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Neutrophil Count in Cerebrospinal Fluid (CSF)

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

This test measures the number of neutrophils, a type of white blood cell, in your cerebrospinal fluid (CSF). It helps assess conditions affecting the brain and spinal cord.

Quick summary

["Neutrophils in CSF can signal inflammation or infection in the central nervous system."]

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

Key facts at a glance

LOINC
55791-8
Short code
Neutrophils CSF Manual
Synonyms
Neutrophils 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

What Is This Test Measuring?

Neutrophils are a type of immune cell that fight infections. In the CSF, their presence can indicate conditions such as bacterial meningitis, certain infections, or inflammatory processes. This test is often used to diagnose or monitor these conditions.

When Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like severe headache, neck stiffness, fever, confusion, or neurological issues. It may also be done during diagnostic evaluations for suspected meningitis, encephalitis, or other central nervous system infections.

What Does a High or Low Neutrophil Count Mean?

A high neutrophil count in CSF is often associated with bacterial infections (e.g., bacterial meningitis) or severe inflammatory responses. A low count may suggest viral infections, autoimmune conditions, or other non-infectious causes. Your results will be interpreted in the context of your symptoms and medical history.

How Is This Test Done?

A small amount of CSF is collected through a procedure called a lumbar puncture (spinal tap). The sample is then analyzed under a microscope to count the neutrophils. This test is typically performed in a clinical laboratory.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Neutrophils in CSF Indicate Inflammation or Infection

Short name

Neutrophil CSF Count

Frequently asked questions

Why might my healthcare provider recommend this test?
They may recommend it to investigate symptoms like persistent headaches, fever, neck stiffness, or neurological symptoms that suggest an infection or inflammation in the brain or spinal cord. This test helps differentiate between bacterial, viral, or other causes of these conditions.
What are the possible causes of abnormal results?
Abnormal neutrophil counts in CSF can result from infections (e.g., bacterial meningitis), inflammatory diseases (e.g., subarachnoid hemorrhage), or certain autoimmune conditions. Always discuss your results with your doctor, as they will consider your full medical picture.
How soon will I get my results?
Results are usually available within a few days, depending on your lab. Your healthcare provider will explain the findings and next steps during your follow-up visit.
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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