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advanced positioning myelography

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Question
Answer
Myelography   the radiographic study of CNS structures within the vertebral canal  
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Contrast is injected where during myelography?   the subarachnoid space  
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What interspace is used for the needle placement?   L2-L3 or L3-L4 or C1-2  
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Causes of spinal cord compression   herniated disk, bone fragments, tumors, swelling from trauma  
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Contraindications for myelography   blood in the CSF, arachnoiditis, increased ICP, recent LP  
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Types of contrast used for myelography include:   (water soluble non-ionic) iohexol, iopamidol, ioversol  
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How much contrast is used for a myelogram?   9-12 ml  
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Fenestrated drape   drape with a hole in the middle  
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What gauge needle is used for a myelogram?   20-22  
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Patient prep for a myelogram includes what?   ensuring the patient is hydrated and that the exam and possible complications are explained.  
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Patient position for a myelogram   prone with pillow under abdomen. Spine flexed for lateral  
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How do we ensure proper needle placement?   the rad draws CSF  
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How should tubes of CSF be labeled?   in the order they were drawn  
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How much and why is the head elevated for a cervical myelogram?   30-45 degrees to keep the contrast from entering the ventricles  
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What position is the neck in for cervical myelograms?   hyperextension  
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How long is the recovery time for a myelogram?   4-8 hours  
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Typical abnormal findings for a myelogram include:   deformity within the subarachnoid space, and obstruction of the flow of contrast  
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