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iSpine Discuss Please post your myelogram experiences in the Main forums forums; Mark and Friends, My lumbar myelogram in 2006 was uneventful, though my nerves felt "amped" for months afterward. ...

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Old 12-21-2007, 01:45 AM
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Default my myelogram

Mark and Friends,
My lumbar myelogram in 2006 was uneventful, though my nerves felt "amped" for months afterward.

1. did you experience spinal headache?

No.

2. if you were worked up for complications following myelogram..
N/A

3. When you were consented for myelogram, what were you told about complications, rates, etc...

Nothing at all, not by the doctor or the technician.


Later,
Jeff
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19+ years back pain w/ advancing disc degeneration.
2002-2 level lumbar IDET w/ Nucleoplasty (very unsuccessful; huge setback)
Three level lumbar Charite (L3/4, L4/5, L5/S1) with Dr. Zeegers in Munich, Germany: 2/25/05 (successful)
Two level cervical Mobi-C (C5/6, C6/7) 2/2/07 with Dr. Zeegers (successful)
Laser Facet Coagulation (left side: L3/4, L4/5, L5/S1 & sacral) 11/04/10 with Prof. Dr. Reul / Beta Klinik (significant reduction in remnant lumbar & sacral pain)
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Old 12-21-2007, 02:42 PM
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Myelo 1
1981 - No Complications
1. did you experience spinal headache? No
2. if you were worked up for complications following myelogram - No complications
3. When you were consented for myelogram, what were you told about complications, rates, etc... - No

Myelo 2
2002 - CSF leak, No infections
1. did you experience spinal headache? Yes
-- had severe headache and uncontrollable vomiting (you went to hospital) - yes, went to hospital after 4 days?
2. if you were worked up for complications following myelogram
2b. Corrective action? (blood patch or other treatment for CSF leak?)
*** First Blood patch - much worse, nausea even laying down, squirming & clutching head
*** Second Blood patch (about 40 minutes after 1st) - Better than 1st patch, but much worse than before the 1st patch. They gave me some vicodins for home but I threw them up. In bed for a week. Headache persisted for 2 weeks or so.
3. When you were consented for myelogram, what were you told about complications, rates, etc... - Can't remember for sure, the tech/nurse who prepped me probably mentioned
LESSONS LEARNED: never go to Overlake Hospital in Bellevue, WA. Overlake Hospital Radiology MDs are cavalier hacks and the staff in general, even nurses and ER staff, are surly prison guards.

Myelo 3
2005 - No complications
1. did you experience spinal headache? No Complications
3. When you were consented for myelogram, what were you told about complications, rates, etc... Probably

Jim
1981 diskectomy
2003 L5S1 Charite

Last edited by Jim M2; 01-06-2008 at 12:39 AM. Reason: correction
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Old 12-21-2007, 05:32 PM
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Default re myelograms

Had 2 and both times had bad spinal headaches that actually required hospitalization for one week (7 days), flat in bed even to eat, catheter in so not out of bed to urinate, and forget a bowel movement. The latter had to happen with citrate of mag (or the "bomb") as the neurosurgeon so aptly called it.

So do I ever want a myelogram again.. no, not if it can be avoided. I was told the 2nd time that I wouldn't be getting a spinal headache because what was being used was so much improved over what was used in '89 (1rst myelogram) and 2nd one was in '92. This was about as much informed consent as I got. Was advised about very low infection rate and that it rarely happened. This is right before procedure as I recall, not by Neuro ordering it.

The neuro didn't want to give me a blood patch either time altho I was told about it. Said time, fluids and lying flat in bed would do the trick and for me fortunately it did as lying there flat in bed and raising one's head just a fraction feeling like a building made of lead is sitting on your head just made me contemplate jumping out of a window to get rid of the myelogram induced headache!!!!

Diagnostics CT w/myelogram tho post procedure w/
spinal h/a admission to hospital seemed like it was a pretty common occurence or at least it was treated that way.

