You need to sit or lay down for several hours after the procedure to reduce your risk of developing a CSF cerebral spinal fluid leak. Most patients are asked to lie down for two hours after the procedure. If you need to urinate, you may need to do so in a bedpan or urinal during the time that you need to stay flat.
You will be asked to drink extra fluids to rehydrate after the procedure. This helps to wash out the contrast dye and it helps your body replace the spinal fluid that was removed.
It also reduces the chance of developing a headache. When you have completed the recovery period, you will be taken to your hospital room or discharged to your home. If you go home, usually your healthcare provider will advise you to rest for the remainder of the day. Once you are at home, tell your doctor of any changes including:. If the headaches persist for more than 24 hours after the procedure, or are worse when you change positions, contact the neuroradiology team with the phone number provided on your discharge instructions.
You may be instructed to limit your activity for 24 hours after the procedure. Your healthcare provider may give you other specific instructions about what you should do after a myelogram.
Health Home Treatments, Tests and Therapies. Why might I need a myelogram? What are the risks of a myelogram? Because this procedure involves a lumbar puncture, these potential complications may occur: A small amount of CSF can leak from the needle insertion site.
This can cause headaches after the procedure. If there is a persistent leak the headache can be severe. There is a slight risk of infection because the needle breaks the skin's surface, providing a possible entry point for bacteria. Short-term numbness of the legs or lower back pain may be experienced.
There is a risk of bleeding in the spinal canal. How do I get ready for a myelogram? If you have an active infection or fever, your procedure may need to be rescheduled. Arrive one hour prior to the scheduled procedure time for check-in and to be prepped for the procedure. Please note: You will be unable to drive for 24 hours after the procedure. If you are taking a cab or using public transportation, you need to bring a friend or family member to accompany you after the procedure to your home or hotel.
A cab or public transportation driver is not considered an escort. What happens during a myelogram? Generally, a myelogram follows this process: Your healthcare provider will explain the procedure to you and ask if you have any questions. We use an x-ray or CT machine to guide the placement of the needle safely and accurately into the correct position.
A small sample of the CSF will be taken and sent for analysis. After the procedure, you will be instructed to lie flat to reduce the risk of a headache. There is a risk of headache, due to leakage of the cerebrospinal fluid from the site of the lumbar puncture where the needle was given.
Having you lie down for at least a few hours after the procedure helps to minimize this risk. There is a small risk of bleeding and infection from the injection site, which is uncommon but potentially serious.
Please inform us if you are on medication to thin your blood e. Warfarin, Aspirin or Clopidogrel. You may need to stop this medication prior to the procedure, but only after discussion with your doctor. Before the procedure, you may be asked to change into an examination gown for your comfort, and to ensure clothing does not affect the imaging. You may also be asked to remove jewellery, eye-glasses and any metal objects that might interfere with the imaging.
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