Doctor insights on:
Normal Opening Pressure Lumbar Puncture
Can a opening pressure of 20 indicate IIH? Can Chiari blocking CSF flow affect the opening pressure?
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 moreSee 1 more doctor answer
2010 lumbar xray scoliosis an sclerosis of facet joints a MRI in 01an06 of neck hern/buldg disc min pressure on spinal cord, what test show nerve dam?
3: Physical exam, ssep and emgncv.Get a more detailed answer ›
Can cervical spine disk protrusion at c5 & c6 elevate blood pressure to 160/100 & extremen back neck pain . ?
Disc extrusion: Disc extrusion and pressure can be very painful. When we are in pain our blood pressure can respond by elevating. One the pain is alleviated the blood pressure should return to normal. If not is may have a separate cause. All the best and I hope you better soon. ...Read moreSee 1 more doctor answer
Back pain & numbness in foot after MRI report l5-s1: wide based shallow disc herniation eccentric to left. Mild degree facet prominence. Central canal not significantly stenotic. What does this mean?
Cervical spine MRI showed normal spine curvature but straight spinal cord that didn't follow spinal curve. What is this?
Normal: The cord does not travel exactly as the bony architecture does. This is likely more of a comment by the radiologist rather than any real pathology. ...Read more
Tingling in left heel after hot shower/hot weather. Brain/spine mri normal except hernation at t7-t8 with flattening of the left ventricle spinal cord, disc protrusions and spondylolisthesis from L4-S1 resulting in stenosis. Why the heat sensitivity?
Heel tingles: High heels? Discuss with your neurologist.Get a more detailed answer ›
Had LP done between l2/l3. Had disc bulge at L5 prior, no other pain/issues. Post LP mri- l3/4 disc bulge/tear, hypertrophy, stenosis. LP cause of it?
Had an MRI and dont understand results. "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.
Spinal Stenosis: Did a doctor explain to you the results or did you just obtain a copy? In general you have a protruding disc (not sure if neck or back) that is impinging on the spinal canal and resulting in narrowing of the canal. I would imagine you are having pain, weakness, numbness? ...Read more
Had two spinal taps.. 1st high opening pressure. 4 o bands, high protien, mild bbb disruption. 2nd 1 band, normal pressure and protein. Significance?
Prominent disc space narrowing, bulges, and mild degenerative changes throughout lumbar spine for some years. Spinal decompression? Best opinions pls!
Spinal decompression: Remember, any changes that occur with traction are temporary. Once normal weight bearing is restored, all changes revert to pre-traction state. Inversion tables do exactly the same thing for about $250 total vs. Around $200 per treatment with traction. So if it feels good, it sure beats popping pills! consider a mckenzie pt, or pilates/yoga/piyo as preventative. And don't smoke--accelerates ddd. ...Read moreSee 1 more doctor answer
Please help..Thoracic foraminal stenosis, hemangioma within t5, c6/c7 disc anteriorally touch cord lft vent nerve displace v.E narrowing.
Pplease see below: Please be more specific. What are your symptoms? ...Read more
On cervical mri what does minimal CSF present within thecal sac mean? Narrowing anterior & posterior CSF spaces.
Space is tight: Sounds like this is concerning to you. It means that space is tight around the spinal cord. This usually isn't an emergency. You should discuss this finding with the doctor who ordered the test, who can put those findings into the context of your history and exam and can discuss next steps with you. Good luck! ...Read moreSee 1 more doctor answer
Orthopedic: Mri shows right foraminal narrowing (moderate-sev) but notes no central cervical spinal canal stenosis. Any impingement into spinal cord?
I have whooshing in my ears, headpain and CSF leaks out nose. I am to have an IR Lumbar Puncture, if I am not symptomatic at time of LP am I wasting my time to obtain a diagnosis and opening pressure? The condition seems to be positional and I'm trying to
CSF leaks: are no small matter. If you have one it needs to be thoroughly evaluated as to location and cause. CSF leaks provide an avenue by which infection can enter the central nervous system (meningitis). This can be fatal. Don't put any evaluation of this issue off until another time. ...Read more
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
Hi. I had a lumbar puncture 2 days ago and have been dizzy and have had a feeling of pressure in my head since then. Is this normal?
Today i had a lumbar puncture done but my back is absolutely hurting so much its incredible. The spinal fluid was clear by the way and the pressure was 19 but he said that was normal because of slight stress. But my back is hurting like crazy sinds the pu
Sorry to hear that: Sometimes LP's can result in lower back pain. Your doctor should've prescribed something for your pain in case it developed. Also, you should drink plenty of fluids and be taking it easy from heavy exertional activities for a couple of days. It'll get better. But if it gets worse or something feels like it's swelling in the low back etc. you should contact the doctor right away. ...Read moreSee 2 more doctor answers
Fatigue, leg pain/weakness, balance/memory problems. 3 lesions on MRI brain. Lumbar puncture, labs, emg, and segmental pressure test all normal. Help?
