Test Code SP7TC Septin-7 Antibody, Tissue Immunofluorescence Titer, Spinal Fluid
Specimen Required
Only orderable as a reflex. For more information see:
-ENC2 / Encephalopathy, Autoimmune /Paraneoplastic Evaluation, Spinal Fluid
-MDC2 / Movement Disorder, Autoimmune /Paraneoplastic Evaluation, Spinal Fluid
-MAC1 / Autoimmune Myelopathy /Paraneoplastic Evaluation, Spinal Fluid
Container/Tube: Sterile vial
Specimen Volume: 1.5 mL
Secondary ID
616116Useful For
Detecting septin-7 IgG in cerebrospinal fluid (CSF) specimens
Reporting an end titer result from CSF specimens
Testing Algorithm
If the indirect immunofluorescence pattern suggests septin-7, then septin-7 antibody cell-binding assay and this test will be performed at an additional charge.
Method Name
Only orderable as a reflex. For more information see:
-ENC2 / Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid
-MDC2 / Movement Disorder, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid
-MAC1 / Autoimmune Myelopathy/Paraneoplastic Evaluation, Spinal Fluid
Indirect Immunofluorescence Assay (IFA)
Reporting Name
Septin-7 IFA Titer, CSFSpecimen Type
CSFSpecimen Minimum Volume
See Specimen Required
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
CSF | Refrigerated (preferred) | 28 days | |
Frozen | 28 days | ||
Ambient | 72 hours |
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | Reject |
Gross icterus | Reject |
Clinical Information
Neurological phenotypes for septin-7 IgG positive patients include encephalopathy, myelopathy, encephalomyelopathy, painful myelopolyradiculopathy, and episodic ataxia. Psychiatric symptoms are also common with encephalopathic symptoms. Septin-7 IgG is also associated with cancer and positive response to immunotherapy.
Reference Values
Only orderable as a reflex. For more information see:
-ENC2 / Encephalopathy, Autoimmune /Paraneoplastic Evaluation, Spinal Fluid
-MDC2 / Movement Disorder, Autoimmune /Paraneoplastic Evaluation, Spinal Fluid
-MAC1 / Autoimmune Myelopathy /Paraneoplastic Evaluation, Spinal Fluid
<1:2
Interpretation
Seropositivity for septin antibodies by immunofluorescence is consistent with a diagnosis of autoimmune disease of the central nervous system. Cell-binding assay testing for septin-7 IgG is required to confirm the diagnosis.
Day(s) Performed
Monday through Sunday
Report Available
5 to 10 daysSpecimen Retention Time
28 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterTest Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
86256
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
SP7TC | Septin-7 IFA Titer, CSF | 101457-0 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
616116 | Septin-7 IFA Titer, CSF | 101457-0 |