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Immunoglobulin G (IgG) in cerebrospinal fluid (CSF) by nephelometry

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

This test measures the level of Immunoglobulin G, a type of antibody found in your spinal fluid, which helps protect your nervous system.

Quick summary

["IgG in CSF may help diagnose or monitor conditions affecting your brain and spinal cord."]

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

Key facts at a glance

LOINC
2470-3
Short code
IgG/Alb CSF
Synonyms
IgG/Alb CSF
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why is this test done?

Your healthcare provider may order this test to check for infections, inflammation, or other conditions that affect the central nervous system, such as multiple sclerosis, meningitis, or certain types of brain tumors. It can also help determine if antibodies are present in your spinal fluid that might indicate an autoimmune disease.

What does a result mean?

The results are compared to a reference range, which can vary by lab. Elevated IgG levels in CSF may suggest conditions like multiple sclerosis, where the immune system mistakenly attacks the central nervous system. Very low levels might indicate a blockage in the flow of cerebrospinal fluid or certain infections.

How is the test performed?

A small amount of cerebrospinal fluid is collected through a procedure called a lumbar puncture (spinal tap). The fluid is then analyzed in a lab using nephelometry, a method that measures how particles scatter light to determine antibody concentration.

What should I expect before or after the test?

Before the test, you may be asked to fast or avoid certain medications, but this depends on your specific situation. Afterward, you might experience mild soreness at the injection site, and you may need to stay lying down for a short time. Follow your healthcare provider’s instructions for recovery.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: IgG in CSF is critical for diagnosing conditions like multiple sclerosis, where abnormal IgG levels can indicate demyelination or inflammation. It can also help identify infections (e.g., viral or bacterial meningitis), autoimmune diseases, or tumors affecting the central nervous system. Abnormal results prompt further evaluation, such as additional imaging or tests.

Short name

IgG in CSF

Frequently asked questions

What does an elevated IgG level in CSF usually indicate?
An elevated IgG level in CSF often suggests an inflammatory or immune-mediated condition affecting the brain or spinal cord, such as multiple sclerosis, certain infections, or autoimmune diseases. Your doctor will review the results alongside other tests and symptoms to determine the cause.
Can IgG levels in CSF change over time?
Yes, IgG levels in CSF can fluctuate depending on the underlying condition. Regular monitoring may be needed if you have a chronic condition like multiple sclerosis, where IgG levels can help track disease activity or response to treatment.
Does diet or medications affect IgG levels in CSF?
Diet generally does not directly affect IgG levels in CSF, but certain medications (e.g., immunosuppressants) may influence antibody production in the bloodstream, indirectly affecting immune responses in the central nervous system. Always discuss medications with your doctor.
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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