Interpretation
CSF glucose should be intepreted with a paired blood glucose measurement. In normal health, the CSF glucose is approximately two-thirds of the plasma glucose.
A low CSF glucose may be seen with microbial contamination of the CSF (i.e. meningitis) due to microbial consumption of the glucose in the CSF. In general, a low CSF glucose is seen with a bacterial (and sometimes fungal) meningitis, whereas a viral meningitis is usually associated with a normal CSF glucose concentration.
Reference Intervals
2.8 – 4.4 mmol/L
This reference interval assumes a state of normoglycaemia. In hyperglycaemia, a higher CSF glucose would be expected. For this reason, CSF glucose should be interpreted with a paired measurement of plasma glucose.
Test Method
Enzymatic spectrophotometry on a Beckman Coulter AU5822 analyser using Beckman Coulter reagents.