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Doctor insights on: Spinal Tap Vs Myelogram

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Reasons to do spinal tap does a myelogram hurt?

Reasons to do spinal tap does a myelogram hurt?

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 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?

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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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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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?

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 more

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Myelogram shows 3mm spinal cord compression with flattening of the ventral surface. Can this cause R arm pain, headaches & constant dizziness?

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

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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

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

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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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What is a spinal tap ?

What is a spinal tap ?

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 more

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What medication is in a spinal tap?

What medication is in a spinal tap?

Lidocaine : No medicine is injected in the spinal canal in a diagnostic spinal tap. Small amounts of anesthetic are injected in the soft tissues to control local pain. ...Read more

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What is the cause of my spinal tap pain?

What is the cause of my spinal tap pain?

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

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Why am I experiencing continuing pain from a spinal tap in 1998?

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

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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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Did I have a botched spinal tap? Headache.

Did I have a botched spinal tap? Headache.

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 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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How to relieve stiff neck after spinal tap?

How to relieve stiff neck after spinal tap?

Suggestions: if merely stiff neck, could use local heat and Aleve, (naproxen) but if you note increased neck pain and headache upright, with relief on laying down, this c/w fluid leak which may improve with blood patch ...Read more

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How many days after a spinal tap would a migraine last?

How many days after a spinal tap would a migraine last?

spinal headache: Usually, the headache gets better over the first few days. Try staying flat as much as you can. If the headache doesn't get better over a few days, you should let your doctor know. You might need a blood patch. ...Read more

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How is pressure measured for a spinal tap mmhg or cmh2o?

How is pressure measured for a spinal tap mmhg or cmh2o?

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

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