Myelography
Myelography
Myelography is a type of x ray examination that uses a contrast medium to detect pathology of the spinal cord, including the location of a spinal cord injury, cysts, and tumors.
* Indications :--
Spinal stenosis
Spinal cord injury
Cysts
Blood in the CSF
Arachnoiditis (Inflammation of the arachnoid membrane.
Spinal nerve root injury
Compression of the spinal cord by a herniated disc.
* Contrast :--
Non ionic, water soluble, iodine based contrast media omnipaque/Ultravist is used.
* Risk Factors :--
Vomiting
Vertigo
Neck pain
Nerve root damage
Meningitis
Epidural abscess
Contrast reaction
CSF leak
Haemorrhage
* Equipments :--
X ray unit
Fluoroscopy with spot film device
Betadine
Gauze piece
Local anaesthetic
Spinal needle
Syringe
Contrast
Omnipaque and Surgical gloves
* Preparation :--
The procedure should be explained to patient before undergoing procedure.
All metallic ornaments should be removed specially in the abdomen region.
Ask for any history of contrast reaction
Take previous history.
Take consent form
* Procedure :--
The patient lies prone on the table
The lumber area is cleaned with betadine and local anaesthetic is applied.
Then the lumber puncture needle is inserted at the level of L3-L4 under fluoroscopic guidance.
Then the contrast is injected through the needle into the subarachnoid space under fluoroscopic guidance.
Under fluoroscopic guidance PA, AP and Both Lateral images of the spine are taken (Generally lateral images are taken).
* Filming :--
Spine AP and PA
Both Lat view of the spine
Lateral flexion and extension images to demonstrate dynamic stenosis
BLOG WRITE BY : BHARAT GOYAL(RT)
For more details DM 👇👇
instagram.com/bharatgoyal859
Gmail---
bharatgoyal859@gmail.com
SPECIALLY THANKS🙏 🤝 🙏
Mr. KAMLESH MEHTA
ASSOCIATE PROFESSOR
RADIATION PHYSICS
GMCH, UDAIPUR
* Definition :--
Myelography is a type of x ray examination that uses a contrast medium to detect pathology of the spinal cord, including the location of a spinal cord injury, cysts, and tumors.
* Indications :--
Spinal stenosis
Spinal cord injury
Cysts
Blood in the CSF
Arachnoiditis (Inflammation of the arachnoid membrane.
Spinal nerve root injury
Compression of the spinal cord by a herniated disc.
* Contrast :--
Non ionic, water soluble, iodine based contrast media omnipaque/Ultravist is used.
* Risk Factors :--
Vomiting
Vertigo
Neck pain
Nerve root damage
Meningitis
Epidural abscess
Contrast reaction
CSF leak
Haemorrhage
* Equipments :--
X ray unit
Fluoroscopy with spot film device
Betadine
Gauze piece
Local anaesthetic
Spinal needle
Syringe
Contrast
Omnipaque and Surgical gloves
* Preparation :--
The procedure should be explained to patient before undergoing procedure.
All metallic ornaments should be removed specially in the abdomen region.
Ask for any history of contrast reaction
Take previous history.
Take consent form
* Procedure :--
The patient lies prone on the table
The lumber area is cleaned with betadine and local anaesthetic is applied.
Then the lumber puncture needle is inserted at the level of L3-L4 under fluoroscopic guidance.
Then the contrast is injected through the needle into the subarachnoid space under fluoroscopic guidance.
Under fluoroscopic guidance PA, AP and Both Lateral images of the spine are taken (Generally lateral images are taken).
* Filming :--
Spine AP and PA
Both Lat view of the spine
Lateral flexion and extension images to demonstrate dynamic stenosis
BLOG WRITE BY : BHARAT GOYAL(RT)
For more details DM 👇👇
instagram.com/bharatgoyal859
Gmail---
bharatgoyal859@gmail.com
SPECIALLY THANKS🙏 🤝 🙏
Mr. KAMLESH MEHTA
ASSOCIATE PROFESSOR
RADIATION PHYSICS
GMCH, UDAIPUR
THANK YOU
😊 STAY SAFE STAY HAPPY 😊
😊 STAY SAFE STAY HAPPY 😊
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