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Glutamine and Histidine Concentration in Cerebrospinal Fluid

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

This test measures the levels of two important amino acids—glutamine and histidine—in your cerebrospinal fluid (CSF). These amino acids play roles in brain function and metabolism, and their concentrations can help assess conditions affecting the brain or spinal cord.

Quick summary

["Understanding your CSF amino acid levels may help diagnose or monitor neurological conditions."]

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

Key facts at a glance

LOINC
58921-8
Short code
Glutamine+Histidine CSF-sCnc
Synonyms
Glutamine+Histidine CSF-sCnc
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like headaches, seizures, or neurological issues that suggest abnormalities in the brain’s chemistry. It could also be part of a broader evaluation for conditions like meningitis, metabolic disorders, or genetic brain diseases.

What to Expect Before the Test

You’ll likely have a lumbar puncture (spinal tap) to collect CSF. This involves lying on your side, and a small needle is inserted into your lower back to draw fluid. The procedure is usually quick and may cause mild discomfort. You may be asked to fast or avoid certain medications beforehand, but follow your provider’s instructions.

What the Results Mean

Results show the mass concentration of glutamine and histidine in the CSF. While reference ranges aren’t always standardized, abnormal levels may indicate metabolic imbalances, genetic disorders, or infections. Your provider will interpret these results in the context of your symptoms and medical history.

Common Conditions Monitored

This test is often used to investigate conditions like aminoacidopathies (inherited metabolic disorders), mitochondrial disorders, or central nervous system infections. Elevated or low levels might suggest specific diagnoses that require further testing or treatment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Glutamine/Histidine CSF Levels

Frequently asked questions

What causes abnormal glutamine or histidine levels in CSF?
Abnormal levels can result from genetic mutations, infections (like meningitis), or metabolic disorders affecting brain chemistry. For example, high glutamine might indicate a mitochondrial disorder, while low levels could suggest certain neurological or inflammatory conditions. Always discuss your results with your healthcare provider.
How often will I need this test?
The frequency depends on your condition. Some patients need this test periodically to monitor progression or response to treatment, while others may only need it once for diagnosis. Your provider will determine the schedule based on your needs.
Can I eat or drink before the test?
Typically, you may need to fast or avoid certain medications for a short time before the procedure, but follow your healthcare provider’s specific instructions to ensure accurate results.
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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