I need a 2nd Lumbar Puncture due the possibility of IH. Because in the 1st they didn't take the pressure. Is this procedure safe, too often?
Spinal tap questions: This procedure is generally considered safe in an experienced doctor's hands. I would ask how many procedures they have done before. There is also the option sometimes of having interventional radiology do the procedure which might make it easier. There are always small risks with a procedure like that-since it is a very long needle entering a deep space (bleeding, risk of infection, nerve damage) ...Read more
Is it safe to do strenuous work with bilateral papplidema before the lumbar puncture or could the spinal fluid pressure cause further problem?
I had a lumbar puncture 2 days ago.. Pain in my head and neck is horrendous so much so i cannot sit upright for the pressure/pain what should I do?
Spinal headache: This is a spinal headache. The small hole in the covering of the nerves and spinal cord that allowed the doctor to get the fluid is stil leaking. The headache is worse when you head is up and better when your are down. Try caffeine or have your doctor give you medicean that contains a barbiturate. If these fail you may need a blood patch. ...Read moreSee 1 more doctor answer
If increased intracranial pressure(icp) is contraindicated in lumbar puncture, why one of the indication of this procedure is to decrease the icp?
Different situations: It depends on the clinical situation. If there is a mass lesion in the brain that causes a differential pressure between the supratentorial and infratentorial areas, lumbar puncture can accentuate the difference and lead to herniation of brain downward. If there isn't this differential (communicating hydrocephalus), a spinal tap can decrease the pressure uniformly throught the CSF system. ...Read moreSee 1 more doctor answer
Can make it worse: Study of 30 patients with raised intracranial pressure whose condition worsened after lumbar puncture emphasizes the danger of carrying this out in the presence of raised intracranial pressure. In half the cases deterioration was immediate and dramatic, and in the other half it occurred within 12 hours. ...Read more
Can they take out cfs from a VP shunts valve and measure the pressure to see how high it is instead of needing a lumbar puncture?
Tap: The safest and best route of having CSF removed in anyone, with/without shunt, is via lumbar puncture/spinal tap. An alternative route is a cervical tap, which is higher risk and more painful in general. In the right hands, an LP is minimally painful. I sometimes recommend a relaxing medication prior to having one & request the performing provider use sufficient numbing medication. ...Read more
If a patient is unable to have a lumbar puncture, what are some other options to monitor CSF pressure - specifically inside the head?
My wife had a Lumbar puncture and a blood patch for the headache that came after She now has alot of pressure and pain around her eyes should we worry?
I frequently can see black spots in my eyes that pulsate like my heartbeat. What may cause this? Lumbar puncture pressure of 30
Full eye exam/MRI: Many things can cause this. Typically black spots are "floaters" or problems with the vitreous fluid in your eye. However, pulsating can be a problem with the optic nerve and vasculature of your eye. Given your LP "pressure of 30" you need a pupil exam, a full exam of your retina and optic nerve, and likely visual field testing with OCT testing of your optic nerves, CT/MRI scan brain ...Read moreSee 1 more doctor answer
Does mild Papilledema mean my VP shunt isn’t working properly? I had high csf pressure a few months ago but a lumbar puncture drained it out
Neurosurgeon: Papilledema generally means increased intracranial pressure. Your neurosurgeon is best qualified to evaluate,advise and treat you for increased intracranial pressure, if treatment is needed according to his/her judgement. ...Read more
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 moreSee 1 more doctor answer
My partner went in to hospital with sudden severe headaches, 2 failed lumbar punctures, 1 sucessfull, showed blood in spinal fluid which lead to CT and MRI scan, both clear, after lumbar puncture, can't urinate! pressure tested on bladder and detusor musc
If the opening pressure from my lumbar was 37 and they took it down to 11, is that bad and what does that mean for me?
Diagnosis?: An opening pressure of 37 is dangerously high. But the question of what it means depends on why it's high. You didn't give us a diagnosis--a cause of the high pressure. If they don't know the cause, they need to find out. ...Read more
With my opening pressure from lumbar p. Being too high 35 and the doctor can't find what's causing it how can it affect me? Could it mean cancer?
Comments: Could be you have pseudo-tumor cerebri, assuming that the pressure was measured accurately, and the remainder of the spinal fluid profile was normal. (straining during the lp, valsalva type issues can falsely elevate) did your doctor discuss this with you? Why is there a question of cancer, are there genital organ issues? Need to reach conclusive cause. Have a comprehensive conference. ...Read more
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