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Venereal Disease Research Laboratory Test for Cerebrospinal Fluid (VDRL CSF)

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

This test checks for syphilis or other sexually transmitted infections by examining fluid from your brain and spinal cord (cerebrospinal fluid). It helps determine if infection has reached the nervous system.

Quick summary

A CSF VDRL test may be used if you have symptoms of infection or if doctors suspect syphilis or other STIs affecting your nervous system.

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

Key facts at a glance

LOINC
75195-8
Short code
CSFVENEREALDISEASERESEARCHLABORATORYTESTWASPERFORMEDTESTFINDINGS
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
cdc-cs
CPT
86430
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have symptoms like headaches, neck stiffness, confusion, or other neurological issues that could indicate an infection in your brain or spinal fluid. It’s also used in certain cases of suspected syphilis or other sexually transmitted infections that have spread beyond the bloodstream.

What to Expect Before the Test

You’ll likely have a small needle inserted into your back to collect cerebrospinal fluid. This is usually done in a hospital or clinic setting. You may feel a brief pinch, but the procedure itself is quick. No special preparation is needed.

What the Test Results Mean

Results can be positive (indicating possible infection) or negative (no infection detected). A positive result may require further testing, like a confirmatory VDRL or a different lab test, to confirm the diagnosis. False positives can occur, so doctors will consider other factors.

Possible Side Effects

After the test, you might have mild soreness or bruising at the injection site. Rarely, you could experience a mild headache or fever. If you experience severe pain, swelling, or signs of infection (like redness or fever), contact your doctor.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The CSF VDRL test is primarily used to detect syphilis or other infections in the central nervous system. A positive result suggests the infection may have spread to the brain or spinal fluid, requiring urgent medical attention. It’s important to note that this test is not as sensitive as newer methods for detecting syphilis, so doctors may use it alongside other tests for better accuracy.

Short name

CSF VDRL Test

Frequently asked questions

What does a positive CSF VDRL test mean?
A positive result means your cerebrospinal fluid may contain antibodies or other markers from syphilis or another infection. This could indicate the infection has reached your nervous system. Your doctor will discuss next steps, which may include additional testing or treatment.
Can I have this test if I’m pregnant?
Yes, this test can be done during pregnancy if your doctor suspects syphilis or another STI affecting your nervous system. It’s important to get tested and treated if needed to protect both you and your baby.
How soon will I get my results?
Results are typically available within a few days to a week, depending on your lab. Your doctor will explain the results and next steps during your follow-up visit.
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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