Laboratory Testing for Neurologic Conditions

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Laboratory testing is used in a variety of neurology specialties, including autoimmune neurology, neurodegeneration, and neuro-oncology. Testing may include a variety of techniques such as antibody testing, serum and cerebrospinal fluid (CSF) biomarker testing, and molecular genetic testing. Laboratory test results may be used in diagnosis, prognosis, treatment planning, and monitoring.

Autoimmune Neurologic Diseases - Antineural Antibody Testing

Antibodies serve as markers of autoimmune neurologic disease and may be directly pathogenic.

Alzheimer’s Disease

Fluid biomarkers may be used to diagnose Alzheimer’s Disease in individuals with clinically identified cognitive impairment and may also be used in staging and treatment decision-making.

Multiple Sclerosis

Laboratory evaluation can support a diagnosis of multiple sclerosis, determine appropriate treatment, monitor adverse effects of medication, and monitor for conditions such as leukopenia and lymphopenia.

Autoimmune Encephalitis

Laboratory testing for autoimmune encephalitis includes an evaluation of serum and cerebrospinal fluid for antineural antibodies, assessment for disease mimics, and testing for other markers of autoimmunity.

Myasthenia Gravis - MG

Serologic testing, including testing for acetylcholine receptor binding antibodies and muscle-specific tyrosine kinase antibodies, may be useful to diagnose MG.

Neuromyelitis Optica Spectrum Disorders

Aquaporin-4 receptor or myelin oligodendrocyte glycoprotein immunoglobulin G (IgG) autoantibodies can be used to distinguish neuromyelitis optica spectrum disorders.

Autoimmune Neuropathies - Neuropathic Disease

Detection of an autoantibody in the appropriate clinical context provides evidence of autoimmune neuropathy.

Primary Brain Tumors - Brain Tumor Molecular Markers

Testing plays a role in diagnosis, classification, prognosis, and treatment decision-making in individuals with primary brain tumors.

Fragile X (FMR1)-Associated Disorders

Molecular genetic testing for FMR1 mutations and premutations is used in diagnosis and carrier screening for fragile X-associated disorders.

Hereditary Hearing Loss

Targeted or broad molecular genetic testing may be useful in the diagnosis of hereditary hearing loss.

Angelman Syndrome and Prader-Willi Syndrome

Molecular testing of the 15q11.2-q13 region is used to diagnose Angelman and Prader-Willi syndromes.

Inflammatory Myopathies

Identification of specific antibodies may be used in the diagnosis of inflammatory myopathies, including polymyositis, dermatomyositis, and other conditions.