Doctor insights on:
Spinal Tap Vs Myelogram
Spine evaluation: 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 hours and be discharged. ...Read moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
Myelogram CT with a lumbar puncture 7ds and 2bld patch later it was CSF leak. Myelo showed dual cerv & lumb stenosis. Is it poss CSF crashed my syst?
I am going to get a myelogram with full spinal fusion. I am worried that they won't be able to insert the needle correctly. Are there any risks in terms of the needle/dye and my hardware?
Myelogram: Prior surgery in the lumbar spine can create difficulties in needle placement if a myelogram is needed. Rather than attempting to locate a gap in the fusion to place the needle, an alternate approach is to perform a c1-2 puncture in the cervical spine and allow the contrast dye to travel downward from the neck. For a neurosurgeon, the technique is simple as the patient is kept upright not prone. ...Read moreSee 2 more doctor answers
Myelogram shows 3mm spinal cord compression with flattening of the ventral surface. Can this cause R arm pain, headaches & constant dizziness?
Yes: Hello. Your findings can be the cause of your complaints. To assess further, I would recommend a full consultation. If interested we can set up a time to fully address your concerns. ...Read more
I am scheduled to have a ct-myelogram w/contrast. I had a reaction to the contrast material previously. I had a prior reaction. I have a charite artificial disc in my lumbar spine. I have a spinal fusion above and below the disc. L3-l4 are fused with the
"Contrast" : "contrast" is a preparation that is used in medical imaging to increase the visual difference between similar or adjacent tissues. Contrast can be as simple as frothy salt solution, which is useful in some ultrasound studies, or much more complex, such as the gadolinium-containing molecules used for contrast in MRI studies. Ct contrast contains iodine, an element whose properties block x-rays that are used in the ct scanner. Common benign responses to iodine-containing contrast includes flushing (a pretty noticeable sense of warmth) and a metallic taste in the mouth. More profound responses include itching, hives, and swelling in the throat. These are called "anaphylactoid" reactions. The risk of anaphylactoid reactions can be reduced with medications like Diphenhydramine and corticosteroids. These sorts of reactions are common enough that radiologists and radiology technicians can spot them quickly, and all ct scanning suites are equipped to deal with them. Seafood and topical iodine allergies are not predictors of who will develop an anaphylactoid reaction to ct contrast (although this is a widely-held erroneous belief). Another response to ct contrast is kidney injury. The risk of kidney injury might be reduced by things including avoiding certain medications and keeping well-hydrated prior to the procedure. Concerns regarding reactions to ct contrast are valid, and should be addressed with the physician who orders the test as well as the physician who is responsible for performing the test. ...Read more
A DIAGNOSTIC TEST: Spinal tap is a diagnostic test they make the patient lay on their side in fetus position knee bends and head down pushing the back out sometime they use sedation they clean the area of the lower back with anti septic solution they the injected the skin with numbing medicine, they place long needle in the spine to sample fluid to analyse it it is uncomfortable but not painfull. ...Read moreSee 1 more doctor answer
Spinal tap pain: Sometimes patients have a "spinal headache" following lumbar puncture ("spinal tap") because a small amount of fluid continues to leak from the site. In other patients, pain occurs because bleeding or infection has occured in the area. In any of these cases, it is exceedingly important to report these symptoms to your doctor so that you can be diagnosed and managed appropriately! ...Read more
Something else: That is very unusual for a small puncture from a spinal tap to cause long lasting pain. There are usually other causes in the low back that can produce pain in the same area. A thorough evaluation is recommended to rule out other reasons for pain. ...Read more
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
Maybe: Headache is common after a spinal tap, and is classically worse with sitting or standing up and better with lying down. While post-tap headache usually improves with time, fluids, and caffeine, it sometimes requires a procedure known as a blood patch to make it go away. ...Read moreSee 1 more doctor answer
Cm or mm of CSF: CSF pressure is measured in mm or cm of CSF as there is no mercury in the measuring tube. ...Read more
It is not common: But it is possible, check with your doctor how did the spinal tap. ...Read more