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Test Code LAB6026 Pyruvate, Spinal Fluid

Additional Codes

PYRC

Reporting Name

Pyruvic Acid, CSF

Useful For

Investigating possible disorders of mitochondrial metabolism, when used in conjunction with cerebrospinal fluid lactate, collected at the same time, to determine the lactate-to-pyruvate (L:P) ratio

 

Evaluating patients with neurologic dysfunction and normal blood L:P ratios

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

CSF


Additional Testing Requirements


This test does not calculate the lactate:pyruvate ratio. To obtain this information, both this test and LASF1 / Lactic Acid, Spinal Fluid must be ordered. The ratio can be calculated from the results obtained from these tests.



Specimen Required


Specimen Type: Spinal fluid

Container/Tube: Sterile vial

Specimen Volume: 0.6 mL

Collection Instructions: Send specimen from vial 4.


Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
CSF Refrigerated (preferred) 7 days
  Frozen  14 days
  Ambient  7 days

Reference Values

0.06-0.19 mmol/L

Day(s) Performed

Monday, Wednesday

CPT Code Information

84210

Genetics Test Information

The cerebrospinal fluid lactate:pyruvate (L:P) ratio is considered a helpful (not diagnostic) tool in the evaluation of patients with possible disorders of mitochondrial metabolism, especially in patients with neurologic dysfunction and normal blood L:P ratios. Pyruvic acid levels alone have little clinical utility.

Report Available

4 to 8 days

Reject Due To

Gross hemolysis Reject

Method Name

Spectrophotometry (SP)

Testing Algorithm

For more information see: Epilepsy: Unexplained Refractory and/or Familial Testing Algorithm