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Lymphocyte Count in Cerebrospinal Fluid (Manual Cell Differentiation)

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

This test measures the number of lymphocytes (a type of white blood cell) in your cerebrospinal fluid (CSF), which surrounds your brain and spinal cord. It helps assess inflammation or infection in the central nervous system.

Quick summary

["Lymphocytes in CSF can signal conditions like meningitis or other neurological disorders."]

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

Key facts at a glance

LOINC
14106-9
Short code
Lymphocytes # CSF Manual
Synonyms
Lymphocytes # CSF Manual
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
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 doctor may order this test if you have symptoms like severe headaches, neck stiffness, fever, confusion, or neurological issues that could indicate an infection, inflammation, or other conditions affecting the brain or spinal cord. It’s often used alongside other tests to guide treatment decisions.

What Does the Test Involve?

A small sample of your CSF is collected through a procedure called a lumbar puncture (spinal tap). The sample is then examined under a microscope to count and identify different types of white blood cells, including lymphocytes. This manual method provides detailed differentiation of cell types.

What Are Normal Results?

Normal results vary by individual and clinical context. Typically, a low or abnormal lymphocyte count in CSF may suggest infection, autoimmune disease, or other neurological conditions, but interpretation depends on your overall health and symptoms.

What Are Possible Causes of Abnormal Results?

Elevated lymphocyte counts in CSF can be linked to conditions such as viral meningitis, certain types of encephalitis, multiple sclerosis, or other inflammatory or infectious processes in the nervous system. Low counts may indicate conditions like Guillain-Barré syndrome or other immune-mediated disorders.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

CSF Lymphocyte Count

Frequently asked questions

How often does this test cause false positives or negatives?
Manual cell differentiation can sometimes lead to variability in results due to human error or sample handling. However, this test is highly specific for identifying certain cell types in CSF, making it valuable for diagnosing conditions like meningitis or neurological infections.
Can lifestyle or diet affect this test result?
No, lifestyle or diet typically do not influence CSF lymphocyte counts. The test focuses on the cellular composition of the fluid itself, which is influenced by underlying medical conditions rather than daily habits.
What should I do if my test results are abnormal?
If your results show an abnormal lymphocyte count in CSF, your doctor will discuss the findings with you and may recommend additional tests or treatments based on your symptoms and overall health. Follow-up may include further imaging, cultures, or other diagnostic procedures to determine the cause.
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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