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Voltage-Gated Potassium Channel (VGKC) Complex Antibodies: Anti LGI1 and Anti CASPR2, with Reflex to Titer, Serum

CPT 86255(x2)

Test Details

Methodology

Immunofluorescence (IFA)

Result Turnaround Time

3 - 5 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Use

Voltage-Gated Potassium Channel (VGKC) antibodies (predominately Anti-LGI1 and Anti-CASPR2) are associated with paraneoplastic neurological syndromes and limbic encephalitis. These antibodies may also be found in other conditions such as acquired neurmyotonia, painful neuropathy, Morvan's syndrome, and rare tumors (eg, thymoma, small-cell lung cancer).

This indirect fluorescent antibody assay utilizes LGI1 and CASPR2 transfected cell lines for the detection and semi-quantification of autoantibodies.

Special Instructions

If reflex test is performed, additional charges/CPT code(s) may apply.

Limitations

Results should not be used as a diagnostic procedure without confirmation of the diagnosis by another medically established product or procedure.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Specimen Requirements

Specimen

Serum

Volume

2 mL

Minimum Volume

1 mL

Container

Gel-barrier tube, red-top tube, serum gel tube, serum transfer tube

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Storage Instructions

Room temperature

Causes for Rejection

CSF or plasma; contaminated, hemolyzed or severely lipemic specimens

References

van Sonderen A, Schreurs MW, Wirtz PW, Sillevis Smitt PA, Titulaer MJ. From VGKC to LG1 and Caspr2 encephalitis: The evolution of a disease entity over time. Autoimmun Rev. 2016 Oct;15(10):970-974.27485013
van Sonderen A, Petit-Pedrol M, Dalmu J, Titulaer MJ. The value of LGI1, CASPR2 and voltage-gated potassium channel antibodies in encephalitis. Nat Rev Neurol. 2017 May;13(5):290-301.28418022
Willis MD, Jones L, Vincent A, Wheeler R, O'Callaghan P, Hamandi K. VGKC-complex antibody encephalitis. QJM. 2014 Aug;107(8):657-659.24517999
Zuliani L, Nosadini M, Gastaldi M, et al. Management of antibody-mediated autoimmune encephalitis in adults and children: literature review and consensus-based practical recommendations. Neurol Sci. 2019 Oct;40(10):2017-2030.31161339

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
505499 Anti-VGKC Complex, Serum 505356 LGI1 Antibody, Cell-based IFA 82978-8
505499 Anti-VGKC Complex, Serum 505431 CASPR2 Antibody,Cell-based IFA 82979-6
Order Code505499
Order Code NameAnti-VGKC Complex, Serum
Order Loinc
Result Code505356
Result Code NameLGI1 Antibody, Cell-based IFA
UofM
Result LOINC82978-8
Order Code505499
Order Code NameAnti-VGKC Complex, Serum
Order Loinc
Result Code505431
Result Code NameCASPR2 Antibody,Cell-based IFA
UofM
Result LOINC82979-6
Reflex Table for LGI1 Antibody, Cell-based IFA
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 505357 Anti-LGI1 Antibody Titer,Serum 505357 Anti-LGI1 Antibody Titer,Serum 90831-9
Reflex 1
Order Code505357
Order NameAnti-LGI1 Antibody Titer,Serum
Result Code505357
Result NameAnti-LGI1 Antibody Titer,Serum
UofM
Result LOINC90831-9
Reflex Table for CASPR2 Antibody,Cell-based IFA
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 505432 Anti-CASPR2 Antibody Titer 505432 Anti-CASPR2 Antibody Titer 95600-3
Reflex 1
Order Code505432
Order NameAnti-CASPR2 Antibody Titer
Result Code505432
Result NameAnti-CASPR2 Antibody Titer
UofM
Result LOINC95600-3