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Doctor insights on: Can A Spinal Tap Tell If You Have Lupus

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Dr. Dariush Saghafi
379 doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


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Would results from a lumbar puncture give any indication of lupus? My results came back negative and I wonder if lupus is still a possibility

No: If testing, especially the ANA, is negative lupus is very unlikely. Spinal fluid analysis will not help. You give no specifics about your symptoms so it is impossible to comment beyond generalities. ...Read more

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After seen in ER for major headaches/pressure(i was scared due to me having lupus) CT brain -. Lumbar puncture - but lot fluid behind ears they recommend tubes-anything else to help other than surgury?

After seen in ER for major headaches/pressure(i was scared due to me having lupus) CT brain -. Lumbar puncture - but lot fluid behind ears they recommend tubes-anything else to help other than surgury?

DebatedButDecrConges: Debate exists about whether treating nasal congestion/rhinitis helps decr ear fluid problms. Sometimes i will do this with my patients as a test: topical decongestant (ex: afrin) 2 puffs each nostril 3x/day for 4 days (then stop!). At the same time, for 1-2 weeks, aggressive trial of nasal steroid (ex: flonase) 2 puffs each nostril 3x/day for 1-2 weeks, then nl dose. Spray gently & laterally. ...Read more

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Can lupus attack the spinal cord?

Yes: Systemic lupus erythematosis is an auto-immune disorder (antibodies attack the body's own connective tissue in multiple organs). It can be anything from a very mild disorder to one which affects the kidneys, skin, joints, linings of heart or lungs, heart, etc. And yes, the central or peripheral nervous system, including spinal cord. There are many different neurologic manifestations of lupus. ...Read more

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What causes spinal stenosis in someone who is 44? I also have lupus & ra. The pain has been debilitating for two weeks now, what are my options?

What causes spinal stenosis in someone who is 44? I also have lupus & ra. The pain has been debilitating for two weeks now, what are my options?

Many prospects: Stenosis may be caused by any structure that occupies space in the spinal canal leading to crowding of the nerve roots. This could include bulging/herniating discs, thickening of the joints or ligaments and the presence of cysts. This can occur with a single entity or any combination of structures. However, pain may also not be due to stenosis. It could be inflammation, poor blood flow, etc. ...Read more

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I am 46 years old. I have ra, lupus, spinal stenosis and a collapsed disc. I am afraid of both getting and not getting afusion done. What are its pros and cons?

I am 46 years old. I have ra, lupus, spinal stenosis and a collapsed disc. I am afraid of both getting and not getting afusion done. What are its pros and cons?

You are a high risk : Patient for surgery in terms of wound healing issues, infection and fusion success. That does not mean surgery should not be done if truly indicated and needed understanding this risk. You should get a second opinion and make sure you have exhausted all non op options and discuss various surgical options to minimize risk and increase success rate. ...Read more

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I have many chronic conditions. Lupus, spinal stenosis, djd, fibromyalgia, degenerative disc disease. My husband doesn't understand my pain. Any ideas?

I have many chronic conditions. Lupus, spinal stenosis, djd, fibromyalgia, degenerative disc disease. My husband doesn't understand my pain. Any ideas?

Go to doc with you: Have your husband attend your appointments with you. Ask the physician, physical therapist, etc. To explain the nature of the conditions to your husband, including the associated pain and toll it takes on you physically and mentally. Seeing a marriage counselor/psychologist could also be helpful. ...Read more

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Can a spinal tap tell anything about chiari? My neuro doesn't seem worried but I feel like it's slowly killing me. Can hardly swallow food anymore

Can a spinal tap tell anything about chiari? My neuro doesn't seem worried but I feel like it's slowly killing me. Can hardly swallow food anymore

Chiari: Chiari malformations are defects in the cerebellum, part of the brain controlling balance. Cerebellum and the brain stem sit in an indented space at the lower rear of the skull, above the foramen magnum and when part of the cerebellum is located below this it is called a Chiari malformation. Usually diagnosed with imaging studies there is no need for a spinal tap unless you have hydrocephalus ...Read more

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Can you tell me how a spinal tap show whether or not a person has m.s.?

Can you tell me how a spinal tap show whether or not a person has m.s.?

CSF Analysis: Analysis of spinal fluid demonstrates increased immune activity in the spinal fluid compared to serum, presence of the breakdown of myelin, presence of clones of antibody and paucity of cellular proliferation. IgG index, myelin basic protein, oligoclonal bands and cell count that is normal. There is no definitive test for multiple sclerosis. ...Read more

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Had spinal tap. O bands were found in CSF and not blood sample. IgG Index, CSF was 1.20. Does this tell how many bands? Says MS or another disease?

Had spinal tap. O bands were found in CSF and not blood sample. IgG Index, CSF was 1.20. Does this tell how many bands? Says MS or another disease?

Get diagnosed: The spinal fluid may well be consistent with an immune mediated disorder, but MS is a clinical diagnosis based on history, exam, and MRI patterns. Your neurologist should readily be able to sort out these findings. And no, you do not list the number of oligoclonal bands. ...Read more

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How can a spinal tap show whether or not a person has m.S.?

How can a spinal tap show whether or not a person has m.S.?

Electrophoresis: A pattern of oligoclonal banding may become apparent with protein electrophoresis. This coupled with Imaging and physical diagnosis with appropriate history can lead one to the diagnosis. ...Read more

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If a spinal tap goes at a angle what is the possible out come?

If a spinal tap goes at a angle what is the possible out come?

Not usually a prob: The needle is inserted in the midline; while the nerve roots are safe on the lateral aspects of the spine. In the hands of a competent physician there are rarely any dangers of the needle going at an angle. Of course the physician will have gone over the possible risks of the procedure with you prior to performing it. ...Read more

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Why's my back still hurting from a spinal tap that I had weeks ago?

Why's my back still hurting from a spinal tap that I had weeks ago?

See below: If it is still hurting and several weeks have gone by, you should either see the doctor that did the tap or your primary care doctor to determine if more evaluation needs to be done. Sometimes if the tap is difficult, you can be sore for several weeks. ...Read more

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What are some circumstances in which an adult would need a spinal tap?

What are some circumstances in which an adult would need a spinal tap?

Many Conditions: Lumbar punctures or "spinal taps, " can be utilized to assess intra-cranial pressure. They can also be utilized in ruling out viral, fungal, or bacterial CNS infections. A lumbar puncture can also be utilized to rule out occult sub-arachnoid hemorrhage. CSF cytology is also utilized in many CNS malignancies. A lumbar puncture can also be used as a therapeutic procedure in cased of elevated icp. ...Read more

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Common tests for leukemia involve spinal tap?

Common tests for leukemia involve spinal tap?

Leukemia/spinal tap: Several types of leukemia have a predilection for the spinal fluid. A lumbar puncture ("spinal tap") is performed to look for leukemic involvement of the spinal fluid and to give chemotherapy directly into this area, either as a preventive therapy or an actual treatment. ...Read more

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Can a spinal tap exclude als?

Can a spinal tap exclude als?

No: Spinal tap is usually normal and non diagnostic in ALS, but could exclude other diseases which might mimic ALS. ...Read more

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