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: Lactate Dehydrogenase 2, Cerebrospinal Fluid, Electrophoresis

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

: This test measures and separates the different forms of lactate dehydrogenase (LDH) present in a sample of cerebrospinal fluid, the fluid that surrounds the brain and spinal cord.

Quick summary

[": It helps characterize the LDH isoenzyme pattern in cerebrospinal fluid, which can be useful in evaluating certain neurological or inflammatory conditions."]

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

Key facts at a glance

LOINC
51512-2
Short code
LDH2 CFr Plr Elph
Synonyms
LDH2 CFr Plr Elph
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Ref low
140
Ref high
280
Critical range
7.2 N/A – 7.6 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
electrophoresis
CPT
83615
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

: What This Test Measures

: Lactate dehydrogenase (LDH) is an enzyme found in many tissues, and it exists in several slightly different forms called isoenzymes. This test measures LDH activity in cerebrospinal fluid and uses electrophoresis to separate and identify the individual isoenzyme fractions.

: Why Cerebrospinal Fluid

: Cerebrospinal fluid is collected through a lumbar puncture (spinal tap). Testing this fluid can give information about processes affecting the central nervous system that blood tests may not show. The isoenzyme pattern can help indicate the types of cells or tissues contributing to LDH in the fluid.

: How Electrophoresis Works

: Electrophoresis separates molecules based on their electrical charge and size as they move through a gel. The separated LDH fractions appear as distinct bands, and the relative amounts of each fraction can be described.

: What to Expect

: The test is performed on a cerebrospinal fluid sample obtained by a clinician, usually as part of a broader evaluation. Your care team will explain any preparation needed and what the results mean in the context of your other tests and symptoms.

Reference range

Adult: 140-280 U/LN/A

Specimen: fluid

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

: Measuring LDH isoenzymes in cerebrospinal fluid may support the evaluation of conditions involving tissue damage or inflammation in the central nervous system. Results are interpreted alongside the total LDH level, cell counts, protein levels, and clinical findings; they are not diagnostic on their own.

Short name

: LDH-2 CSF Electrophoresis

Frequently asked questions

: Does this test require a spinal tap?
: Yes. Because it measures LDH in cerebrospinal fluid, the sample is collected by lumbar puncture, a procedure your clinician will discuss with you in advance.
: Can I eat or drink before this test?
: Preparation depends on the overall procedure and your care team's instructions. Follow the directions you are given for the spinal tap and any related tests.
: What do the LDH isoenzyme fractions mean?
: The pattern of fractions reflects the forms of LDH present in the fluid and may help your clinician understand which tissues are contributing. Your doctor will interpret the pattern together with your symptoms and other test results rather than from this test alone.
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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