MYELOGRAM
Your doctor has recommended that you undergo a test in the Interventional Radiology Department called a myelogram. The information obtained from this test will be important in the diagnosis and treatment of the medical problem for which you are here.
What Is A Myelogram?
A myelogram is a diagnostic test. It is the study of the space that surrounds your spinal cord and the tunnels through which nerves root travel to your body. Common problems studied with myelograms are disc herniations and pinched nerves. There may be other special problems and these will be discussed if necessary. X-ray contrast is injected into the spinal fluid either in your neck or lower back and X-rays are taken. After the procedure while there still is X-ray contrast in your system, you will be taken to CT for a scan of your spine and the surrounding structures. The contrast will be eliminated from your system by the kidneys.
Is There Any Preparation for A Myelogram?
Yes. On the day of your procedure, you may take your daily medications, including pain medications, and have a light breakfast. In preparing for your procedure it is important to drink plenty of fluids. At your appointment time you will have a consultation with the radiologist who will give you instructions, answer questions, and have you sign a consent form. You will also have some blood work done prior to the myelogram.
Will it hurt?
You will receive an injection in your arm or buttocks of a medicine which will relax you for the procedure. Before the radiologist puts the spinal needle in your lower back or neck, they will numb the area with Xylocaine. This may sting slightly.
Are There Any Side Effects after the Procedure?
Some people have some lower back, neck, or leg pain after the myelogram which seems to go away in minutes. Occasionally patients get a headache. The best prevention is to drink 6-8 glasses of non-alcoholic fluid after your procedure and to avoid any vigorous activity until the following day. The radiologist will discuss what to do if you should get a headache.
How Long Will the Procedure Take?
Once you are taken to the post observation area the length of time of your procedure is approximately 1 1/2 hours which includes the myelogram and CT scan. You will probably spend a total of 3-4 hours in the hospital for your procedure.
Who Will Read This Study?
A radiologist will be interpreting the films and your physician will receive a report in the mail.
Are There Any Special Restrictions After The Procedure?
Yes. You will be unable to drive home. It is important that you have transportation arranged prior to your myelogram. Other restrictions may apply to and will be discussed during your consultation.
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