NMLLABNo:

NEUROMUSCULARLABORATORY
Neur
obi
ologyResear
chCent
re
Nat
ional
Inst
it
uteofMentalHealt
h&Neur
osci
ences
Bangal
ore-560029
AUTOI
MMUNENEUROLOGYLAB
*
Allf
iel
dsar
emandat
ory
.DoNOTuseNeur
opat
hol
ogybi
opsyr
equestcar
dspl
ease

Pat
ientname: Age/
Sex

(
inCAPI
TALS)

Ref
err
alcases: Complet
e
addr
ess,
Doct
or’
sname:
E-
mai
l
Hospi
tal
name:
phonenumber

Dat
eofsampl
e Typeof 1.Cl
ott
edbl
ood2ml
(red
col
l
ect
ion: sample(
ti
ck cap/
yel
l
owcapv
acut
ainer
)
appr
opr
iat
e)
2.CSF

Cl
i
nical
det
ail
s:

TESTSREQUI
RED(
Tickr
elev
anti
nvest
igat
ions)

1)
ANApr
ofi
l
e(i
mmunobl
ot)
:[nRNP/
Sm,
Sm,
SS-
A,Ro-
52,
SS-
B,Scl
-70,
PM-
Scl
100,
Jo-
1,CENPB,
PCNA,
dsDNA,
nucl
eosomes,
hist
ones,
rib.P-
prot
.,
AMAM2]
2)ANCA(
panca/
canca)(i
mmunof luorescence)
3)MOGNMOSDpanelwi
thNMOAquapor
in4Ab+MOGant
ibodi
es
(
immunof
luor
escence)
4)Aut
oimmuneEncephal
i
tismosai
c[NMDA,
VGKC(
CASPR2,
LGI1),
AMPA1
&2,
GABA:
immunof
luor
escence]
5)Par
aneopl
ast
icneur
onal
ant
i es(
bodi Amphi
phy
sin,
CV2,
PNMA2(
Ma2/
Ta)
,Ri
,
Yo,Hu,GAD,Titi
n,Recover
in,SOX1,
Zic4,Tr)
:byi
mmunofluorescence,confi
rmat
ionby
i
mmunobl ot)
6)My ositisPr ofi
le( i
mmunobl ot):(Mi-
2β,Ku,
PM- Scl
100,PM Scl75,Jo-
1,SRP,
PL-
7,
PL-12,
EJ, OJ,RO-52)
7)Ant i
-Gangl i
osi dePr ofil
e(IgG).(GM1,GM2,GM3, GD1a, GD1b,GT1b,GQ1b)
(I
mmunobl ot)
8)Ant i
-Gangl i
osi dePr ofil
e(IgM) .(GM1,GM2,GM3, GD1a, GD1b,GT1b,GQ1b)
(I
mmunobl ot)

E-
mailaut
: oi
mmuneneurol
ogyl
ab@gmai
l
.com/
mahadev
anani
ta@gmai
l
.com
Tel
:080-26995094/
26995137
 NEUROMUSCULARLABORATORY
Neur
obi
ologyResear
chCent
re
Nat
ional
Inst
it
uteofMentalHealt
h&Neur
osci
ences
Bangal
ore-560029
Si
gnat
ure+cont
actNo.

Pleasenote:Sampleswi
llbepreser
vedforupt o2weeksaftertest
ingandthen
discar
ded.Anyrequest
sforrevi
ewofr eportshouldbemadewi thi
n48hrsand
retest
ingwit
hin2weeks(addit
ionalchargesforret
est
ingapply
)
……..
contdpage2

Test
s Govt Chargesfor Labor ator
yat Frequencyof
hospi
tal
s pri
vate Neurobiol
ogy testi
ng**(r
epor
t-
hospit
als(Rs) ResearchCentr
e dayaf t
ert
esti
ng)

ANApr ofi
le(immunobl ot)
:
[
nRNP/ Sm, Sm, SS-A,Ro-
52,SS-
B,
Scl
-70,PM- Scl
100,Jo-1,CENPB,
1800 2700
PCNA, dsDNA, nucleosomes,
hi
stones,ri
b.P-prot.,
AMAM2] Thr
iceaweek

Neurobiol
ogy
ResearchCentre,
ANCA(
pANCA/
cANCA)
800 1200 Neuromuscular
Lab,Room No.205 Thr
icei
naweek

MOG- NMOSD
4000 6000 Thr
icei
naweek
(panelwi
thNMOaquaporin-
4+
MOGant ibodi
es)
Anti-
Gangli
osi
deProf
il
e(I
gG).
2000 3000 Oncei
naweek
(GM1,GM2,
GM3,
GD1a,
GD1b,
GT1b,
GQ1b)
Ant
i-
Gangl
i
osi
dePr
ofi
l
e(I
gM)
.
2000 3000 Oncei
naweek
(GM1,GM2,GM3,
GD1a,
GD1b,
GT1b,GQ1b)
Autoi
mmuneEncephali
ti
smosai
c
[
NMDA,VGKC(
CASPR2,
LGI1)
,,AMPA 5300 8000
1&2,
GABA] Thr
icei
naweek

