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###1: Lactate Dehydrogenase 5 (LDH-5) in Cerebrospinal Fluid by Electrophoresis

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

###3: This test examines the amount of the LDH-5 isoenzyme in cerebrospinal fluid using electrophoresis. It may help evaluate tissue injury or inflammation affecting the central nervous system.

Quick summary

["###4: An elevated LDH-5 result may support central nervous system inflammation or tissue injury but is not diagnostic by itself."]

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

Key facts at a glance

LOINC
51522-1
Short code
LDH5 CFr CSF Elph
Synonyms
LDH5 CFr CSF Elph
Category
chemistry
Sample
csf
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
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

###5: What the Test Measures

###6: Lactate dehydrogenase is an enzyme found in many tissues. Electrophoresis separates its isoenzymes, allowing the laboratory to measure the LDH-5 fraction specifically in cerebrospinal fluid.

###7: Why It May Be Ordered

###8: This test may be ordered when cerebrospinal fluid is being evaluated for possible inflammation, infection, bleeding, or tissue damage involving the brain or spinal cord.

###9: How the Sample Is Collected

###10: Cerebrospinal fluid is usually obtained by lumbar puncture, commonly called a spinal tap. A thin needle is inserted into the lower back to collect the fluid for laboratory analysis.

###11: Understanding the Result

###11: The result is interpreted with your symptoms, examination findings, and other cerebrospinal fluid tests. A higher LDH-5 level can occur with several conditions, so it cannot identify a single diagnosis alone.

Reference range

Adult: 140-280 U/LN/A

Specimen: csf

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

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

###13: Clinical significance: Elevated LDH-5 in cerebrospinal fluid may reflect tissue injury or inflammation within the central nervous system. However, findings are not specific and should be interpreted by a clinician alongside other laboratory and clinical information.

Short name

###2: CSF LDH-5 Electrophoresis

Frequently asked questions

###14: Is this the same as a routine serum LDH test?
###15: No. This test measures the LDH-5 isoenzyme in cerebrospinal fluid using electrophoresis, whereas a serum LDH test measures enzyme activity in blood.
###16: Does the test require special preparation?
###17: Preparation depends on the circumstances and the clinician performing the lumbar puncture. Follow the healthcare provider's instructions and tell the team about any blood-thinning medicines, prior back problems, or allergy to local anesthetic.
###18: Can this test diagnose a specific condition?
###19: No. LDH-5 is a nonspecific marker that may be increased in several types of central nervous system injury or inflammation. Your clinician will interpret it with your symptoms and other test 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