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Cerebrospinal Fluid (CSF) Protein Profile by Electrophoresis

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

This test measures the different protein components in your cerebrospinal fluid (the fluid surrounding your brain and spinal cord) using electrophoresis, a technique that separates proteins based on size and charge.

Quick summary

["Understanding protein patterns in CSF can help diagnose neurological conditions."]

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

Key facts at a glance

LOINC
37235-9
Short code
MRA Circle of Willis
Synonyms
MRA Circle of Willis
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr-angio
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

What Does This Test Measure?

Electrophoresis separates CSF proteins into distinct bands, each representing different protein types. Common bands include albumin, globulins (such as immunoglobulins), and other smaller or larger proteins. The relative amounts of these proteins can indicate abnormalities in protein production, transport, or breakdown in the central nervous system.

Why Might You Need This Test?

This test is often used to evaluate conditions affecting the brain or spinal cord, such as multiple sclerosis, infections (like meningitis), tumors, or other inflammatory or degenerative diseases. It helps identify abnormal protein patterns that may not be visible with standard blood tests.

Common Conditions Monitored

Protein electrophoresis in CSF is particularly useful for diagnosing or monitoring conditions like multiple sclerosis (where immunoglobulin bands may appear), Guillain-Barré syndrome, subacute sclerosing panencephalitis, or certain types of brain tumors. It can also help assess the severity of inflammatory or infectious processes in the nervous system.

Sample Collection and Preparation

A small amount of CSF is collected through a procedure called lumbar puncture (spinal tap), where a needle is inserted into the lower back to draw fluid from the spinal canal. The sample is then sent to the lab for electrophoresis analysis. No special preparation is needed before the test, but you may be asked to fast or avoid certain medications depending on your specific situation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CSF Protein Electrophoresis

Frequently asked questions

How are protein levels in CSF interpreted?
Protein electrophoresis in CSF helps identify abnormal patterns that may signal neurological disorders. For example, elevated immunoglobulin bands might suggest demyelinating diseases like multiple sclerosis, while unusual protein distributions could indicate infections, tumors, or other inflammatory conditions. Your healthcare provider will compare your results to your clinical symptoms and other diagnostic tests to determine the next steps.
What are the typical reference ranges for CSF proteins?
Reference ranges for CSF protein electrophoresis vary by lab and may not be standardized. Typically, albumin levels are lower than in blood, while globulin levels can be higher. The exact patterns and proportions of proteins are interpreted based on clinical context rather than absolute numeric values. Your doctor will discuss the meaning of your specific results with you.
Can this test be done at home or without a doctor’s order?
No, this test requires a clinical procedure (lumbar puncture) and is performed in a hospital or clinic setting. It is typically ordered by a healthcare provider for diagnostic evaluation of neurological conditions. Always follow your doctor’s instructions for test-related preparations and follow-up.
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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