ParaneoplasticNeur onal
Antibodies
4000 6000 Thr
icei
naweek
(Amp hi
phy si
n,CV2, PNMA2
(Ma2/ Ta),Ri,
Yo, Hu,GAD, Tit
in,
Recov eri
n,SOX1, Zic4,Tr)
My ositi
sPr of
il
e(Immunobl ot):
(Mi-2β,Ku,PM- Scl100, PM Scl75, 4000 6000 Thr
icei
naweek
Jo-1,SRP,PL-7,PL-12, EJ,OJ, RO-
52)
LISTOFTESTSWI THCHARGES&FREQUENCYOFTESTING*

e:*Ch
Not ar
gesar
esubj
ectt
orev
isi
oni
naccor
dancewi
thHospi
tal
admi
nist
rat
ion

E-
mailaut
: oi
mmuneneurol
ogyl
ab@gmai
l
.com/
mahadev
anani
ta@gmai
l
.com
Tel
:080-26995094/
26995137
 NEUROMUSCULARLABORATORY
Neur
obi
ologyResear
chCent
re
Nat
ional
Inst
it
uteofMentalHealt
h&Neur
osci
ences
Bangal
ore-560029
**Intheev entofhol
i
day
s,t
hetestwil
lbeperformedont
henextwor
king
day
Ifserum andCSFsamplesar
esentfortest
ing,bot
hsampleswi
l
lbe
charged.

E-
mailaut
: oi
mmuneneurol
ogyl
ab@gmai
l
.com/
mahadev
anani
ta@gmai
l
.com
Tel
:080-26995094/
26995137
 NEUROMUSCULARLABORATORY
Neur
obi
ologyResear
chCent
re
Nat
ional
Inst
it
uteofMentalHealt
h&Neur
osci
ences
Bangal
ore-560029

I
nst
ruct
ionsf
orsampl
esubmi
ssi
on
1.Send2mlbloodinredcapv
acutai
ner(
clot
tedblood)ORYell
owcap
(GEL)wi
thf
il
ledrequestf
orm(si
ngl
esamplesuff
icientf
orper
formi
ngal
l
test
s)

2.Samplebroughtbypat i
entrel
ati
ves,
shouldbesubmitt
edto
Recepti
oncounterlocatedinGroundFl
oor,Admini
str
ati
veBl
ock,
NIMHANS, Bangal
or e560029[ CASHCOUNTER, openinAdmi
nist
rat
ive
Blockonal
l worki
ngday sfrom 9.
00Am-3.
30pm}

3.Samplesshouldr
eachbetween9.00am-
4.30pm onwor
kingday
s
(secondSat
urday
s,Sunday
sholi
days)

3.SAMPLESFROM OUTSTATI ONCANBESENTBYCOURI ER(wel

l
sealedv acut
ainer
s)atr
oom temperatur
eforserum sampl
esandwith
i
cepackf orCSFsamples.Sampleshouldreachwit
hin48hrsof
coll
ection.Pl
easeensuresamplesareaccompaniedbyrequestf
orm
compl etel
yfi
ll
edalongwithpaymentdetai
ls

4.Paymentmodal i
ti
es-
1.Cashpay mentatOPDcashcount er,
NI MHANS.
2.DDinnameofDi rect
or,NIMHANSpay abl
eatBangal
ore.OR
3.BANKTr ansfer
AccountHolder'sName:-TheDi r
ector
,NIMHANS
AccountName: -NIMHANSRev enueAccount
Bankname: -StateBankofindia,NI
MHANSBr anch
BankAddress:-NIMHANSBr anch,HosurRoad,
Bangalor
e560029
BranchCode:-40675
SBA/ cNo:-64063643613
I
FSCCode: -SBIN0040675
MICRCode: -560006105

Pl
easepr
ovi
deDDdet
ail
s/bankt
ransact
ionI
Ddet
ail
sinr
equestf
orm

E-
mailaut
: oi
mmuneneurol
ogyl
ab@gmai
l
.com/
mahadev
anani
ta@gmai
l
.com
Tel
:080-26995094/
26995137
 NEUROMUSCULARLABORATORY
Neur
obi
ologyResear
chCent
re
Nat
ional
Inst
it
uteofMentalHealt
h&Neur
osci
ences
Bangal
ore-560029

5.Sampl
esshoul
dbesentt
o:

TO:
DR.AnitaMahadevan
Room No.205,NEUROMUSCULARLAB
Neurobiol
ogyResear
chCentr
e,
Administr
ati
veBl
ock,
(Opposi
teLi
brar
y)NI
MHANS,
Bangal
ore560029

4.PLEASEPROVI
DEE-
MAI
LIDANDCONTACTNUMBER.REPORTS
WILLBESENTTOYOUBYE-MAI
L.

5.Anyquer ies
Forsampl e/testr
elat
edqueries:
● Mr .Yashwant h,
JuniorScient
if
icOffi
cer,Neuromuscul
arLab
080-26995094
● Mr .
GnanaKumar ,
TechnicalAssi
stant,
Neur omuscul
arLab
080- 26995094

E-
mailaut
: oi
mmuneneurol
ogyl
ab@gmai
l
.com/
mahadev
anani
ta@gmai
l
.com
Tel
:080-26995094/
26995137