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Test Code FNEU Neurotransmitter Metabolites (5HIAA, HVA, 3OMD) (CSF)

Important Note

CMH COLLECTION: Contact the lab for special CSF collection tubes.  If Neurotransmitter Metabolites, Tetrahydrobiopterin, or Neopterin are ordered, tests can be performed in those tubes.


Specimen Required


Medical Neurogenetics collection kit (MCL Supply T657) required.

Each collection kit contains 5 microcentrifuge tubes.

 

COLLECTION PROTOCOL:

1)     CSF should be collected from the first drop into the tubes in the numbered order. Fill each tube to the marked line with the required volumes

Tube 1: 0.5 mL

Tube 2: 1.0 mL

Tube 3: 1.0 mL (contains antioxidants necessary to protect the sample integrity)

Tube 4: 1.0 mL

Tube 5: 1.0 mL

-       If sample's not blood contaminated, the tubes should be placed on dry ice at bedside

-       If sample's are blood contaminated, the tubes should immediately be centrifuged (prior to freezing) and the clear CSF transferred to new similarly labeled tubes, then frozen

-       Store samples at -80 until they can be shipped

2)     Complete Medical Neurogenetics, LLC request form. Include test required, sample date and date of birth.

3)     Label tubes with patient name and ID number, leaving the tube number viewable.

4)     Place samples inside a specimen transport bag and the Medical Neurogenetics, LLC request form inside the pouch of the transport bag.

5)     Ship samples frozen on dry ice.


Specimen Minimum Volume

4.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
CSF Frozen CSF KIT

Reject Due To

Specimens other than CSF in special collection kit (MCL supply T657)
Anticoagulants other than NA
Hemolysis NA
Lipemia NA
Icteric NA

Day(s) Performed

Monday through Friday

Report Available

10 to 18 days

Reporting Name

Neurotransmitter Metabolites

Reference Values

Age         5HIAA            HVA            3-O-MD

(years)     (nmol/L)         (nmol/L)       (nmol/L)

 

0-0.2        208-1159       337-1299      <300

0.2-0.5     179-711         450-1132      <300

0.5-2.0     129-520         294-1115      <300

2.0-5.0      74-345          233-928        <150

5.0-10       66-338          218-852        <100

10-15        67-189          167-563        <100

Adults       67-140          145-324        <100

 

Interpretation performed by Keith Hyland, Ph.D.

 

Note: If test results are inconsistent with the clinical presentation, please call our laboratory to discuss the case and/or submit a second sample for confirmatory testing.

 

Method Name

HPLC-Electrochemistry

Performing Laboratory

Medical Neurogenetics, LLC

CPT Code Information

82542

83497

83150