CSF glucose testDefinition:
A CSF glucose test measures the amount of sugar (glucose) in the cerebrospinal fluid (CSF). CSF is a clear fluid that flows in the space surrounding the spinal cord and brain.
Glucose test - CSF; Cerebrospinal fluid glucose test
How the test is performed:
A sample of CSF is needed. A lumbar puncture, also called a spinal tap, is the most common way to collect this sample. For information on this procedure, see the article on lumbar puncture .
Other methods for collecting CSF are rarely used, but may be recommended in some cases. They include:
- Cisternal puncture
- Ventricular puncture
- Removal of CSF from a tube that is already in the CSF, such as a shunt or ventricular drain
After the sample is taken, it is sent to a laboratory for evaluatoin.
Why the test is performed:
This test may be done to diagnose tumors, infections, inflammation of the central nervous system, delirium, and other neurological and medical conditions.
The glucose level in the CSF should be 50 - 80 mg/100 mL (or greater than 2/3 of the blood sugar level).
Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.
What abnormal results mean:
Abnormal results include increased and decreased glucose levels. Abnormal results may be due to:
- Infection (bacterial or fungus)
- Inflammation of the central nervous system
References: Griggs RC, Jozefowicz RF, Aminoff MJ. Approach to the patient with neurologic disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier. 2007: chap 418.
|Review Date: 6/24/2009|
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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