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Eosinophil count in cerebrospinal fluid (CSF) by quantitative nephelometry

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

This test measures the number of eosinophils, a type of white blood cell, in your cerebrospinal fluid (CSF). Eosinophils are part of the immune system and can be elevated in certain conditions affecting the brain or spinal cord.

Quick summary

["Elevated eosinophils in CSF may signal inflammation or infection in the central nervous system."]

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

Key facts at a glance

LOINC
14324-8
Short code
E coli K1 Ag CSF Ql LA
Synonyms
E coli K1 Ag CSF Ql LA
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
la
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why Might This Test Be Ordered?

Your healthcare provider may recommend this test if you have symptoms like headaches, neck stiffness, confusion, or neurological issues that could suggest conditions such as meningitis, encephalitis, or certain types of brain inflammation. It may also be used to monitor treatment responses or investigate unexplained neurological symptoms.

What Does the Test Involve?

A small amount of cerebrospinal fluid is collected through a procedure called a lumbar puncture (spinal tap). The fluid is then analyzed in the lab to count eosinophils using a specialized technique called nephelometry.

What Are Common Causes of Elevated Eosinophils in CSF?

Elevated eosinophils in CSF can occur in conditions like eosinophilic meningitis, certain parasitic infections, allergic reactions affecting the central nervous system, or rare inflammatory disorders. However, the exact cause often requires additional testing and clinical correlation.

How Is the Test Performed?

The test involves a simple procedure where a needle is inserted into your lower back to collect CSF. The fluid is then sent to a lab for analysis. The lab uses nephelometry, a method that detects particles in the fluid to count eosinophils accurately.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Elevated eosinophils in CSF can indicate specific inflammatory or infectious processes in the central nervous system, such as eosinophilic meningitis or certain parasitic infections. While less common, these findings can guide further diagnostic steps, including additional imaging, cultures, or specialized tests to identify the underlying cause.

Short name

CSF Eosinophil Count

Frequently asked questions

What does a high or low eosinophil count in CSF mean?
A high eosinophil count in CSF is more significant and may suggest specific conditions like allergic meningitis or parasitic infections. A low or normal count does not rule out other possible causes of neurological symptoms and may still require further evaluation.
How long does it take to get results from this test?
Results from this test are typically available within 24 to 48 hours, depending on your lab’s processing schedule. Your healthcare provider will discuss the results with you during your follow-up visit.
Can I eat or drink before this test?
You can usually eat and drink normally before the lumbar puncture, as it does not require fasting. However, follow your healthcare provider’s specific instructions for any medications you take, as they may need to be temporarily stopped.
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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