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Cerebrospinal Fluid Immunoglobulin G (IgG) Index (Mass Concentration)

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

This test measures the ratio of immunoglobulin G (IgG) levels in your cerebrospinal fluid (CSF) compared to your blood. It helps assess whether immune cells in your brain or spinal cord are producing IgG, which can indicate conditions like multiple sclerosis or other inflammatory diseases.

Quick summary

["This test helps doctors evaluate immune activity in your central nervous system."]

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

Key facts at a glance

LOINC
58758-4
Short code
C pneum IgG CSF IA-aCnc
Synonyms
C pneum IgG CSF IA-aCnc
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
82784
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test if you have symptoms like numbness, weakness, vision problems, or balance issues that could suggest nerve or brain inflammation. It’s also used to monitor conditions like multiple sclerosis, Guillain-Barré syndrome, or other autoimmune disorders affecting the central nervous system.

What Does the Result Mean?

An elevated IgG index in CSF may suggest an immune response within your brain or spinal cord, potentially due to conditions like multiple sclerosis, infections, or other inflammatory processes. A normal result doesn’t rule out all possible causes, so your doctor will consider other test results and symptoms.

Sample Collection and Preparation

A small amount of CSF is collected through a procedure called lumbar puncture (spinal tap). The sample is then analyzed in a lab to measure IgG levels. This test is typically done after other diagnostic tests, such as MRI or blood tests, to provide more context.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions like multiple sclerosis, neuromyelitis optica, or other demyelinating diseases. It may also help identify infections (e.g., Lyme disease, tuberculosis) or autoimmune reactions affecting the central nervous system.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

IgG Index (CSF)

Frequently asked questions

What factors could affect my results?
Several factors may influence your IgG index, including recent infections, immune system activity, medications (like steroids), or other underlying health conditions. If you have a history of these, your doctor will consider them when interpreting the results.
How soon will I get my results?
Results from this test are usually available within a few days to a week, depending on your lab’s processing time. Your doctor will discuss the findings with you during your follow-up appointment.
Can I prepare for this test?
No special preparation is needed for the lumbar puncture itself, but avoid heavy lifting or strenuous activity for 24 hours before the procedure. Follow your doctor’s instructions regarding medications or dietary restrictions if applicable.
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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