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Anti-CASPR2 Antibody (Serum)

Published: August 9, 2026Updated: August 15, 2026

This test measures the presence of antibodies directed against the CASPR2 protein, which may be linked to certain autoimmune neurological conditions.

Quick summary

["This test helps diagnose or monitor conditions like limbic encephalitis or other autoimmune-related neurological symptoms."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
94285-4
Short code
CASPR2
Synonyms
CASPR2 IgG Ser Ql CBA IFA
Category
chemistry
Sample
serum
Container
Red-top or serum separator tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–99 years
Method
cba-ifa
CPT
86255
SNOMED
122913008
Specimen volume
1 mL serum (minimum 0.5 mL)
Stability
Stable for 7 days at 2-8°C; for extended storage, freeze at -20°C or below for up to 6 months; avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
48–168 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms such as memory problems, confusion, seizures, or unusual movements that could suggest an autoimmune neurological disorder. It may also be used in patients with known conditions like limbic encephalitis or other autoimmune encephalitides.

What to Expect During Testing

A blood sample will be drawn from a vein in your arm. You may feel a slight pinch when the needle is inserted, but the procedure is quick and usually not painful. No special preparation is needed, but inform your doctor about any medications you’re taking.

Possible Results and Next Steps

If your results are positive for anti-CASPR2 antibodies, this may support a diagnosis of autoimmune-related neurological conditions. Your doctor will discuss the results with you and may recommend further testing or treatment options based on your symptoms and overall health.

What This Test Measures

This test detects specific antibodies in your blood that target the CASPR2 protein, which is involved in nerve function. These antibodies are associated with certain autoimmune disorders affecting the brain and nervous system.

Reference range

NegativeN/A

Specimen: serum

No special preparation required. Specimen should be collected prior to initiation of immunosuppressive therapy when possible, as treatment may affect antibody titers

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Anti-CASPR2 antibodies are linked to autoimmune limbic encephalitis, a rare condition that can cause inflammation in the brain’s limbic system, leading to memory loss, mood changes, seizures, and other neurological symptoms. While not all positive results indicate a definite diagnosis, they are important markers for further evaluation and treatment planning.

Short name

Anti-CASPR2 IgG

Frequently asked questions

What does a positive result mean?
A positive result means your blood contains antibodies against the CASPR2 protein. This finding may suggest an autoimmune neurological condition, but it does not diagnose the specific disorder alone. Your doctor will consider your symptoms, medical history, and other test results to guide further evaluation.
Will I need more tests if this result is positive?
Yes, additional tests may be recommended to confirm the diagnosis and rule out other conditions. These could include imaging studies, electroencephalograms (EEGs), or further antibody testing to identify other potential causes of your symptoms.
Can lifestyle changes help if this test is positive?
While there is no specific lifestyle change to address anti-CASPR2 antibodies, managing symptoms through a combination of medication, therapy, and lifestyle adjustments (such as stress management and a balanced diet) may be part of your treatment plan. Always follow your doctor’s advice.
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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 15, 2026. · Read our editorial policy