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Understanding Your Laboratory Test: What It Is, How It's Done, and What Your Results Mean

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

A laboratory test that counts basophil cells in cerebrospinal fluid (CSF) to help diagnose infections and conditions affecting the brain and spinal cord.

Quick summary

{"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"}

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

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

Specimen: csf

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?
A lumbar puncture is performed with local anesthesia to numb the area, so you may feel some pressure but minimal pain during the procedure. You may experience a headache afterward, which can usually be managed with rest and fluids.
How long does it take to get results?
Results from a manual cell count like this are typically available within a few hours to a day, depending on the laboratory. Your healthcare provider will discuss the results with you during a follow-up appointment.
Are there any risks associated with this test?
The main risks of lumbar puncture include headache (occurring in about 10-30% of patients), minor bleeding, and very rarely, infection or nerve damage. Your healthcare provider will discuss these risks with you before the procedure.
Do I need to fast before this test?
No fasting is required for this test. However, you should inform your doctor about any medications you are taking, as some drugs may affect the results or need to be temporarily stopped.
What happens if my basophil count is high?
A high basophil count in CSF indicates an abnormal finding that requires further investigation. Your healthcare provider will consider your symptoms, other test results, and medical history to determine the cause and appropriate treatment. Additional tests may be needed.
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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