Last edited by Maria; 12-23-2007 at 03:06 PM.
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Old 12-21-2007, 09:02 PM
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Unfamiliar with my amount of pain, Dr. R suggested a myelogram after returning from Germany. Never informed me about any possible side effects. Technician so advised and I refused test.

PM knew exactly what pain was and what caused it without further testing. Dr. R wasn't happy!
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Old 12-23-2007, 01:19 PM
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Default myelogram

After one months bed rest in a London hospital in 1983 I was given a myelogram (or radiculogram) in the London Hospital for Nervous Diseases.
I was told they were using a new contrast medium "Iohexol" and that I wouldn't get a headache.
The procedure went ok except my thigh muscles felt very crampy. When I was returned to the ward I was told to drink about 2 litres of water so I wouldn't get a headache......It didn't work!
Boy oh boy was I ill. Severe headache, and vomiting every time I moved my eyes and I couldn't stand the light from the window.
Was given an injection to try and stop the vomiting and the curtains were drawn. I was told to stay upright in bed and not to lie flat. The vomiting ceased after about 12 hours but the laminectomy (my first back op ) was delayed by about a week whilst I recovered from the myelogram.
Nothing was discussed and no blood patch or I/V antibiotics given. It left me with purple shadows under my eyes and it felt at the time like an elephant was sitting on my head.
When my second back op was imminent I refused another myelogram and paid privately for a CT scan and then an MRI instead.
Anything than undergo such a frightening procedure again.
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Old 12-23-2007, 10:55 PM
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I had my radiculogram in 1982 at Hammersmith HOspital, London. (Those were the days before MRIs). I was told I must not lie down for 12 hours in order to avoid a headache. Unfortunately, despite following instructions I had the most appalling migraine of my life - my head continued to thunder and i continued vomitting for over a week. I went into my laminectomy more concerned about my head than my back! In retrospect I think my back was easing up, but I was incapable of thinking, let alone having a discussion about it. Never, ever again.
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2/04 Acute episode became new baseline - Housebound & severe pain
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Old 01-10-2008, 05:07 PM
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1986. Regina Sask Canada. I was 18.

1. severe headache, one, didnt dare move my eyes! week two severe when standing only.

2. No one told me of the headache following the Mylo or do I recall a work up.

2a.

2b. herniated disc found l4-s1. They than did what I think I remember as a procedure to shrike it, Cymopapian. (spelling?).

2 c. No need for IV antibiotics or other treatment for infection.

3. I wasnt informed of the complication. However my Mother warned me that I should be aware I could be out of action for a while.
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Old 01-14-2009, 07:05 PM
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Hey Jeff,

Could you describe this "amped" up feeling? I have a myelogram scheduled for the end of this month. I'm suspecting you were "sore" for months, as you state. I have clinical responsibilities and I would like to know from a patient's perspective how you felt after the myelo.

Thanks for your insight,
Dr. J

Quote:
Originally Posted by JeffreyD View Post
Mark and Friends,
My lumbar myelogram in 2006 was uneventful, though my nerves felt "amped" for months afterward.

1. did you experience spinal headache?

No.

2. if you were worked up for complications following myelogram..
N/A

3. When you were consented for myelogram, what were you told about complications, rates, etc...

Nothing at all, not by the doctor or the technician.


Later,
Jeff
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Old 01-15-2009, 02:19 AM
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Angry Holly Headache.

I had a meyelogram in Boise Idaho

1. YES my headache did not hit me until 2 a.m.in a motel room with my family. I drank plenty of water and gateraid.I got out of bed and thought a nice hot shower would help? One hour later I was still in 911 pain.I was hoping my wife would walk in and ask me are you O.K. The reply would of been dial 911 NOW.The pain level was a 100. then I began to drinking a gallon of water while still in the shower. No help, the next step was cold shower until I started to shiver then back to hot then to cold to hot to cold etc. Over two hours later it finaly went away.

2,.Complications- are you kidding

2a, for X Rays and CAT SCAN

3, I was told I may get a slight head ache take it easy and drink plenty of water.

