Effective October 23, 2025, this test is currently unavailable due to limited clinical utility for this method. It is recommended to order a phenotype-specific autoimmune/paraneoplastic evaluation. For more information as well as phenotype-specific testing options, see Autoimmune Neurology Test Ordering Guide.
Evaluation of cases of chorea, vision loss, cranial neuropathy and myelopathy
Immediately following collection, mix sample by gently inverting 5 times
Gold serum separator (SST) tube
Refrigerated (preferred) – 28 days
Ambient – 72 hours
Frozen – 28 days
Western blot
Negative
A positive result confirms that a patient's subacute neurological disorder has an autoimmune basis, and is likely to be associated with a small-cell lung carcinoma (SCLC) or thymoma, which may be occult. A positive result has a predictive value of 90% for neoplasm (77% SCLC, 6% thymoma). Seropositivity is found in approximately 3% of patients who have SCLC with limited metastasis without evidence of neurological autoimmunity.