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Herpes Simplex Virus Antibody, Cerebrospinal Fluid (IgG)

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

This test checks for antibodies to the herpes simplex virus (HSV) in your cerebrospinal fluid (CSF). Antibodies are proteins your immune system makes to fight infections.

Quick summary

["Helps diagnose or rule out HSV infection in the central nervous system."]

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

Key facts at a glance

LOINC
44506-4
Short code
HSV Ab CSF Ql
Synonyms
HSV Ab CSF Ql
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 doctor may recommend this test if you have symptoms like severe headaches, neck stiffness, confusion, or neurological issues that could suggest an infection affecting your brain or spinal cord. It’s also used when HSV is suspected in people with weakened immune systems or those with recurrent infections.

What to Expect During the Test

A small amount of cerebrospinal fluid is collected through a procedure called a lumbar puncture (spinal tap). The fluid is then tested for HSV antibodies using an immunoassay method. This is usually done in a lab after the sample is sent to the facility.

Sample Collection and Preparation

No special preparation is needed, but you may be asked to avoid certain medications or activities that could affect results. The test is performed on the CSF sample collected during the lumbar puncture, which is typically done in a hospital or clinic setting.

What the Results Mean

Positive results indicate the presence of HSV antibodies in the CSF, suggesting an active infection or past exposure. Negative results mean no detectable antibodies were found, which could mean no current infection or insufficient immune response to detect HSV.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

HSV Antibody CSF

Frequently asked questions

How often do I need this test?
This test is usually ordered as needed based on clinical suspicion of HSV infection in the central nervous system. It may be repeated if symptoms persist or recur, or if further evaluation is required.
What are the typical reference ranges for HSV antibodies?
Reference ranges for HSV antibodies can vary by lab and method. Antibody presence is qualitative (positive/negative) rather than a numeric value, so results are interpreted based on whether antibodies are detected.
Can HSV antibodies be found in other fluids besides CSF?
Yes, HSV antibodies can be detected in other fluids like blood serum or plasma, but this test specifically measures them in cerebrospinal fluid to assess infection in the central nervous system.
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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