Lipid Panel (Cholesterol Test)
A test that measures chloride levels in the cerebrospinal fluid surrounding the brain and spinal cord.
{"Measures chloride concentration in cerebrospinal fluid (CSF)","Helps diagnose and distinguish types of meningitis","Sample collected via lumbar puncture (spinal tap)","Normal CSF chloride: 118-132 mEq/L","Low levels may indicate tuberculous or bacterial meningitis"}
Key facts at a glance
- LOINC
- 2070-1
- Short code
- CSF Cl
- Synonyms
- Chloride CSF-sCnc
- Category
- electrolyte
- Sample
- csf
- Container
- Sterile CSF collection tube (plain polypropylene tube)
- Units
- not specified
- Ref low
- 118
- Ref high
- 132
- Critical range
- 100 not specified – 150 not specified
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–120 years
- Method
- Ion-selective electrode (ISE)
- CPT
- 82436
- SNOMED
- 309153006
- Specimen volume
- 1-2 mL CSF minimum; 2-4 mL preferred for multiple tests
- Stability
- Room temperature: 2-4 hours; Refrigerated (2-8°C): 24-48 hours; Frozen (-20°C): several weeks. Avoid repeated freeze-thaw cycles.
- Hemolysis max
- 200
- TAT
- 1–4 hours
- Order
- routine
This test measures the levels of cholesterol and triglycerides in your blood. It helps assess your risk of heart disease and stroke by evaluating the fats circulating in your bloodstream.
The CSF Chloride test measures the amount of chloride (a type of electrolyte) in your cerebrospinal fluid. CSF is the clear, protective fluid that surrounds your brain and spinal cord. Chloride helps maintain the body's fluid balance and works with other electrolytes to keep your body's systems functioning properly.
A blood sample is taken from a vein in your arm, usually after you have fasted for 9 to 12 hours. The blood is collected in a sterile tube and sent to a laboratory for analysis.
The sample is collected through a procedure called a lumbar puncture, also known as a spinal tap. During this procedure, a healthcare provider inserts a thin needle between the bones in your lower spine to draw out a small amount of cerebrospinal fluid. The area will be numbed with local anesthetic to minimize discomfort.
This test is performed to evaluate your risk of cardiovascular disease, monitor the effectiveness of cholesterol-lowering medications, and screen for lipid disorders that may require lifestyle changes or treatment.
This test is primarily used to help diagnose and differentiate between various types of meningitis (infection of the membranes surrounding the brain). It can also help evaluate other conditions affecting the brain and nervous system, such as certain metabolic or inflammatory disorders.
The results show levels of total cholesterol, LDL (bad) cholesterol, HDL (good) cholesterol, and triglycerides. High levels may indicate an increased risk of heart problems, while desirable levels are generally associated with better heart health.
Normal CSF chloride levels are typically between 118-132 mEq/L (milliequivalents per liter), which is generally higher than blood chloride levels. Your doctor will interpret your results based on your specific situation and other test findings.
Reference range
118-132 mmol/Lnot specified
No special preparation required; specimen obtained by lumbar puncture
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Decreased CSF chloride levels may indicate tuberculous meningitis (TB meningitis), bacterial meningitis, or certain metabolic conditions. Significantly low levels, especially when combined with low glucose and high protein in CSF, strongly suggest tuberculous meningitis. In viral meningitis, chloride levels are usually normal or only slightly reduced.
This test is often performed alongside other CSF tests—including glucose, protein, and cell count—to provide a complete picture of what may be affecting the brain or nervous system. The combination of findings helps doctors determine the most likely cause of your symptoms and guide appropriate treatment.
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?
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