Syphilis, VDRL Cerebrospinal Fluid

Syphilis, VDRL Cerebrospinal Fluid
DataValue
Method Agglutination
CPT Code 86592, 86593
Preferred Specimen Cerebral Spinal Fluid (CSF)
Other Acceptable Specimens None
Required Specimen Volume 1-3 mLs CSF, Minimum 1 mL
Specimen Container Sterile Container tightly capped
Specimen Identification Label container with patient’s first name, last name and DOB include date and time of collection.
Special Instructions
  • Any Hemolysis or Gross Lipemia
  • Include any medical history or relevant clinical findings on requisition.
  • Specimens with precipitate or cellular content should be clarified by centrifugation.
Shipping Requirements Store and ship at refrigerated temperature 2-8°C.
Sample Rejection Criteria
  • Any hemolysis
  • Gross bacterial contamination
  • Mislabeled/Unlabeled specimen
  • Quantity not sufficient for testing (QNS)
Reference Interval Non-Reactive
Additional Information A positive VDRL in a spinal fluid uncontaminated by serum is essentially diagnostic of neurosyphilis. The CSF VDRL may take years to become Non-Reactive after adequate therapy.
Limitations Biological false positive reactions occur occasionally. Such reactions sometimes occur in samples from individuals with a history of drug abuse, or with diseases such as lupus erythematosus, malaria, Vaccinia, mononucleosis, leprosy, viral pneumonia and after smallpox vaccinations.
Turn-around-time 24 hours