Thanks for a grreat time

Gil
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L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1DDDDD
L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
9 injections Depo. P.T. 13 months 5 dose packs,
Nerve Block Injections.4 ESI S1
L5-S1 foraminotomy 09
L4-L5 Microdiscectomy 09 Reherniate 4-2010
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Old 01-15-2009, 04:09 AM
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Wow, Gil. Good times, good times. How are you feeling these days--are you still pursuing ADR?


Quote:
Originally Posted by Gil Denis View Post
I had a meyelogram in Boise Idaho

1. YES my headache did not hit me until 2 a.m.in a motel room with my family. I drank plenty of water and gateraid.I got out of bed and thought a nice hot shower would help? One hour later I was still in 911 pain.I was hoping my wife would walk in and ask me are you O.K. The reply would of been dial 911 NOW.The pain level was a 100. then I began to drinking a gallon of water while still in the shower. No help, the next step was cold shower until I started to shiver then back to hot then to cold to hot to cold etc. Over two hours later it finaly went away.

2,.Complications- are you kidding

2a, for X Rays and CAT SCAN

3, I was told I may get a slight head ache take it easy and drink plenty of water.

Thanks for a grreat time

Gil
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Old 01-15-2009, 10:38 AM
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1. did you experience spinal headache?

No headache

2. if you were worked up for complications following myelogram

No complications

3. When you were consented for myelogram, what were you told about complications, rates, etc...

No. "We don't tell patients about the pain. If we did, most of them wouldn't agree to the test."

The injection of the dye was uneventful and not really uncomfortable. However, when I was turned over onto my back, the hand grenade they secretly inserted in my abdomen exploded. Burning pain began there and ran down both legs. They finally gave me 10mg Percocet after the CT scan.

I think, and my Pain Management Dr agrees the myleogram intensified the pain by irritating the damaged nerve roots.

I remember what the two guys look like and I know where they work..........
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04/06 L5/S1 Rupture
05/06 MRI shows DDD @ L2-S1
06/06 Diskectomy/ Laminotomy L5/S1
04/07 Recurrent Disc Surgery L5/S1
3 Ortho and 1 Neuro Surgeon, 3 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
03/27/09 Maverick ADR at L4/L5 & L5/S1
03/27/09 The Lord and Dr. Ritter-Lang returned my life to me.
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Old 01-15-2009, 07:21 PM
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Hey Bob,

They did the 'ole hand grenade in the gut trick, eh? This is what I was worried about...good thing you have the slinky spine, as most people don't survive such trauma.

I know a couple of guys from south Philly that could pay those two guys a visit...

Quote:
Originally Posted by trkdoc714 View Post
1. did you experience spinal headache?

No headache

2. if you were worked up for complications following myelogram

No complications

3. When you were consented for myelogram, what were you told about complications, rates, etc...

No. "We don't tell patients about the pain. If we did, most of them wouldn't agree to the test."

The injection of the dye was uneventful and not really uncomfortable. However, when I was turned over onto my back, the hand grenade they secretly inserted in my abdomen exploded. Burning pain began there and ran down both legs. They finally gave me 10mg Percocet after the CT scan.

I think, and my Pain Management Dr agrees the myleogram intensified the pain by irritating the damaged nerve roots.

I remember what the two guys look like and I know where they work..........
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1994 Football Injury
1997 Snow Skiing Injury
Laminotomy L4/L5 (3.7.97--17 years old)
1999 & 2003 MVA (not at fault both times)
Grade V Tears L4/L5 & L5/L6
2-Level ProDisc® L4/L5 & L5/L6* *lumbosacral transitional vertebra (11.15.03--23 years old)
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Old 01-16-2009, 12:29 AM
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Default Dr. J

Great times.

Yes i am still looking into ADR Or fusing my L5- S1 and see how the other levels hold out.
I hope med technology improves before they blow up.

