Laboratory assay overview
Quantitate CSF protein fractions; aid in the diagnosis of inflammatory and demyelinating disease of CNS, although routine CSF protein electrophoresis is highly insensitive and nonspecific for the presence of multiple sclerosis (MS). Routine CSF protein electrophoresis has no role in screening for demyelinating diseases (eg, MS). For this, high-resolution electrophoresis is required. For tests with greater sensitivity/specificity for MS, see Oligoclonal Banding [019216] .
View complete laboratory reference notes
See tables.
CSF Protein Electrophoresis
Test | Age | Male | Female
Prealbumin (%) | 0 to 1 y | 1.1–5.7 | 1.1–5.7
2 to 17 y | 2.2–7.8 | 2.2–7.8
18 to 30 y | 1.4–6.3 | 2.2–7.7
31 to 50 y | 1.2–5.5 | 1.9–7.1
51 to 60 y | 1.2–5.5 | 1.4–6.2
>60 y | 1.0–5.0 | 1.4–6.2
Albumin (%) | All ages | 47.8–69.1 | 47.8–69.1
α1-globulin (%) | 0 to 5 y | 2.1–5.6 | 2.1–5.6
6 to 60 y | 2.2–6.2 | 2.2–6.2
>60 y | 2.6–7.0 | 2.6–7.0
α2-globulin (%) | 0–50 y | 2.7–8.2 | 2.7–8.2
>50 y | 3.1–8.7 | 3.1–8.7
β-globulin (%) | All ages | 11.8–21.7 | 11.8–21.7
γ-globulin (%) | 0 to 17 y | 2.8–7.8 | 2.8–7.8
18 to 40 y | 2.4–7.8 | 2.8–8.5
41 to 60 y | 2.8–8.5 | 2.8–8.5
>60 y | 2.8–8.5 | 3.1–9.1
Total protein (mg/dL) | 1 d to 1 m | 25–72 | 25–72
2 to 3 m | 20–72 | 20–72
4 to 6 m | 15–50 | 15–50
7 to 11 m | 10–45 | 10–45
1 to 2 y | 10–40 | 10–40
3 to 4 y | 10–38 | 10–38
5 to 8 y | 10–43 | 10–43
>8 y | 0–44 | 0–44
CSF Protein Electrophoresis Interpretation
Pattern Description | Electrophoretic Zones
Prealbumin
(g/dL)
Albumin
(g/dL)
α1
(g/dL)
α2
(g/dL)
β
(g/dL)
γ
(g/dL)
N = usually normal.
(+) = usually elevated.
N+ = normal to elevated.
+ = mildly elevated.
++ = moderately elevated.
+++ = markedly elevated.
Normal | N | N | N | N | N | N
Increased prealbumin | +++ | N | N | N | N | N
Increased permeability | ++ | ++ | ++ | ++ | ++ | ++
Polyclonal gammopathy | + | | N+ | + | N | ++
Monoclonal gammopathy | N+ | N | N | N+ | (M-spike) | (M-spike)
Nonspecific α-β increases | N | N | (+) | (+) | (+) | N