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between the third and fourth lumbar vertebrae

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Q: The lumbar puncture must be done below the?
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Patients must avoid sitting or standing and remain lying down for as long as six hours after the lumbar puncture. They should also drink plenty of fluid to help prevent lumbar puncture headache


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No, you do not need to have a lumbar puncture (also called a spinal tap) to have a diagnosis of definite MS. The clinical diagnosis of MS is made when the patient has two clinical events separated by space and time. Separation of space means having symptoms in different bodily systems; for example, a vision change and a motor control issue. Separation of time is most universally regarded as a difference of about six months. Additionally, there must be no other cause for these events. MS is a diagnosis of exclusion. This means that you have to exclude everything else that could potentially be causing those symptoms until all you are left with is MS. This is because every symptom which can appear with MS can also appear in other diseases and conditions. This is why MS is often called "the Great Imitator." The lumbar puncture is part of the "body of evidence" which is used to confirm a diagnosis of MS. Used more frequently these days is a high-field (1.5T or 3T) MRI of the brain. These tests, along with meeting the clinical standards listed above, can lead to a diagnosis of MS.


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Radionuclide cisternogram?

DefinitionA radionuclide cisternogram is a nuclear scan test used to diagnose spinal fluid circulation problems.Alternative NamesIntrathecal scan; Spinal cord scan; CSF flow scan; CisternogramHow the test is performedA lumbar puncture (spinal tap) is done first. Small amounts of radioactive material, called a radioisotope, are injected into the fluid in the lower spine.You will be scanned 4 - 6 hours after receiving this injection. A special camera creates images that show how the radioactive materials travel with the cerebrospinal fluid through the spine and if the fluid leaks outside the spine.You will be scanned again 24 hours after injection, and possibly at 48 and 72 hours after injection.How to prepare for the testNo preparation is usually necessary. However, if you are very anxious or agitated, sedation may be necessary. You must sign a consent form. You will wear a hospital gown to make the spine more accessible. Remove jewelry or metallic objects before the scan.How the test will feelDuring lumbar puncture, the lower back over the spine is numbed with an anesthetic. However, many people find lumbar puncture somewhat uncomfortable, usually because of the pressure on the spine during insertion of the needle.The scan is painless, although the table may be cold or hard. No discomfort is produced by the radioisotope or the scanner.Why the test is performedThe test is performed to detect problems with spinal fluid circulation and spinal fluid leaks.Normal ValuesA normal value indicates normal circulation of CSF through all parts of the brain and spinal cord.What abnormal results meanAn abnormal study indicates disorders of CSF circulation, including:HydrocephalusCSF leakNormal pressure hydrocephalus (NPH)Whether or not a CSF shunt is open or blockedWhat the risks areRisks associated with a lumbar puncture include pain at the injection site, bleeding, and infection. There is also a very rare chance of nerve damage.The amount of radiation used during the nuclear scan is very small, and virtually all of the radiation is gone within a few days. There have been no documented cases of injury or damage caused by the radioisotope used with this scan. However, as with any radiation exposure, caution is advised if you are pregnant or breastfeeding.In extremely rare cases, a person will develop an allergic reaction to the radioisotope used during the scan. This may include a serious anaphylactic reaction.Special considerationsYou should lie flat after the lumbar puncture (to help prevent headache from the lumbar puncture). No other special care is usually necessary.ReferencesSilberstein S, Young W. Headache and Facial Pain. In: Goetz, CG, eds. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 53.


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