Syphilis: VDRL, CSF

CPT: 86592
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Synonyms

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

Expected Turnaround Time

1 - 4 days


Related Documents


Specimen Requirements


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.


Stability Requirements

Temperature

Period

Refrigerated

5 days


Causes for Rejection

Hemolysis; gross bacterial contamination


Test Details


Use

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


Methodology

Agglutination


Reference Interval

Nonreactive


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%.


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

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