Good Luck

Gil
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L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1DDDDD
L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
9 injections Depo. P.T. 13 months 5 dose packs,
Nerve Block Injections.4 ESI S1
L5-S1 foraminotomy 09
L4-L5 Microdiscectomy 09 Reherniate 4-2010
Coflex-L Implants L4 to S1
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Old 01-16-2009, 01:21 AM
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Dr. J,

The two guys from S Philly sound good, but I'm going with local guys, Bubba and Cooter. It only cost a bag of BBQ pork rinds and a 6 pack of PBR. After all, we are in a recession.

How is your sciatica? I'm hoping your surgeon gave you some insight on the cause and, more importantly, a cure.

Bob
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04/06 L5/S1 Rupture
05/06 MRI shows DDD @ L2-S1
06/06 Diskectomy/ Laminotomy L5/S1
04/07 Recurrent Disc Surgery L5/S1
3 Ortho and 1 Neuro Surgeon, 3 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
03/27/09 Maverick ADR at L4/L5 & L5/S1
03/27/09 The Lord and Dr. Ritter-Lang returned my life to me.
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Old 01-26-2009, 11:35 PM
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Default oooooahhhh mylegrams


my first reaction is EEK !
my first experience with it was in 1979, i was told a routine test to see if my issue was with a disc or not. After a newbie tech told me i was his first for this procedure, i was not alarmed until i woke up 3days after the test with a headache where it felt i had an elephant sitting on my head, the damage was done, my L4-L5 disc was completely blown out, told i was to have surgery for the disc, but hey, it was on the house as long as i agreed not to sue their pants off..............................
my second in 2002, i was tense as heck, and nervous for a week before, tried everything i knew to get out of it, but did it with my fingers and toes crossed, and it was easy with a capable Doc behind the needle, all the worry was for nothing, but then again it usually is.........
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After a botched spinal tap where my L4/L5 disc exploded i underwent a laminectomy in 1979, and ran from spinal surgery ever since, then in 2002 i met DrDelamarter in Santa Monica- and my life as i knew it changed dramatically, I consider myself the "ProdiscPosterBoy" I am in the US Trials and one of the first in California to recieve 2 Lumbar Prodiscs, nomorepain-nomoremeds
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Old 01-29-2009, 02:14 AM
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Well, I go in Friday for my lumbar CT/myelo... hopefully, the dictated report isn't 4 pages long... I'll let everyone know if I hear anything new that is noteworthy to the community.
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-Justin
1994 Football Injury
1997 Snow Skiing Injury
Laminotomy L4/L5 (3.7.97--17 years old)
1999 & 2003 MVA (not at fault both times)
Grade V Tears L4/L5 & L5/L6
2-Level ProDisc® L4/L5 & L5/L6* *lumbosacral transitional vertebra (11.15.03--23 years old)
Dr. Rudolf Bertagnoli -- dr-bertagnoli.com
Pain-free for the last 4.5 yrs.
5.14.09 DSS with Dr. B.
I'm here to help. Only checking PMs currently.
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Old 01-29-2009, 02:18 AM
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Talking Hit the Shower

Hi Dr J
God luck and hope it goes well.
Drink Gatoraide and water

Gil
__________________
L5-S1 lam 1994
L2 to L5 DDD
L3 -L4 hern Dec 2007.
L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
L5-S1DDDDD
L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
C3-C4 limited DDD
9 injections Depo. P.T. 13 months 5 dose packs,
Nerve Block Injections.4 ESI S1
L5-S1 foraminotomy 09
L4-L5 Microdiscectomy 09 Reherniate 4-2010
Coflex-L Implants L4 to S1
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Old 01-29-2009, 10:46 AM
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Justin,

Keep your eye on the guy with the hand grenade. Take your own pain meds in case they forget about you for an hour or so.

Good luck, I hope it shows you what the problem is and that it's something easily treated.

Bob
__________________
04/06 L5/S1 Rupture
05/06 MRI shows DDD @ L2-S1
06/06 Diskectomy/ Laminotomy L5/S1
04/07 Recurrent Disc Surgery L5/S1
3 Ortho and 1 Neuro Surgeon, 3 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
03/27/09 Maverick ADR at L4/L5 & L5/S1
03/27/09 The Lord and Dr. Ritter-Lang returned my life to me.
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