About Your Myelogram Memorial Sloan Kettering Cancer Center

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What is a myelogram?

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• A normal result means your spinal canal and structures were normal in size, position, and shape.
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As the contrast travels through your spinal canal, your doctor will take X-rays of your spine. During your myelogram, your doctor will give you an injection (shot) of contrast into your spinal canal. If you have chronic back pain, your healthcare provider will likely suggest either a computed tomography (CT) scan or MRI (magnetic resonance imaging) first. A regular spine X-ray gives a clear picture of just your bones because it doesn’t use contrast material.

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Sometimes this headache may make you feel nauseous (feeling like you might throw up). After your myelogram and CT scan, you’ll change back into your clothes and get anything you brought with you. The whole procedure will take about 30 to 40 minutes.

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An x-ray exam helps doctors diagnose and treat medical conditions. It is particularly useful for assessing the spine following surgery and for assessing disc abnormalities in patients who cannot undergo MRI.

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This includes water.Your healthcare provider may have given you different instructions for when to stop drinking. If your headache does not get better within 2 days, call your healthcare provider. Check with your healthcare provider before taking acetaminophen. Your radiologist will watch the flow of the contrast on a TV monitor and take X-rays of your spine. If you think you may be pregnant or plan to become pregnant, talk with your healthcare provider.

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See the Radiation Safety page for more information about pregnancy and x-rays. If an x-ray is necessary, the doctor will take precautions to minimize radiation exposure to the baby. Remove jewelry, removable dental appliances, eyeglasses, and any metal objects or clothing that might interfere with the x-ray images. Usually patients are advised to increase their fluid intake the day before a scheduled myelogram, as it is important to be well hydrated. If you are taking blood thinners, you should speak with your physician about alternative methods of maintaining anticoagulation while you are undergoing a myelogram.

The x-ray machine and a detector suspended over the exam table produce the video. This exam typically uses a radiographic table, one or two x-ray tubes, and a video monitor. At the conclusion of the myelogram, the patient usually remains in an observation area for about two hours and is discharged.

• At the conclusion of the myelogram, the patient usually remains in an observation area for about two hours and is discharged.
• You may be instructed to limit your activity for 24 hours after the procedure.
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Software and games There is a risk of an allergic reaction to the contrast dye. It takes about an hour to have your x-ray or CT scan images initially reviewed by a radiologist. Tell your doctor ahead of time if you have ever had an allergic reaction to lidocaine or the numbing medicine used at the dentist’s office, or to x-ray dyes.

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Your provider may want to do more tests to find out what is causing your symptoms. A normal result means your spinal canal and structures were normal in size, position, and shape. Serious reactions are rare but may include seizures, infection, and a blockage in the spinal canal. Other risks include headache and nausea and vomiting. For others, there is little risk to having this test. Don’t stop taking any medicines unless your provider tells you to.

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