Doctor insights on:
2.8 oligoclonal bands IgG in CSF. Zero serum bands in CSF. Why does Mayo Clinic standards require 4 oligoclonal IGg CSF for MS diagnosis?
Other causes: Oligoclonal bands can be present in some other conditions such as infections and inflammation of the central nervous system. Increasing the threshold for diagnosing MS by requiring at least 4 oligoclonal bands, allows to exclude these other causes and diagnose MS with greater certainty. ...Read more
Spinal tap results. Csf beta% raised slighty. Csf albumin raised slighty. Cytology report showed increased immature and mature lymphocytes and monocyt?
Check with oncology: The cytology report is a bit concerning and you need to follow-up with your oncologist. Anytime you see increased lymphocytes in the absence of an infection, you have to watch for lymphoma. Your oncologist should be able to give you more information depending on how increased the lymphocyte # is above the normal for your lab. ...Read more
Lumbar puncture results:
Multiple IgG oligoclonal bands detected in CSF and serum, most bands unique to CSF.
IgG value 9.43, range 6 - 15
Is this MS?
Consistent: But diagnosis of MS should be based on history, physical exam, results of MRI films, and spinal fluid is useful in ambiguous cases. However, elevation of oligoclonal bands can be seen in several disorders and NOT definitive on its own. Have your doctor now put the whole picture in place. Most likely MS, but other possibilities exist. ...Read more
What does my lab results mean?
Glucose SerPl QN
Result:54 mg/dL (Low)
Chloride SerPl QN
Result:97 mmol/L (Low)
Result:2-5 /hpf (Abnormal)
Abnormal tests: It is hard to interpret these results without knowing why the test was done and getting a complete history and physical exam. You have have low blood sugar and urine analysis shows Red Blood cells. You surely need further evaluation including blood test ., repeat urine test with culture and may need imaging of your kidneys like ultrasound and /or cat scan and for BloodcSugar more testing as well ...Read more
I had a spinal puncture done and the results said CSF/serum oligoclonal bands negative and CSF Oligoclonal bands 0 bands. does that mean i have ms?
Multiple sclerosis: Presence of CSF oligoclonal bands is consistent and normally diagnostic of multiple sclerosis in the right circumstances. The absence does not rule out MS and the diagnosis has to be based on clinical findings and MRI results. There may also be some ethnic differentiation of oligoclonal bands present in patients with MS. you can review the article below http://dx.doi.org/10.1155/2015/217961 ...Read more
LP Done. Monocytes 1%, Serum IgG 587/mg/DL,Albumin 4100ml,IGG Index 1.1mg,WBC 23/mm3,RBC 1/mm3, CSF IGG 3.6 mg/DL,Lymphocytoid 97%, protein, neutrophils, glucose, CSF albumin all norm. Any ideas?
CSF Results: If I am reading the results correctly, there appears to be a mononuclear pleocytosis with normal protein, glucose and essentially normal immune response. The fluid analysis cn be seen in many disorders including viral meningitis. Need additional information. ...Read moreSee 1 more doctor answer
Unmeasured anions: High anion gap reveals the presence of an unusual anion in high concentration. This may be something as simple as lactate ion from exercise or underperfusion of the body, or a substance such as aspirin, a ketoacid, oxalate in ethylene glycol poisoning, or sulfate / phosphate in kidney failure. ...Read more
What condition most closely relates to these CSF results? Clear appearance, lymphocytes: 2 cells/μl, protein: 100 mg/dl, glucose: 30 mg/dl.
Need more data: I would like to know your serum glucose at the time of the LP (csf glucose about 2/3 serum) and serum protein (csf 1/200 conc. Of serum). If normal then picture is increased protein, hypoglycorrhachia, and no cells. Without knowing the clinical presentation the diff includes- early bacterial meningitis, viral meningitis- herpes, sah, and tb. Please see your neurologist immediately and take care. ...Read more
On urine test results, urine hemoglobin=trace-intact, urine microscopic = indicated, wbc/hpf=0-3, rbc/hpf=0-3. What do these results & terms mean?
Normal: The WBC and rbc are referring to the number of white blood cells and red blood cells seen in a range of microscopic fields of sampled by the lab technician. The number of these cells (0 to 3) for both types of cell is within the normal limits expected. These normal, scattered red cells are enough to cause a trace of hemoglobin on the chemistry test. So these are all normal results. ...Read more
Spinal vs. MRI: These are different types of tests looking for different types of information. WE don't even know what the symptoms or the working diagnosis were. ...Read more
Difficult question: Glycine is an Amino Acid that is the product of normal protein metabolism. Rare cases of inborn errors of metabolism result in a defect in metabolism of certain Amino Acids including glycine. A very rare disorder is non-ketotic hyperglycinemia where the glycine in the CSF is many times normal. The range of normal varies with ingestion of protein and depending on the form of laboratory assay. ...Read more
My CSF results show normal cell count but show inflammatory proteins-oligoclonal bands, what does this mean please?
Oligoclonal bands: These proteins are immunoglobulins usually detected by separating the proteins in an electric field-charged gel. Many CNS diseases are associated with their presence, but most commonly they are tested for when there is concern about multiple sclerosis. Since many diseases can cause the abnormality, finding them is not specific and must be correlated with symptoms and other findings. ...Read more
Blood test result on infections:cmv IgG result: 2.9 grey zone: (0.85-1.05eu).Chl.Trachomatis IgG result: 0.9 grey zone: (0.85-1.1eu).Please interpret?
Lab data: These numbers mean absolutely nothing absent knowledge of your clinical history and exam and learning why these tests were ordered. In general igg levels of this nature for any infectious agent simply suggests that you may have had this in the past, but because of other factors this can also be falsely positive. ...Read more
Not enough info.: A low WBC can be from many causes including viral infection, drug side effect, autoimmune disease, congenital problem, nutritional deficiency, or one of many blood diseases both benign and malignant. Proteinuria also has many causes. Need to know the kind of protein and that there is no infection. Drugs, autoimmune disorders, diabetes, certain blood diseases can be present. Talk with your doc. ...Read more
Spinal tap results? Colorless; clear; nucleated cells 2&9;RBC 45&39; neutrophils 7&7; lymphocytes 89&80; monocytes 4&13; protein 56.1; glucose 60
Many possibilities: There are mild abnormalties: more than 5 white blood cells ("nucleated cells", including monocytes), protein slightly elevated. The RBC might be just a bit of blood due to the needle. Several things can cause these things, some serious, some not. Discuss with the doctor who did the spinal tap. Good luck. ...Read more
Can you explain my lumbar puncture results - CSF alpha Feto protein 0.555 Beta HCG 0.322(iu/l) I have a pineal tumour. Tested CSF for germ cell.
These values are OK: These levels do not look out of ordinary. You need to relate these levels to previous levels of these markers. if they were high before then this test might have some meaning. Your oncologist is your best guide to explain what it all means. ...Read more