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Doctor insights on: Can You Tell Me The Difference Between A Lumbar Puncture And A Myelogram

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Can you tell me the difference between a lumbar puncture and a myelogram?

Can you tell me the difference between a lumbar puncture and a myelogram?

Injection of dye: They both involve a needle being placed into the spinal canal. In a lp, cerebrospinal fluid is removed from the canal, while in a myelogram a dye is injected into the canal. This dye allows very clear imaging of the spinal cord and nerve roots. ...Read more

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Myelogram (Definition)

A myelogram is a common diagnostic study that most patients tolerate well. The physician will place you on a flouroscopy table, prep your lower back, inject a local anesthetic, place a needle in your back, inject dye, remove the needle, place a bandaid and summon the radiology tech to take x-rays. Then you will have a ct. You will be observed for several ...Read more


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How do a lumbar puncture and a myelogram differ?

See below: A LP involves withdrawing cerebrospinal fluid for study. A myelogram involves injecting a special dye for evaluation of spinal pathology. The placement and location of the needle are the same for both procedures. ...Read more

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What is the difference between spinal anethesia (for csection) and a lumbar puncture (for CSF testing)? Is one more painful then the other?

What is the difference between spinal anethesia (for csection) and a lumbar puncture (for CSF testing)? Is one more painful then the other?

No, they are the: same procedure and you are given local anesthesia prior in both. You might be able to receive sedation prior to CSF testing but probably not if pregnent ...Read more

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I'm really nervous about lumbar puncture, what can you tell me more about this?

I'm really nervous about lumbar puncture, what can you tell me more about this?

Normal: It is perfectly normal to be nervous about this, but its a simple procedure. If your doctor is okay with it, ask to take a sedative just before the procedure. Local anesthetic in the back helps reduce any pain/discomfort associated with the procedure. ...Read more

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I must have a Lumbar Puncture. I do not have Insurance and must pay out of pocket. Can someone tell me how much this procedure will cost?

I must have a Lumbar Puncture. I do not have Insurance and must pay out of pocket. Can someone tell me how much this procedure will cost?

Depends on tests: The lumbar puncture kit itself costs about $50-100 retail (varies depending on the hospital / facility). But that is not the expensive part. After doing the lumbar puncture, fluid is commonly sent for different tests to help diagnose what is going on. The cost of the procedure depends on the type & number of tests. Some fancy tests - PCR for herpes virus, as an example, can run hundreds of dollars ...Read more

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I'm having lots of poison in my lower left back 4 weeks after a lumbar puncture. I've had a bulged disk in the past but it was on the right side.

R/O SPINAL TRAUMA: After a lumbar puncture, which may be done to evaluate for meningitis , encephalitis or MS. You may suffer from a severe spinal headache and/or pain at the puncture site. If this is the case you need to call your doctor and it may be remedied by a blood patch. If it was a difficult LP you may have a spinal cord hematoma. Either way you need a full exam blood work and a follow up MRI. ...Read more

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I had a lumbar puncture 7 hours ago and now I'm having somewhat severe back pain and I feel foggy. Is this normal?

I had a lumbar puncture 7 hours ago and now I'm having somewhat severe back pain and I feel foggy.  Is this normal?

Any headache?: #1 adverse effect of lumbar puncture is post-procedure headache, which is treated with lying flat and drinking lots of water besides the pain meds. Back pain where the LP was done, if persistent beyond 48 hrs, may indicate infection, but more likely nerve involvement during the procedure. Mental lethargy should not happen unless you had meningitis. Was meningitis what LP was done for? ...Read more

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What should normal inter crainal pressure be during my last lumbar puncture my beginning pressure was 38 i was just wondering i also ha e iih?

What should normal inter crainal pressure be during my last lumbar puncture my beginning pressure was 38 i was just wondering i also ha e iih?

Positional: In the side-lying position intracranial pressure as measured during lumbar puncture should be between 100 and 150 cm of water pressure. If pressure is measured while sitting upright, pressure level in fluid column should extend to base of skull (foramen magnum) but numerically will exceed 150. The rest of your question is unclear. Are you asking about a post-spinal headache? ...Read more

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What tests besides lumbar puncture can be used to diagnose ms?

MRI: An MRI of brain with and without contrast can be very diagnostic, but often MRI of neck added in ambiguous cases. The lumbar puncture certainly can be confirmatory, especially with elevated oligoclonal bands, but often is not necessary if other studies are convincing. We very rarely use evoked potentials these days, but might also assist in some cases. ...Read more

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What tests besides lumbar puncture can be used to diagnose ms?

What tests besides lumbar puncture can be used to diagnose ms?

MRI: An MRI of brain with and without contrast can be very diagnostic, but often MRI of neck added in ambiguous cases. The lumbar puncture certainly can be confirmatory, especially with elevated oligoclonal bands, but often is not necessary if other studies are convincing. We very rarely use evoked potentials these days, but might also assist in some cases. ...Read more

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Pain down the spinal cord after having a lumbar puncture?

LP complications: When spinal tap is done, if difficult, you might have local external bruising, swelling, and tenderness. Rarely, a local infection could occur. Typically, the usual reactions dissipate within a day or two. If symptoms are worsening, contact your doctor. ...Read more

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How long can a lumbar puncture/ spinal tap headache last?

Days: Varies, but often can take a few days to completely go away. If the headaches are increasing or accompanied by other symptoms (stiffness, fever, neck pain, etc) you should see the physician that did the spinal sampling. It takes a bit of time to restore the volume of fluid drawn during that time headache (alone) are not uncommon. ...Read more

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I have a post lumbar puncture headache, should I get treated?

I have a post lumbar puncture headache, should I get treated?

Depends on duration: This depends on the duration of the post LP headache. If you have a headache when upright, that improves when lying flat following an LP that has been present for several days, you should call the doctor and explain your symptoms. Treatment is usually very effective in terminating symptoms in several hours. Lp. ...Read more

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For how long does a lumbar puncture/ spinal tap headache last?

For how long does a lumbar puncture/ spinal tap headache last?

Duration: It can last from two days to rarely a month, cured immediately most of the time with an epidural blood patch. ...Read more

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How much time does a lumbar puncture/ spinal tap headache last?

How much time does a lumbar puncture/ spinal tap headache last?

Post LP Headache: Post lumbar puncture/spinal tap headaches last until the tiny hole in the dura seals. This can be years but is usually a day or 3. Typically, the cure is to lay flat for 24 hours to keep the pressure low and allow the tiny hole in the dura to heal which it almost always does. Lots of caffeine is helpful too. You may want to call your dr and ask about a blood patch. ...Read more

Dr. Andrew Berry
1 doctor shared a insight

Lumbar (Definition)

The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...Read more


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