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Total Protein and Albumin by Protein Electrophoresis with Immunoglobulin G Bands in Cerebrospinal Fluid

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

This test measures the amounts and patterns of proteins in cerebrospinal fluid (CSF), including total protein and albumin, and looks for abnormal bands of immunoglobulin G (IgG). It helps evaluate conditions affecting the brain and spinal cord, such as inflammation or multiple sclerosis.

Quick summary

["CSF protein electrophoresis with IgG band detection helps detect abnormal immune activity within the central nervous system."]

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

Key facts at a glance

LOINC
98222-3
Short code
T palldm IgG bands CSF IB
Synonyms
T palldm IgG bands CSF IB
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ib
CPT
82784
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

What This Test Measures

The test analyzes a sample of cerebrospinal fluid, the fluid that surrounds the brain and spinal cord. It measures total protein and albumin concentrations and separates proteins by electrophoresis to look at their distribution. It also checks for distinct bands of IgG, which are antibodies produced by the immune system.

Why It May Be Ordered

Your clinician may order this test when there are symptoms suggesting inflammation or immune activity in the central nervous system, such as vision changes, weakness, numbness, or other neurological symptoms. It is often used as part of the workup for conditions like multiple sclerosis or other inflammatory disorders.

How the Sample Is Collected

CSF is collected by a lumbar puncture, also called a spinal tap. A small needle is placed in the lower back to draw fluid. The procedure is usually brief, and your care team will explain how to prepare and what to expect.

Understanding the Results

Results are interpreted together with your symptoms and other tests. The presence of abnormal IgG bands or unusual protein patterns can suggest immune activity in the central nervous system, but results alone do not diagnose a specific disease. Your clinician will explain what your results mean in your situation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

CSF protein electrophoresis and IgG band analysis are important tools for evaluating inflammatory and immune-mediated conditions of the central nervous system. Abnormal findings may support further testing and help guide diagnosis, but they must be interpreted alongside clinical history, neurological examination, imaging, and other laboratory results.

Short name

CSF Protein Electrophoresis and IgG Bands

Frequently asked questions

Does this test diagnose multiple sclerosis?
No. Abnormal IgG bands can be seen in multiple sclerosis but also in other inflammatory conditions. The test provides supportive information, and diagnosis requires a combination of clinical findings, imaging, and other tests.
Is a lumbar puncture painful?
Most people feel a brief sting or pressure when the numbing medicine is given and during needle placement. The procedure is generally short, and your care team will help you stay comfortable.
Do I need to fast before this test?
Fasting is usually not required for a lumbar puncture or CSF protein testing, but follow any specific instructions from your clinician, since other blood tests done at the same time may have their own preparation requirements.
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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