Lab Information Manual

Laboratory:

Clinical Immunology

Test Name:

NEUROLOGICAL DISEASE PROFILE (IgG + IgM) - (S) (CSF)

Test Code: MITO

Clinical Information:

Restricted to Neurologists or via prior approval.
Complete the pre-approval form by clicking on the following link:
http://clients.intelex.com/DSManitobav5/dcDocumentRetrieveExt.asp?sAuth=5e452e805fc5ade05fbae9ab88f227850bb762a71e3575a51efd1362c4724f16&fromDcPublic=1&DocumentID=9467

Order Neurological Disease Profile (IgG + IgM) on the Mitogen Advanced Diagnostics Laboratory Requisition

Neurological Disease Profile (IgG + IgM): Anti-GM1, GM2, GM3, GD1a, GD1b, GT1b, GQ1b.

Supporting diagnosis of neurological diseases-primarily motor neuron disease and motor neuropathies

Collection Devices:

Preferred Device:	1 - Serum Tube(s), with or without barrier gel - Full Tube Collection Serum Tube(s), with or without barrier gel - Full Tube Collection Manufacturer: Greiner or Becton Dickinson Catalogue #: Greiner: 057352 BD: 367988 or 366430 - and/or -
Alternate Device:	1 - Sterile 15 mL Screw Cap Collection Container Sterile 15 mL Screw Cap Collection Container Manufacturer: Catalogue #:

Specimen Required:

Serum: 2.0 mL

Cerebrospinal Fluid: 1.5 mL

Referral:

Ship frozen

Requisition:

Reference Values:

Negative

Availability:

Within 2 Weeks

Restricted to Neurologists or prior arrangement only