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Cerebrospinal Fluid (CSF) Analysis for total protein.

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Presentation on theme: "Cerebrospinal Fluid (CSF) Analysis for total protein."— Presentation transcript:

1 Cerebrospinal Fluid (CSF) Analysis for total protein

2 CSF sample zThe specimen should be delivered to the laboratory immediately after collection zGlucose and protein estimations should be performed as soon as possible after drawing the CSF specimen zIf testing is to be delayed, the specimen should be frozen at – 20 0 C.

3 Physical Examination z Turbidity y Clear- normal yCloudy/ turbid- may indicate the presence of white, or red blood cells, microorganisms, or an increase in protein level

4 Physical Examination z Color y Colorless- normal yYellow, orange-brown, or red- may indicate the presence blood

5 Physical Examination z Viscosity y Normal CSF should have the same consistency as water y Thicker CSF may be seen in patients with certain types of cancers or meningitis.

6 Chemical Analysis z Routinely performed biochemical tests in CSF are: yglucose yprotein (total and specific) ylactate ylactate dehydrogenase yglutamine and acid-base parameters

7 Remember !!  Before any analysis, the fluid should be centrifuged to avoid contamination by cellular elements zCSF is the most precious biological material. Often, only small volumes of CSF are available for analysis due to difficulty in collection; hence handle this with care zThe specimen may contain virulent organisms, so strict safety precautions should be followed.

8 CSF Protein Assay zProtein present in the CSF is detected by a kit based on Biuret method. z Biuret reagent when interacts with the peptide bonds in the protein give a blue coloured product zThe intensity of the colour is proportional the amount of protein in CSF

9 CSF Protein Assay z Color intensity is determined by measuring the absorbance by the colored solution at a wavelength of 546nm z Absorbance is measured by an instrument, spectrophotometer

10 Spectrophotometer Most of visible spectrophotometers are composed of: y Light source which works with visible wavelengths ( nm) yMonochromator filter for choosing desired wavelength ySample holder (cuvette) yDetector yMeter or recorder

11 Procedure TestStandardBlank Reagent1.0 ml CSF sample 20.0  l -- Standard  l - H2OH2O- - Mix and incubate for 15 minutes at room temperature Measure absorbance at 546 nm

12 Calculation z Protein conc (g/L) = Abs of sample Abs of standard X Conc of standard (60g/L)

13 Normal Range Normal reference values for CSF protein: mg/dL ( g/L)

14 CSF Examination Report zPhysical examination yVolume yColor yAppearance yViscosity zChemical examination yCSF protein concentration (g/L) zGroup number&Student names

15 Condition Parameter Brain Tumor Viral Meningitis Tuberculous Meningitis Bacterial Meningitis ↑ Normal ↑ ↑↑ ↑↑ ↑↑ ↑ Protein ↓ Normal or slightly ↓ ↓ ↓↓ ↓↓ ↓↓ ↓ Glucose Normal or ↓ ↓ ↓↓ ↓↓ ↓↓ ↓ Chlorides Abnormal findings of CSF in some pathological conditions

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