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Cerebrospinal Fluid (CSF) Leukocyte Count and Protein Measurement

Published: August 9, 2026Updated: August 17, 2026

This test measures two key substances in your spinal fluid: the number of white blood cells (leukocytes) and the amount of protein. These results help diagnose conditions affecting your brain and spinal cord.

Quick summary

Understanding your CSF white blood cells and protein levels can reveal issues like infections, inflammation, or bleeding in your nervous system.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
75196-6
Short code
LEUKOCYTECOUNTORPROTEINTESTWASPERFORMEDONCSFTESTFINDINGS
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4
Ref high
10
Critical range
— – 100 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
cdc-cs
CPT
86430
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test if you have symptoms like severe headaches, neck stiffness, fever, confusion, or neurological problems. It’s often used to check for infections (such as meningitis), bleeding, or other conditions affecting the cerebrospinal fluid.

What to Expect Before the Test

You’ll likely have a small needle inserted into your lower back to collect spinal fluid. The procedure is quick and usually painless. You may feel mild pressure or a slight sting, but no anesthesia is needed.

What the Results Mean

High leukocyte counts (white blood cells) may indicate an infection, inflammation, or immune response in your spinal fluid. Elevated protein levels could suggest damage to the blood-brain barrier or certain neurological diseases.

Common Conditions Linked to Abnormal Results

Abnormal findings can help diagnose conditions like bacterial or viral meningitis, multiple sclerosis, subarachnoid hemorrhage, or other inflammatory or degenerative brain/spinal cord disorders.

Reference range

NCBI: WBC 4000-10000/mm³N/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Your doctor will interpret the results in the context of your symptoms, medical history, and other tests. High leukocyte counts or protein levels alone don’t always mean a specific diagnosis—further evaluation is needed.

Short name

CSF Leukocytes & Protein Test

Frequently asked questions

Will I need to prepare for this test?
No special preparation is needed. You may need to stay still for a short time after the procedure, but you can usually return to your normal activities immediately afterward.
How long will it take to get my results?
Results are typically available within a few days, depending on lab processing. Your doctor will discuss them with you during your follow-up visit.
Can I drink or eat before this test?
You can eat and drink normally before the test, as it doesn’t require fasting. Avoiding alcohol or caffeine may help reduce any mild discomfort during the procedure.
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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 17, 2026. · Read our editorial policy