What should an LP Report look like?...info yabbit.
 

what all should yabbit be asking? what all should the report show? can anyone post what theirs looked like?

just curious ole me. :D

Curious, I don't have my LP results any longer. Way too many years ago but a positive LP (meaning possibly MS) requires oligoclonal bands (o-bands) which will usually mean the patient has high protien (IGg - if I have that correct).

LPs are not just to diagnose MS. There are other diseases where you can have an abnormal LP.

http://www.nlm.nih.gov/medlineplus/e...cle/003631.htm
CSF oligoclonal banding is a test to look for inflammation-related substances in the cerebrospinal fluid (CSF), the clear fluid that flows in the space surrounding the spinal cord and brain.
Oligoclonal bands are substances called immunoglobulins, which suggest inflammation of the central nervous system. The presence of oligoclonal bands may be a sign of multiple sclerosis.

http://www.nlm.nih.gov/medlineplus/e...cle/003428.htm
Normal values vary from lab to lab but typically range as follows:

• Pressure: 50 - 180 mm H20
• Appearance: clear, colorless
• CSF total protein: 15 - 45 mg/100 mL
• Gamma globulin: 3 - 12% of the total protein
• CSF glucose: 50 - 80 mg/100 mL (or approximately 2/3 of blood sugar level)
• CSF cell count: 0 - 5 white blood cells, no red blood cells
• Chloride: 110 - 125 mEq per liter

Note: mg/mL = milligrams per milliliter; mEq/L = milliequivalent per

There were several different reports from my LP. Some of my results did take several weeks to come back and other results came back in a couple of days.

This was one of the reports and it took a couple of weeks to result:

CSF IgG Synthesis See Note -
Note
+9.2 mg/day
Reference Range: -9.9 TO +3.3

IgG in CSF 9.9 -
Reference range: 0.8 to 7.7

Unit: mg/dL
Albumin in CSF 42.6 -
Reference range: 8.0 to 42.0

Unit: mg/dL
Oligoclonal Bands BANDS NOTED -
Reference range: NO BANDS
Note
The patient's CSF contains 9 well defined gamma restriction bands
that are not present in the patient's corresponding serum sample.
These bands indicate abnormal synthesis of gammaglobulins in the
central nervous system. This finding is supportive evidence of
multiple sclerosis, but should be interpreted in conjunction with all
clinical and laboratory data pertaining to this patient.
The clinical significance of a numerical band count, determined by
isoelectric focusing, has not been definitively defined. The data
should be interpreted in conjunction with all pertinent clinical and
laboratory data for this patient.

IgG in Serum 1230 -
Reference range: 694 to 1618
Unit: mg/dL

CSF IgG Index 0.74 - H
Reference range: LESS THAN 0.66

Albumin,Serum 4.3 -
Reference range: 3.7 to 5.1
Unit: g/dL

Note
The IgG Synthesis rate, CSF and IgG index, CSF are two formulae for
estimating the amount of IgG produced in the central nervous system.
Evidence of increased synthesis of IgG provides support for the
diagnosis of multiple sclerosis.

And then there were these results that went with each test tube. These results that came back quickly:

CSF Tube # 1 -

CSF Total Volume 0.5 - mL

CSF Color COLORLESS (CLLS)-

CSF Appearance CLEAR (CLER)-

CSF White Blood Cells 25 (0-5) /cumm H
20 MONONUCLEARS
5 POLYS

CSF Red Blood Cells 83 (0)- /cumm H

Hope this helps.

Oh, wait. I found more lab sheets. There were these reports too.

CSF Glucose 71 (40-70) mg/dL H

CSF Total Protein 63 (15-45) mg/dL H

VDRL, CSF NONREACTIVE -
Reference range: NONREACTIVE

I think that is everything.

thank you pacifica and welcome to neurotalk. :hug:

You are very welcome and thank you for welcoming me to the forum.

Hey Pacifica! You slipped right by me. We have a new members forum if you'd like to start a thread there to intro yourself. I'm pleased to meet ya.

http://dl8.glitter-graphics.net/pub/...ewyv80mi83.gif

Hello Pacifica and welcome to NeuroTalk :)

Other diseases with O-bands:

http://www.diseasesdatabase.com/resu...ClassSort=True

Table of possible dx, based on specific CSF results:

http://www.clinlabnavigator.com/Test...andsinCSF.html

Cherie

Pacifica, I'd like to welcome you, too, and also thank you for thanking Curious for welcoming you to the forum. :p

Thank you for all your warm welcomes. You all seem to be a very friendly group of people and I can't wait to get to know you all better. I feel like I know some of you already since I have been reading the board for a long time but have never joined.

I will post on the new members forum when I have a little more time. Have a great evening.

Welcome Pacifica and thank you for all of your very helpful info..:)

looking forward to getting to know you, too.:hug:

It's okay, Pacifica, you don't have to be so discreet: you're among friends. Go ahead and tell everybody: yer talkin' 'bout me, aren't ya? :ROTFLMAO::ROTFLMAO::ROTFLMAO::Head-Spin:

Here's me butting in Pacifica, but I want to welcome you to NeuroTalk as well!

It's just so great to meet you, and I hope you soon feel very comfortable here amongst us!

Welcome again...

Boy even more welcomes! I feel like royalty. I just posted on the thread for newbies so you can all get to know my little story.

And yes, Twinkletoes, I was definitely talking about you. LOL.

Good night.

Hi Pacifica! Welcome to NeuroTalk! :welcome_sign: We're so happy to have you here......don't let Twink scare you, though......she's relatively harmless (except to herself!!!:eek:) :D

*putting arm around Pacifica's shoulder and taking a lil stroll*

We have to have a lil talk about this "royalty" thing..:D

Looking forward to getting to know you.

:grouphug:

I have never had an LP done so I don't know what my report would look like. I was diagnosed by MRI and clinical findings.

Pacifica - Welcome to NT! Thanks for posting your LP results. That will be helpful to many.

http://dl6.glitter-graphics.net/pub/...nqrdxj5d29.gif


Welcome to NT Pacifica. You will find that this is a great,
friendly and supported group of people.


I must worn you, watch out for DM when she takes you for
a walk. She is sometimes a bad influence. :D


Jappy :)

Hi Everyone,

I just returned home from work and saw even more warm welcomes. I feel "special" and you all brightened up my day.

I am glad I could contribute a little. I hope it will be of some help to others.

I have to run and catch my hockey team in the playoffs.

Have a nice evening!

Welcome to NT Pacifica!

( p.s....we ALL talk about Twink...and that DM...just be careful...she's delusional, but as long as you agree that she IS a princess, she won't hurt you!...:p )

maybe it's time Pacifica gets her own Welcome to NT post....LOL!

Welcome to NT Pacifica!!!

There's some pretty special people on here Pacifica, and we just all want you to know that you're among friends.

Now......about that Twinkletoes.................

BTW....don't believe everything you read about DM and royalty. Do you realize that she needs a new palace and no-one will give her one? The cheek of it all.

I saw AfterMyNap putting her down on another thread! Like talking about her as if she wasn't there! Royalty an' all! Can you believe that??

Look at what people have said about your new palace DM......I'm so sorry ......I didn't want to hurt you, but I cannot tell a lie!