mean you have a disease; factors such as age, diet, medications, and recent illness can affect your values. Your provider will explain what your specific results mean and whether any follow-up testing or treatment is recommended.
Normal CSF typically contains very few or no basophils. The presence of elevated basophils may indicate an inflammatory response, infection, allergic reaction, or other conditions affecting the brain or spinal cord. Your healthcare provider will interpret your results along with other CSF findings (like other cell types, protein, and glucose levels) and your clinical symptoms to make a diagnosis. A high basophil count alone is not diagnostic but provides important information when combined with other test results.
Reference range
Basophils are normally absent or extremely rare in CSF (<1% of total leukocytes). Reference values are typically reported as a percentage of total CSF leukocytes or as an absolute count per microliter.N/A
No fasting required. CSF collection is performed via lumbar puncture by a qualified healthcare provider under sterile conditions. Patient should remain still during the procedure.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The basophil count in CSF helps healthcare providers identify and monitor conditions affecting the central nervous system. Elevated basophils may be seen in bacterial, viral, or fungal infections of the brain and spinal cord (meningitis, encephalitis), inflammatory conditions, allergic reactions involving the nervous system, certain cancers, or after procedures involving the spine. This test is part of a complete CSF analysis that includes counting other cell types (like neutrophils, lymphocytes, monocytes) and measuring chemical components to get a complete picture of what may be affecting the brain or spinal cord.
Frequently asked questions
Is the lumbar puncture procedure painful?
How long does it take to get results?
Are there any risks associated with this test?
Do I need to fast before this test?
What happens if my basophil count is high?
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