Card Set Information
Intro to Myelography
At what level is the spinal puncture made in myelography?
L2-L3 or L3-L4
A myelographic exam is a radiologic procedure of
CNS structures within the vertebral canal
What kind of contrast is used in myelography?
non-ionic, water soluble
In myelography, contrast is injected into the:
Term defining an injection into the sub-arachnoid space.
After a myelogram, the patient can return home within:
4-8 hours of monitoring
A myelogram is performed instead of MRI when the patient has a ____ such as ____ or _____.
Contraindication to MRI, pacemaker or metalic spinal fusion
Reasons for a myelogram:
Spinal compression, herniated disc, tumors, bone fragments, or spinal cord swelling due to trauma
The scout radiograph taken before a myelogram is a:
An injection for a myelogram is _____ while for CT it is a _____,
intrathecal injection, intravenous injection
The patient position for myelography:
Protocol for Contrast after myelogram:
Usually non-contrast, unless after myelogram. No additional contrast administered.
Patient prep technique for myelogram is:
Why should a patient be well hydrated before a myelogram?
Because the contrast medium is water soluble
During a myelogram, the patients head should be:
Why should the patient have their head fully extended during a myelogram?
To prevent contrast from entering cerebral ventricles (compresses cisterna magna)
Prior to performing the myelogram, what does the doctor do?
Obtains a sample of CSF for analysis
How much contrast is injected during a myelogram?
Before being transported to the recovery room, what should be examined on the patient?
The puncture site
During a myelogram, the patients head and shoulders should be elevated:
Narrowing of spinal cord, spinal canal, nerve roots, or intervertebral foramina:
Narrowing of bony openings through which tissues pass:
Nerves irritated in lower back from degenerative disc disease; pain shoots down leg:
Nerve irritaion caused by damage to the outer ring of the disc due to trauma:
What term is often used on requisitions to refer to sciatica?
Fragment of the nucleus is pushed out of the outer disc margin:
Inner and outer layers of intervertebral discs:
Annulus fibrosus and nucleus pulposus
Diagnostic and sometimes therapeutic procedure performed to collect CSF for analysis:
The Data Acquisition System consists of:
Gantry, table and generator
Two types of Lidocaine:
1% and 2%; verify twice with Dr.
CARE Bill accronym:
Consistency, Accuracy, Responsibility, and Excellence
Objective of CARE bill:
establish minimum educational and credentialing standards for personnel