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Syphilis: VDRL, CSF

CPT

86592

Synonyms
  • CSF Venereal Disease Research Laboratory (VDRL) Test
  • Neurosyphilis

Test Details

Methodology

Agglutination

Result Turnaround Time

1 - 4 days

Use

This syphilis VDRL is a nontreponemal assay used to aid in the diagnosis of neurosyphilis.

Specimen Requirements

Custom Additional Information

A positive VDRL in a spinal fluid uncontaminated by serum is essentially diagnostic of neurosyphilis; however, a negative test may occur in 30% of patients with tabes dorsalis. The CSF VDRL may take years to become nonreactive after adequate therapy. In AIDS patients, serial CSF VDRL determinations may be needed when neurosyphilis is suspected. By requiring either a positive plasma RPR or FTA-ABS, seropositivity of CSF VDRL could increase to 90%.

Specimen

Cerebrospinal fluid (CSF)

Volume

1 mL

Minimum Volume

0.2 mL (Note: This volume does not allow for repeat testing.)

Container

Sterile tube

Storage Instructions

Refrigerate.

Causes for Rejection

Hemolysis; gross bacterial contamination

Stability Requirements

 

TemperaturePeriod
Room Temperature14 days
Refrigerate14 days
Frozen14 days
Freeze/Thaw CycleStable x3

Reference Range

Nonreactive

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
006445 VDRL, CSF 22459-2 006445 VDRL, CSF 22459-2
Order Code006445
Order Code NameVDRL, CSF
Order Loinc22459-2
Result Code006445
Result Code NameVDRL, CSF
UofM
Result LOINC22459-2