Doctor insights on:
Yes: Cerebrospinal fluid (CSF) rhinorrhea is a curable condition. The source of the fluid leak must first be identified, usually by mri, ct or a special nuclear scan. The treatment of this is usually by surgical repair of the leak. Many times this surgery can be performed through the nose, if possible. Untreated CSF leaks can lead to meningitis. ...Read more
Bursa's: are tiny fluid filled "sacks" which lie between a tendon and it's insertion to reduce friction of the tendon as it does its job....in the spine these lie at the insertion(s) of the PARASPINAL muscles on either side of the bony spine! Hope this helps Dr Z ...Read more
What location would you puncture spinal cord to draw cerebrospinal fluid if brain has an infection?
Not the spinal cord: Lumbar puncture is done below the spinal cord itself, usually between 3rd and 4th or 4th and 5th lumbar vertebrae. Spinal cord ends at about first lumbar vertebra but the membranes containing cerebrospinal fluid extend below that. See this site for more info. http://www.mayoclinic.com/health/lumbar-puncture/my00982. ...Read more
Mri test shows loss of spinal height & signal spinal stenosis narrowing of spinal canal diffused disc bluge in contact with thecal sac neural formina narrowed bilatery what treatment do you recommend?
Is surgery needed for indentation of the ventral thecal sac and spinal cord at t8-t9? Bcos dorsal central degenerative intervertebral disc protrusion
Once damaged no: Cartilage once damaged , exposed raw , on articular surface of joint will not regenerate ( wide destruction of it the reason for joint replacement as it causes severe osteo -arthritis ) , synovial fluid the lubricant of joints , its secretion will diminish with disease process.-. ...Read more
Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read moreSee 1 more doctor answer
Specific vs general: Spinal stenosis is not specific to region (cervical vs thoracic vs lumbar). Spinal stenosis of lumbar spine is lumbar spinal stenosis. Central stenosis means the dural sac is compressed. This is as opposed to foraminal or lateral stenosis which usually affects the nerve roots. Hope this helps! ...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?
Can dural puncture from spinal anesthetic from csection cause tarlov cysts? Also where do they put needle for spinal?
Tarlov cysts: Tarlov cysts are not known to be triggered by a dural puncture. For a spinal "tap" the needle is inserted at the level of l4-5 for surgical spinal anesthesia. It may be inserted higher for a myelogram (injecting the "x-ray dye" into the spinal fluid it may be inserted at higher levels. After about L2 level there is no spinal cord inside the spine - just the nerve roots so any approach higher than. ...Read moreSee 1 more doctor answer