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Cerebrospinal Fluid (CSF) Protein Profile (Electrophoresis)

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

This test measures the different types of proteins found in your cerebrospinal fluid (the fluid surrounding your brain and spinal cord) using electrophoresis. It helps identify abnormalities in protein distribution that may suggest conditions like multiple sclerosis, infections, or other neurological disorders.

Quick summary

["This test helps doctors diagnose and monitor conditions affecting your brain and spinal cord by examining protein patterns in fluid around them."]

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

Key facts at a glance

LOINC
107050-7
Short code
BMCD20CD19
Synonyms
Cells.CD20+ NFr Mar FC
Category
chemistry
Sample
serum
Container
Bone marrow aspirate collected in sterile heparinized tube (sodium heparin or lithium heparin) for flow cytometry; EDTA tube acceptable for immunophenotyping but heparin preferred for optimal cell viability
Units
N/A
Ref low
2
Ref high
10
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
88184
SNOMED
444675005
Specimen volume
1-3 mL of bone marrow aspirate in anticoagulant tube; minimum 0.5 mL acceptable for pediatric or limited samples
Stability
Specimen should be processed within 24 hours of collection for optimal viability. Store at room temperature (18-24°C); do not refrigerate or freeze. Viability decreases significantly after 48 hours, which may compromise CD19 and CD20 antigen detection.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

This test measures specific substances, cells, or markers in your body that show how well certain organs and systems are working. Your results help your healthcare provider check your overall health, look for early signs of illness, and keep track of conditions you may already have been diagnosed with.

Electrophoresis separates proteins in your CSF into bands based on their size and electrical charge. Common proteins detected include albumin, immunoglobulins (like IgG), and other smaller proteins. Abnormal patterns may indicate inflammation, immune disorders, or structural issues in the central nervous system.

Your doctor may order this test if you have symptoms that need an explanation, if you have a health condition that requires regular monitoring, or as part of a routine checkup. It can also be used to screen for problems before symptoms appear, guide treatment decisions, or see how well a current treatment is working.

Your doctor may order this test if you have symptoms like headaches, vision changes, numbness, weakness, or neurological issues. It’s also used to monitor conditions like multiple sclerosis, meningitis, or brain tumors.

The sample is usually collected at a clinic, laboratory, or hospital. For a blood test, a trained professional cleans the site, ties a band around your upper arm, and draws a small amount of blood from a vein in your arm into a sterile tube. Some tests instead use a urine, saliva, or swab sample. The procedure is quick, and you can normally go home right afterward.

A small amount of CSF is collected through a procedure called a lumbar puncture (spinal tap). A needle is inserted into your lower back, and fluid is gently drawn into a vial for testing.

Results are usually described as normal (within the expected range) or abnormal (higher or lower than expected). A normal result generally suggests no evidence of the condition being tested for, while an abnormal result may point to an infection, inflammation, organ issue, or another problem that needs a closer look. Many factors, including medicines and recent meals, can affect values, so your provider will interpret your results together with your medical history and may order follow-up testing.

Normal results show balanced protein levels with distinct bands. Abnormal results may show elevated immunoglobulin bands (e.g., oligoclonal bands), high albumin, or unusual patterns that require further medical evaluation.

Reference range

CD19+ B-lymphocytes: 2-10% of total bone marrow nucleated cells; CD20+ B-lymphocytes: 2-10% of total bone marrow nucleated cells; CD20+/CD19+ ratio: 0.95-1.00 (co-expression expected in mature B-cells). Reference values should be interpreted alongside complete bone marrow immunophenotyping panel.N/A

Specimen: serum

No special patient preparation required. Recent rituximab or other anti-CD20 monoclonal antibody therapy should be documented as it may result in decreased or absent CD20 expression. Inform laboratory of recent transfusion history, as this may affect bone marrow cellularity assessment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: How This Test Helps Doctors

Short name

CSF Protein Electrophoresis

Frequently asked questions

How long does it take to get results from this test?
How often you need this test depends on your age, overall health, risk factors, and the reason it is being done. Many people have it once a year as part of a routine checkup, while others need it more often to monitor an ongoing condition. Your healthcare provider will recommend the schedule that is right for you.
What if my results are abnormal?
It depends on the type of test you are having. Some tests require fasting for 8 to 12 hours beforehand, meaning no food or drinks except plain water, while others need no special preparation at all. Your provider or the laboratory will give you specific instructions, so follow them carefully and ask whether you should take your regular morning medicines.
No special diet is required, but avoid caffeine or alcohol 24 hours before the procedure to reduce the risk of headaches afterward.
The procedure itself is uncomfortable but not usually painful. You may feel pressure or a slight ache, and you’ll be given local anesthesia to minimize discomfort.
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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