Cerebrospinal fluid (CSF)

Normal values

*Some laboratories might quote different values and units.

DDx

Key

Condition Appearance Pressure WCC RCC Protein Glucose
Normal Clear / colourless 7-20 cm water 0-5 x 106/L 0-10 x 106/L 15-45 mg/dL (150-450 mg/L) 40-80 mg/dL (2.2-4.4 mmol/L)
Subarachnoid haemorrhage Blood-stained early, yellow later ↑ - ↑↑ ↑ ↑↑ ↑ (N)
Bacterial meningitis Turbid ↑ ↑↑ (N) ↑ ↓
Viral meningitis Clear / colourless (N) - ↑ ↑ - ↑↑
neutrophils early, then lymphocytes
(N) ↑ (N)
Fungal meningitis Clear / turbid ↑ (N) - ↑
neutrophils early, then mononuclear
(N) ↑ ↓
Tuberculous meningitis Turbid, +/- fibrin web ↑ ↑ - ↑↑ (N) ↑↑ ↓
Guillain Barre syndrome Clear / yellow (N) - ↑ (N) (N) ↑↑ (N)
Multiple sclerosis Clear / colourless (N) (N) - ↑
lymphocytes
(N) ↑ (N)