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Metabolite profile of cerebrospinal fluid (CSF) using high-performance liquid chromatography (HPLC)

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

This test measures various small molecules in your cerebrospinal fluid, which helps assess metabolic balance and potential abnormalities in the brain’s protective fluid.

Quick summary

["This test may help diagnose conditions affecting brain chemistry or fluid composition."]

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

Key facts at a glance

LOINC
42270-9
Short code
MR C-spine W FE
Synonyms
MR C-spine W FE
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
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?

The test identifies specific metabolites, including amino acids, organic acids, and other small biochemical compounds in your cerebrospinal fluid. These substances play roles in brain function, energy production, and waste removal. Abnormal levels may indicate issues like metabolic disorders, infections, or neurological conditions.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like headaches, neurological deficits, or suspected metabolic disorders. It’s also used in research or specialized diagnostic scenarios where detailed CSF chemistry is needed.

How Is the Sample Collected?

A small amount of cerebrospinal fluid is collected via a procedure called lumbar puncture (spinal tap). A needle is inserted into your lower back to draw the fluid into a sterile container. This is typically done in a hospital setting under sterile conditions.

What Are Common Conditions Monitored?

This test can help evaluate conditions like meningitis, encephalitis, metabolic disorders (e.g., organic acidemias), or rare neurological diseases affecting CSF chemistry. It may also support research into brain chemistry or developmental disorders.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CSF Metabolite Profile (HPLC)

Frequently asked questions

What does a 'metabolite profile' in CSF mean for me?
It means your healthcare provider is checking for specific small molecules in your brain’s fluid to see if they’re within expected ranges. Abnormal findings could point to metabolic issues, infections, or other neurological concerns that require further evaluation.
How long does it take to get results from this test?
Results can vary, but many laboratories process CSF metabolite profiles within 1–3 business days. Your provider will contact you once results are ready, depending on your healthcare team’s workflow.
Is this test painful or risky?
The lumbar puncture procedure involves a small needle inserted into your lower back, which may cause mild discomfort or soreness afterward. Risks are minimal, but complications like infection or headache are rare. Your provider will explain the process and address any concerns before the test.
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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