Gamma-Glutamyl Transferase (GGT) in Cerebrospinal Fluid (CSF)
This test measures the enzyme gamma-glutamyl transferase (GGT) in your cerebrospinal fluid (the fluid surrounding your brain and spinal cord). GGT helps break down certain proteins and is sometimes elevated when there is inflammation or damage in the central nervous system.
["GGT in CSF may help identify conditions affecting your brain or spinal cord."]
Key facts at a glance
- LOINC
- 90825-1
- Short code
- GABABR Ab CSF Ql CBA IFA
- Synonyms
- GABABR Ab CSF Ql CBA IFA
- Category
- coagulation
- Sample
- csf
- Container
- Sterile tube
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- cba-ifa
- 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 Done?
Your healthcare provider may order this test if you have symptoms like headaches, neck stiffness, seizures, or neurological issues that could suggest conditions such as meningitis, encephalitis, or other brain/spinal cord disorders. It may also be part of a broader evaluation for trauma, infections, or other neurological conditions.
What Does an Abnormal Result Mean?
Elevated GGT in CSF could indicate inflammation, infection, or injury to the brain or spinal cord. However, results alone are not diagnostic—they are usually interpreted alongside other test results and clinical findings. Low levels may suggest normal function but could also be due to other factors like certain medications.
Sample Collection and Preparation
A small amount of cerebrospinal fluid is collected through a procedure called a lumbar puncture (spinal tap). This involves inserting a needle into your lower back to draw fluid from the spinal canal. The fluid is then sent to the lab for testing. You may feel mild pressure or discomfort during the procedure, but it usually doesn’t cause long-term effects.
What to Expect Before or After the Test
Before the test, inform your provider about any medications you’re taking, recent illnesses, or allergies. Afterward, you may experience mild soreness at the injection site or a slight headache (which can be managed with over-the-counter pain relievers). Avoid heavy lifting or strenuous activity for 24 hours to prevent complications.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
CSF GGT
Frequently asked questions
Elevated GGT in CSF can signal conditions like meningitis, encephalitis, or subarachnoid hemorrhage, where inflammation or bleeding affects the brain’s protective fluid. It may also be checked in cases of suspected brain tumors, multiple sclerosis, or other neurological disorders. However, false elevations can occur due to lab errors or sample contamination, so results are carefully reviewed with other tests and symptoms.
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will discuss them with you during a follow-up visit.
No special preparation is needed for this test. You can eat, drink, and take medications as usual. However, inform your provider if you’ve had recent infections or if you’re taking blood thinners, as these may affect the procedure.
Sources
- 1
- 2Lab Tests OnlineSource
- 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