Test Directory

Test Code
CDS1
Test Name
CNS Demyelinating Disease Evaluation
CPT Codes
86053, 86363
Included Tests
  • Myelin Oligodendrocyte Glycoprotein FACS
  • Neuromyelitis Optica/Aquaporin-4-IgG FACS
Expected Turnaround Time
7 - 10 days
Clinical Utility

Useful for:

  • Diagnosis of inflammatory demyelinating diseases (IDDs) with similar phenotype to neuromyelitis optica spectrum disorder (NMOSD), including optic neuritis (single or bilateral) and transverse myelitis
  • Diagnosis of autoimmune myelin oligodendrocyte glycoprotein-opathy
  • Diagnosis of neuromyelitis optica
  • Distinguishing NMOSD, acute disseminated encephalomyelitis (ADEM), optic neuritis, and transverse myelitis from multiple sclerosis early in the course of disease
  • Diagnosis of ADEM
  • Prediction of a relapsing disease course
Specimen and Container Info

Specimen Type: Serum

Preferred Collection Container: Red Top, Plain

Alternate Collection Container: Gold Top, Serum Separator

Desired Specimen Volume: 3 mL

Collection Instructions
  1. Collect a red top, plain tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells.
  2. Transfer 3 mL of serum to a clear aliquot tube (screw cap).
Patient Preparation

For optimal antibody detection, specimen collection is recommended before initiation of immunosuppressant medication.

Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

72 hours

Refrigerated

28 days

Frozen

28 days
Causes for Rejection
  • Gross hemolysis
  • Gross lipemia
  • Gross icterus
Methodology
Flow Cytometry
Reference Intervals

See patient report.

Limitations

Aquaporin-4-IgG and myelin oligodendrocyte glycoprotein-IgG antibodies may drop below detectable levels in setting of therapies for acute attack (IV methylprednisolone or plasmapheresis) or attack prevention (immunosuppressants).

Alternate Names
  • ADEM
  • AQP4
  • Aquaporin
  • Devic's Antibody
  • NMO (Neruomyelitis Optica)
  • NMO-IgG
  • Optic Neuritis Antibody
  • Transverse Myelitis Antibody
  • Vision Loss Antibody
Reference Lab
Mayo Clinic Laboratories
Testing Schedule
Routine, 3 times per week